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Bill· HRH.R. 12150 (93rd)referred
United States · United States Congress · 22 December 1973
National Arthritis Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Disgestive Diseases in order to advance a national attack on arthritis. Establishes a National Task Force on Arthritis to formulate a long-range plan to combat arthritis and related musculoskeletal and other related diseases. Provides that the Arthritis Plan shall include recommendations for the utilization and organizations of national resources for the campaign against arthritis, and a program for the National Institute of Arthritis Metabolism, and Digestive Diseases as a major participant in the campaign against arthritis specifies the composition of the Task Force membership. Authorizes to be appropriated $500,000 for fiscal years 1974 and 1975 to carry out the purposes of the national arthritis program. Establishes within the Institute the position of Associate Director for Arthritis, responsible for programs regarding arthritis within such Institute. Provides that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis Coordinating Committee to be composed of representatives who can make policy commitments for each of the Institutes and divisions involved in arthritis-related research. Creates within the Federal Government an Interagency Technical Committee on Arthritis which shall be responsible for promoting the coordination of those aspects of all Federal health programs and activities relating to arthritis to assure the adequacy and technical soundness of such programs and activities and to provide for the full communication and exchange of information necessary to maintain adequate coordination of such programs and activities. States that the Director of the Institute shall establish programs for cooperation with other health agencies in the screening, detection, prevention, and control of arthritis which emphasize the development of new diagnostic and treatment methods for arthritis, and the dissemination of the knowledge about these methods to the health professions. Authorizes to be appropriated to carry out these provisions $5,000,000 for fiscal year 1975, $10,000,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977. Provides that the Director of the Institute, shall provide for the development of centers for basic and clinical research into, training, in, and demonstration of, advanced diagnostic, prevention, control, and treatment methods for arthritis. Authorizes to be appropriated to carry out these provisions $10,000,000 for fiscal year 1975; $15,000,000 for fiscal year 1976; and $20,000,000 for fiscal year 1977. Requires the Director of the Institute after the end of each calendar year, to submit to the President and Congress a report including: (1) a proposal for the Institute's activities during the next five years; and (2) a program evaluation section.
Law· SS. 2854 (93rd)open
United States · United States Congress · 21 December 1973
National Arthritis Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Disgestive Diseases in order to advance a national attack on arthritis. Establishes a National Task Force on Arthritis to formulate a long-range plan to combat arthritis and related musculoskeletal and other related diseases. Provides that the Arthritis Plan shall include recommendations for the utilization and organizations of national resources for the campaign against arthritis, and a program for the National Institute of Arthritis Metabolism, and Digestive Diseases as a major participant in the campaign against arthritis specifies the composition of the Task Force membership. Authorizes to be appropriated $500,000 for fiscal years 1974 and 1975 to carry out the purposes of the national arthritis program. Establishes within the Institute the position of Associate Director for Arthritis, responsible for programs regarding arthritis within such Institute. Provides that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis Coordinating Committee to be composed of representatives who can make policy commitments for each of the Institutes and divisions involved in arthritis-related research. Creates within the Federal Government an Interagency Technical Committee on Arthritis which shall be responsible for promoting the coordination of those aspects of all Federal health programs and activities relating to arthritis to assure the adequacy and technical soundness of such programs and activities and to provide for the full communication and exchange of information necessary to maintain adequate coordination of such programs and activities. States that the Director of the Institute shall establish programs for cooperation with other health agencies in the screening, detection, prevention, and control of arthritis which emphasize the development of new diagnostic and treatment methods for arthritis, and the dissemination of the knowledge about these methods to the health professions. Authorizes to be appropriated to carry out these provisions $5,000,000 for fiscal year 1975, $10,000,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977. Provides that the Director of the Institute, shall provide for the development of centers for basic and clinical research into, training, in, and demonstration of, advanced diagnostic, prevention, control, and treatment methods for arthritis. Authorizes to be appropriated to carry out these provisions $10,000,000 for fiscal year 1975; $15,000,000 for fiscal year 1976; and $20,000,000 for fiscal year 1977. Requires the Director of the Institute after the end of each calendar year, to submit to the President and Congress a report including: (1) a proposal for the Institute's activities during the next five years; and (2) a program evaluation section.
Bill· SS. 2848 (93rd)open
United States · United States Congress · 21 December 1973
Alcohol and Drug Abuse Education Act Amendments - Provides that it is the purpose of this Act to provide leadership to schools and other institutions in the community by supporting projects to identify, evaluate, demonstrate and disseminate effective drug and alcohol abuse prevention and early intervention strategies and to provide training and technical assistance to schools and other segments of the community in adapting such strategies to identified local needs. Directs the Secretary of Health, Education, and Welfare to carry out a program of making grants to support and evaluate demonstration projects and to disseminate these nationally, to train educational and community personnel that have or should have an important influence on the behavior of young people and to provide technical assistance in program development. Provides that funds appropriated for grants and contracts under this Act shall be available for enumerated purposes, including: (1) comprehensive demonstration programs in school-communities which focus on the causes and affects of drug and alcohol abuse rather than the symptoms; (2) creative primary prevention and early intervention programs in schools; (3) community education programs on drug and alcohol abuse, especially for parents and others in the community; and (4) programs to recruit and train persons, including former drug and alcohol abusers, to organize programs of public education in drug and alcohol abuse. Authorizes to be appropriated to carry out the purposes of this Act $26,000,000 for fiscal year 1974; $30,000,000 for fiscal year 1975; and $34,000,000 for fiscal year 1976.
Bill· HRH.R. 12131 (93rd)referred
United States · United States Congress · 21 December 1973
Requires skilled nursing facilities under the Medicare program and the Medicaid program of the Social Security Act to provide medical social services related to long-term care on a regular basis.
