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Bill· SS. 2941 (99th)referred
United States · United States Congress · 17 October 1986
Malpractice Dispute Resolution Act of 1986 - Directs the Director of the Office of Management and Budget, during the four-year period starting January 1, 1988, to conduct between one and three projects under the Federal employees' health benefits program which will demonstrate alternatives to the tort liability system of compensating persons for injuries or illness incurred and aggravated as a result of health care received under such a plan. Makes participation in such a project by an enrollee voluntary. Authorizes such projects to include: (1) binding arbitration or other alternative dispute resolution procedures; (2) contractual modifications of existing substantive rules governing tort claims; or (3) compensation for specified injuries or illness on a no-fault basis. Specifies considerations required before a project may be approved. Requires the Comptroller General of the United States to report to the Congress by December 31, 1991, any recommendations regarding implementation of alternatives to the tort liability system in Federal health benefit plans. Authorizes appropriations for such projects for FY 1988 through 1992.
Bill· HRH.R. 5736 (99th)referred
United States · United States Congress · 17 October 1986
Comprehensive Health Care Reform Act of 1986 - Directs the Secretary of Health and Human Services to establish the National Commission on Health Care Reform to: (1) study the national health care system and its ability to provide quality cost-effective health care; (2) examine methods of restructuring the national health care system; and (3) examine the potential cost of implementing a restructured system. Requires the Commission to report its findings and recommendations to the Congress and the Secretary by January 1, 1988. Terminates the Commission on January 1, 1988.
Bill· SS. 2935 (99th)referred
United States · United States Congress · 16 October 1986
Antibiotic Safety Act of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to prohibit the use of subtherapeutic doses of penicillin, chlortetracycline, or oxytetracyline in animal feed.
Bill· HRH.R. 5723 (99th)referred
United States · United States Congress · 16 October 1986
Federal Employees Long-Term Health Care Act of 1986 - Directs the Office of Personnel Management (OPM) to conduct, during calendar years 1988 through 1990, a demonstration project to determine the feasibility and desirability of establishing, on a permanent basis, the concept of a social health maintenance organization for Federal employees and their families. Limits the contractor for such a project to certain comprehensive medical plans. Specifies the terms and conditions of the project contract, including benefits: (1) without any deductible; and (2) limited to expenses totalling at most $18,000 per calendar year, with the individual being liable for 25 percent of any such expenses. States that the project shall be designed by OPM, participating carriers, and a consultant contracted for by the OPM. Requires periodic written evaluations of the project by the consultant, to be submitted to OPM and certain congressional committees. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 5681 (99th)referred
United States · United States Congress · 9 October 1986
Back Injury Commission Act of 1986 - Establishes the Commission on Back Injuries to study the causes and consequences of occupational back injuries and recommend actions to prevent and alleviate such injuries. Requires the Commission to report its findings, conclusions, and recommendations to the President and the Congress. Terminates the Commission 30 days after submitting such report.
Bill· HRH.R. 5647 (99th)referred
United States · United States Congress · 3 October 1986
Requires the Prospective Payment Assessment Commission and the Administrator of the Health Care Financing Administration to: (1) research and develop a method which accounts for complications and morbidity variations among diagnosis-related groups in determining payments for inpatient hospital services under title XVIII (Medicare) of the Social Security Act; and (2) report the results to the Congress by the close of FY 1987.
Resolution· HCONRESH.Con.Res. 402 (99th)referred
United States · United States Congress · 2 October 1986
Expresses the sense of the Congress that the States should enact legislation that: (1) requires the blood tests required before a couple may be married include negative results of a test for acquired immune deficiency syndrome (AIDS) and the AIDS-related complex and a test to determine if an individual is a carrier of the virus which causes AIDS; (2) requires tracing and counseling of such individuals; (3) encourages designated hospitals to offer transfusions directly between the blood donor and recipient; (4) requires health care professionals to test negatively for AIDS, the AIDS complex, or the AIDS virus; and (5) makes sodomy a criminal offense.
Bill· SS. 2876 (99th)referred
United States · United States Congress · 25 September 1986
Amends Federal law to provide for special pay for psychologists in the commissioned corps of the Public Health Service Corps. Sets forth the rate of such special pay.
Bill· SS. 2875 (99th)referred
United States · United States Congress · 24 September 1986
Prescription Drug Marketing Act of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to permit only the U.S. manufacturer of a drug to reimport such drug into the United States. Prohibits the sale of prescription drug samples. Permits the distribution of samples only to practitioners licensed to prescribe such drugs. Requires such practitioners to return a receipt for such drug samples to the manufacturers to be kept and made available to Federal and State officials. Requires drug wholesalers to provide drug purchasers with a statement identifying the manufacturer and each sale of the drug. Directs the Secretary of Health and Human Services to issue licensing standards for drug wholesalers.
Bill· SS. 2873 (99th)referred
United States · United States Congress · 24 September 1986
Pediatric Pulmonary Research Act of 1986 - Amends title IV (National Research Institutes) of the Public Health Service Act to require the Director of the National Institute of Child Health and Human Development to establish a grant program to fund research, training, and patient services in pediatric pulmonary medicine. Requires the Director to establish criteria for the selection of grant recipients. Authorizes appropriations for FY 1987 through 1989.
Bill· HRH.R. 5592 (99th)referred
United States · United States Congress · 24 September 1986
Amends the Rehabilitation Act of 1973 to provide that an individual who uses, or is addicted to, illegal drugs shall not be considered a handicapped individual for the purposes of such Act (unless such individual can be considered handicapped based on other criteria within such Act).
Bill· HRH.R. 5585 (99th)referred
United States · United States Congress · 24 September 1986
Requires the Administrator of Veterans Affairs to establish a pilot program to contract for temporary health care for veterans in the West Palm Beach, Florida area who will eventually be served by the West Palm Beach Veterans' Administration Medical Center, upon its completion. Requires the Administrator to implement such program and to report to the Congress a plan for such implementation within specified periods. Terminates the authority for the pilot program when a new Veterans Administration medical facility serving such area is opened.
Bill· SS. 2861 (99th)referred
United States · United States Congress · 23 September 1986
Alzheimer's Disease and Related Dementias Services Research Act of 1986 - Title I: Council on Alzheimer's Disease - Establishes in the Department of Health and Human Services the Council on Alzheimer's Disease to: (1) coordinate research conducted by or through the Department on Alzheimer's disease and related dementias; (2) establish a mechanism for the sharing of information among employees of the Department involved in programs serving the elderly; (3) identify the most promising areas of research; (4) establish mechanisms to use the results of Alzheimer's disease research; and (5) assist in developing and coordinating research plans. Requires the Council to transmit specified reports to the Congress. Title II: Advisory Panel on Alzheimer's Disease - Establishes the Advisory Panel on Alzheimer's Disease to assist the Secretary of Health and Human Services and the Council in identifying priorities and emerging issues with respect to Alzheimer's disease and related dementias. Authorizes appropriations for FY 1988 through 1991. Title III: Awards for Leadership and Excellence in Alzheimer's Disease and Related Dementias - Authorizes the Director of the National Institute on Aging to make awards to researchers who have made distinguished achievements in areas relating to Alzheimer's disease and related dementias. Authorizes appropriations for FY 1988 through 1991. Title IV: Research Relating to Services for Individuals with Alzheimer's Disease and Related Dementias and Their Families - Part A: Responsibilities of the National Institute on Aging - Requires the Director to conduct research relevant to appropriate services for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to prepare and transmit to the Chairman of the Council a plan for such research. Requires the Director to disseminate the results of such research to appropriate professional entities and the public. Authorizes appropriations for FY 1988 through 1991. Part B: Responsibilities of the National Institute of Mental Health - Requires the Director of the National Institute of Mental Health to conduct research relevant to appropriate services for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to prepare and transmit to the Chairman of the Council a plan for such research. Requires the Director to disseminate the results of such research to appropriate professional entities and the public. Authorizes appropriations for FY 1988 through 1991. Part C: Responsibilities of the National Center for Health Services Research and Health Care Technology Assessment - Requires the Director of the National Center for Health Services Research and Health Care Technology Assessment to conduct research relevant to appropriate services for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to prepare and transmit to the Chairman of the Council a plan for such research. Requires the Director to disseminate the results of such research to appropriate professional entities and the public. Authorizes appropriations for FY 1988 through 1991. Title V: Dissemination - Requires the Director of the National Institute on Aging to establish the Clearinghouse on Alzheimer's Disease to disseminate information concerning services available for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to make a grant to a national organization representing individuals with Alzheimer's disease and related dementias to: (1) establish a central computerized information system to compile, translate, and disseminate information concerning initiatives regarding services for individuals with Alzheimer's disease and related dementias; and (2) establish a national toll-free telephone line to make such information available. Authorizes appropriations for FY 1988 through 1991. Title VI: Educational Activities - Requires the Secretary to develop a mechanism to ensure that information concerning Alzheimer's disease and related dementias is provided to the Commissioner of Social Security. Requires the Director of the National Institute of Aging to conduct education and information dissemination activities concerning: (1) the special problems of individuals with Alzheimer's disease and their families; and (2) Alzheimer's disease and related dementias for personnel involved in ensuring the public safety and providing public transportation. Authorizes appropriations for FY 1988 through 1991.
