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Bill· HRH.R. 3825 (100th)open
United States · United States Congress · 20 December 1987
AIDS Research Act of 1987 - Amends the Public Health Service Act to create a new title on research with respect to acquired immune deficiency syndrome (AIDS). Requires the Directors of the Centers for Disease Control (CDC), the National Cancer Institute (NCI), and the National Institute of Allergy and Infectious Disease (NIAID) and the Commissioner of Food and Drugs (Commissioner) to each: (1) prepare and submit directly to the President each fiscal year a budget estimate for research with respect to AIDS; and (2) receive from the President and Director of the Office of Management and Budget (OMB) all funds appropriated to the official involved by the Congress for such research. Directs the Secretary of Health and Human Services (Secretary) to develop and implement a plan to expedite the award of grants, contracts, and cooperative agreements for research projects relating to AIDS. Requires the Director of the Office of Personnel Management or the Administrator of General Services, as applicable, to respond to priority requests by such Directors or the Commissioner within 14 days. Deems a request not disapproved to be approved. Prohibits the Director of the OMB from taking any action to prevent such Directors or the Commissioner from making a priority request under provisions of this Act. Authorizes additional personnel for the CDC, the National Institutes of Health (NIH), the Food and Drug Administration, the Health Resources and Services Administration, and the Office of the Assistant Secretary for Health. Directs the Secretary, through the Director of the NIAID, to establish the AIDS Clinical Research Review Committee to: (1) advise the Director on research; (2) review research, issue reports, conduct studies, and convene meetings regarding clinical treatment; and (3) establish a telephone hotline to provide information to health professionals. Directs the Secretary, through the Directors of the NCI and the NIAID, to establish in each Institute a clinical evaluation unit. Authorizes appropriations. Directs the Secretary, through the Director of the NIAID, to establish a program for the evaluation of drugs which are not approved by the Commissioner for AIDS treatment and which are being used by individuals infected with the etiologic agent for AIDS. Authorizes the Secretary to make grants and enter into contracts and cooperative agreements for the purpose of conducting the drug evaluations. Authorizes appropriations. Directs the Secretary, through the Director of the NIH, to make grants to and enter into contracts with international organizations concerned with public health: (1) for international research on vaccines and treatment; and (2) to support programs in education, information, and risk reduction, projects for training individuals in skills and technical expertise, and epidemiological research. Authorizes the provision of technical assistance for foreign governments. Requires support provided by the Secretary to be in furtherance of the World Health Organization's Special Programme on Acquired Immunodeficiency Syndrome. Authorizes appropriations for FY 1988 through 1990. Requires the Secretary to obligate not less than 50 percent of amounts appropriated for support through the World Health Organization and the Pan American Health Organization. Directs the Secretary, through the Director of the NIAID, to make grants for centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Prohibits grants from being used to provide training for which National Research Service Awards may be provided. Authorizes appropriations. Directs the Secretary, through the Director of the NIAID, to provide for the establishment of a virus and serum bank in which all human immunodeficiency virus serotypes and serum are available to qualified investigators and organizations. Authorizes appropriations. Directs the Secretary, acting through the National Library of Medicine, to establish the International Acquired Immune Deficiency Syndrome Research Data Bank to collect and disseminate information to the public, general practitioners, and investigators. Directs the Secretary to establish a schedule of charges for foreign users of the data bank. Authorizes appropriations. Directs the Secretary, through the Director of the CDC, to develop an epidemiological data base and provide for long-term studies. Authorizes grants for long-term research into treatments for AIDS developed from knowledge of the genetic nature of the etiologic agent for AIDS. Authorizes appropriations. Directs the Secretary, through the Director of the CDC, to establish fellowship and training programs to develop epidemiology, counseling, laboratory analysis, and other skills relating to AIDS. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to make grants for training health care personnel with regard to AIDS. Requires non-Federal matching funds in cash or in kind. Authorizes appropriations for FY 1988 through 1990. Defines "acquired immune deficiency syndrome," for the purposes of the new title added by this Act, to include any condition arising from infection with the etiologic agent for such syndrome. Amends title IV (National Research Institutes) of the Public Health Service Act to require the Director of the NIAID to develop and expand clinical trials of treatments and therapies for infection with the etiologic agent for AIDS. Authorizes the Director to: (1) establish or support efforts using specialized biological materials; (2) support research and training outside the United States; (3) support training with respect to conducting research; (4) encourage and coordinate research by industrial concerns; (5) acquire and maintain real and personal property; (6) make grants for the construction or renovation of facilities; (7) acquire buildings in or around the District of Columbia; and (8) enter into contracts and cooperative agreements as necessary to expedite and coordinate research. Directs the Secretary, through the Director of the CDC, to conduct a study of AIDS mortality rates among various groups, among geographic areas, and among individuals with varying financial resources for the payment of health care services. Directs the Secretary, through the Director of NIAID, to conduct a study of the consensus among health care professionals on clinical treatment for preventing the development of symptoms arising from infection with the etiologic agent for AIDS. Directs the Secretary to request the National Academy of Sciences and other similar institutions to report regarding the establishment of consortia for research and development.
Bill· SS. 1968 (100th)referred
United States · United States Congress · 18 December 1987
Public Health Service Amendments Act of 1987 - Amends provisions of the Public Health Service Act relating to emergency medical services for children to direct the Secretary of Health and Human Services to make grants to States, public and nonprofit private entities, and academic institutions for the development, establishment, and operation of regional centers for pediatric emergency medical services. Requires such centers to: (1) train health professionals; (2) provide for the appropriate use of bilingual personnel; (3) conduct research on prevention and treatment; and (4) conduct activities relating to prevention, including dissemination of information to the public. Directs the Secretary to make a grant for FY 1988 for a feasibility study on establishing and operating a National Center for Pediatric Emergency Medical Services (National Center). Directs the Secretary to request the Institute of Medicine of the National Academy of Sciences to submit an application for the grant and, if the Institute submits an acceptable application, to make the grant to the Institute. Directs the Secretary, in the absence of an acceptable application from the Institute, to request an application from one or more nonprofit private entities and to make the grant to the entity submitting the best acceptable application. Directs the Secretary, after reviewing the report prepared under such grant and consulting with the American Academy of Pediatrics and the American College of Emergency Physicians, if a National Center is feasible, to make grants for FY 1989 and each succeeding fiscal year for the establishment and operation of a National Center. Requires the National Center, with regard to pediatric medical emergencies, to: (1) develop and disseminate standards and qualify assurance mechanisms; (2) facilitate training of health professionals; and (3) develop and disseminate to the public information on the prevention of, and responses to, such emergencies. Authorizes appropriations for FY 1988 through 1990. Amends the Public Health Service Act to: (1) remove certain restrictions on the authority of the Secretary to make grants to and contracts with health professions schools related to geriatric medicine and care; (2) expand the authority of the Secretary to make grants and contracts for geriatric medicine training projects to include podiatrists as well as physicians and dentists; (3) require that the National Advisory Council on Health Professions Education include a representative of a school of clinical psychology; and (4) add graduate programs in clinical psychology to provisions relating to discrimination on the basis of sex.
Bill· HRH.R. 3810 (100th)referred
United States · United States Congress · 18 December 1987
Infant Mortality Reduction Act of 1987 - Directs the Secretary of Health and Human Services to provide for financial assistance to projects to provide comprehensive maternal and infant health care and related educational and social services to high-risk populations in areas of need. Authorizes the Secretary to make grants for planning for the establishment of the projects. Provides, in regard to the projects, for required services and programs, preference in providing assistance, uses of funds, and administrative and evaluation requirements. Provides a formula for required matching funds. Prohibits expending more than 15 percent of the amount appropriated under this Act in any year for projects in any one State. Authorizes appropriations for FY 1989 through 1993. Directs the Secretary to administer the assistance provided under this Act through the administrative unit designated in specified provisions of the Social Security Act.