Bill· HRH.R. 12105 (93rd)referred
United States · United States Congress · 21 December 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 12103 (93rd)referred
United States · United States Congress · 21 December 1973
National Cancer Research Act; Title I: Short Title and Declaration of Policy - Declares it to be the purpose of this Act to carry out within five years the goal that cancer research activities of the United States shall be priority oriented and shall be conducted so as to contribute materially to one or more of the following objectives: (1) the expansion of human knowledge of methods in which to detect, prevent, and cure cancer; (2) the development of cancer preventative vaccines, or other preventatives; (3) the improvement of the usefulness and of the dissemination of information from, all cancer-related research activities conducted in the United States; and (4) the development and operation of cancer research facilities, equipment, and supplies, capable of making significant advances in cancer prevention, detection, treatment, and cure. Title II: Coordination of Cancer Research Activities - Estabishes, for five years, in the Executive Office of the President the National Cancer Research Council to be composed of the Vice President, Secretary of State, Secretary of Health, Education, and Welfare, Administrators of the National Cancer Research Administration, and Director of the National Institutes of Health. Directs the Council to develop a comprehensive program of cancer research and to resolve differences among various agencies with respect to cancer research. Establishes, for five years, the National Cancer Research Administration, the administrator of which shall plan, direct, and conduct the cancer research activities of the United States; and disseminate information concerning its activities. Authorizes the Administration to acquire property, enter into contracts, use facilities of federal agencies, and appoint personnel. Requires semiannual reports from the Administration to the Congress. Title III: Miscellaneous - Allows the President to transfer to the Administration for five years any functions of any other department, agency, or officer of the United States which relate primarily to the functions, powers and duties of the Administration. Requires information obtained by the Administration to be available for public inspection. Provides for retention of property rights and patenting by the United States of inventions made in the performance of any work under any contract with the Administration. Allows the administrator to waive all or part of the rights of the United States to an invention if he determines that the interest of mankind and the United States will thereby be served, subject to reservation of an irrevocable, nontransferrable, royalty-free license for the practice of such invention by the United States. Allows the administrator to make a monetary award to any person for any medical, scientific, or technical contribution to the Administration, not exceeding $10,000. Title IV: Funding - Imposes on the income of every individual, estate, trust, and corporation a tax equal to 2 percent of the adjusted tax for the taxable year. Authorizes withholding of such tax according to tables prescribed by the Secretary of the Treasury. Appropriates to such fund, sums as are necessary. Terminates such fund on January 1, 1979.
Bill· HRH.R. 12053 (93rd)referred
United States · United States Congress · 20 December 1973
National Health Policy and Health Development Act - Establishes in the Executive Office of the President the National Council for Health Policy, consisting of five members appointed by the President, by and with the advice and consent of the Senate. Directs the Council to: (1) assess the status of the Nation's health; (2) assess existing and proposed health programs; and (3) develop recommendations for a national health policy which include quantifiable national health goals. Requires a report by the Council each February 1. States that the Congress find the following deserve priority consideration in setting a health policy and in developing health programs: (1) primary care services for medically underserved areas; (2) development of medical group practices; (3) training and increased utilization of physician assistants; and (4) development of multi-institutional arrangements for sharing of support services necessary to all health service institutions. Requires the Secretary of Health, Education, and Welfare to establish health areas with respect to which health service agencies shall be designated. Prescribes standards for such areas, including the requirement of at least one center for highly specialized health services in each such area. Provides for the organizational structure of health service agencies. Sets forth functions for such agencies, including improvement of the health of residents of health areas and restraint on cost increases for health services. Requires such agencies to annually establish long-range goal plans (LGP) and short-term priorities plans (SPP) for the health areas. Requires such agencies to work with public and private entities in the areas in developing health programs. Authorizes health services agencies to review and approve or disapprove Federal funds for programs under this Act, the Mental Retardation Facilities and Community Mental Health Centers Construction Act, and the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act. Directs such agencies to review and make recommendations to State health commissions on certification of health services offered or proposed. Sets standards for such reviews, including considerations of need of health services and costs. Authorizes necessary technical and other nonfinancial assistance to nonprofit private entities which want to be designated as health service agencies. Authorizes grants to nonprofit entities in meeting the costs of the organizational and operational requirements of being health service agencies. Authorizes $15,000,000 for fiscal 1974 and $30,000,000 for fiscal 1975 and 1976 for such purposes. Requires the Secretary to provide health service agencies with model health plans and technical materials, and with a grant each year to be used for salaries, data collection, planning and other activities. States that such a grant shall not be less than $150,000. Authorizes for such grants, $60,000,000 for fiscal year 1975 and $100,000,000 for fiscal year 1976 for making such grants. Directs the Secretary to make grants each year to such agencies to enable them to establish an area Health Services Development Fund, and authorizes appropriation of $100,000,000 for fiscal year 1975 and $125,000,000 for fiscal year 1976 for such grants. Requires the Secretary to review and approve the annual budget of such agencies and to enter into an agreement with a qualified agency of each State whereby such agency shall be conditionally designated as the State Health Commission. Sets forth requirements for such commissions, including that they be independent establishments within State government. Sets forth performance requirements for State administrative programs by such Commissions, including that the State share of cost be provided in a manner and amount satisfactory to the Secretary. Requires such Commissions to review annually and approve or disapprove the LGP and SPP of each health service agency, license health care facilities and personnel in the State, and to determine prospective rates for health services. Authorizes appropriations for grants to States for the developing and operating of State Health Commissions. Authorizes the Secretary to make loans to public and nonprofit private entities and guarantee to non-Federal lenders payment of principal of and interest on loans made by such lenders to nonprofit private entities for assistance in meeting the cost of construction projects for health facilities. Sets forth requirements for repayment of such loans. Establishes a loan guarantee and loan fund in the Treasury to make such loans. Authorizes an appropriation of $100,000,000 in the aggregate for fiscal years 1974 through 1976 for such fund.
Bill· HRH.R. 12059 (93rd)referred
United States · United States Congress · 20 December 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 12052 (93rd)referred
United States · United States Congress · 20 December 1973
National Health Policy Act - Establishes in the Executive office of the President a Council on Health Policy. Sets forth the functions of the Council, including the following: (1) assessment of the status of the Nation's health; (2) assessment of existing and proposed Federal and other health programs; (3) assessment of the need for health resources and services; (4) issuing guidelines respecting the appropriate supply, distribution and organization of health resources and services; and (5) conduct of studies and analyses concerning recommendations for a national health policy. Sets forth priorities in the formulation of a national health policy and in the development and operation of Federal, State, and area health planning, development, and regulatory programs.
Law· SS. 2830 (93rd)open
United States · United States Congress · 19 December 1973
National Diabetes Research and Education Act - Declares that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes mellitus. Directs the Secretary of Health, Education, and Welfare to establish a National Task Force on Diabetes to formulate a long-range plan to combat diabetes mellitus. Specifies the content of such plan. Provides that the task force shall also develop a program to expand, intensify, and coordinate the activities of the National Institute of Arthritis, Metabolism, and Digestive Diseases respecting diabetes mellitus and related endocrine and metabolic diseases. Authorizes to be appropriated to carry out the purposes of this part $500,000 for fiscal year 1974. Provides that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases, shall establish programs in the epidemiology, prevention, control, and evaluation of diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis, and treatment of such diseases in children. Authorizes to be appropriated to carry out such purposes $2,500,000 for fiscal 1975; $5,000,000 for fiscal year 1976; and $10,000,000 for fiscal year 1977. Provides for the establishment of national diabetes research and training centers. Authorizes appropriations of $10,000,000, $15,000,000, and $20,000,000 for fiscal years 1975 through 1977, respectively. Instructs the Director of the National Institutes of Health to establish an Inter-Institute Diabetes Mellitus Coordinating Committee. Directs the Secretary to establish an Interagency Technical Committee on Diabetes Mellitus, responsible for coordinating Federal health programs and activities relating to diabetes mellitus.