Bill· SS. 2846 (99th)referred
United States · United States Congress · 20 September 1986
Alzheimer's Disease and Related Dementias Services Research Act of 1986 - Title I: Council on Alzheimer's Disease - Establishes in the Department of Health and Human Services the Council on Alzheimer's Disease to: (1) coordinate research conducted by or through the Department on Alzheimer's disease and related dementias; (2) establish a mechanism for the sharing of information among employees of the Department involved in programs serving the elderly; (3) identify the most promising areas of research; (4) establish mechanisms to use the results of Alzheimer's disease research; and (5) assist in developing and coordinating research plans. Requires the Council to transmit specified reports to the Congress. Title II: Responsibilities of the National Institute on Aging - Requires the Director to conduct research relevant to appropriate services for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to prepare and transmit to the Chairman of the Council a plan for such research. Requires the Director to disseminate the results of such research to appropriate professional entities and the public. Authorizes appropriations for FY 1988 through 1991. Title III: Responsibilities of the National Institute of Mental Health - Requires the Director of the National Institute of Mental Health to conduct research relevant to appropriate services for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to prepare and transmit to the Chairman of the Council a plan for such research. Requires the Director to disseminate the results of such research to appropriate professional entities and the public. Authorizes appropriations for FY 1988 through 1991. Title IV: Responsibilities of the National Center for Health Services Research and Health Care Technology Assessment - Requires the Director of the National Center for Health Services Research and Health Care Technology Assessment to conduct research relevant to appropriate services for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to prepare and transmit to the Chairman of the Council a plan for such research. Requires the Director to disseminate the results of such research to appropriate professional entities and the public. Authorizes appropriations for FY 1988 through 1991. Title V: Dissemination - Requires the Director of the National Institute on Aging to establish the Clearinghouse on Alzheimer's Disease to disseminate information concerning services available for individuals with Alzheimer's disease and related dementias and their families. Requires the Director to make a grant to a national organization representing individuals with Alzheimer's disease and related dementias to: (1) establish a central computerized information system to compile, translate, and disseminate information concerning initiatives regarding services for individuals with Alzheimer's disease and related dementias; and (2) establish a national toll-free telephone line to make such information available. Authorizes appropriations for FY 1988 through 1991.
Bill· SS. 2841 (99th)referred
United States · United States Congress · 19 September 1986
Organ Procurement and Transplantation Network Act of 1986 - Amends the Public Health Service Act to grant the Organ Procurement and Transplantation Network (Network) the exclusive responsibility: (1) for the assignment in the United States of an organ to a recipient, if the organ is not transplanted into a recipient residing in the service area of the regional center for the region in which it is donated; and (2) for the arrangement and approval of the export or import of organs. Declares that an organ exported to a foreign country may only be: (1) provided by the organ procurement network of that country to a nonprofit transplant center; and (2) transplanted into a citizen or permanent resident of that country. Requires the U.S. Network, before approving an export, to determine that all possible efforts to locate a U.S. recipient have been exhausted. Requires organ procurement organizations, agencies, and programs and all persons and entities involved in organ harvesting, donation, or transplantation, to register with, and participate in, the Network to be eligible for Federal assistance. Declares it unlawful for any person to export or import human organs without approval and arrangement by the Network. Establishes a $50,000 fine, or up to five years' imprisonment, or both, for violation of this prohibition. Declares it unlawful for any person to advertise or solicit for, or cause to be advertised or solicited for, any nonimmigrant alien human organ transplant patient or any nonimmigrant alien human organ donor. Establishes a $50,000 fine, or up to five years' imprisonment, or both, for violation of this prohibition. Declares that it is the sense of the Congress that each State should enact legislation to prohibit the sale, within the State, of any insurance policy which offers or purports to provide the policy holder or beneficiary: (1) with any type of preference with respect to the receipt of a human organ; or (2) with exclusive access to a pool of human organs for transplantation. Declares that it is the sense of the Congress that each State should enact legislation to ensure that any person or entity in the State which is involved in the harvesting, donation, or transplantation of organs shall register with, and participate in, the Network. Amends the Medicare and Medicaid provisions of the Social Security Act to make it a criminal offense (punishable by a $25,000 fine, or up to five years in prison, or both) for anyone knowingly or willingly to solicit or receive remuneration for procuring an organ for any organ transplant. Exempts certain costs from such prohibition.
Bill· HRH.R. 5546 (99th)referred
United States · United States Congress · 18 September 1986
National Childhood Vaccine Injury Act of 1986 - Title I: Vaccines - Subtitle 1: National Vaccine Program - Amends the Public Health Service Act to establish in the Department of Health and Human Services a National Vaccine Program to: (1) direct vaccine research and development within the Federal Government; (2) ensure the production and procurement of safe and effective vaccines; (3) direct the distribution and use of vaccines; and (4) coordinate governmental and nongovernmental activities. Requires the Director of the Program to report to specified congressional committees. Establishes the National Vaccine Advisory Committee to recommend: (1) ways to encourage the availability of an adequate supply of vaccines; and (2) research priorities. Authorizes appropriations for FY 1987 through 1991. Subtitle 2: National Vaccine Injury Compensation Program - Part A: Program Requirements - Establishes the National Vaccine Injury Compensation Program as an alternative remedy to judicial action for specified vaccine-related injuries. Prescribes the contents of any petition for compensation. Grants U.S. district courts authority to determine eligibility and compensation. Requires the district court in which the petition is filed to designate a special master to serve as an adjunct to the court. Sets forth the responsibilities of the court. Lists factors to be considered when determining the amount of a compensation award. Sets forth a table of injuries deemed vaccine-related for compensation purposes. Permits the Secretary of Health and Human Services to: (1) promulgate regulations to revise such table; and (2) recommend changes to the vaccines covered by the table. Provides that compensation awarded under the Program shall be paid out of the National Vaccine Injury Compensation Trust Fund. Limits awards for actual and projected pain and suffering and emotional distress to $250,000. Prohibits awards for punitive damages. Establishes the Advisory Commission on Childhood Vaccines to: (1) advise the Secretary on the implementation of the Program; (2) recommend changes to the Vaccine Injury Table; and (3) recommend research priorities. Part B: Additional Remedies - Sets forth procedures under which the person who filed a petition for compensation under the program may elect to file a civil action for damages. Provides that no vaccine manufacturer shall be liable in a civil action for damages arising from a vaccine-related injury or death: (1) resulting from unavoidable side effects; or (2) solely due to the manufacturer's failure to provide direct warnings. Provides that a manufacturer may be held liable where: (1) such manufacturer engaged in the fraudulent or intentional withholding of information; or (2) such manufacturer failed to exercise due care. Permits punitive damages in such civil actions under certain circumstances. Part C: Assuring a Safer Childhood Vaccination Program in the United States - Requires each health care provider who administers a vaccine listed in the Vaccine Injury Table to record certain information with respect to each such vaccine. Requires each health care provider and vaccine manufacturer to report certain information to the Secretary. Requires the Secretary to develop certain vaccine information materials for distribution to the legal representatives of any child receiving a vaccine listed in the Vaccine Injury Table. Directs the Secretary to promote the development of safer childhood vaccines. Sets forth recordkeeping and reporting requirements for vaccine manufacturers. Imposes civil and criminal penalties for destroying, altering, or concealing any such report or record. Part D: General Provisions - Allows any person to commence a civil action against the Secretary where the Secretary allegedly has failed to perform a duty under this Act. Provides for judicial review of the Secretary's regulatory actions in a court of appeals of the United States. Allows the Secretary to provide licensing for unpatented vaccines for naturally occurring human infectious diseases under certain circumstances. Requires the Secretary to conduct studies on pertussis, rubella, and radiculoneuritis vaccines and publish the results of such studies. Directs the Secretary to study the risks to children associated with each vaccine listed in the Vaccine Injury Table and establish guidelines respecting the administration of such vaccines. Directs the Secretary to periodically review and revise such guidelines. Directs the Secretary to review the warnings, use instructions, and precautionary information presently used by manufacturers of vaccines listed in the Vaccine Injury Table. Directs the Secretary to require manufacturers to revise and reissue any warning, instruction, or information found inadequate. Grants the Secretary recall authority with respect to any licensed virus, serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, or other licensed product which presents a danger to public health. Establishes civil penalties for recall violations. Title II: Amendments of the Internal Revenue Code of 1954 - Part 1: National Vaccine Injury Compensation Trust Fund - Amends the Internal Revenue Code to establish in the Treasury the National Vaccine Injury Compensation Trust Fund. Provides that amounts in the Trust Fund shall be available only for purposes of making expenditures relating to the national vaccine injury compensation program. Transfers certain funds to the Trust Fund. Grants the Trust Fund authority to borrow necessary funds. Provides that any claim filed against the Trust Fund may be paid only out of such Fund. Appropriates initial funding for the Trust Fund. Part II: Revenue Sources for National Vaccine Injury Compensation Trust Fund - Imposes a tax on any childhood vaccine sold by the manufacturer, producer, or importer thereof. States that certain exemptions from manufacturers excise taxes are not applicable to the childhood vaccine tax. Provides that vaccine sales to the United States are not exempt from such tax. Title III: Miscellaneous - Provides that certain Federal provisions designed to reduce paperwork shall not apply to information required to carry out this Act.