Bill· HRH.R. 3787 (100th)referred
United States · United States Congress · 17 December 1987
Medicare Home Health Care Benefits Commission Act of 1987 - Directs the Administrator of the Health Care Financing Administration to establish a Medicare Home Health Care Benefits Commission to study the coverage of, and payments for, home health services under title XVIII (Medicare) of the Social Security Act. Sets forth reporting requirements and provides for implementation of recommendations for changes in regulations described in the report. Authorizes appropriations.
Bill· SS. 1951 (100th)open
United States · United States Congress · 16 December 1987
Organ Transplant and Immunosuppressive Drug Therapy Act of 1987 - Title I: Organ Transplants - Amends the Public Health Service Act to authorize grants under existing provisions for consolidation as well as for establishment, initial operation, and expansion of organ procurement organizations. Authorizes the Secretary of Health and Human Services to make grants for special projects designed to increase the number of organ donors. Directs the Secretary, in making grants for planning, consolidation, establishment, initial operation, or expansion of such organizations, to give special consideration to proposals from existing organ procurement organizations. Prohibits certain grants for such organizations and projects from exceeding a specified amount in a year. Revises organ procurement organization provisions concerning organ procurement and distribution. Authorizes appropriations for FY 1988 through 1990. Requires that the Organ Procurement and Transplantation Network: (1) establish membership criteria and medical criteria for allocating organs and provide a periodic opportunity for public comment on the criteria; (2) assist organ procurement organizations in the distribution of organs (current provisions require the Network to assist procurement organizations in the distribution of organs which cannot be placed within the service areas of the organizations); (3) in addition to the existing requirement to adopt and use standards of quality for the acquisition and transportation of donated organs, adopt and use standards for preventing the acquisition of organs that are infected with the etiologic agent for acquired immune deficiency syndrome; (4) prepare and distribute samples of blood sera from potential recipients on, as practicable, a national and a regional basis; and (5) carry out studies and demonstration projects regarding organ procurement and allocation procedures. Directs the Secretary to establish procedures for receiving and considering from interested persons critical comments relating to how the Network is carrying out its duties. Directs the Secretary to establish, by grant or contract, a registry of voluntary bone marrow donors. Authorizes appropriations for FY 1989 and 1990. Requires the Secretary to maintain an identifiable administrative unit in the Public Health Service regarding organ procurement through FY 1990. (Current provisions require such a unit through FY 1988.) Revises specified reporting requirements. Title II: Immunosuppressive Drug Therapy Block Grant - Amends title XIX (Block Grants) of the Public Health Service Act to establish an Immunosuppressive Drug Therapy Block Grant program to provide drugs to patients for the prevention of rejection of transplanted organs and tissues. Authorizes appropriations for FY 1988 through 1990. Provides formulae for the allotment of appropriated funds to the States. Establishes a minimum allotment of $50,000 for each State. Authorizes, in the event a State does not submit an allotment application or notifies the Secretary of Health and Human Services that it does not intend to use the full amount of the allotment, an organ transplant center in the State to apply for the amount of the allotment not allocated to the State. Enumerates the purposes for which the States may use such allotments. Details the application procedures and grant requirements. Requires the Secretary to report to the Congress on the impact of this Act. Amends title XIX (Medicaid) of the Social Security Act to authorize States to provide immunosuppressive drugs to individuals who have received organ transplants.
Bill· SS. 1952 (100th)open
United States · United States Congress · 16 December 1987
Public Health Service Amendments Act of 1987 - Amends provisions of the Public Health Service Act relating to emergency medical services for children to direct the Secretary of Health and Human Services to make grants to States, public and nonprofit private entities, and academic institutions for the development, establishment, and operation of regional centers for pediatric emergency medical services. Requires such centers to: (1) train health professionals; (2) provide for the appropriate use of bilingual personnel; (3) conduct research on prevention and treatment; and (4) conduct activities relating to prevention, including dissemination of information to the public. Directs the Secretary to make a grant for FY 1988 for a feasibility study on establishing and operating a National Center for Pediatric Emergency Medical Services (National Center). Directs the Secretary to request the Institute of Medicine of the National Academy of Sciences to submit an application for the grant and, if the Institute submits an acceptable application, to make the grant to the Institute. Directs the Secretary, in the absence of an acceptable application from the Institute, to request an application from one or more nonprofit private entities and to make the grant to the entity submitting the best acceptable application. Directs the Secretary, after reviewing the report prepared under such grant and consulting with the American Academy of Pediatrics and the American College of Emergency Physicians, if a National Center is feasible, to make grants for FY 1989 and each succeeding fiscal year for the establishment and operation of a National Center. Requires the National Center, with regard to pediatric medical emergencies, to: (1) develop and disseminate standards and quality assurance mechanisms; (2) facilitate training of health professionals; and (3) develop and disseminate to the public information on the prevention of, and responses to, such emergencies. Authorizes appropriations for FY 1988 through 1990. Amends the Public Health Service Act to: (1) remove certain restrictions on the authority of the Secretary to make grants to and contracts with health professions schools related to geriatric medicine and care; (2) expand the authority of the Secretary to make grants and contracts for geriatric medicine training projects to include podiatrists as well as physicians and dentists; (3) require that the National Advisory Council on Health Professions Education include a representative of a school of clinical psychology; and (4) add graduate programs in clinical psychology to provisions relating to discrimination on the basis of sex.
Bill· HRH.R. 3769 (100th)open
United States · United States Congress · 15 December 1987
Family Planning Amendments Act of 1987 - Amends title X (Population Research and Voluntary Family Planning Programs) of the Public Health Service Act to remove provisions authorizing the Secretary of Health and Human Services to reduce the amount of a grant for family planning projects by the value of supplies or equipment furnished by the Secretary. Authorizes appropriations for grants and contracts for such projects for FY 1989 through 1991. Repeals provisions authorizing the Secretary to make formula grants to State health authorities to assist in planning, establishing, maintaining, coordinating, and evaluating family planning services. Amends provisions relating to training grants and contracts to authorize the grants and contracts to provide technical assistance and clinical training for obstetric-gynecologic nurse practitioners and training for educators, counselors, and other personnel to carry out family planning service programs described in provisions relating to projects for family planning services and to informational and educational materials. (Current law provides for the grants and contracts to be used to provide the training for personnel to carry out family planning service programs described in provisions relating to projects for family planning services and to formula grants to States for family planning services.) Authorizes appropriations for FY 1989 through 1991. Authorizes the Secretary to conduct and to make grants for research into the development of new or improved contraceptive devices, drugs, and techniques and their evaluation. Authorizes appropriations. Amends provisions authorizing the Secretary to conduct and make grants for research to add authorization for contraceptive evaluation and for research to improve the clinical management and direct delivery of family planning services. Authorizes the Secretary to make grants and enter into contracts to assist in making available information and education to enable persons to make responsible choices concerning human sexuality, pregnancy, and parenthood. (Current law provides for grants and contracts for family planning and population growth information, including educational materials.) Requires the information and education to be made available to all persons desiring it, with special emphasis on adolescents and parents. Authorizes appropriations. Directs the Secretary to annually collect data regarding family planning services and regarding unintended pregnancies. Authorizes the Secretary to use grants or contracts for the data collection. Requires the data to be made public. Requires a plan regarding family planning mandated by current law to be based on the data.