Bill· HRH.R. 12030 (93rd)referred
United States · United States Congress · 19 December 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11995 (93rd)referred
United States · United States Congress · 18 December 1973
Establishes within the Department of Health, Education, and Welfare an Office of Population Affairs to be directed by an Assistant Secretary for Population Affairs. Sets forth the duties of the Assistant Secretary. Establishes within the Department an Administration on Reproductive Research and Family Planning. Creates within the Administration a National Center for Family Planning Services, headed by a Director, which shall establish identifiable units to carry out, at a minimum, the following functions: Public information, program planning and evaluation, manpower development and training, supervision of field services, and grants management. Establishes within the Administration, a National Institute for Research on Human Reproduction and Population Change which shall establish identifiable units to carry out, at a minimum, the following functions: Reproductive physiology research, contraceptive development and evaluation, operational research, social science research, public information, manpower development and training, and grants management. Establishes a National Family Planning Services Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Center for Family Planning Services. Establishes a National Population Sciences Advisory Council to advise, consult with, and make recommendations to the Director, at meetings held no less than two times each year, on matters relating to the activities of the National Institute for Research on Human Reporduction and Population Change. Sets forth the functions of the Administration on Reproductive Research and Family Planning. Authorizes to be appropriated for each fiscal year such amounts as may be necessary to meet the administrative expenses of the Administration. Requires the Secretary of Health, Education, and Welfare to submit a report to Congress on each January 1 for the five years following the enactment of this Act. Authorizes appropriations for fiscal years 1974-1976 for the following: (1) special project grants for family planning services; (2) formula grants for family planning, public health services; (3) manpower development and program planning and evaluation; (4) research grants and contracts; (5) grants for support of population sciences, research centers; and (6) planning and population growth information distribution and educational materials development.
Bill· HRH.R. 11965 (93rd)referred
United States · United States Congress · 14 December 1973
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 11964 (93rd)referred
United States · United States Congress · 14 December 1973
Extends the coverage of home health services and posthospital home health services under the medicare program.
Bill· HRH.R. 11946 (93rd)referred
United States · United States Congress · 13 December 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· SS. 2796 (93rd)referred
United States · United States Congress · 11 December 1973
Health Benefits and Health Services Distribution Education Act - Title I: Findings, Purposes, and Definitions - Declares that the Federal Government has an obligation to insure that each area of the country has adequate health personnel and facilities. Sets forth the definitions of terms used in this Act. Title II: Minimum Health Benefits - Requires that business associations and other entities engaged in commerce shall provide to their employees and families, as a cost of doing business, a minimum level of health benefits, including: (1) one complete diagnostic examination and associated tests sufficient to analyze a person's overall medical condition; (2) such visits to a physician, an outpatient clinic, or other ambulatory health facilities which may be necessary for treatment of an illness or injury necessary for the prevention of illness or injury; (3) up to twelve days of inpatient hospital care for treatment of a serious illness or injury, or for surgery; and (4) up to ten days of care in an extended care unit necessary for recovery from a serious illness, accident, or surgery. Sets forth limitations on such minimum benefits. Authorizes the Secretary to issue regulations to insure a high quality of minimum benefits. Provides that a person entitled to minimum benefits who has been denied provision of those benefits may sue in Federal district court for the costs of his lost benefits, reasonable damages, and for a court order requiring him to be provided with the minimum benefits to which he is entitled. Title III: Creation of Community Health and Education Corporations - Authorizes to be created community health and education corporations whose purposes shall be: (1) to provide health services to an identified population on an accessible basis in a specified service area; (2) to provide minimum health benefits to which persons may be entitled from a contractee; (3) to provide for the education and development of qualified health personnel necessary to provide health services and minimum health benefits; and (4) to provide for the operation of facilities required to provide health service, benefits, and for the education of health personnel. States that a corporation shall have a board of fifteen directors consisting of individuals who are citizens of the United States. Provides for the financing of corporations through the issuance of common and preferred stock. Enumerates the general powers of the corporation, including to provide comprehensive health care services and minimum health benefits through prospective contracts, arrangements for prepaid group practices or through other efficient arrangements and to contract with States and the United States for the provision of health services authorized by the Social Security Act. Sets forth the duties of community health and education corporations. Provides that a physician, optometrist, or podiatrist legally authorized to practice his profession in a State is a qualified provider of services for a corporation or as an employee of a corporation, subject to specified limitations. States the circumstances under which a general hospital and a skilled nursing home are qualified providers for a corporation or as a division of a corporation. Title IV: Federal Financial Assistance - Authorizes to be appropriated to the Secretary in each fiscal year through fiscal year 1990 such sums as may be necessary for payment to corporations for the purpose of assisting in: (1) the initial organization and operation of corporations; (2) the financing of health care services to low-income individuals; (3) the financing of health care benefits through corporations for employees of small businesses and charitable organizations; (4) for the subsidization of medical education; and (5) for the construction and staffing of hospitals, and ambulatory and diagnostic centers. Provides for record-keeping procedures and audits of corporations. Title V: Regional Planning Councils - Directs the Secretary to establish planning councils in each major geographic region of the country. States the purposes of such councils, including to develop plans for the provision of comprehensive health services to all persons within the region and for the allocation of health manpower and facilities adequate to provide comprehensive health services to all persons within the region. Provides for the appointment of members of the regional planning councils by the Secretary, specifying their terms of office. Authorizes to be appropriated to the Secretary such funds as may be necessary to carry out the purposes of this title. Title VI: Miscellaneous Provisions - Provides that the provisions of this Act supersede any other provisions of law in conflict with the purposes of this Act.