Bill· HRH.R. 5553 (99th)referred
United States · United States Congress · 18 September 1986
Alzheimer's Disease and Related Dementias Services Research Act of 1986 - Title I: Council on Alzheimer's Disease - Establishes the Task Force on Alzheimer's Disease as a Council of the Department of Health and Human Services through FY 1991. Sets forth the duties of such Council which include assisting the National Institute on Aging, the National Institute of Mental Health, and the National Center for Health Services Research and Health Care Technology Assessment in developing a coordinated agenda for the activities authorized by this Act and in making necessary adjustments in planned research programs. Directs the Council to report to the Congress and the public within nine months of enactment of this Act on the proposed agenda, and annually thereafter regarding the Alzheimer's disease research authorized by this Act. Title II: National Institute on Aging - Requires the National Institute on Aging to initiate a services-relevant research program on Alzheimer's disease and related dementias which stresses research in: (1) epidemiology and the identification of risk factors in Alzheimer's disease and related dementias; and (2) the development and evaluation of reliable and valid multidimensional diagnostic and assessment procedures and instruments. Directs the National Institute on Aging to: (1) cooperate with the Council in coordinating its program with the others authorized by this Act; and (2) disseminate its findings. Authorizes appropriations for FY 1987 through 1991. Title III: National Institute of Mental Health - Requires the National Institute of Mental Health to initiate a services-relevant research program on Alzheimer's disease and related dementias which stresses research in: (1) mental health services relevant to the problems associated with such dementias; (2) discovery of the optimal range and cost effectiveness of community and institutional services relevant to such dementias; (3) assessment of the efficacy of the various special care units developing around the country for Alzheimer's disease victims; (4) discovery of the ways formal support services provided by health care professionals can be combined with informal support services provided by family and friends as well as ways to provide relief to family caregivers; and (5) discovery of the best methods of delivering the varied services available to dementia victims. Directs the National Institute of Mental Health to: (1) cooperate with the Council in coordinating its program with the others authorized by this Act; and (2) disseminate its findings. Authorizes appropriations for FY 1987 through 1991. Title IV: National Center for Health Services Research - Requires the National Center for Health Services Research and Health Care Technology Assessment to initiate a services-relevant research program on Alzheimer's disease and related dementias which: (1) inventories and analyzes existing data sets and studies relevant to such dementias; and (2) develops estimates of costs borne by dementia patients and their families, stressing what distinguishes the needs of dementia victims from the needs of other patients with long-term care needs. Directs the National Center for Health Services Research and Health Care Technology Assessment to: (1) cooperate with at the Council in coordinating its program with the others authorized by this Act; and (2) disseminate its findings. Authorizes appropriations for FY 1987 through 1991. Title V: Dissemination - Directs the National Institute on Aging to establish a clearinghouse to organize and disseminate services-relevant information on Alzheimer's disease and related dementias and annually publish a summary of such information. Requires the Institute to establish a project, through a grant or contract with a nonprofit organization, to assist it in disseminating nontechnical information about State and private initiatives providing care to Alzheimer's disease victims and support to families caring for such individuals. Requires such nonprofit organization to demonstrate that it will undertake activities to become financially independent at the close of FY 1991. Directs the Institute to: (1) compile information and translate research and technical information about government and private sector initiatives relating to services for individuals with Alzheimer's disease and related dementias; and (2) establish a national toll-free telephone line for information dissemination, but set an appropriate fee for other information dissemination. Provides for clearinghouse reports summarizing the findings of the research programs mandated by this Act. Authorizes appropriations for FY 1987 through 1991.
Bill· HRH.R. 5540 (99th)referred
United States · United States Congress · 17 September 1986
Health Care Quality Improvement Act of 1986 - Title I: Promotion of Professional Review Activities - Provides protection from liability under Federal and State laws for members of a professional review body and their staffs who, in the reasonable belief that the action was in the furtherance of quality health care, warranted by the facts known, and after a reasonable effort to obtain the facts, take actions which adversely affect the clinical privileges or professional society membership of a physician. Provides such protection to those who provide information to professional review bodies. Sets forth certain standards for professional review action is proposed by a health care entity; and (2) specified hearing requirements. Allows the court to award the payment of reasonable attorneys' fees and costs to a prevailing defendant or plaintiff. Allows the Secretary of Health and Human services to establish voluntary guidelines to assist the professional review bodies. Title II: Reporting of Information - Requires any entity (including an insurance company) making a payment in a medical malpractice action to report certain information to the Secretary and to State licensing boards, including: (1) the name of the physician or health care practitioner; (2) the amount of payment; (3) the name of any hospital with which the physician or health care practitioner is associated; and (4) a description of the acts and injuries upon which the claim was based. Establishes civil penalties for the failure to report such information. Directs the Secretary to study whether information respecting small payments should continue to be reported, and transmit the results of such study to the Congress. Requires each Board of Medical Examiners which revokes or suspends a physician's license for reasons relating to the physician's professional competence or conduct to report such information to the Secretary. Requires each health care entity which takes a professional review action that adversely affects the clinical privileges of a physican to report such information to the Board of Medical Examiners. Allows health care entities to report professional review actions taken against health care practitioners who are not physicians. Requires each health care entity which takes a professional review action that adversely affects the clinical privileges of a physican to report such information to the Board of Medical Examiners. Allows health care entities to report professional review actions taken against health care practitioners who are not physicians. Requires each health care entity which takes a professional review action that adversely affects the clinical privileges of a physician to report such information to the Board of Medical Examiners. Allows health care entities to report professional review actions taken against health care practitioners who are not physicians. Specifies sanctions to be taken against health care entities and Boards of Medical Examiners which fail to comply with such requirements. Requires hospitals to request certain information from the Secretary regarding staff physicians and health care practitioners (or physicians and health care practitioners being considered for staff positions). Requires the Secretary to provide: (1) for the disclosure of such information to the physician or health care practitioner; and (2) procedures to correct inaccurate information. Directs the Secretary to make such information available to: (1) State licensing boards; (2) hospitals; and (3) other health care entities. Title III; Definitions and Reports - Defines certain terms for the purposes of this Act. Requires the Secretary to report to the Congress annually on the implementation of this Act. Directs the Secretary to seek to enter into a memorandum of understanding with: (1) the Secretary of Defense and the Administrator of Veterans Affairs to apply the provisions of this Act to hospitals and other facilities and health care providers under their jurisdiction; and (2) the Administrator of Drug Enforcement to provide information respecting physicians and other practitioners whose registration to dispense controlled substances has been revoked or suspended under the Controlled Substances Act. Requires the Secretary to report to the Congress on such memoranda.
Bill· HRH.R. 5516 (99th)referred
United States · United States Congress · 12 September 1986
Medical Device Improvements Act of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to make class II devices for which it can be determined whether or not a performance standard is appropriate rather than requiring a performance standard as under current law. Authorizes the Secretary of Health and Human Services to reclassify class III devices (devices requiring premarket approval) into class I (devices requiring general controls) or class II as appropriate to assure the safety and effectiveness of such devices. Revises the procedures for establishing performance standards for devices. Authorizes the Secretary to waive application requirements for premarket approval for a class III device. Defines "substantially identical" for purposes of classifying devices, requiring same intended use and same technological characteristics. Requires the submission of clinical data demonstrating the substantial equivalence of a device, defined as having the same intended use as another device, but different technological characteristics. Requires a person seeking substantial identity or equivalence to a class III device to certify that a search of published information on such device has been concluded and may be required to include relevant adverse safety and effectiveness data. Requires the Secretary within five years to reclassify class III devices into class I or into class II or to state that the classification is appropriate. Requires devices placed in class III as a transitional measure to be reclassified into class I or class II. Removes the non-state-of-the-art design and manufacture basis for repair, replacement, or refund remedy. Eliminates devices from the color additives regulation. Authorizes the Secretary to charge fees for the filing of reports and device application approval. Establishes in the Treasury the Medical Devices Trust Fund for such fees to used in administering devices regulation. Requires the Secretary of the Treasury to report to the Congress annually for the next five years on such Fund. Makes it discretionary rather than mandatory to refer device applications to a panel for evaluation. Amends the Orphan Drug Act to include medical devices.
Bill· HJRESH.J.Res. 718 (99th)referred
United States · United States Congress · 9 September 1986
Designates the week beginning November 30, 1986, as National Home Health Care Week.
Bill· SS. 2793 (99th)open
United States · United States Congress · 3 September 1986
Public Health Service Technical Amendments of 1986 - Amends the Public Health Service Act to provide for community health centers in frontier areas with not more than six individuals per square mile. States that obligations of individuals under the National Health Service Corps Scholarship Program for payments of damages may not released by a discharge in bankruptcy. (Current law allows such a discharge under limited circumstances.) Provides that the ex officio members of the National Cancer Advisory Board shall be nonvoting members. Makes the Director of the Office of Energy Research of the Department of Energy an ex officio member of such board. Requires the Director of the National Cancer Institute to conduct technical and scientific peer review. Includes graduate programs in clinical psychology among those programs eligible for grants and contracts for training projects in geriatrics. Makes the Gillis W. Long Hansen's Disease Center in Carville, Louisiana, eligible for payments under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act as long as it meets applicable conditions and requirements. Provides that the Federal medical assistance percentage for care and services provided by the Center shall be 100 percent. Modifies the requirements for group health plans for certain State and local employees with respect to: (1) choice of coverage; (2) continuation coverage; and (3) termination of coverage. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to modify provisions regarding the temporary extension of group health coverage. Amends the Community Economic Development Act of 1981 to allow any local public body which received a Rural Development Loan Fund loan after a specified date to transfer such loan to a nonprofit corporation to serve as an intermediate borrower.