Bill· HRH.R. 3766 (100th)referred
United States · United States Congress · 15 December 1987
Comprehensive Health Care Improvement Act of 1987 - Title I: Qualified Health Insurance Plans - Part A: Definitions and Standards for Qualified Plans - Sets forth definitions used in this title. Defines a "plan of health coverage" as any plan or combination of plans, including combinations of self-insurance, individual accident and health insurance policies, group accident and health insurance policies, coverage under a nonprofit health service plan, or coverage under a health maintenance organization (HMO) subscriber contract. Directs the Secretary of Health and Human Services to establish standards for qualified plans and procedures for the review and certification of plans of health coverage as qualified plans. Provides that a plan shall be certified as an "A" qualified plan if it meets any applicable State requirements with respect to accident and health insurance plans or nonprofit health service plans, and meets or exceeds the following minimum standards: (1) the minimum benefits for a covered individual are equal to at least 80 percent of the covered expenses in excess of an annual deductible not exceeding $250.00 per person; (2) the coverage includes a limitation of $3,000 per person on total annual out-of-pocket expenses for covered expenses; (3) the coverage is subject to no maximum life-time benefit; and (4) the $3,000 limitation (above) and the unlimited lifetime benefit limit (above) are not subject to change or substitution by use of an actuarially equivalent benefit. States that covered expenses are the usual and customary charges of a physician or chiropractor. Defines covered services as the following services and articles: (1) hospital services; (2) professional services for the diagnosis or treatment of injuries, illnesses, or conditions (other than outpatient mental or dental care) which are rendered by a physician or at a physician's direction; (3) drugs requiring a physician's prescription; (4) services of a nursing home for not more than 120 days a year if the services would qualify as reimbursable services under title XVIII (Medicare) of the Social Security Act; (5) services of a home health agency if the services would qualify as reimbursable services under title XVIII of the Social Security Act; (6) use of radium or other radioactive materials; (7) oxygen; (8) anesthetics; (9) prostheses, other than dental; (10) rental or purchase, as appropriate, of durable medical equipment, but not including eyeglasses and hearing aids; (11) diagnostic X-rays and laboratory tests; (12) oral surgery for partially or completely unerupted impacted teeth, for a tooth root without the extraction of the entire tooth, or for the gums and tissues of the mouth when not performed in connection with the extraction or repair of teeth; (13) services of a physical therapist; (14) transportation provided by a licensed ambulance service to the nearest facility qualified to treat the condition; (15) well baby care; (16) physicians' services for routine checkups and annual physicals when prescribed by a physician; (17) multiphasic screening and other diagnostic testing, within such reasonable limits on the reimbursement required for such services as the Secretary shall prescribe; (18) a second opinion from a physician on all surgical procedures expected to cost a total of $500 or more in physician, laboratory, and hospital fees, but the coverage need not include the repetition of any diagnostic tests for such an opinion; and (19) professional services of a chiropractor. Excludes from coverage: (1) any charge for which benefits are payable under any other type of insurance or compensation; (2) cosmetic surgery; (3) custodial or domiciliary care not qualifying under Medicare; (4) private rooms, except if medically necessary; (5) any part of any charge exceeding the locally prevailing charge; and (6) charges for services rendered by an individual or institution which are not within the individual's or institution's authorized scope of practice. Deems HMOs to be providing an "A" qualified plan. Certifies as a "B" qualified plan a plan which meets the requirements of an "A" plan, except that the annual deductible does not exceed $1,000 per person. Provides that a plan which provides benefits to persons over age 65 shall be certified as a qualified Medicare supplement plan if it limits annual out-of-pocket expenses to a maximum of $1,000 per person, is designed to complement or supplement Medicare, and provide coverage: (1) of 80 percent of the required Medicare deductibles and copayments; (2) of 80 percent of charges for covered services of an "A" qualified plan not paid under Medicare; and (3) which is not subject to a maximum lifetime benefit. Directs the Secretary, to the extent feasible, to provide for the review and certification by the insurance commissioner of each State of qualified plans to be offered in the State if the Secretary is provided assurances that such review and certification will comply with the requirements of this Act. States that the sale of plans are in and affect interstate commerce and that, in order to properly regulate such sales, it is necessary to regulate such sales in intrastate, as well as interstate, commerce. Requires every plan of health coverage sold to be labelled as "qualified" or "nonqualified" on the front of the policy. Requires each advertisement or promotion for a plan to specify whether the plan is "qualified" or "nonqualified." Part B: Requiring Offering of Certain Qualified Plans - Requires each employer employing an average of ten or more employees annually to make available a plan or combination of plans of health coverage which: (1) has been certified as an "A" or supplemental plan; (2) is a qualified convertible plan; and (3) permits coverage of an employee's spouse and children. Defines a "qualified convertible plan" as a plan of health coverage which: (1) permits each enrolled individual to convert the plan to an individual qualified plan without the addition of underwriting restrictions if, for any reason, the individual leaves the group; and (2) permits, in the case of the death of the individual in whose name the contract was issued, other individuals covered under the plan to continue coverage without the addition of underwriting restrictions. Sets forth civil penalties for noncompliance with this part. Excludes from the term "employee," for purposes of this provision, certain new, part time, part year, young, bargaining unit, and nonresident alien exployees. Part C: Offering of Comprehensive Health Insurance and Qualified Medicare Supplement Plans by States - Sets forth definitions used in this part. Amends title XIX (Medicaid) of the Social Security Act to require the establishment and operation of a comprehensive health association in each State and a comprehensive health plan in each State, in accordance with this part of this Act. Defines a "comprehensive health insurance plan" to mean policies of insurance and contracts of HMO coverage offered by an association through the writing carrier in the State. Defines the "writing carrier" as the insurers and HMOs approved to administer the comprehensive health insurance plan. Provides that each State commissioner of insurance, consistent with any regulations the Secretary may promulgate: (1) may formulate general policies to advance the purposes of this title; (2) shall supervise the creation of the State comprehensive health association; (3) shall approve the selection of the writing carrier by the association in the State and approve the association's contract with the writing carrier, including the State plan coverage and premiums to be charged; (4) may appoint advisory committees with respect to implementation of this part; (5) shall conduct periodic audits to assure the general accuracy of the financial data submitted by the writing carrier and the association in the State; (6) shall contract with the Federal Government and may contract with any other unit of government to ensure coordination of the State plan of the association with other governmental assistance programs; (7) may undertake, directly or through contracts with other persons, studies or demonstration programs to develop awareness of the benefits provided under this Act, so that residents of the State may best avail themselves of the health care benefits provided hereunder; (8) may contract with insurers and others for administrative services; and (9) may adopt, amend, suspend, and repeal rules as reasonably necessary to carry out and make effective the provisions and purposes of this part. Requires each State to provide for the establishment of a comprehensive health association with membership consisting of all insurers, self-insurers, fraternal beneficiary associations, other entities offering health policies, and HMOs authorized or licensed to do business in the State. Exempts each association from State taxation. Provides for a board of directors of each association. Requires that all members of an association: (1) maintain their membership in the association as a condition of doing accident and health insurance, self-insurance, or HMO business in the State; and (2) enter into a reinsurance contract with the association as required by this part. Exempts members of an association, in the performance of their duties as members, from Federal and State antitrust laws. Authorizes each association to provide for the reinsuring of risks incurred as a result of issuing qualified plans by members of the association. Requires each member which elects to reinsure its risks to determine the categories of coverage it elects to reinsure in the association. Provides that the categories consist of: (1) individual qualified plans, excluding group conversions; (2) group conversions; (3) group qualified plans with fewer than 50 employees or members; and (4) major medical coverage. Requires each association through its comprehensive health insurance plan to offer: (1) policies which provide the benefits of "A" and "B" qualified plans and of a qualified Medicare supplement plan; and (2) HMO contracts in those areas of the State where an HMO has agreed to make the coverage available and has been selected as a writing carrier. Requires the comprehensive health insurance plan for a State to be open for enrollment by individuals residing in the State, who can enroll by submitting a certificate of eligibility to the writing carrier which certifies the applicant's name, address, age, length of residence, dependents to be insured, and type of coverage desired. Provides that upon certification the individual can enroll in a State's comprehensive health insurance plan by payment of the State plan premium to the writing carrier. Requires each member of an association to share the claims expenses for approved plans and the operating and administrative expenses incurred by the association, pursuant to the terms of