Bill· HRH.R. 11889 (93rd)referred
United States · United States Congress · 11 December 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 11845 (93rd)referred
United States · United States Congress · 7 December 1973
Health Revenue Sharing and Health Services Act - Title I: Health Revenue Sharing - Special Health Revenue Sharing Act - Authorizes the appropriation of $100,000,000 for the fiscal year ending June 30, 1975, and $100,000,000 for the fiscal year ending June 30, 1976, for the programs providing grants to States for comprehensive public health services under the Public Health Service Act. Title II: Community Mental Health Centers - Community Mental Health Centers Amendments - Presents the finding of the Congress that: (1) community mental health care is the most effective and humane form of care for a majority of mentally ill individuals; and (2) federally funded community mental health centers have had a major impact on the improvement of mental health care by fostering coordination and cooperation between various agencies responsible for mental health care which in turn has resulted in a decrease in overlapping services and more efficient utilization of available resources. Provides that the comprehensive mental health services which shall be provided through a community mental health center under the Community Mental Health Centers Act shall include: (1) services for individuals who are inpatients in a hospital or other health services delivery facility, outpatient services, day care and similar partial hospitalization services, and emergency services; (2) detoxification and referral services for the treatment of alcohol abuse, alcoholism, and other drug abuse and drug dependence problems (including narcotic addiction); (3) consultation and education services for health professionals, schools, State and local law enforcement and correctional agencies, public welfare agencies, health services delivery agencies, and other appropriate entities; (4) assistance to courts and other public agencies in screening residents of the center's catchment area who are being considered for referral to a State mental health facility for treatment to determine if they should be so referred and provision, where appropriate, of treatment for such persons through the center as an alternative to treatment at such a facility; and (5) provision of followup care for residents of its catchment area who have been discharged from a State mental health facility. Authorizes appropriations for grants under such Act. Title III: Family Planning Programs - Family Planning and Population Research Act - Authorizes appropriations for the family planning and population research programs of the Public Health Service Act for the fiscal years ending June 30, 1975 and June 30, 1976. Title IV: Development Disabilities - Developmental Disabilities Amendments - Authorizes appropriations for demonstration and training grants under the Developmental Disabilities Services and Facilities Construction Act for the fiscal years ending June 30, 1975 and June 30, 1976. Eliminates specified present requirements of Federal approval of each construction project under such Act. Title V: Migrant Health - Authorizes appropriations under the Public Health Service Act for grants and contracts in the area of migrant health for the fiscal years ending June 30, 1975 and June 30, 1976. Title VI: Neighborhood Health Centers - Defines the term "neighborhood health center" as meaning under the Public Health Service Act an entity which provides primary health services and referral to providers of supplemental health services for all residents of the area it serves, and is organized in the manner prescribed under this Act. Requires the services of a neighborhood health center to be provided directly through its staff and supporting resources or through contracts or cooperative arrangements with public or private entities. Requires primary health services to be available and accessible in the area served by the center promptly, as appropriate, and in a manner which assures continuity. Provides that the governing body of a neighborhood health center shall have at least a majority of its members selected in a democratic manner by the persons receiving services from the center, shall meet at least once a month, shall establish general policies for the center, shall approve the center's annual budget, and shall approve the selection of a director for the center. Authorizes the Secretary to make grants to public and nonprofit private entities to assist in: (1) the establishment and initial operation of neighborhood health centers which will service a medically underserved area or group; and (2) meeting the cost of the continued operation of such centers. Authorizes to be appropriated $220,000,000 for the fiscal year ending June 30, 1975, and $240,000,000 for the fiscal year ending June 30, 1976; for grants under this title.
Bill· HRH.R. 11825 (93rd)referred
United States · United States Congress · 6 December 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11831 (93rd)referred
United States · United States Congress · 6 December 1973
Revises the Internal Revenue Code by excluding from gross income, in the case of a physician who practices medicine in a physician shortage area, the adjusted gross income from such practice in such area to the extent of: (1) $15,000 during the first taxable year of such practice; (2) $12,500 during the second taxable year of such practice; (3) $10,000 during the third taxable year of such practice; (4) $7,500 during the fourth taxable year of such practice; and (5) $5,000 during the fifth taxable year of such practice. States that such exclusion shall apply to a physician with respect to practice in a physician shortage area only if he continuously engages in such practice for at least 2 years, commencing with the day on which he first engages in such practice. Provides that the Secretary of Health, Education, and Welfare shall, on or before November 1 of each year (beginning with 1972), certify the physician shortage areas (if any) in each State for the following calendar year.
Bill· HRH.R. 11823 (93rd)referred
United States · United States Congress · 6 December 1973
Rural Health Care Delivery Improvement Act - Declares it to be the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare, an Office of Rural Health to be headed by a Director appointed by the Secretary. Enumerates the powers of the Director, including (1) the authority to award grants for projects to examine existing models of rural health care delivery, (2) determination their applicability to other rural areas, and (3) assistance in the planning and demonstration of rural health care delivery models. States that in determining the eligibility of any entity for assistance, the Director will consider specified factors, including (1) identification of the demographic and geographic characteristics which categorize an area as rural; (2) emergency medical care components and systems available to meet the special problems of the rural areas; (3) education programs in rural areas, including health and nutrition education; and (4) development of community planning mechanisms so that the communities can develop health care delivery models appropriate to their needs. Directs the Director to: (1) provide liaison among agencies of the Federal Government for the purpose of coordinating health care programs in rural areas, (2) make a periodic evaluation of other Department of Health, Education, and Welfare programs relating to health care in rural areas, and (3) provide technical assistance for the development of rural health care delivery models. Authorizes to be appropriated for grants and contracts year 1974, $100 million for fiscal year 1975, and $125 million for fiscal year 1976. Specifies the terms and conditions under which the Director may approve an application for assistance under this Act. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund to enable the Secretary to discharge his responsibilities under guarantees issued by him and for direct loans to public entities. Authorizes to be appropriated to the fund from time to time such amounts as may be required for the fund. Provides that the Director may make grants to public and nonprofit private entities, may enter into contracts with public and private entities and individuals, and the Secretary may provide loans to public entities, and may provide loan guarantees to private entities and individuals. Establishes a Rural Health Care Advisory Committee which shall advise the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health and the general administration of the program created under this Act. Sets forth the composition and compensation of Committee members.
Bill· HRH.R. 11814 (93rd)referred
United States · United States Congress · 5 December 1973
Excludes, under the Internal Revenue Code in the case of a physician, dentist, or optometrist who engages in the practice of medicine, dentistry, or optometry, respectively, in a physician shortage area the gross income at the election of the taxpayer of the adjusted gross practice income from such practice in such area to the extent of: (1) $20,000 during the first taxable year of such practice; (2) $15,000 during the second taxable year of such practice; (3) 10,000 during the third taxable year of such practice; (4) $7,500 during the fourth taxable year of such practice; and (5) $5,000 during the fifth taxable year of such practice. States that such exclusion shall apply to a physician, dentist, or optometrist with respect to practice in a physician shortage area only if he continuously engages in such practice for at least 2 years, commencing with the day on which he first engages in such practice. Provides that the Secretary of Health, Education, and Welfare shall, on or before November 1 of each year (beginning with 1974), certify the physician shortage areas (if any) in each State for the following calendar year.