Bill· SS. 2791 (99th)referred
United States · United States Congress · 16 August 1986
Informed Consent Act - Prohibits any individual who is employed in a health facility owned or operated by the Federal Government, in a health facility which receives Federal financial assistance, or who receives any Federal financial assistance from performing an abortion on a pregnant woman unless such individual obtained informed consent from such woman. Excepts medical emergencies from such prohibition. Directs the Secretary of Health and Human Services to monitor compliance with this Act. Authorizes individuals aggrieved by the failure of compliance with this Act to seek appropriate relief in the U.S. district courts.
Bill· SS. 2776 (99th)referred
United States · United States Congress · 15 August 1986
Health Care Financing Reform Amendments of 1986 - Title I: Medicare - Amends title XVIII (Medicare) of the Social Security Act to increase the deductible under part B (Supplementary Medical Insurance) of title XVIII to $100 plus the percentage increase in the economic index used to determine increases in the prevailing charge for physicians' services. Specifies that Medicare eligibility begins at age 65 and one month. Establishes a coinsurance amount for home health services of one percent of the inpatient hospital deductible for each home health visit, except for visits: (1) occurring after the 100th visit in a year; or (2) related to a recent hospital or nursing facility stay. Revises the formula for computing the supplementary medical insurance premium. Prohibits workers' compensation laws, insurance policies, or large group health plans (covering at least 20 employees) from taking an individual's status as a Medicare beneficiary into account in providing coverage. Prohibits group health plans from taking into account an individual's end stage renal disease benefits under Medicare. Makes Medicare the secondary payor for all Medicare beneficiaries covered by workers' compensation, insurance policies, and group health plans. Authorizes the Federal Government to bring an action and collect double damages from primary payors. Amends the Internal Revenue Code to impose an excise tax equal to 25 percent of group health plan expenses if such a plan restricts its coverage of Medicare beneficiaries in violation of this Act. Amends title XIX (Medicaid) of the Act to reduce payments to a State contributing to group plans which provide such restrictive coverage. Specifies the benefits Medicare pays when other payors are primary but do not pay full charge. Eliminates Medicare part B payments for ambulatory surgery facility services furnished in a physician's office. Requires the payment of a deductible for services furnished in ambulatory surgical centers. Reduces the amounts paid to hospitals for the indirect costs of medical education. Prohibits a cost-of-living adjustment in payments for clinical diagnostic laboratory tests for the year beginning July 1, 1986. Provides for a special adjustment in such payments for the 6-month period beginning July 1, 1987. Excludes classroom and other educational program costs from the Secretary of Health and Human Services' determination of reasonable hospital costs for direct graduate medical education. Authorizes the Secretary to count a day on which a patient is in a labor or delivery room at the census-taking hour as a patient day for the purpose of determining hospital routine inpatient per diem costs. Prohibits, under the prospective payment system, any redetermination of any allowable operating costs of inpatient hospital services from affecting any payment for a cost-reporting period that has begun before the date of the redetermination. Incorporates modifications which were not incorporated into the prevailing charge level for participating physicians during the previous calendar year, but which are included in participating physicians' prevailing charge levels for 1987, into the 1987 prevailing charge levels for nonparticipating physicians. Makes administrative changes with respect to: (1) the Medicare deductible and coinsurance; and (2) claims of railroad retirement beneficiaries. Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to repeal a waiver of paperwork reduction rules in implementing certain Medicare hospital reimbursement provisions. Amends the Medicare program to authorize the Secretary to enter into contracts with intermediaries for Medicare claims processing without regard to any requirement of competition. Requires the Secretary to publish and give the public an opportunity to comment upon standards and criteria to be used in evaluating intermediaries' peformances. Title II: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to place limits on the States' entitlement to Federal funding. Reduces Federal matching rates for State Medicaid administrative costs to the extent such rates exceed 50 percent, but sets the rate for excess administrative costs at 25 percent. Repeals the requirement that States establish mechanized claims processing and information retrieval systems. Permits States to exclude certain benefits that they are presently required to provide. Revises provisions for determining eligibility for and the extent of benefits. Amends the Unemployment Compensation Amendments of 1976 to provide continued Medicaid eligibility for individuals who cease to be eligible for benefits under title XVI (Supplemental Security Income) of the Act because of cost-of-living increases in benefits under title II (Old Age, Survivors and Disability Insurance) of the Act. Requires that instead of a State's Medicaid plan being in effect Statewide, only required services must be provided to those individuals required to be covered. Limits the applicability of freedom of choice in the selection of a provider of required services for the categorically needy. Permits individuals enrolled with one of the following entities to receive benefits during a minimum enrollment period despite the fact that they would otherwise become ineligible for benefits during such period: (1) a health maintenance organization (HMO) under a Medicaid contract; (2) an entity receiving certain grants under the Public Health Service Act or the Appalachian Regional Development Act of 1965; or (3) a case management system approved under Medicaid. Prohibits charging any enrollment fee, premium, deductible, or like charges for required services provided to groups required to be covered under a State's plan. Permits only nominal coinsurance or similar charges with respect to such services provided to such groups. Permits a State to exempt from deduction, cost sharing, or similar charges services provided: (1) to children and youths; (2) for pregnant women; (3) to inpatients required to spend their income in order to receive services; (4) in emergencies; or (5) to individuals by HMOs. Repeals requirements that a State's plan provide for payment of services provided under the plan which are reasonable and adequate. Requires a State's plan to include a description of the methodology to be used by the State in setting payment rates. Requires a State's plan to provide for an effective method of verifying whether services billed by providers were furnished. Repeals a provision reducing payments to a State for expenditures it would not have made if certain Medicare eligible individuals had been enrolled under part B of Medicare. Revises requirements with respect to the utilization control penalty applicable for inspections of mental hospitals, skilled nursing facilities, and intermediate care facilities so as to not impose the penalty: (1) (in the case of an institution with more than 50 Medicaid patients) if the lesser of ten such patients or two percent of Medicaid patients were not reviewed; or (2) (in the case of an institution with less than 50 Medicaid patients) one Medicaid patient was not reviewed.
Bill· SS. 2772 (99th)referred
United States · United States Congress · 15 August 1986
Orphan Drug Amendments of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to permit more than one seven year exclusive marketing privilege for an orphan drug when simultaneous development has resulted in more than one company filing a new drug application before the first company receives Federal approval for its drug.
Bill· SS. 2771 (99th)referred
United States · United States Congress · 15 August 1986
Reclassification of Transitional Devices Amendments of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to direct the Secretary of Health and Human Services to reclassify devices placed in class III (devices requiring premarket approval) as a transitional measure into class I (devices requiring general controls) or into class II (devices requiring performance standards), except as specified. Permits the filing of objections by persons adversely affected by such reclassifications.
Bill· SS. 2757 (99th)referred
United States · United States Congress · 14 August 1986
School-based Adolescent Health Act of 1986 - Amends the Public Health Service Act to establish a new title XXI (School-based Adolescent Health Demonstration Projects). Authorizes the Secretary of Health and Human Services to make grants to establish school-based adolescent health demonstration projects to provide health education, prenatal care, family planning, follow-up care, testing for sexually-transmitted diseases, and other health services. Requires grant recipients to provide health care services: (1) on a year-round basis; and (2) within (or adjacent to) schools located in the project area (or at a location which better serves the needs of the adolescents). Sets forth grant application requirements. Authorizes appropriations for FY 1987 through 1990.
Bill· HRH.R. 5427 (99th)referred
United States · United States Congress · 14 August 1986
President's Media Commission on Drug Abuse Act - Establishes the President's Media Commission on Drug Abuse to: (1) examine public education programs intended to prevent narcotic and psychotropic drug abuse; (2) act as an administrative and coordinating body to assist in the implementation of new programs and national strategies for the dissemination of information intended to prevent narcotic and psychotropic drug abuse; and (3) monitor the effectiveness of such programs and strategies. Requires the Commission to report annually to the President and the Congress.
Bill· HRH.R. 5413 (99th)referred
United States · United States Congress · 13 August 1986
Amends title XV (National Health Planning and Development) of the Public Health Service Act to authorize FY 1987 appropriations for: (1) health systems agency planning grants; (2) State health planning and development agencies; and (3) health planning centers.
Bill· SS. 2739 (99th)referred
United States · United States Congress · 12 August 1986
New Drug Application Fee Amendments of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to direct the Secretary of Health and Human Services (HHS) to establish fees sufficient to cover costs for reviewing human drug, antibiotic drug, and biological products applications. Permits waiver of such fees, as specified. Credits such fees for the use of HHS.
Bill· HRH.R. 5377 (99th)referred
United States · United States Congress · 8 August 1986
School-based Adolescent Health Amendments of 1986 - Amends the Public Health Service Act to establish a new title XXI (School-based Adolescent Health Services Demonstration Projects). Authorizes the Secretary of Health and Human Services to make grants to establish school-based adolescent health demonstration projects to provide health education, prenatal care, family planning, follow-up care, testing for sexually-transmitted diseases, and other health services. Requires grant recipients to provide health care services: (1) on a year-round basis; and (2) within (or adjacent to) schools located in the project area (or at a location which better serves the needs of the adolescents). Sets forth grant application requirements. Authorizes appropriations for FY 1987 through 1990.