the individual reinsurance contracts executed by the association with each member. Sets forth a method to determine each member's share of expenses. Authorizes any member of an association in a State to submit for approval to the State commissioner the policies of accident and health insurance or the HMO contracts which are being proposed to serve in the comprehensive health insurance plan. Authorizes the association to select approved policies and a contract to be the comprehensive health insurance plan based upon the member's proven ability to handle large group accident and health insurance cases, claims paying capacity, and estimate of total charges for plan administration. Requires each writing carrier to: (1) perform all required administrative and claims payment functions; and (2) report monthly to the association and State commissioner. Exempts premiums received by a writing carrier for the comprehensive health insurance plan from State taxation. Requires each association in a State to disseminate information to State residents regarding the existence of the comprehensive health insurance plan and the means of enrollment. Requires each writing carrier to pay an agent's referral fee, in an amount to be determined by the association, to each insurance agent referring an applicant to the State comprehensive health insurance plan, if the application is accepted. Title II: Program of Assistance to States for Assisting Low-Income Individuals to Purchase Comprehensive Health Insurance - Comprehensive Health Insurance Assistance Act of 1987 - Adds a new title XXI to the Social Security Act entitled "Grants to States for Assistance to Low-Income Individuals in the Purchase of Comprehensive Health Insurance." Authorizes appropriations under title XXI to enable each State to provide assistance to low-income individuals in the purchase of comprehensive health insurance under title XXI. Specifies the amount authorized for each fiscal year. Requires the sums made available under this title to be used to make payments to States which have submitted, and had approved by the Secretary, State plans for comprehensive health insurance assistance to low-income individuals. Directs the Secretary to pay each State with an approved plan, from the sums appropriated, an amount equal to 50 percent of the sums expended which are attributable either to assistance under the plan to low-income individuals or to plan administration. Prohibits such amount, during any quarter, from exceeding the product of $1.88 and the State's population. Requires a State plan for comprehensive health insurance assistance to low-income individuals, in order to be approved by the Secretary, to: (1) be in effect in all political subdivisions of the State; (2) provide for financial participation by the State equal to at least 40 percent of the non-Federal share of the expenditures under the plan with respect to which payments that are authorized by title XXI, and provide for financial participation by the State equal to all of such non-Federal share or provide for distribution of funds from Federal or State sources, for carrying out the State plan on an equalization or other basis which will assure that the lack of adequate funds from local sources will not result in a lowering of assistance; (3) provide for the designation of an appropriate State agency to administer the plan; (4) prevent the disclosure of information for purposes not connected with the plan; (5) provide for reports to the Secretary; (6) make assistance available to low-income individuals to purchase plans; (7) establish reasonable standards for determining eligibility for and the extent of assistance; (8) make available the opportunity to apply for assistance to any individual; and (9) grant an opportunity for a fair hearing before a State agency to any individual whose claim for assistance under the plan is denied or not acted upon with reasonable promptness. Prohibits payments to a State if, after notice and opportunity for a hearing, the Secretary finds that a State's plan is not in compliance with provisions of this Act. Sets forth civil and criminal penalties for false statements, misrepresentations, concealments, and conversions made in connection with the application for, sale of, or receipt of benefits under a plan. Amends title XIX (Medicaid) of the Social Security Act to provide for special treatment in determining the eligibility for medical assistance of an institutionalized spouse. Declares that the provisions supersede any other provision of such title and that no comparable treatment is required. Sets forth rules for treatment of income and resources. Protects income for the community spouse by requiring certain allowances to be offset from the income of the institutionalized spouse and by requiring each State to establish a minimum monthly maintenance needs allowance for each community spouse. Provides for notice and fair hearing regarding a determination of eligibility, the amount of the community spouse monthly income allowance, the amount of any family allowances, and the method for computing the amount of the community spouse resources allowance. Permits an institutionalized spouse to transfer certain resources to the community spouse. Requires the State plan for medical assistance to provide for a period of ineligibility for institutionalized spouses who disposed of resources during the 24-month period before applying for assistance for less than fair market value. Sets forth exceptions to the requirement: (1) for homes or other resources transferred to the individuals's spouse or child who meets certain requirements; (2) on a showing of intent to dispose of the resources at fair value or for other valuable consideration; (3) on a showing that the transfers were exclusively for a purpose other than to qualify for medical assistance; and (4) if denial would work an undue hardship. Directs the Secretary of Health and Human Services to study and report to the Congress regarding the means for recovering amounts from the estates of deceased Medicaid beneficiaries to pay for certain assistance furnished. Title III: Program of Assistance to States for Assisting Individuals Who Incur Catastrophic Expenses for Health Care - Catastrophic Health Care Expenses Assistance Act of 1987 - Amends the Social Security Act to add a new title XXII entitled "Grants to States for Assistance to Individuals Incurring Catastrophic Expenses for Health Care." Authorizes appropriations for each fiscal year to enable each State to furnish medical assistance for catastrophic illness. Requires a State to have submitted and have approved by the Secretary a plan for medical assistance for catastrophic illness. Directs the Secretary to pay each State with an approved plan, from the sums appropriated, an amount equal to 50 percent of the sums expended which are attributable either to payments made under the plan to eligible individuals or to plan administration. Prohibits such amount, during any quarter, from exceeding the product of $0.625 and the State's population. Prohibits payment with respect to expenses: (1) if the charges on which the expenses are based are not reasonable; (2) for inpatient hospital services if the charge exceeds the hospital's customary charge; (3) for health services which were not medically necessary; (4) for services provided by a provider not in compliance with appropriate regulations; (5) for services provided by a hospital or skilled nursing facility if the appropriate utilization review plan is not in effect; or (6) for which a private insurer would be obligated but for a provision in its contract which limits its obligation if an individual is covered under this title. Declares that a State plan for medical assistance for catastrophic illness, in order to be approved by the Secretary, shall: (1) be in effect in all political subdivisions of the State; (2) provide for financial participation by the State equal to at least 40 percent of the non-Federal share of the expenditures under the plan with respect to authorized payments under title XXII, and provide for financial participation by the State equal to all of such non-Federal share or provide for distribution of funds from Federal or State sources, for carrying out the State plan on an equalization or other basis which will assure that the lack of adequate funds from local sources will not result in a lowering of assistance; (3) provide for the designation of an appropriate State agency to administer the plan; (4) prevent the disclosure of information for purposes not connected with the plan; (5) provide for reports to the Secretary; (6) provide for paying at least 90 percent of all qualified expenses annually of an eligible individual and the individual's dependents in excess of the greater of $3,000 (or a lower amount which the State may establish) or the sum of 30 percent of household income under $25,000, plus 40 percent of household income between $25,000 and $40,000, plus 50 percent of household income in excess of $40,000 (or such lower respective percentages, or such higher incomes, as the State may establish); (7) provide for paying 100 percent of all qualified nursing home expenses of an eligible individual and the individual's dependents in excess of 20 percent of household income (or such lower percentage as the State may establish); (8) prohibit charging any premiums, copayments, or deductibles, except as provided above; (9) provide safeguards against excessive charges and the unnecessary utilization of services; (10) establish reasonable standards for determining eligibility for and the extent of assistance; (11) make available the opportunity to apply for assistance to any individual; (12) grant an opportunity to apply before a State agency to any individual whose claim for assistance under the plan is denied or not acted upon with reasonable promptness; (13) seek reimbursement from any legally liable third party; and (14) provide that payment for services shall be made only to providers and beneficiaries. Prohibits payments to a State if, after notice and opportunity for a hearing, the Secretary finds that a State's plan is not in compliance with the provisions of this Act. Sets forth definitions used in this title. Defines an "eligible individual" as an individual who incurs an obligation to pay, in a consecutive 12-month period, expenses (including dependent's expenses) exceeding the greater of $3,000 (or such lower amount as the State may establish) or 30 percent of household income up to $25,000, plus 40 percent of household income between $25,000 and $40,000, plus 50 percent of household income in excess of $40,000 (or such lower respective percentages of such incomes, or of such higher incomes as the State may establish). Sets forth civil and criminal penalties for false statements, misrepresentations, concealments, and conversions made in connection with the application for or right to the assistance provided under this title.