Bill· HRH.R. 11806 (93rd)referred
United States · United States Congress · 5 December 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 11799 (93rd)referred
United States · United States Congress · 5 December 1973
National Cancer Research Act; Title I: Short Title and Declaration of Policy - Declares it to be the purpose of this Act to carry out within five years the goal that cancer research activities of the United States shall be priority oriented and shall be conducted so as to contribute materially to one or more of the following objectives: (1) the expansion of human knowledge of methods in which to detect, prevent, and cure cancer; (2) the development of cancer preventative vaccines, or other preventatives; (3) the improvement of the usefulness and of the dissemination of information from, all cancer-related research activities conducted in the United States; and (4) the development and operation of cancer research facilities, equipment, and supplies, capable of making significant advances in cancer prevention, detection, treatment, and cure. Title II: Coordination of Cancer Research Activities - Estabishes, for five years, in the Executive Office of the President the National Cancer Research Council to be composed of the Vice President, Secretary of State, Secretary of Health, Education, and Welfare, Administrators of the National Cancer Research Administration, and Director of the National Institutes of Health. Directs the Council to develop a comprehensive program of cancer research and to resolve differences among various agencies with respect to cancer research. Establishes, for five years, the National Cancer Research Administration, the administrator of which shall plan, direct, and conduct the cancer research activities of the United States; and disseminate information concerning its activities. Authorizes the Administration to acquire property, enter into contracts, use facilities of federal agencies, and appoint personnel. Requires semiannual reports from the Administration to the Congress. Title III: Miscellaneous - Allows the President to transfer to the Administration for five years any functions of any other department, agency, or officer of the United States which relate primarily to the functions, powers and duties of the Administration. Requires information obtained by the Administration to be available for public inspection. Provides for retention of property rights and patenting by the United States of inventions made in the performance of any work under any contract with the Administration. Allows the administrator to waive all or part of the rights of the United States to an invention if he determines that the interest of mankind and the United States will thereby be served, subject to reservation of an irrevocable, nontransferrable, royalty-free license for the practice of such invention by the United States. Allows the administrator to make a monetary award to any person for any medical, scientific, or technical contribution to the Administration, not exceeding $10,000. Title IV: Funding - Imposes on the income of every individual, estate, trust, and corporation a tax equal to 2 percent of the adjusted tax for the taxable year. Authorizes withholding of such tax according to tables prescribed by the Secretary of the Treasury. Appropriates to such fund, sums as are necessary. Terminates such fund on January 1, 1979.
Bill· HRH.R. 11790 (93rd)referred
United States · United States Congress · 5 December 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 11812 (93rd)referred
United States · United States Congress · 5 December 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 11788 (93rd)referred
United States · United States Congress · 5 December 1973
Extends the coverage of the National Labor Relations Act to include employees of nonprofit hospitals. States that when a collective bargaining agreement is in effect between a health care institution and a labor organization representative the agreement shall continue in full force and effect, without recourse to strikes, picketing or lockouts, except as expressly permitted by this Act. Prescribes the procedure to be followed in negotiations for renewal of any such agreements. Provides that when a health care institution and a labor organization which is the bargaining representative of its employees enter into negotiations for an initial collective bargaining agreement, such negotiations shall be conducted in accordance with specified procedures without recourse to strikes, picketing or lockouts, except as expressly permitted. Describes the conduct which constitutes unfair labor practices. Provides for not more than four bargaining units in health care institutions (in addition to security guards): (1) professional employees, (2) technical employees, (3) clerical employees, and (4) service and maintenance employees. Gives unfair labor practice charges involving strikes and picketing at health care institutions priority over other cases in NLRB regional offices. Provides a course of action for private persons for injury due to unlawful strikes or lockouts.
Bill· HRH.R. 11761 (93rd)referred
United States · United States Congress · 4 December 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 11705 (93rd)referred
United States · United States Congress · 30 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11718 (93rd)referred
United States · United States Congress · 30 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11719 (93rd)referred
United States · United States Congress · 30 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11689 (93rd)referred
United States · United States Congress · 30 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· SS. 2756 (93rd)referred
United States · United States Congress · 29 November 1973
Health Rights Act - Title I: Administrative and General Provisions - Defines various terms for purposes of the Act such as: (1) inpatient hospital services; (2) psychiatric hospital; (3) tuberculosis hospital; (4) secondary care facility. Establishes within the Department of Health, Education, and Welfare an Office of Health Care, to administer the provisions of this Act. Provides that the Office of Health Care shall be headed by a Director, to be appointed by the President, by and with the advice and consent of the Senate. Authorizes the Secretary in carrying out his functions under this Act, to: (1) establish regional offices; (2) contract with an insurance carrier or intermediary to administer titles II and III of this Act; (3)fix the compensation of personnel; (4) procure temporary and intermittent services; (5) promulgate such rules, regulations, and procedures, as necessary to carry out the functions vested in him; (6) utilize the services, of other agencies with or without reimbursement therefor; (7) request such information, data, and reports, from any Federal agency; (8) with approval of the President, reimburse the heads of other Federal agencies for the performance of any of his functions under this Act; and (9) enter into and perform contractes leases, cooperative agreementes or other transactions, in the conduct of his functions consistent with the purposes of this Act. Directs each medical care institution providing services or receiving payments under this Act to develop a utilization review plan. Requires such review plans to include provisions for a review of the medical necessity: (1) of all medical and other health services received by individuals from such medical care institutions; (2) of hospitalization for over 7 days and every 7 days thereafter; and (3) of additional medical and other health services which may be required from such medical care institution. Requires all reviews to be conducted by a committee of members providing such services, composed of two or more physicians, or dentists, or psychiatrists or psychologists. Establishes in the Department of Health, Education, and Welfare, under the Social Security Act, a National Professional Standards Review Council to (1) review the operation of Statewide Professional Standards Review Councils and Professional Standards Review Organizations; (2) continually review the overall administration of this Act; (3) develop and issue minimum national standards of training for physicians, dentists, psychologists, psychiatrists, and nurses providing services covered by this Act; (4) develop minimum standards of training for other health personnel, including: dental hygienistes, dietary technicians, pharmacy aides, physical therapists, electrocardiograph technicians, and surgical aides; and (5) consult with other organizations to assist in the development of standards. Title II: Inpatient Health Care Benefits - Establishes an insurance program to provide insurance benefits financed by the Federal Government. Provides that every resident and nonresident citizen, who has procured coverage under title III of Act, of the United States while within the United States, is eligible to receive health care benefits under this Act. Authorizes the Secretary to enter into agreements with foreign governments and international organizations to extend the benefites of this title to persons within the United States who are alien employees of a foreign government or of an international organization. Provides that every