Bill· HRH.R. 5334 (99th)open
United States · United States Congress · 5 August 1986
Drug Abuse Prevention and Treatment Act of 1986 - Title I: Financial Assistance to States and Communities - Amends title XIX (Block Grants) of the Public Health Service Act to direct the Secretary of Health and Human Services to make allotments to States for: (1) treatment and rehabilitation services for persons suffering from drug abuse; (2) substance abuse prevention education programs; (3) community-based substance abuse prevention activities for school-aged children; and (4) education programs relating to the risks of acquired immune deficiency syndrome (AIDS) among individuals who use drugs. Authorizes appropriations for such allotments. Title II: Agency for Substance Abuse Prevention - Establishes in the Alcohol, Drug Abuse, and Mental Health Administration the Agency for Substance Abuse Prevention. Provides that the Agency shall be headed by a Director who shall: (1) sponsor regional workshops on the prevention of drug and alcohol abuse; (2) coordinate research findings; (3) develop effective drug and alcohol abuse prevention literature; (4) create public service announcements for radio and television broadcasting; (5) support programs of clinical training of substance abuse counselors and other health professionals; (6) in cooperation with the Director of the Centers for Disease Control, develop educational materials to reduce the risks of AIDS among intravenous drug abusers; and (7) administer the allotment program established by this Act. Title III: White House Conference on Drug Abuse and Drug Trafficking Control - Directs the President to call a White House Conference on Drug Abuse and Drug Trafficking Control to develop recommendations to prevent drug abuse and make treatment services available to drug abusers and to control the illicit trafficking of controlled substances. Directs the Conference to review: (1) the impact of recently enacted laws on efforts to control trafficking in controlled substances and to prevent drug abuse and treat drug abusers; (2) the recommendations of the President's Commission on Organized Crime as they relate to drug abuse and control of trafficking in controlled substances; (3) the extent to which specified sanctions have been, or should be, used in encouraging foreign states to comply with their international responsibilities respecting controlled substances; and (4) the circumstances contributing to the initiation of illicit drug usage. Requires the Conference to report its findings to the President and the Congress. Title IV: Designer Drugs - Amends the Controlled Substances Act and the Controlled Substances Import and Export Act to include controlled substance analogs (designer drugs) as a schedule I substance. Title V: Substance Abuse Among Indians - Requires the Secretary of Health and Human Services and the Secretary of the Interior to enter into an agreement to coordinate the efforts of their Departments related to alcohol and drug abuse among Indian juveniles. Requires the Secretary of Health and Human Services, through the Director of the Indian Health Services, to develop and implement a program of comprehensive alcohol and substance abuse prevention and treatment services for Indian youth. Requires the Director to report to the Congress on the progress of such program. Directs the Secretary to utilize existing federally owned structures suitable as residential alcohol and substance abuse treatment centers for Indian youth. Directs the Secretary to make grants to the Navajo tribe to establish a demonstration program in Gallup, New Mexico, to rehabilitate adult Navajo Indians suffering from alcoholism or alcohol abuse. Authorizes appropriations. Title VI: Advisory Commission on the Comprehensive Education of Intercollegiate Athletes - Establishes the Advisory Commission on the Comprehensive Education of Intercollegiate Athletes to investigate and advise Congress regarding issues related to athletic programs at colleges and universities in the United States, including: (1) the use of drugs by athletes; (2) the impact of television on athletics; and (3) the balance between athletics and academics. Requires the Commission to report its findings to the Congress. Authorizes appropriations. Title VII: Alkyl Nitrites - States that alkyl nitrites and their isomers shall be treated as a drug for purposes of the Federal Food, Drug, and Cosmetic Act.
Resolution· HRESH.Res. 528 (99th)passed
United States · United States Congress · 5 August 1986
Sets forth the rule for the consideration of H.R. 1426 (Indian health programs).
Law· HRH.R. 5299 (99th)enacted
United States · United States Congress · 31 July 1986
Veterans' Compensation Amendments of 1986 - Title I: Rate Increases - Increases by two percent the rates of: (1) veterans' disability compensation; (2) additional compensation for dependents; (3) the clothing allowance for certain disabled veterans; (4) dependency and indemnity compensation for surviving spouses and for children; and (5) supplemental dependency and indemnity compensation for children. Title II: Miscellaneous - Amends veterans' fiduciaries provisions to authorize the Administrator of Veterans Affairs to require the fiduciary to disclose any financial information concerning the veteran beneficiary that is within such fiduciary's knowledge. Exempts the following from certain joint reports and from inclusion in any presidential order under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gram-Rudman-Hollings Act): (1) certain benefits which are based upon the service-connected disability or death of veterans; (2) certain veterans' life insurance accounts; and (3) certain veterans' revolving funds. Provides that certain other veterans' benefits which are subject to reduction under the Gramm-Rudman-Hollings Act shall be determined in accordance with the sequestration order in effect on the date such benefits are accrued. Exempts from any sequestration of funds ordered under the Gramm-Rudman-Hollings Act veterans' home loan guarantee programs.
Bill· HRH.R. 5303 (99th)referred
United States · United States Congress · 31 July 1986
Informed Consent Act - Prohibits any individual who is employed in a health facility owned or operated by the Government, in a health facility which receives Federal financial assistance, or who receives any Federal financial assistance from performing an abortion on a pregnant woman, unless such individual obtained informed consent from such woman. Excepts medical emergencies from such prohibition. Sets forth enforcement provisions for agencies which provide financial assistance under this Act. Authorizes individuals aggrieved by the failure of compliance with this Act to seek appropriate relief in the U.S. district courts.
Bill· HRH.R. 5305 (99th)referred
United States · United States Congress · 31 July 1986
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants for the establishment of networks of comprehensive health and support systems for individuals who have acquired immune deficiency syndrome (AIDS) or are infected with the AIDS virus, including: (1) comprehensive ambulatory care services; (2) home health care, hospice, and respite care services; (3) counseling and mental health services; (4) case management services; and (5) education for health personnel. Provides that such grant shall not be used for: (1) the construction or major renovation of facilities; (2) payments for debts incurred prior to the date on which the entity received such grant; (3) payments for items or services which could be made under Medicare and Medicaid; or (4) inpatient hospital care. Sets forth grant application requirements Authorizes appropriations for FY 1987. Directs the Secretary to conduct a survey on children with AIDS.
Bill· HRH.R. 5259 (99th)open
United States · United States Congress · 24 July 1986
Alcohol, Drug Abuse, and Mental Health Amendments of 1986 - Amends the Public Health Service Act to designate the Alcohol, Drug Abuse, and Mental Health Administration as an agency of the Public Health Service, to be headed by an Administrator appointed by the President by and with the advice and consent of the Senate. Makes the following national research institutes agencies of the Administration: (1) the National Institute on Alcohol Abuse and Alcoholism; (2) the National Institute on Drug Abuse; and (3) the National Institute of Mental Health. Requires the Secretary of Health and Human Services to supervise the functions of such agencies. Establishes the position of Associate Administrator for Prevention to promote the prevention research programs of the national research institutes. Requires the Administrator to transmit annual prevention reports to the Congress. Directs the Secretary to make grants to schools of health professions and social work to support training in the identification and treatment of alcohol and drug abuse. Establishes the Alcohol, Drug Abuse, and Mental Health Advisory Board to: (1) assess the national needs for alcoholism, alcohol abuse, drug abuse, and mental health services; and (2) advise the Secretary and Administrator. Requires the Board to report annually to specified congressional committees. Directs the Secretary to appoint an advisory council for the National Institute on Alcohol Abuse and Alcoholism, for the National Institute on Drug Abuse, and for the National Institute of Mental Health. Terminates the following advisory councils: (1) the National Advisory Health Council; (2) the National Advisory Mental Health Council; (3) the National Advisory Council on Alcohol Abuse and Alcoholism; and (4) the National Advisory Dental Research Council. Allows the Secretary to exercise certain powers during public health emergencies. Authorizes appropriations for FY 1987 through 1989 for the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse. Provides an exception to the confidentiality requirement regarding alcohol and drug abuse records for incidents of suspected child abuse and neglect. Requires the Secretary to transmit triennial reports to the Congress on the causes and means of preventing teenage suicide. Directs the Secretary to establish guidelines for the proper care and treatment of animals used in research conducted by and through the agencies of the National Institutes. Revises the method used to determine a State's allotment for Alcohol and Drug Abuse and Mental Health Block Grants (basing such amounts on FY 1985, rather than FY 1984, allotments).
Bill· HRH.R. 5260 (99th)referred
United States · United States Congress · 24 July 1986
Childhood Vaccine Supply Protection Act - Amends the Public Health Service Act to limit to $100,000 an award (for non-economic loss) in any action for damages for injuries relating to the administration of a vaccine providing immunization against diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, or rubella. Provides that no punitive damages shall be awarded in such actions. Preempts State laws inconsistent with this Act. Establishes an Advisory Commission on Childhood Vaccines to review: (1) the compensation policies under current law for vaccine-related injuries; (2) the current public and private systems for providing childhood vaccines; (3) research into the improvement of childhood vaccines and the development of new vaccines; (4) the dissemination of information concerning childhood vaccines; and (5) childhood vaccine programs in other countries. Directs the Commission to submit a report on the results of its review to the Secretary of Health and Human Services.
Bill· HRH.R. 5230 (99th)passed
United States · United States Congress · 23 July 1986
Amends the Public Health Service Act to extend the program of childhood vaccinations through FY 1989. Authorizes appropriations. Requires the Secretary of Health and Human Services to maintain a six-month stockpile of vaccines.