Bill· SS. 1943 (100th)open
United States · United States Congress · 11 December 1987
Comprehensive Alcohol Abuse, Drug Abuse, and Mental Health Amendments Act of 1987 - Title I: Mental Health and Alcohol and Drug Abuse Block Grants - Amends title XIX (Block Grants) of the Public Health Service Act to authorize appropriations for FY 1988 through 1991 for block grant allotments to States for prevention, treatment, and rehabilitation projects with respect to alcohol and drug abuse and for mental health services. Changes the formula for determining the amount by which State allotments shall be reduced for failure to implement a State comprehensive mental health services plan. Sets forth requirements regarding a report by the Comptroller General of the General Accounting Office with respect to plan implementations. Authorizes the Secretary of Health and Human Services (Secretary) to use not to exceed one percent of the amounts appropriated for the allotments in each of the FY 1988 through 1991 to conduct evaluations and prepare reports concerning the effectiveness of the block grant programs. Revises the formula for determination and distribution of the allotments. Sets forth requirements for allotment applications, including requirements that the chief executive officer of each State certify: (1) that the funds will be used for comprehensive mental health services and community mental health centers; (2) that the State will establish reasonable evaluation criteria; (3) the specific purposes for which the funds will be used; (4) that the State will use the funds for specified alcohol and drug abuse activities; (5) that the State will use certain funds to provide new mental health services and programs; and (6) other matters. Requires States, in order to receive allotment payments, to agree to coordinate among mental health services institutions the establishment of a State comprehensive community mental health system. Requires the chief executive officer of a State to establish a State mental health services planning council. Directs the Secretary to report annually to specified committees of the Congress regarding the new State mental health services. Amends title V of the Public Health Service Act to require the Directors of the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse, in cooperation with State alcohol, drug, and mental health agencies and national organizations, to collect data on mental health and on alcohol and drug abuse treatment. Directs the Secretary to report to specified congressional committees every two years on drug and alcohol and mental health services. Directs the Secretary, through the Director of the National Institute of Mental Health, to develop a model plan for a community-based system of care for seriously mentally ill individuals. Amends title XIX (Block Grants) of the Public Health Service Act to add a new subpart on acquired immune deficiency syndrome (AIDS). Authorizes appropriations for FY 1988 through 1991 for grants for projects and programs that seek to reduce the transmission of AIDS in and by users of illegal intravenous drugs. Sets forth a formula for allotment to States of funds appropriated. Requires, in order to receive an allotment, an information and assurances section to be included with a State's application for an alcohol, drug abuse, and mental health block grant. Requires payments to be used to establish programs of treatment for users of illegal intravenous drugs, outreach services to such users, efforts to prevent transmission among such users, and necessary training and organizational efforts. Allows the Secretary, if in the Secretary's judgment a State is unlikely to use funds available to that State during a fiscal year for the specified purposes, to withhold the amount otherwise available to that State in the next fiscal year. Authorizes appropriations for FY 1988 for special alcohol abuse and drug abuse treatment and rehabilitation programs as provided for in current law. Sets forth a formula for allotment to States of funds appropriated. Title II: National Institutes of Mental Health, On Alcohol Abuse and Alcoholism, and On Drug Abuse - Amends title V (Administration and Coordination of the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse) of the Public Health Service Act to add the Office of Substance Abuse Prevention to the list of agencies of the Alcohol, Drug Abuse, and Mental Health Administration (Administration). Changes requirements for reporting to the Congress with regard to prevention efforts of the Administration from annually to once every three years. Requires prompt and appropriate response to information respecting scientific misconduct. (Current law requires such response to information respecting scientific fraud.) Authorizes the Administrator of the Administration to: (1) accept voluntary and uncompensated services; and (2) conduct and support research training for which fellowship support is not provided by National Research Service Awards and which is not residency training of physicians or other health professionals. Authorizes the Secretary, through the Director of the National Institute of Mental Health (Director), to make grants for: (1) the planning, coordination, and improvement of community services for seriously mentally ill individuals, seriously emotionally disturbed children and adolescents, elderly individuals, and homeless chronically mentally ill individuals, and for the conduct of research concerning such services; (2) prevention services demonstration projects regarding individuals who are at risk of developing mental illness; (3) planning, coordination, and improvement of community mental health services for rural residents and for the conduct of research concerning such services; (4) the provision of suicide prevention services, giving priority in making grants to applicants that provide assurances of cooperative planning by agencies and entities that are in contact with the youth in the community; (5) improving the recognition, assessment, treatment, and clinical management of depressive disorders through educational activities that focus on the general public, primary care providers, and mental health providers; (6) the provision of staff training to improve post-legal adoption services and for the conduct of research regarding the most effective models for providing and financing post-legal adoption services; and (7) demonstration projects to provide mental health services to elderly individuals, giving priority to areas with a high percentage of elderly individuals. Authorizes appropriations for FY 1988 through 1991. Requires materials developed and published by the Director regarding causes and prevention of suicide to relate especially to suicide among individuals under the age of 24. (Current law requires such a focus on individuals under the age of 21.) Extends through 1989 a requirement that the Secretary of Health and Human Services make payments under allotments to States for community mental health services to homeless individuals who are chronically mentally ill. Extends through 1991 the authorization of appropriations for provisions relating to community mental health services for the homeless. Directs the Secretary, through the Director of the National Institute of Mental Health, to develop and maintain an ongoing program of service research of community mental health programs and services. Authorizes the research and evaluation to be carried out through grants, contracts, or cooperative agreements. Sets forth reporting requirements. Authorizes appropriations for FY 1988 through 1990 for programs of the Office for Substance Abuse Prevention and for prevention, treatment, and rehabilitation model projects for youth at high risk for drug abuse and alcohol abuse. Requires the Director of the Institute on Alcohol Abuse and Alcoholism to establish and implement a public information program to educate the public on and reduce the incidence of fetal alcohol syndrome. Sets forth reporting requirements. Authorizes appropriations for FY 1988 through 1991 for research and for demonstration projects related to alcohol abuse and alcoholism, including alcohol and drug abuse treatment services for homeless individuals. Authorizes appropriations for FY 1988 through 1991 for drug abuse research and for drug abuse demonstration projects. Directs the Secretary, through the Directors of the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse, to develop an ongoing program of research and evaluation of alcohol and drug abuse treatment programs with regard to the effectiveness of treatment methods and the cost-effectiveness of different methods. Authorizes the research and evaluation to be carried out through grants, contracts, or cooperative agreements. Sets forth reporting requirements. Authorizes appropriations for FY 1988 through 1991 for technical assistance related to alcohol abuse and alcoholism, drug abuse, and mental health services. Authorizes appropriations for provisions of this Act relating to acquired immune deficiency syndrome for FY 1988 through 1991. Title III: Institute of Medicine - Directs the Secretary to contract with the Institute of Medicine of the National Academy of Sciences to conduct a study concerning the effective and appropriate treatment, rehabilitation, and continuing care of persons suffering from severe and disabling mental illnesses. Sets forth reporting requirements. Authorizes appropriations for FY 1989. Title IV: Miscellaneous - Requires the Directors of the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse to each designate, in their own Institute, an Associate Director for Special Populations. Directs the Secretary, through each Associate Director, to assure increased emphasis on the needs of women and minorities.