individual who is eligible for benefits under this title shall be covered for the cost of: (1) inpatient hospital services; (2) inpatient tuberculosis hospital services; (3) inpatient psychiatric services, not to exceed 60 days per year; (4) secondary care services; and (5) post-inpatient home health services. Creates on the books of the Treasury of the United States a trust fund to be known as the "Federal Health Care Trust Fund". Appropriates monies to the Trust Fund for fiscal year 1972, and for each fiscal year thereafter. Creates a body to be known as the Board of Trustees of the Trust Fund composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of HEW, all ex officio. Makes it the duty of the Board of Trustees to: (1) hold the Trust Fund; (2) report to the Congress each year on the operation of the Trust Fund; (3) report immediately to the Congress whenever the Board is of the opinion that the amount of the Trust Fund is unduly small; and (4) review the general policies followed in managing the Trust Fund, and recommend changes. Title III: Supplementary Medical Insurance - Establishes a voluntary insurance program to provide medical insurance benefits, to individuals who elect to enroll, to be financed from premium payments by enrollees together with contributions from funds by the Federal Government. Provides that the benefits provided by the program established by this title shall consist of: (1) entitlement to have payment made to him or on his behalf for medical and other health services; home health services, outpatient physical therapy services, professional services of a doctor of dentistry, a psychologist, or phschistrist, and for nondiagnostic medical examinations. Provides that payment for services shall be made by the insurance carrier who has contracted to cover the region in which the services were rendered upon the submission of a claim in such manner as prescribed by the Secretary. Directs the Secretary during January 1975, and of each year thereafter to determine the dollar amount which shall be applicable for premiums for each region. Prescribes the percentages which shall constitute the Federal share of the premiums for Supplementary Health Care under this title. Creates on the books of the Treasury a trust fund to be known as the "Supplementary Health Care Trust Fund". Transfers to the Trust Fund all assets and liabilities of the "Federal Supplementary Medical Insurance Trust Fund." Creates a Board of Trustees of the Trust Fund composed of the Secretary of the Treasury, the Secretary of Labor and the Secretary of HEW, all ex officio. Appropriates such funds as may be necessary to defray the expenses of the Trust Fund. Title IV: Health Maintenance Organizations - Directs the Secretary to promulgate regulations for the establishment and financing of public or private pre-paid health maintenance organizations. Authorizes appropriations for fiscal years 1975, 1976 and 1977, of such sums as may be necessary to carry out the provisions of this title. Provides that in no case shall a grant to any one health maintenance organization exceed 50 percent of the development costs of the organization, except that organizations which are located in physician shortage areas may receive grants up to 70 percent. Authorizes the Secretary to enter into contracts (without regard to provisions of law requiring competitive bidding) with qualified health maintenance organizations to provide the services described in titles II and III. Permits any individual who is eligible for benefits under title II or III to be eligible to enroll for benefits under this title. Title V: Miscellaneous Provisions - Sets forth Federal health care standards. Provides for corporate practice under this Act. Provides for judicial review of decisions under this Act. Establishes in the Department of HEW a Health Delivery Committee to be composed of nine members appointed by the President by and with the advice and consent of the Senate. Directs the Committee to: (1) study the current need for medical personnel and facilities in the United States; (2) study the estimated need for such personnel and facilities in the next succeeding two decades; (3) study the solution to meeting the needs found, with particular emphasis on prepaid or health maintence plans; and (4) submit a report, every 6 months of its findings and recommendations. Authorizes appropriations of such sums as are necessary to carry out the provisions of this Act.
Bill· HRH.R. 11669 (93rd)referred
United States · United States Congress · 29 November 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 11679 (93rd)referred
United States · United States Congress · 29 November 1973
Requires the Secretary of Health, Education, and Welfare to continue to admit and treat, without charge, persons at facilities of the Public Health Service for purposes of study.
Bill· HRH.R. 11670 (93rd)referred
United States · United States Congress · 29 November 1973
Designates the Miners' Hospital in Raton, New Mexico, as a Public Health Service hospital, to be known as the "Miners' Rehabilitation and Medical Hospital," and to be controlled, managed, and operated by the Secretary of Health, Education, and Welfare. Provides that any person who is or has been engaged in the removal of ores, precious stones, or other materials from pits or excavations, and whose disease, injury, or disability was incurred while so engaged or is related thereto, shall be entitled to receive care and hospitalization on a priority basis without charge at the Miners' Hospital. Authorizes to be appropriated such sums as may be necessary to enable the Secretary of Health, Education, and Welfare to carry out the provisions of this Act.
Bill· HRH.R. 11667 (93rd)referred
United States · United States Congress · 29 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11676 (93rd)referred
United States · United States Congress · 29 November 1973
Medical Device Amendments - Title I: Classification of Medical Devices - Directs the Secretary of Health, Education, and Welfare, under the Federal Food, Drug, and Cosmetic Act, to appoint and organize separate classification panels of experts to review and classify devices into appropriate categories based on the safety and effectiveness of such devices. Requires such panels to submit recommendations for the classification of devices into one of the three following categories: (1) exempt devices-those devices having a generally accepted medical use which are safe and effective when used according to instructions and warnings and which present a minimum risk; (2) devices subject to standards- those devices for which in order to reduce or eliminate unreasonable risk of illness or injury it is appropriate to establish reasonable standards to assure safety and effectiveness; and (3) devices subject to premarket scientific review-those devices for which inadequate evidence exists to assure safety and effectiveness. Requires the Secretary to publish a report on the device classification scheme in the Federal Register and to allow for comment by interested persons. Title II: Authority to Establish Standards - States that the standard is to relate to safety and effectiveness of devices, including consideration of specified factors. Provides for periodic evaluation of the adequacy of standards. Directs the Secretary to consult with other Federal agencies. Requires the Secretary to publish in the Federal Register a notice that proceedings have been initiated to promulgate a device standard. Specifies the content of such notification. Directs the Secretary to accept one or more offers to develop a proposed standard and to publish in the Federal Register names and addresses of persons whose offers are accepted and the terms of such offers. Directs the Secretary to prescribe regulations governing development of proposed standards. Sets forth alternatives to the development of standards, including: (1) the use of existing standards; and (2) the development of standards by the Secretary. Authorizes the Secretary to appoint independent advisory committees, to which could be referred any matters involving a proposed device standard, prior to or after its publication in the Federal Register. Prescribes the composition of such committees. Requires that manufacturers of devices subject to standards shall assure the Secretary that such devices comply with any testing methods prescribed or that such device has been manufactured in accord with current good manufacturing practices designed to assure such compliance. Provides exemptions from such requirements for specified devices. Title III: Scientific Review of Certain Medical Devices - Describes the circumstances under which scientific review premarket clearance of medical devices is required. States that scientific review of a device declared subject to such review may be otained by submitting to the Secretary an application containing specified information. Directs the Secretary to appoint standing advisory scientific panels to review device applications. Directs the Secreary, after considering the panel's recommendations, either to: (1) approve the application; (2) advise the applicant that this application is not in approvable form and inform applicant of measures required to meet approval; or (3) deny approval if the