Bill· SS. 2677 (99th)referred
United States · United States Congress · 22 July 1986
(Report filed by Senate Select Committee on Indian Affairs, S. Rept. 99-485) Health Care Quality Improvement Act of 1986 - Title I: Promotion of Good Faith Professional Review Activities - Provides protection from liability for damages for members of a professional review body who, in good faith and after a reasonable effort to obtain the facts, take actions which adversely affect the clinical privileges or professional society membership of a physician. Applies this Act to State laws for professional review actions occurring on or after July 1, 1989, unless a State elects to: (1) opt-in early; or (2) opt-out. Title II: Reporting of Information - Requires any entity (including insurance companies) making a payment in a medical malpractice action to report certain information to the Secretary of Health and Human Services and to State licensing boards, including: (1) the name of the physician or health care provider; (2) the amount of the payment; (3) the name of any hospital with which the physician or health care provider is associated; and (4) a description of the acts and injuries upon which the claim was based. Imposes civil penalties for the failure to report such information. Requires each Board of Medical Examiners which revokes or suspends a physician's license for reasons relating to the physician's professional competence or conduct to report such information to the Secretary. Requires each health care entity which takes a professional review action that restricts the clinical privileges of a physician to report such information to the Board of Medical Examiners. Requires hospitals to obtain certain information from the Secretary regarding staff physicians (or physicians being considered for staff positions). Directs the Secretary to make such information available to: (1) the physician; (2) State licensing boards; (3) hospitals; and (4) other health care entities. Title III: Definitions - Defines certain terms for the purposes of this Act.
Bill· HRH.R. 5222 (99th)open
United States · United States Congress · 22 July 1986
Indian Health Care Amendments of 1986 - Title I: Indian Health Manpower - Amends the Indian Health Care Improvement Act to authorize appropriations for specified Indian health programs for FY 1987 through 1990, including scholarship programs and continuing education allowances. Prohibits the Secretary of Health and Human Services (the Secretary) from denying scholarship assistance solely on the basis of an applicant's scholastic achievement if such applicant has been admitted to, or maintained good standing at, an accredited health professions institution. Directs the Secretary to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. States that the active duty service requirements of the Public Health Service Act can be met by specified services, including: (1) service or employment under a contract pursuant to the Indian Self-Determination and Education Assistance Act; (2) employment in a program under the Indian Health Care Improvement Act; or (3) the private practice of a health professional if such practice is in a health professional shortage area and addresses the health care needs of a substantial number of Indians. Repeals the Indian Health Scholarship Program under the Public Health Service Act. Title II: Health Services - Enumerates the health services for which the Secretary is authorized to expend Indian Health Care Improvement Fund appropriations. Prohibits the use of such funds to offset or limit appropriations made under other Acts. Conditions the allocation of such funds upon the health resource deficiency level of the affected Indian tribes. Allocates such funds: (1) on a service unit basis; and (2) in the case of multi-tribal service units, on the basis of the health resources deficiency level of each separate tribe within such service unit. Requires the Secretary to submit to the Congress a current health services priority system report, including the methodology for determining tribal health resources deficiencies, the funds needed to raise all service units to a zero level deficiency, and an evaluation of the preventive health, health protection, and the health promotion needs of Indians identified in tribal specific health plans. Directs the Secretary to establish a review mechanism for tribal petitions regarding the health resource deficiency level of a tribe. Requires the Secretary to provide a current update of tribal specific health plans. Requires at least one percent of the Indian Health Care Improvement Fund appropriation to be expended for research. Makes programs administered by tribal organizations under the Indian Self-Determination and Education Assistance Act eligible for specified funds on an equal basis with programs administered directly by the Indian Health Service. Directs the President to include with the submission of the budget a separate statement which specifies the amounts obligated to implement enumerated health services. Authorizes appropriations for FY 1988 through 1990 for specified health services. Designates such appropriations the Indian Health Care Improvement Fund. Establishes an Indian Catastrophic Health Emergency Fund to meet extraordinary medical costs for victims of disasters or catastrophic illness. Authorizes appropriations for FY 1988 through 1990. Requires the Secretary to report to the Congress on the operation of such fund. Authorizes the Secretary to waive the competitive procurement requirements for health services upon certification by the responsible Chief Medical Officer that such requirements would compromise the quality, accessibility, or continuity of health services or would not result in any appreciable competition or savings. Requires the Secretary to require each Indian tribe to include within any tribal specific health plan submitted to the Secretary an identification of the preventive health, health protection, and health promotion needs of each such tribe and a comprehensive plan for the provision of such services to such tribe. Title III: Health Facilities - Requires the Secretary to submit to the Congress a health facilities priority system report regarding the construction or renovation needs of the ten top priority inpatient and ten top priority ambulatory care facilities. Requires the Secretary to consult with any Indian tribe that might be affected by an expenditure for health facilities before the Secretary makes a commitment for such an expenditure. Conditions the closure of any health care facility upon the Secretary's submission to the Congress of an impact assessment one year prior to the contemplated closing. Enumerates the data to be included in such assessment. Directs the Secretary to implement a ten-year plan to provide safe water and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress regarding the Indian Health Service's current Indian sanitation facility priority system and the funds needed to raise all communities or tribes to a zero level of deficiency. Authorizes specified appropriations to provide sanitation facilities. Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations for FY 1988 through 1990. Authorizes tribes to expend certain non-Indian Health Service funds for the renovation of Indian health facilities subject to specified conditions. Authorizes the Secretary to exchange certain real property with the Bethel Native Corporation (Alaska). Title IV: Access to Health Services - Authorizes for FY 1988 through 1990 funds for the Secretary to make grants or enter into contracts with tribal organizations to assist such organizations to administer programs on or near Federal Indian reservations and trust areas and in or near Alaska Native villages to assist Indians to receive certain Medicare and Medicaid benefits. Amends title XIX (Medicaid) of the Social Security Act to make certain providers of the Indian Health Service eligible for Medicaid payments. Directs the Secretary to ensure that each service unit of the Indian Health Service receives at least half of the amounts to which its facilities are entitled, if such amounts are necessary to bring the facilities into compliance with this Act. Directs the Secretary to conduct a study in consultation with Indian tribes regarding barriers to Indian participation in Medicaid programs. Title V: Urban Indian Health Services - Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Sets forth specified requirements to be included in such contracts. Details eligibility criteria for the selection of such organizations. Authorizes the Secretary to enter into contracts with urban Indian organizations to determine the health status and unmet health care needs of urban Indians in affected urban areas. Delineates the requirements of such contracts. Requires the Secretary to: (1) develop evaluation procedures for the performance of such contracts; and (2) conduct annual onsite evaluations of each contracting urban Indian organization. Prescribes guidelines for the renewal of health care or referral services contracts. Prohibits renewal of contracts for determination of unmet health needs if their performance has been non-compliant or otherwise unsatisfactory and problems cannot be resolved. Requires certain reports to the Congress. Authorizes appropriations for FY 1987 through 1990 for purposes of carrying out such contracts. Title VI: Organizational Improvement - Establishes in the Public Health Service of the Department of Health and Human Services the Indian Health Service (thus terminating the former Indian Health Service as part of the Health Resources and Services Administration). Requires the Secretary, through the Director of the Indian Health Service, to carry out: (1) all functions which were, before the enactment of this Act, carried out by the Director of the former Indian Health Service; (2) all functions of the Secretary relating to the maintenance and operation of hospital and health facilities and the provision of health services for Indians; and (3) specified health programs. Requires the Secretary to establish an automated management information system for: (1) the Indian Health Service; and (2) all tribes, tribal organizations, and urban Indian organizations providing health services under contracts with the Indian Health Service. Provides that such required systems be established in California by a specified date. Provides for patients' access to their health records. Title VII: Miscellaneous - Authorizes the Secretary to enter into legal agreements with Indian tribes or tribal organizations in order to provide compensation for facility space costs associated with the administration and delivery of health services by the Indian Health Service or tribally operated programs. Directs the Secretary to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools operated by or under the Bureau of Indian Affairs. Directs the Secretary to establish an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to arrange with the National Academy of Sciences, in consultation with the Office of Technology Assessment, to conduct a study of health hazards faced by Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study. Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within certain times. Authorizes appropriations for such study. Extends from FY 1984 to 1989 the time during which Arizona is designated as a contract health service delivery area. Extends eligibility for health services to specified Indians in the State of California through 1988. Establishes eligibility guidelines for such medical benefits. Designates the State of California as a contract health service delivery area. Lists programs eligible for Indian Health Service funds. Provides for certain alternative health arrangements for eligible California Indians who are not members of a tribe. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility operated by or under the Indian Health Service. Authorizes the Secretary under certain circumstances to provide medical care or benefits by the Indian Health Service to otherwise ineligible persons. Limits restrictions on the use of Indian Health Service appropriations. Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant and maternal mortality rates to that of the general population. Requires the Secretary to report to the Congress on the progress of lowering such rates. Directs the Secretary to provide contract health services to the Turtle Mountain Band of Chippewa Indians who reside in the Trenton Service Area of specified counties in the States of North Dakota and Montana. Requires the Secretary to examine the feasibility of sharing medical facilities and services between the Indian Health Service and the Veterans Administration. Requires the Secretary to report to the Congress on such feasibility. Requires the Secretary to make grants to the Navajo tribe to establish a demonstration program in Gallup, New Mexico, to rehabilitate adult Navajo Indians suffering from alcoholism or alcohol abuse. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to conduct a study of the physical and mental health care needs of Native Hawaiians and other Native American Pacific Islanders, and to report the results of such study to the Congress one year after the enactment of this Act.