Bill· HRH.R. 3754 (100th)referred
United States · United States Congress · 11 December 1987
Long Term Care Incentives Package - Title I: Tax Credit for Maintaining a Household for Dependents Who Have Attained Age 65 - Amends the Internal Revenue Code (IRC) to allow a nonrefundable income tax credit to individuals who maintain a household in which a dependent aged 65 or older resides. Applies the credit to the full amount paid or incurred for maintaining the household for the dependent individual. Reduces the credit (but not below zero) when the taxpayer's gross income exceeds $50,000. Limits the credit to a $100 per month per qualified dependent. Directs the Secretary of the Treasury to prepare and submit to specified congressional committees a report detailing the administrative problems and revenue cost in connection with such a credit. Title II: Tax Credit for Contributions to Health Care Savings Account - Amends the IRC to permit individuals (employees or self-employed individuals) and employers to contribute to health care savings accounts. Limits the annual contribution to an amount no greater than the combined employee and employer hospital insurance (Medicare) payroll tax paid during that year. Provides that the employee or self-employed individual and the employer will each receive a 50 percent tax credit for their respective portion of hospital insurance payroll tax paid. Provides that a health care savings account shall be exempt from income taxes, except for the tax on certain unrelated business income, unless the account ceases to be a proper health care savings account because the beneficiary either engages in prohibited transactions or pledges the account as security. Excludes from the gross income of the distributee any amounts distributed from the account as long as they are used for medical expenses while the individual is eligible for Medicare. Permits the tax-free rollover of contributions from one health care savings account to another for the benefit of the distributee. Imposes a ten percent penalty on early distributions from a health care savings account. Provides that no amount distributed out of a health care savings account may be taken as a medical expense deduction. Imposes a tax on any excess contributions to such accounts. Imposes a penalty tax on prohibited transactions involving a health care savings account. Imposes a five percent tax on any distribution from a health care savings account in the taxable year that reduces the level of all such accounts with respect to the distributee below the total value of health care savings account tax credits for the distributee. Provides exceptions for certain distributions. Imposes a 100 percent tax on such distributions if the relevant transactions are not corrected within the taxable period. Imposes a 50 percent excise tax on the difference between the value of a decedent's health care savings account at the time of death and the amount contributed into the spouse's health care savings account at the time of, and on account of, such death. Establishes penalties for failure to file required reports with respect to health care savings accounts. Amends title XVIII (Medicare) of the Social Security Act to provide that in the case of an individual who has established a health care savings account, the total amount of any Medicare benefits that will be paid with respect to the individual will be reduced by a health care savings account-related deductible for the year, as described in this Act. Provides special rules for individuals who cannot obtain insurance at the standard premium rates to cover their added deductible. Provides that these high cost insurance beneficiaries' added deductible be reduced by a proportion reflecting 80 percent of the excess premium required above the standard rate, but not below 120 percent of the individual's health care savings account annuity amount. Establishes catastrophic health care expense protection for certain individuals qualifying for Medicare protection. Requires such individuals to have contributed at least one-third of the maximum amount possible over the course of their careers into a health care savings account and at least $100 (indexed for inflation) or 50 percent of the maximum contribution per year, whichever is greater, in ten individual years. Treats surviving spouses without a separate health care savings account as eligible for the catastrophic coverage if the deceased spouse was formerly eligible for catastrophic coverage and the surviving spouse rolls 100 percent of the health care savings account of the deceased spouse into a health care savings account. Title III: Tax Provisions Related to Long-Term Care Insurance - Amends the IRC to require that, for the purpose of determining the income tax liability of life insurance companies, qualified long-term care insurance be treated as accident or health insurance. Applies this provision to policies to provide coverage for at least 12 consecutive months of diagnostic, preventive, therapeutic, rehabilitative, or personal care services required by an individual aged 50 or older and provided in a setting other than an acute care unit of a hospital. Requires issuers of such insurance to be reinsured by the Federal National Long-term Care Reinsurance Corporation if such Corporation is incorporated as of January 1, 1990. Provides that for the purpose of determining whether a tax exclusion applies to employer contributions to, or an employee's receipt of benefits from, qualified long-term care insurance, such contributions and benefits shall be considered to be for personal injury or sickness and for medical care. Excludes from gross income: (1) amounts withdrawn from an individual retirement plan to pay for long-term care insurance for a distributee who has attained age 59 1/2 by the date of the distribution or for a spouse meeting the same age requirement; and (2) amounts received when an individual aged 65 or older surrenders, cancels, or exchanges a life insurance policy and uses the proceeds to pay for long-term care insurance for himself or herself or for a spouse meeting the same age requirement. Title IV: Federal National Long-Term Care Reinsurance Corporation - Authorizes the Secretary of Health and Human Services to provide for the incorporation of the Federal National Long-Term Care Reinsurance Corporation (Corporation), which shall not be an agency or establishment of the U.S. Government. Requires the Corporation to confine its activities to reinsuring insurance companies for extraordinary loss in the issuance or payment of qualified long-term care insurance benefits. Sets forth organizing and administrative provisions with respect to the Corporation. Exempts the Corporation from State regulation and taxation, except for taxes on real property. Directs the Corporation to report annually to both the President and the Congress regarding its activities.
Bill· SS. 1928 (100th)open
United States · United States Congress · 8 December 1987
Food, Drug, and Device Amendments of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to combine into a single class I those medical devices currently in class I (for which general controls are sufficient) and class II (for which performance standards are required). Redesignates current class III devices (devices for which premarket approval is required) as class II. Revises procedures for establishing medical device performance standards. Authorizes the Secretary of Health and Human Services to establish performance standards for any medical device regardless of its classification. (Under present law, the Secretary may establish performance standards only for class II devices.) Authorizes the Secretary to establish standards by informal notice-and-comment rulemaking in consultation with an appropriate advisory committee. Allows the Secretary to obtain injunctions against the manufacture and distribution of counterfeit drugs and the making, selling, or concealing of the equipment used to make them. Repeals the requirement that the Secretary, upon request of a manufacturer, certify batches of antibiotics for conformity to applicable standards of identity, strength, quality, and purity. Amends the Public Health Service Act to repeal requirements that the Secretary: (1) study and report to the Congress on State and Federal control of health hazards from electronic product radiation; and (2) submit an annual report on the administration of the electronic product radiation control program. Repeals the Filled Milk Act.
Bill· SS. 1922 (100th)referred
United States · United States Congress · 4 December 1987
Amends the Internal Revenue Code to allow an individual a nonrefundable income tax credit for contributions made to a long-term health care savings account established to pay the long-term health care expenses of an individual. Sets the amount of the credit at the lesser of ten percent of the contribution or $200. Includes as legitimate long-term health care benefits those covering diagnostic, preventive, therapeutic, rehabilitative, and personal care services that are: (1) required by a chronically ill or disabled individual; and (2) provided by a qualified provider (other than a family member) in a nursing facility, including hospitals and nursing homes, or in a home (if home care is a substitute for care in a nursing facility). Provides that no account may have more than one beneficiary and that no individual may be a beneficiary of more than one account. Disallows the credit in the case of a beneficiary covered under an employee benefit plan that provides similar benefits. Identifies the criteria and requirements applicable to a long-term health care savings account. Excludes from gross income any payments and distributions from a long-term health care savings account as long as the amounts: (1) are used exclusively for the qualified health care expenses of the eligible beneficiary; or (2) are distributions of excess contributions before the due date of the tax return. Exempts the accounts themselves from taxation unless they cease to be proper long-term health care savings accounts because the beneficiary either engages in prohibited transactions or pledges the account as security. Establishes penalties in the form of additional tax when account funds or distributions are used for other than health care purposes. Requires that the trustee of such an account report to the Secretary of the Treasury and to the account's beneficiary on the maintenance of the account. Establishes: (1) a six percent excise tax on excess contributions to a long-term health care savings account; (2) a five percent excise tax on amounts connected with any prohibited transaction with respect to such an account; and (3) a penalty for failure to file required reports concerning the account.
Bill· SS. 1915 (100th)referred
United States · United States Congress · 3 December 1987
Medicaid Risk-Based Health Care Act of 1987 - Amends title XIX (Medicaid) of the Social Security Act to define "risk-based health care entity" in the same terms as a qualified health maintenance organization (HMO). Sets forth provisions to encourage States to increase enrollment of individuals receiving Medicaid in prepaid capitation or other risk-based health care plans. Requires each project under this provision to be conducted for a nonrenewable three-year period. Sets forth application requirements for increased Federal financial assistance to a State with respect to a project. Allows a State to restrict, in the case of individuals receiving medical assistance who are included in a project, the period in which requests for termination of enrollment without cause are permitted. Provides a formula for determining the amount of increased Federal assistance. Amends provisions relating to a State option to establish a minimum enrollment period to apply the provisions to individuals enrolled in certain risk-based health care entities, HMOs, and case management systems. (Current law applies the provisions to individuals enrolled in HMOs and certain entities receiving grants under the Appalachian Regional Development Act of 1965.) Exempts entities having risk-sharing contracts under specified provisions of title XVIII (Medicare) of the Social Security Act from certain standards for Federal Medicaid payments to States to the extent the payments: (1) are for items and services for individuals eligible for benefits under both Medicaid and Medicare; and (2) meet other requirements. Repeals provisions requiring that health insuring organizations meet standards for risk-based health care entities.