device fails to meet specified criteria. Sets forth the definition of "adequate scientific evidence". Provides for an opportunity for review of applications denied. Sets forth provisions regarding withdrawal of approval and suspension of approval. Prescribes conditions pertaining to exemptions for clinical testing on humans, including: (1) submission of an outline of the plan of initial clinical testing; (2) submission of an adequate protocol for clinical testing together with a report of prior investigations, including tests on animals, adequate to justify the proposed testing; (3) obtaining of signed agreements from investigators that humans upon whom devices are to be used will be under their personal supervision; and (4) establishment and maintenance of records. Requires the informed consent of human participants. Requires the consent agreement to contain no language through which the individual waives any legal rights or release the institution or its agents from liability for negligence. Defines "exceptional cases" as those in which consent is not feasible or where it would be contrary to the welfare or best interests of a particular subject, as determined by a physician in his professional judgment. Provides for the exemption of custom devices, ordered by a physician to be made in a special way for individual patients, if the device meets enumerated requirements. States that any person may petition the Secretary to establish a product development protocol for a particular custom device. Sets forth the grounds for revocation (or objection to notice of completion) of product development protocol. Title IV: Notification of Defective Devices; Repair or Replacement - Provides that every person acquiring information showing a device produced, assembled, or imported by him to contain a defect likely to create a substantial risk to the public health or safety, or to be in non-compliance with an applicable standard shall be required to notify the Secretary of such defect or failure if the device has left control of the manufacturer. Specifies the content of such notification and enumerates the exemptions from such requirement. Sets forth the definition of "defect". Provides for the public disclosure of a defect and for the repair, replacement or refund of the cost of defective devices to the owner. Title V: Requirement of Good Manufacturing Practice - Requires that a device, and the methods used in its manufacture, must conform to good manufacturing practice. Title VI: Records and Reports; Inspection and Registration of Establishments; Official Names - Requires persons manufacturing, processing, repacking, labeling, or distributing a device subject to a standard which is in effect, or with respect to which there is in effect an approval of an application for scientific review, to maintain records and make reports to the Secretary on clinical experience and other data relating to the safety or effectiveness of such device, or possibility of adulteration or misbranding. Title VII: General Provisions - Establishes an Advisory Council on Devices to advise the Secretary on policy matters relating to carrying out the provisions of the Act. Prohibits States from establishing or maintaining standards or regulations for any device which is specifically subject to an official Federal standard or scientific review, unless State requirements are identical to the Federal requirements. Permits the Secretary to disclose information relating to trade secrets to a contractor in furtherance of provisions of the Act, subject to the contractor's observance of such security precautions as are prescribed in the regulations. Defines the term "device" to mean instruments, apparatus, implements, machines, contrivances, implants, in vitro reagents, or similar articles, including their components, parts and accessories which are: (1) recognized in the official U.S. Pharmascopela or National Formulary, or any supplement to them, or (2) intended for use in diagnosis, treatment, or prevention of disease in man or other animals, or (3) intended to affect any structure or any function of the body of man or other animals, and (4) which do not achieve any of their principal purposes through chemical action within or on the body of man or other animals and which are not dependent upon being metabolized for achievement of their principal purposes. Defines the term "prescription device". Makes various technical amendments to the Federal Food, Drug, and Cosmetic Act to make existing law applicable to devices.
Bill· HJRESH.J.Res. 835 (93rd)referred
United States · United States Congress · 29 November 1973
Directs the Secretary of Health, Education and Welfare to take necessary steps to organize and hold an international conference on heart disease, cancer, and stroke, to be held in Washington, D.C. during the fiscal year 1974. Authorizes appropriations of up to $5,000,000 for defraying expenses incident to organizing and holding such a conference.
Bill· HRH.R. 11647 (93rd)referred
United States · United States Congress · 28 November 1973
States that under the Medicare provisions of the Social Security Act the inpatient hospital deductible shall be $72 in the case of any spell of illness beginning before 1975. Directs the Secretary of Health, Education, and Welfare to, between July 1 and October 1 of 1974, and of each year thereafter, determine and promulgate the inpatient hospital deductible which shall be applicable in the case of any spell of illness beginning during the succeeding calendar year. Provides that such inpatient hospital deductible shall be equal to $72 multiplied by the ratio of (A) the current average per diem rate for inpatient hospital services for the calendar year preceeding the promulgation, or (B) the current average per diem rate for such services for 1972.
Bill· HRH.R. 11635 (93rd)referred
United States · United States Congress · 28 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11585 (93rd)referred
United States · United States Congress · 27 November 1973
States that under the Medicare provisions of the Social Security Act the inpatient hospital deductible shall be $72 in the case of any spell of illness beginning before 1975. Directs the Secretary of Health, Education, and Welfare to, between July 1 and October 1 of 1974, and of each year thereafter, determine and promulgate the inpatient hospital deductible which shall be applicable in the case of any spell of illness beginning during the succeeding calendar year. Provides that such inpatient hospital deductible shall be equal to $72 multiplied by the ratio of (A) the current average per diem rate for inpatient hospital services for the calendar year preceeding the promulgation, or (B) the current average per diem rate for such services for 1972.
Bill· HRH.R. 11591 (93rd)referred
United States · United States Congress · 27 November 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 11587 (93rd)referred
United States · United States Congress · 27 November 1973
Public Health and National Health Service Corps Scholarship Training Program Amendments - Extends the Public Health and National Health Service Corps Scholarship Training Program to obtain health related specialists not only for the National Health Service Corps but for such other uniformed or civilian Federal health service as the Secretary of Health, Education and Welfare may determine is appropriate. Adds to the criteria for participation in the Program by broadening eligibility to include those selected for civilian service in the National Health Service Corps or in such other uniformed or civilian Federal health service as the Secretary may determine is appropriate and eliminates as criteria for participation in the Program the requirement that each applicant must be eligible for, or hold, an appointment as a commissioned officer in the Regular or Reserve Corps of the Service. Eliminates, as a requirement for participation in the Program, written agreement to serve in the Commissioned Corps of the Service while revising the written agreement requirement to include such other uniformed or civilian Federal health service as the Secretary may determine is appropriate. Alters the active duty obligations of participants in the Program by eliminating the alternative of serving as a commissioned officer in the Service and adding the alternative of serving in such other uniformed or civilian Federal health service as the Secretary may determine is appropriate. Eliminates the requirement that at least one-half of the active duty obligation must be spent providing health care and services in specific areas. Provides that periods of internship or residency shall not be creditable in satisfying an active duty service obligation unless the internship or residency is served in a Federal health facility, thus eliminating the restriction that internship or residency are only creditable when served in a facility of the Public Health Service or other facility of the National Health Service Corps. Eliminates the authorization to appropriate $3,000,000 for the fiscal year ending June 30, 1974, and authorizes appropriation of such sums as may be necessary to carry out the program. Provides that this Act shall be effective with respect to appropriations for fiscal years ending after June 30, 1973.