Bill· HRH.R. 5216 (99th)referred
United States · United States Congress · 22 July 1986
Amends the Public Health Service Act to require the Secretary of Health and Human Services to reimburse physicians and medical facilities for emergency medical treatment (including any required in the course of labor and childbirth) which: (1) is rendered to an undocumented alien or an alien commuter worker who cannot pay for such service; and (2) is not reimbursable under any other public assistance program or private insurance plan.
Bill· SS. 2655 (99th)referred
United States · United States Congress · 17 July 1986
Better Health Care Act of 1986 - Title I: Continuing Care Reforms - Amends part A (General Provisions) of title XI of the Social Security Act to direct the Secretary of Health and Human Services to establish a Continuing Care Policy Council composed of members with expertise in geriatrics or rehabilitative practices. Requires the Council to make recommendations to the Secretary concerning the administration of continuing care services under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act and as such services are affected by title I of this Act. Amends part A (Hospital Insurance) of the Medicare program to require the Secretary to establish medical claims standards which are to be applied uniformly and take into account a patient's medical profile, condition, and other practical considerations in determining the medical reasonableness and necessity of claims for continuing care services (defined to include extended care and home health services). Requires the Secretary to annually review and, if necessary, revise the standards. Authorizes a fiscal intermediary which has initially determined that some or all of a continuing care services claim may be denied, but has not yet officially denied the claim, to consult with the service provider, patient, and patient's physician to review the determination and approve a modified claim if the services are appropriate and the patient concurs in the modification. Directs the Secretary, in determining whether payments to home health agencies and skilled nursing facilities should be denied, to continue certain presumptions of compliance with reasonable and necessary services requirements until a system providing for case-by-case determinations of authorizations for continuing care services is implemented. Requires system implementation within 30 months of enactment of this Act. Requires a fiscal intermediary to reimburse a provider of continuing care for services provided to an individual for whom there was reasonable evidence of entitlement if the provider makes a timely request that the intermediary determine whether the individual is entitled to such services. Sets forth deadlines by which fiscal intermediaries must respond to provider inquiries concerning the medical necessity of continuing care services. Requires intermediaries to reimburse providers for medically unnecessary services provided over periods during which the intermediary's response is past due. Indemnifies beneficiaries who pay providers for continuing care services without knowing that they are unqualified for such services or that such services are medically unnecessary. Requires the Secretary to investigate allegations that a skilled nursing facility or home health agency has delayed or restricted acceptance of an individual until its receipt of the intermediary's response to its entitlement or medical necessity inquiries. Entitles individuals whose claim for continuing care services has been denied to a hearing by the Secretary and judicial review of the Secretary's final decision. Authorizes provider appeals on behalf of beneficiaries. Provides that, when a fiscal intermediary denies payment for continuing care services or a provider first furnishes such services, such organizations must inform beneficiaries regarding the individual's rights under this Act to appeal payment determinations. Amends part B (Peer Review) of title XI of the Act to require peer review organizations, in certain situations to be determined by the Secretary, to perform independent medical reviews of fiscal intermediary denials of payment for continuing care services. Requires each peer review organization to annually report to the Secretary regarding such reviews. Directs peer review organizations to authorize payment for services which would not otherwise meet payment conditions where such organization certifies that exceptional circumstances exist to justify the cost-effective provision of the services. Amends part A (Hospital Insurance) of the Medicare program to require the Secretary to establish performance standards for fiscal intermediary medical claims review which: (1) weigh the accuracy and timeliness of such review commensurately with cost savings from such review; (2) specify the qualifications required of review personnel; and (3) require an intensive level of review for new providers and providers with poor performance records. Requires the Secretary to annually inform the Continuing Care Policy Council regarding the intermediaries' performance under these standards. Eliminates the three-day prior hospitalization requirement for extended care services. Defines part-time or intermittent home health care to include one or more daily visits by a nurse or home health aide for up to 60 days, but thereafter requires a physician's certification of need for such daily services. Set limits on Medicare payments for home health services, but requires that such limits be applied on an aggregate rather than a discipline-specific basis for home health agencies. Requires the Secretary of Health and Human Services to take all current cost data into account when computing costs to which payment limits are applied. Requires that Medicare regulations be open to public notice and comment to the same extent to which rulemaking is subject to such procedures by the Administrative Procedure Act. Directs the Secretary to establish a Medicare benefits management demonstration program, including projects which: (1) substitute, for the process of submitting separate claims by providers for an individual beneficiary, a single benefits manager that would identify and track the benefits most appropriate to the beneficiary; and (2) provide additional benefits to Medicare beneficiaries, including noncovered benefits if no additional costs are thereby imposed on beneficiaries or Medicare. Title II: Quality Assurance Reforms - Amends part B (Peer Review) of title XI of the Act to establish a National Council on Quality Assurance. Directs the Director of the Congressional Office of Technology Assessment to provide for the appointment of members of the Council. States that the general functions of the Council shall be to: (1) provide oversight on the operations of the quality assurance system under the Medicare program; and (2) make recommendations annually to the Secretary of Health and Human Services and the Congress for improvements in the system. Sets forth the Council's functions more specifically. Requires the Council to report annually to the Congress on the functioning and progress of the Council. Authorizes appropriations. Requires contracts with peer review organizations to provide that: (1) at least one-half of the organizations' efforts must be on quality assurance activities; (2) quality assurance activities shall be conducted with respect to all the different types of items and services covered by Medicare; and (3) the level of activity for each of the different types of services and items shall reasonably reflect the proportion of Medicare payments made for that type of service or item. Adds to the definition of the term "peer review organization" so as to require such an entity to: (1) include in its composition representatives of other individuals responsible for the provision of services and items for which the organization is responsible for conducting quality assurance activities; and (2) have a consumer advisory board. Defines a "consumer advisory board." Requires any peer review organization to: (1) educate Medicare beneficiaries; (2) provide for a toll-free 24 hour telephone number, which shall be provided to Medicare beneficiaries for the purpose of receiving questions and complaints from Medicare beneficiaries; (3) assist in resolving any such complaints that are legitimate; (4) make available to its consumer advisory boards appropriate information received from the telephone service; and (5) train members of its consumer advisory board. Appropriates funds, in addition to any other amounts appropriated to carry out part B of title XI, from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund for distribution to peer review organizations. Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards to be established by the Secretary, in conjunction with the Continuing Care Policy Council and Council on Quality Assurance, to: (1) protect against inappropriate early hospital discharges; (2) ensure a timely and smooth transition to the most appropriate type of and setting for post-hospital care; and (3) permit early initiation of the authorization process for continuing care services. Requires peer review organizations to monitor hospitals' compliance with discharge planning process requirements. Sets forth study and reporting requirements.
Bill· HRH.R. 5184 (99th)open
United States · United States Congress · 17 July 1986
National Childhood Vaccine Injury Act of 1986 - Title I: Vaccines - Subtitle 1: National Vaccine Program - Amends the Public Health Service Act to establish in the Department of Health and Human Services a National Vaccine Program to: (1) direct vaccine research and development within the Federal Government; (2) ensure the production and procurement of vaccines; (3) direct the distribution and use of vaccines; and (4) coordinate governmental and nongovernmental activities. Requires the Director of the Program to report to specified congressional committees. Establishes an Interagency Committee on Vaccines to advise the Director of the Program. Establishes the National Vaccine Advisory Committee to recommend: (1) ways to encourage the availability of an adequate supply of vaccines; and (2) research priorities. Authorizes appropriations for FY 1987 through 1991. Subtitle 2: National Vaccine Injury Compensation Program - Part A: Program Requirements - Establishes the National Vaccine Injury Compensation Program as an alternative remedy to judicial action for specified vaccine-related injuries. Prescribes the contents of any petition for compensation. Grants U.S. district courts authority to determine eligibility and compensation. Prohibits intervention by third parties. Requires the district court in which the petition is filed to designate a special master to serve as an adjunct to the court. Sets forth the responsibilities of the court. Lists factors to be considered when determining the amount of a compensation award. Sets forth a table of injuries deemed vaccine-related for compensation purposes. Permits the Secretary of Health and Human Services to promulgate regulations to revise such table. Provides that compensation awarded under the Program shall be paid out of the National Vaccine Injury Compensation Trust Fund. Limits awards for actual and projected pain and suffering and emotional distress to $250,000. Prohibits awards for punitive damages. Establishes the Advisory Commission on Childhood Vaccines to: (1) advise the Secretary on the implementation of the Program; (2) recommend changes to the Vaccine Injury Table; and (3) recommend research priorities. Part B: Additional Remedies - Sets forth procedures under which the person who filed a petition for compensation under the program may elect to file a civil action for damages. Provides that no vaccine manufacturer shall be liable in a civil action for damages arising from a vaccine-related injury or death: (1) resulting from unavoidable side effects; or (2) solely due to the manufacturer's failure to provide direct warnings. Provides that such manufacturer may be held liable where: (1) the vaccine did not conform to an express warranty issued by the manufacturer; or (2) the vaccine deviated in a material way from the design specifications or performance standards. Permits punitive damages in such civil actions under certain circumstances. Part C: Assuring a Safer Childhood Vaccination Program in the United States - Requires each health care provider who administers a vaccine listed in the Vaccine Injury Table to record certain information with respect to each such vaccine. Requires each health care provider and vaccine manufacturer to report certain information, as required by the Secretary, to the Centers for Disease Control. Requires the Secretary to develop certain vaccine information materials for distribution to the legal representatives of any child receiving a vaccine listed in the Vaccine Injury Table. Directs the Secretary to promote the development of safer childhood vaccines. Sets forth recordkeeping and reporting requirements for vaccine manufacturers. Imposes civil and criminal penalties for destroying, altering, or concealing any such report or record. Part D: General Provisions - Allows any person to commence a civil action against the Secretary where the Secretary allegedly has failed to perform a duty under this Act. Provides for judicial review of the Secretary's regulatory actions in a court of appeals of the United States. Requires the Secretary to conduct studies on pertussis, rubella, and radiculoneuritis vaccines and publish the results of such studies. Directs the Secretary to study the risks to children associated with each vaccine listed in the Vaccine Injury Table and establish guidelines respecting the administration of such vaccines. Directs the Secretary to periodically review and revise such guidelines. Directs the Secretary to review the warnings, use instructions, and precautionary information presently used by manufacturers of vaccines listed in the Vaccine Injury Table. Directs the Secretary to require manufacturers to revise and reissue any warning, instruction, or information found inadequate. Grants the Secretary recall authority with respect to any licensed virus, serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, or other licensed product which presents a danger to public health. Establishes civil penalties for recall violations. Title II: Amendments of the Internal Revenue Code of 1954 - Part 1: National Vaccine Injury Compensation Trust Fund - Amends the Internal Revenue Code to establish in the Treasury the National Vaccine Injury Compensation Trust Fund. Provides that amounts in the Trust Fund shall be available only for purposes of making expenditures relating to the national vaccine injury compensation program. Transfers certain funds to the Trust Fund. Grants the Trust Fund authority to borrow necessary funds. Provides that any claim filed against the Trust Fund may be paid only out of such Fund. Appropriates initial funding for the Trust Fund. Part II: Revenue Sources for National Vaccine Injury Compensation Trust Fund - Imposes a tax on any childhood vaccine sold by the manufacturer, producer, or importer thereof. States that certain exemptions from manufacturers excise taxes are not applicable to the childhood vaccine tax. Provides that vaccine sales to the United States are not exempt from such tax. Title III: Miscellaneous - Provides that certain Federal provisions designed to reduce paperwork shall not apply to information required to carry out this Act.