Bill· SS. 1907 (100th)open
United States · United States Congress · 1 December 1987
National Childhood Vaccine Injury Amendments of 1987 - Title I: National Vaccine Injury Compensation Program - Amends title XXI (Vaccines) of the Public Health Service Act to repeal provisions relating to court jurisdiction over proceedings regarding compensation under the National Vaccine Injury Compensation Program. Requires each manufacturer of certain vaccines, as a condition of obtaining or retaining its licensure under specified provisions of the Federal Food, Drug, and Cosmetic Act, to secure the payment of compensation: (1) with any person or fund, while that person or fund is authorized to insure vaccine-injury compensation and authorized by the Vaccine Compensation Board (Board) to insure payment; or (2) by receiving authorization from the Board to self-insure. Authorizes the Board to require self-insurers to deposit an indemnity bond or securities. Requires the Board to: (1) authorize an insurer to provide vaccine-injury insurance upon the Board's determination that the insurer has the capacity to provide the compensation required; and (2) carry out its responsibilities regarding authorization of insurers in a manner consistent with the administration by the Secretary of Labor of the Longshore and Harbor Workers' Compensation Act. Prohibits the insurance from excluding compensation for injuries arising during the policy period, regardless of whether the claim is filed during the policy period. Removes a provision which states that the National Vaccine Injury Compensation Program is to be administered by the Secretary of Health and Human Services. Revises general rules for petitions for compensation. Repeals a provision allowing a court to find that the first indications of a condition occurred during a specified time period even though the record of the occurrence was made after the time period expired. Requires an insurer to render its decision on a petition for compensation within 90 days of filing. Substitutes the insurer for the court in provisions relating to determination of eligibility and compensation. Revises provisions relating to qualifications and aids to interpretation of the Vaccine Injury Table. Changes the time period required for public comment on proposed revisions to the Table. Revises provisions relating to the compensation awarded, including: (1) changing the limit on awards for actual and projected pain and suffering and emotional distress; (2) setting forth provisions regarding whether projected expenses are paid periodically or in a lump sum; (3) providing a formula for calculation of lost earnings; and (4) setting forth provisions relating to awards of attorneys' fees and other costs, and calculation of the amount of attorneys' fees. Repeals provisions relating to: (1) prohibition of certain types of compensation; (2) compensation to be included in awards regarding vaccines administered before the effective date; (3) payment of compensation; and (4) a declaration that the Program is not primarily liable. Provides for settlement of claims between the petitioner and the insurer in accordance with the law of the petitioner's State of residence, to be approved by a court if so required by State law. Authorizes the Vaccine Compensation Board to review and modify compensation awards, except settlements providing for lump sum payments. Provides that when the manufacturer of the vaccine administered cannot be identified, any compensation which the petitioner is awarded shall be paid by the insurer of the manufacturer with whom the petition was filed. Requires the insurers of each vaccine periodically to undertake an accounting to assure an equitable distribution among the insurers of the cost of compensation awards for which the manufacturer could not be identified. Exempts Federal or federally assisted programs from provisions regarding the liability of health insurance carriers, prepaid health plans, and benefit providers. Allows filing of petitions when the right to do so is created by a revision of the Vaccine Injury Table, except when the vaccine-related injury or death occurred more than 2 years before the revision of the Table. (Current law allows such filing, except when the injury or death occurred more than eight years before revision.) Revises provisions relating to subrogation to: (1) subrogate the petitioner's rights to the insurer instead of to the trust fund; (2) remove provisions allowing a court to refer the record of a proceeding to the Secretary and the Attorney General with respect to a civil action; and (3) remove provisions requiring amounts recovered under certain provisions to be deposited in the trust fund. Modifies the composition of and quorum requirements for the Advisory Commission on Childhood Vaccines. Establishes in the Executive Branch a Vaccine Compensation Board to hear disputed claims arising from decisions with respect to petitions for compensation and requests for modifications. Authorizes the Board to conduct de novo reviews of petitions. Prohibits staying of payment of amounts required by an award, unless ordered by the Board on the ground of irreparable injury. Provides that any person aggrieved by a decision of the Board may obtain judicial review in the U.S. Court of Appeals for the Federal Circuit, subject to exception. Provides for enforcement of a compensation order which has become final upon application to a U.S. district court. Authorizes appropriations for the administration of the Board's activities. Replaces provisions allowing the person who filed a petition to elect to file a civil action for damages rather than to accept a court judgment on the petition with provisions allowing a person to bring a civil action against the entity responsible for administration of the vaccine. States prohibited and permissible bases for the action. Allows, in the event of recovery by the claimant in a civil action, subrogation to the insurer under the vaccine-injury compensation program. Repeals provisions relating to standards of responsibility to be imposed on manufacturers and relating to the conduct of trials in civil actions against manufacturers. Amends provisions relating to citizens' actions to: (1) require that the party bringing an action against the Secretary for alleged failure to perform an act or duty under specified provisions must be an aggrieved party; and (2) change the grounds for awarding costs of litigation so as to allow recovery only by a party which substantially prevails, in accordance with the Equal Access to Justice Act. (Current law allows awarding of costs to any party whenever the court determines such award is appropriate.) Sets compensation for members of the Vaccine Compensation Board at Level V of the Executive Schedule. Revises provisions relating to the information required to be included in materials distributed to the legal representatives of any child receiving a vaccine set forth in the Vaccine Injury Table. Makes manufacturer recordkeeping and reporting requirements applicable to components used in the preparation of a previously released product as well as to quantities of released products. Title II: National Vaccine Program - Amends title XXI (Vaccines) of the Public Health Service Act to revise the responsibilities of the Director of the National Vaccine Program. Delays for one year the due date for: (1) a plan required by current law regarding the implementation of the responsibilities of the Director; and (2) a report to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate regarding the implementation of the Program and the plan. Title III: Miscellaneous - Amends the National Childhood Vaccine Injury Act of 1986 to remove requirements that the Secretary of Health and Human Services request the Institute of Medicine of the National Academy of Sciences to conduct specified studies. Revises the wording of provisions relating to review by the Secretary of warnings, use instructions, and precautionary information issued by manufacturers of vaccines. Amends the Public Health Service Act to: (1) repeal a provision requiring recalls of licensed biological products to be issued in accordance with provisions of Federal law relating to administrative procedure adjudications; and (2) revise the wording of provisions regarding penalties for violation with reference to recalls.
Bill· SS. 1908 (100th)referred
United States · United States Congress · 1 December 1987
Health Maintenance Organization Amendments of 1987 - Repeals all sections of title XIII (Health Maintenance Organizations) of the Public Health Service Act, except provisions relating to administration of assistance programs and to loan guarantees and loans. Removes from such remaining provisions: (1) a requirement that reports which must be submitted upon the expiration of a loan or loan guarantee period contain matters as required by the Secretary of Health and Human Services by regulation; and (2) references to the making of new loans or loan guarantees. Makes technical and conforming amendments.
Bill· HRH.R. 3669 (100th)open
United States · United States Congress · 20 November 1987
International Health Corps Act - Amends title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to establish the International Health Corps (Health Corps), to consist of the International Health Development Corps (Development Corps) and the International Health Emergency Corps (Emergency Corps). Authorizes the Secretary of Health and Human Services, on request of a foreign government, to assign members of: (1) the Development Corps to serve in the country to assist the country in meeting the long-term basic health care needs of its people; and (2) the Emergency Corps to provide short-term assistance in the country with regard to an ongoing medical emergency. Directs the Secretary to disseminate information on the Health Corps and request health care professionals to provide services to the Corps without compensation. Directs the Secretary to establish the International Health Corps Loan Repayment Program. Authorizes the Secretary, for each year of obligated service an individual contracts to serve in the Health Corps, to pay, up to a specified amount, the principal, interest, and related expenses on government and commercial loans for tuition, reasonable educational expenses, and reasonable living expenses. Directs the establishment of a committee to advise the Secretary on policies concerning the activities of the Health Corps. Authorizes appropriations for FY 1988 through 1990.