Bill· HRH.R. 11584 (93rd)referred
United States · United States Congress · 27 November 1973
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 11567 (93rd)referred
United States · United States Congress · 26 November 1973
Respiratory Disease Benefits Act - Title I: General Provisions - States that it is the purpose of this Act to provide assistance, in cooperation with the States, to workers who are totally disabled due to a respiratory disease (other than pneumoconiosis contracted as a result of employment in one or more coal mines) arising out of their employment in a health-hazard industry (other than a coal mine) and to the surviving dependents of workers whose death was due to such disease or who were totally disabled by such disease at the time of their deaths. Sets forth definitions to be used in this Act. Title II: Claims for Benefits Filed on or Before December 31, 1976 - Provides that the Secretary of Health, Education and Welfare shall, in accordance with the provisions of this title and the regulations promulgated by him under this title, make payments of benefits in respect of total disability of any worker due to a respiratory disease arising out of his employment in a health-hazard industry, and in respect of the death of any worker whose death was due to such disease or who at the time of his death was totally disabled by such disease. Provides for the dispersal of benefit payments by the Secretary. Provides for payment of such benefits to the worker in case of total disability and, in the case of death, to the widow, surviving child or children and the dependent parent or parents under a specified schedule. States that benefit payments under this Act to a worker or his widow, child, parent, brother, or sister shall be reduced, on a monthly or other appropriate basis, by an amount equal to any payment received by such worker or his widow, child, parent, brother, or sister under the workmen's compensation, unemployment compensation, or disability insurance laws of his State on account of the the disability of such worker, and the amount by which such payment would be reduced on account of excess earnings of such worker under the Social Security Act. Title III: Claims for Benefits After December 31, 1976 - Provides that on and after January 1, 1976, any claim for benefits for death or total disability due to a respiratory disease arising out of a worker's employment in a health-hazard industry shall be filed pursuant to the applicable State workmen's compensation law, except that during any period when such workers or their surviving widows, children, parents, brothers, or sisters, as the case may be, are not covered by a State workmen's compensation law which provides adequate coverage for such disease, they shall be entitled to claim benefits under this title. Directs the Secretary of Labor to provide a list of adequate state workmen's compensation laws. States that the Secretary of Labor shall by regulation establish standards, which may include appropriate presumptions, for determining whether any particular respiratory disease arose out of employment by any particular employer. Permits the Secretary by regulation to establish standards for apportioning liability for benefits under this title among more than one employer, where such apportionment is appropriate. Provides the authorization for appropriations and directs annual reports to be made by the Secretary of Health, Education and Welfare as well as the Secretary of Labor to Congress.
Bill· HRH.R. 11563 (93rd)referred
United States · United States Congress · 26 November 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· SJRESS.J.Res. 173 (93rd)referred
United States · United States Congress · 19 November 1973
Authorizes the President of the United States to appoint a National Commission for the Control of Epilepsy and its Consequences. States that the Commission shall consist of not more than fifteen members qualified by reason of experience or training. Sets forth the duties of such Commission, including: (1) to call together a national conference of concerned organizations, under the coordinating arm of the Epilepsy Foundation of America, with the purpose of stating the problems and defining the gaps in and barriers to existing health care delivery systems; (2) to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data and information available on the disorder; and (3) to transmit to the President and the Congress no later than one year after the National Conference of Concerned Organization is convened, a report detailing the findings and conclusions of the Commission, together with such recommendations, including recommendations for legislation and appropriations, as it deems advisable. Authorizes appropriations of $200,000 to carry out the purposes of this resolution.
Bill· HRH.R. 11549 (93rd)referred
United States · United States Congress · 15 November 1973
Excludes, under the Internal Revenue Code in the case of a physician, dentist, or optometrist who engages in the practice of medicine, dentistry, or optometry, respectively, in a physician shortage area the gross income at the election of the taxpayer of the adjusted gross practice income from such practice in such area to the extent of: (1) $20,000 during the first taxable year of such practice; (2) $15,000 during the second taxable year of such practice; (3) 10,000 during the third taxable year of such practice; (4) $7,500 during the fourth taxable year of such practice; and (5) $5,000 during the fifth taxable year of such practice. States that such exclusion shall apply to a physician, dentist, or optometrist with respect to practice in a physician shortage area only if he continuously engages in such practice for at least 2 years, commencing with the day on which he first engages in such practice. Provides that the Secretary of Health, Education, and Welfare shall, on or before November 1 of each year (beginning with 1974), certify the physician shortage areas (if any) in each State for the following calendar year.
Bill· HRH.R. 11539 (93rd)referred
United States · United States Congress · 15 November 1973
Public Health and National Health Service Corps Scholarship Training Program Amendments - Extends the Public Health and National Health Service Corps Scholarship Training Program to obtain health related specialists not only for the National Health Service Corps but for such other uniformed or civilian Federal health service as the Secretary of Health, Education and Welfare may determine is appropriate. Adds to the criteria for participation in the Program by broadening eligibility to include those selected for civilian service in the National Health Service Corps or in such other uniformed or civilian Federal health service as the Secretary may determine is appropriate and eliminates as criteria for participation in the Program the requirement that each applicant must be eligible for, or hold, an appointment as a commissioned officer in the Regular or Reserve Corps of the Service. Eliminates, as a requirement for participation in the Program, written agreement to serve in the Commissioned Corps of the Service while revising the written agreement requirement to include such other uniformed or civilian Federal health service as the Secretary may determine is appropriate. Alters the active duty obligations of participants in the Program by eliminating the alternative of serving as a commissioned officer in the Service and adding the alternative of serving in such other uniformed or civilian Federal health service as the Secretary may determine is appropriate. Eliminates the requirement that at least one-half of the active duty obligation must be spent providing health care and services in specific areas. Provides that periods of internship or residency shall not be creditable in satisfying an active duty service obligation unless the internship or residency is served in a Federal health facility, thus eliminating the restriction that internship or residency are only creditable when served in a facility of the Public Health Service or other facility of the National Health Service Corps. Eliminates the authorization to appropriate $3,000,000 for the fiscal year ending June 30, 1974, and authorizes appropriation of such sums as may be necessary to carry out the program. Provides that this Act shall be effective with respect to appropriations for fiscal years ending after June 30, 1973.