Bill· SS. 2650 (99th)referred
United States · United States Congress · 16 July 1986
Medicaid Maternal and Infant Health Care Enhancement Act of 1986 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to require States to cover comprehensive services provided to women with high risk pregnancies. Defines such a woman as one who is eligible for Medicaid benefits and meets at least two of the following conditions: (1) she is under age 18 or over age 35; (2) she left school prior to high school graduation; (3) she is dependent upon cigarettes, alcohol, or drugs; (4) her family income is below the Federal poverty level; or (5) she has had a previous poor birth outcome. Lists the comprehensive services to be provided to such women. Directs the Secretary of Health and Human Services to appoint an Advisory Group on High-Risk Pregnancies to advise the Secretary regarding other items and services meriting inclusion on such list. Requires States to cover pregnancy-related services provided to eligible women without limiting the amount, duration, or scope of such services. Requires that the determination regarding an individual's eligibility for pregnancy-related services be made within ten days of her application for such services. Provides full Medicaid reimbursement to title V (Maternal and Child Health of the Act) health clinics for outpatient services furnished to Medicaid-eligible pregnant women. Title II: Maternal and Child Health Services Block Grant - Amends title V of the Act to require States to submit annual reports to the Secretary relating to: (1) women and children in the State, including information regarding the availability of pregnancy-related and pediatric services; and (2) children with special health care needs in the State and the services provided to such children.
Bill· SS. 2649 (99th)referred
United States · United States Congress · 16 July 1986
Children's Health Care Act of 1986 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to give States the option of providing Medicaid coverage to children from age one to 18 whose family income does not exceed the higher of the income eligibility threshold under part A (Aid to Families with Dependent Children) of title IV of the Act or the Federal poverty level. Authorizes States to extend Medicaid eligibility to the parents of children rendered eligible pursuant to this Act. Prohibits States which provide coverage pursuant to this Act from establishing more stringent AFDC eligibility tests or reducing AFDC payment levels after enactment of this Act. Requires States which opt to provide such coverage to maintain their income test for AFDC eligibility at no less than 50 percent of the Federal poverty level and provide Medicaid coverage for women and infants in accordance with the Medicaid Maternal and Infant Amendments of 1986. Directs States to refer any individual under age 18 who becomes ineligible for Medicaid to a low or no-cost provider of medical services. Requires States to submit annual reports to the Secretary of Health and Human Services regarding the percentage of Medicaid beneficiaries under age 21 who receive periodic screening, diagnostic, and treatment services. Requires that such services be provided in accordance with recommendations of the American Academy of Pediatrics. Title II: Maternal and Child Health Services Block Grant - Directs the Secretary to establish demonstration projects testing the effectiveness of using integrated case management services in providing services under title V (Maternal and Infant Welfare) of the Act to children with special health care needs. Authorizes appropriations for FY 1987 through 1989.
Bill· SS. 2625 (99th)referred
United States · United States Congress · 26 June 1986
Federal Health Care Auditing and Quality Control Improvement Act of 1986 - Amends the Social Security Amendments of 1967 to authorize the Secretary of Health and Human Services to test and measure the cost effectiveness of having audits and medical reviews under title XVIII (Medicare) of the Social Security Act performed by contractors other than the fiscal intermediaries and carriers which process claims under the Medicare program. Requires the Secretary, within one year of this Act's enactment, to recommend to the Congress the optimum level and type of Medicare audit expenditures. Directs the Secretary to review the quality control program under title XIX (Medicaid) of the Act and, within one year of this Act's enactment, develop procedures and guidelines for such program which require States to implement corrective action plans and management information systems to prevent errors in the provision of services.
Bill· HRH.R. 5110 (99th)open
United States · United States Congress · 26 June 1986
Health Care Quality Improvement Act of 1986 - Title I: Promotion of Good Faith Professional Review Activities - Provides protection from liability under Federal and State law for members of a professional review body who, in good faith and after a reasonable effort to obtain the facts, take actions which adversely affect the clinical privileges or professional society membership of a physician. Applies this Act to State laws for professional review actions occurring on or after July 1, 1989, unless a State elects to: (1) opt-in early; or (2) opt-out. Title II: Reporting of Information - Requires any entity (including insurance companies) making a payment in a medical malpractice action to report certain information to the Secretary of Health and Human Services and to State licensing boards, including: (1) the name of the physician or health care provider; (2) the amount of the payment; (3) the name of any hospital with which the physician or health care provider is associated; and (4) a description of the acts and injuries upon which the claim was based. Imposes civil penalties for the failure to report such information. Requires each Board of Medical Examiners which revokes or suspends a physician's license for reasons relating to the physician's professional competence or conduct to report such information to the Secretary. Requires each health care entity which takes a professional review action that restricts the clinical privileges of a physician to report such information to the Board of Medical Examiners. Requires hospitals to obtain certain information from the Secretary regarding staff physicians (or physicians being considered for staff positions). Directs the Secretary to make such information available to: (1) the physician; (2) State licensing boards; (3) hospitals; and (4) other health care entities. Title III: Definitions - Defines certain terms for the purposes of this Act.
Bill· HRH.R. 5146 (99th)open
United States · United States Congress · 26 June 1986
Directs the Secretary of Health and Human Services to make immunosuppressive drugs available, upon request and without cost, to organ transplant centers. Requires such a center to furnish such drugs, without charge, to outpatients who have received an organ transplant there. Directs the Comptroller General of the United States to report to the Congress on the allocation of immunosuppressive drugs to transplant centers and the methods used to distribute such drugs to patients. Authorizes appropriations.
Bill· HRH.R. 5130 (99th)referred
United States · United States Congress · 26 June 1986
Federal Health Care Auditing and Quality Control Improvement Act of 1986 - Amends the Social Security Amendments of 1967 to authorize the Secretary of Health and Human Services to test and measure the cost effectiveness of having audits and medical reviews under title XVIII (Medicare) of the Social Security Act performed by contractors other than the fiscal intermediaries and carriers which process claims under the Medicare program. Requires the Secretary, within one year of this Act's enactment, to recommend to the Congress the optimum level and type of Medicare audit expenditures. Directs the Secretary to review the quality control program under title XIX (Medicaid) of the Act and, within one year of this Act's enactment, develop procedures and guidelines for such program which require States to implement corrective action plans and management information systems to prevent errors in the provision of services.
Bill· HRH.R. 5137 (99th)referred
United States · United States Congress · 26 June 1986
Health Care for the Homeless Act of 1986 - Directs the Secretary of Health and Human Services to make grants to qualified applicant public or private nonprofit entities to enable them to deliver outpatient health care and mental health, case management, and advocacy services to homeless families and individuals. Requires such entities to be qualified recipients of State Medicaid payments under the Social Security Act. Assigns preference to grant applicants with experience in delivering health care or mental health services to medically underserved populations or to chronically mentally ill individuals. Requires services under such a grant to be provided 24 hours a day. Sets forth other grant requirements. Sets general limitations on charges for such services, except that any services must be provided regardless of the recipient's ability to pay. Sets forth restrictions on the use of grant funds. Limits any such grant to 75 percent of the cost of services. Outlines application requirements and procedures. Authorizes appropriations for FY 1987.