Bill· SS. 1871 (100th)open
United States · United States Congress · 17 November 1987
Pediatric Acquired Immunodeficiency Syndrome (AIDS) Resource Centers Act of 1987 - Amends part B (Federal-State Cooperation) of title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to require the Secretary of Health and Human Services to make grants to hospitals to support the development and establishment in hospitals of pediatric acquired immunodeficiency syndrome resource centers. Requires the centers to: (1) provide care and treatment for children infected with the human immunodeficiency virus and who have contracted the syndrome; and (2) conduct research relating to the provision of such care and treatment. Provides for priorities in making grants and states authorized uses for grant funds. Authorizes appropriations for FY 1988 through 1990.
Bill· SS. 1872 (100th)open
United States · United States Congress · 17 November 1987
Minority Acquired Immunodeficiency Syndrome (AIDS) Awareness and Prevention Projects Act of 1987 - Amends the Public Health Service Act to create a new title on prevention and public awareness of acquired immunodeficiency syndrome (AIDS) among minority populations. Directs the Secretary of Health and Human Services, acting through the Director of the Office of Minority Health, to make grants to community-based organizations for projects for the development and implementation of activities among minority populations regarding information on and prevention of AIDS. Requires grant applicants to: (1) establish a community resource panel to assist in the development and implementation of the project; and (2) report to the community served for each year that the recipient receives a grant. Requires the Office of Minority Health to make grants to national minority organizations with local chapters or affiliates to provide coordination, technical assistance, and promotion. Specifies minimum and maximum limits for the grants. Authorizes appropriations for the grants to community-based organizations and for grants to national minority organizations for FY 1988 through 1990. Directs the Secretary, for each fiscal year, to prepare and transmit to the Congress a written strategy for education, counseling, prevention, training, treatment, research, and service delivery activities relating to AIDS that are specifically directed toward Blacks, Hispanics, and other minority populations. Directs the Secretary to establish a National Minority Acquired Immunodeficiency Syndrome Advisory Committee to monitor and advise the Secretary with respect to efforts by Federal agencies to combat the AIDS epidemic in minority communities. Directs the Secretary to establish a minority AIDS clearinghouse to provide, primarily to minority communities and individuals, access to information relating to specified aspects of AIDS. Amends title XVII (Health Information and Health Promotion) of the Public Health Service Act to direct the Secretary of Health and Human Services to establish, in the Office of the Assistant Secretary for Health, an Office of Minority Health. Sets forth the duties of the new office regarding AIDS and other minority health matters. Requires the Secretary to appoint a Director for the new office who is a member of the Public Health Service Corps. Authorizes appropriations for title XVII for FY 1988 through 1990. Revises provisions relating to the research, community, and information programs the Secretary is authorized to conduct and support to insert references to minorities and minority communities and to make other changes. Directs the Secretary to submit to the President for transmission to the Congress an annual report on the status of minority health care efforts.
Bill· HRH.R. 3647 (100th)referred
United States · United States Congress · 17 November 1987
Minority Acquired Immunodeficiency Syndrome Awareness and Prevention Act of 1987 - Amends the Public Health Service Act to create a new title on prevention and public awareness of acquired immunodeficiency syndrome (AIDS) among minority populations. Directs the Secretary of Health and Human Services, acting through the Director of the Office of Minority Health, to make grants to community-based organizations for projects for the development and implementation of activities among minority populations regarding information on and prevention of AIDS. Requires grant applicants to: (1) establish a community resource panel to assist in the development and implementation of the project; and (2) report to the community served for each year that the recipient receives a grant. Requires the Office of Minority Health to make grants to national minority organizations with local chapters or affiliates to provide coordination, technical assistance, and promotion. Specifies minimum and maximum limits for the grants. Authorizes appropriations for the grants to community-based organizations and for grants to national minority organizations for FY 1988 through 1990. Directs the Secretary, for each fiscal year, to prepare and transmit to the Congress a written strategy for education, counseling, prevention, training, treatment, research, and service delivery activities relating to AIDS that are specifically directed toward Blacks, Hispanics, and other minority populations. Directs the Secretary to establish a National Minority Acquired Immunodeficiency Syndrome Advisory Committee to monitor and advise the Secretary with respect to efforts by Federal agencies to combat the AIDS epidemic in minority communities. Directs the Secretary to establish a minority AIDS clearinghouse to provide, primarily to minority communities and individuals, access to information relating to specified aspects of AIDS. Amends title XVII (Health Information and Health Promotion) of the Public Health Service Act to direct the Secretary of Health and Human Services to establish, in the Office of the Assistant Secretary for Health, an Office of Minority Health. Sets forth the duties of the new office regarding AIDS and other minority health matters. Requires the Secretary to appoint a Director for the new office who is a member of the Public Health Service corps. Authorizes appropriations for title XVII for FY 1988 through 1990. Revises provisions relating to the research, community, and information programs the Secretary is authorized to conduct and support to insert references to minorities and minority communities and to make other changes. Directs the Secretary to submit to the President for transmission to the Congress an annual report on the status of minority health care efforts.
Bill· HRH.R. 3648 (100th)referred
United States · United States Congress · 17 November 1987
Pediatric Acquired Immunodeficiency Syndrome Resource Centers Act of 1987 - Amends part B (Federal-State Cooperation) of title III (General Powers and Duties of Public Health Service) of the Public Health Service Act to require the Secretary of Health and Human Services to make grants to hospitals to support the development and establishment in hospitals of pediatric acquired immunodeficiency syndrome resource centers. Requires the centers to: (1) provide care and treatment for children infected with the human immunodeficiency virus and (2) conduct research relating to the provision of such care and treatment. Provides for priorities in making grants and states authorized uses for grant funds. Authorizes appropriations for FY 1988 through 1990.
Bill· SS. 1868 (100th)referred
United States · United States Congress · 13 November 1987
Equal Opportunity for Medical Licensure and Reciprocity Act of 1987 - Prohibits discrimination against any person who graduated from a medical school outside the United States and who is a licensed physician in the United States: (1) in equal access to practice medicine within any U.S. jurisdiction; (2) by law, regulation, policy, or requirements; and (3) by conditions or requirements which differ from the conditions or requirements as applied to graduates of U.S. medical schools. Applies the prohibition to any medical specialty as well as to the general practice of medicine. Prohibits the Secretary of Health and Human Services from making a grant, loan guarantee, or interest subsidy to, or for the benefit of, any school of medicine, unless the application contains assurances that the school will not discriminate against a graduate of a non-U.S. medical school. Requires any State, in order to be eligible to receive payments under title XIX (Medicaid) of the Social Security Act, to adopt medical licensure and medical reciprocity standards which provide equal opportunity to any graduate of a non-U.S. medical school, as compared to any graduate of a U.S. medical school, provided the non-U.S. medical school graduate has completed the U.S. postgraduate training and obtained a license to practice medicine in any U.S. State.
Bill· SS. 1862 (100th)open
United States · United States Congress · 12 November 1987
Amends title XIX (Block Grants) of the Public Health Service Act to establish an Immunosuppressive Drug Therapy Block Grant program to provide drugs to patients for the prevention of rejection of transplanted organs and tissues. Authorizes appropriations for FY 1988 through 1990. Provides formulae for the allotment of appropriated funds to the States. Establishes a minimum allotment of $50,000 for each State. Authorizes, in the event a State does not submit an allotment application or notifies the Secretary of Health and Human Services that it does not intend to use the full amount of the allotment, an organ transplant center in the State to apply for the amount of the allotment not allocated to the State. Enumerates the purposes for which the States may use such allotments. Details the application procedures and grant requirements. Requires the Secretary to report to the Congress on the impact of this Act. Amends title XIX (Medicaid) of the Social Security Act to authorize States to provide immunosuppressive drugs to individuals who have received organ transplants.
Resolution· HRESH.Res. 305 (100th)passed
United States · United States Congress · 5 November 1987
Sets forth the rule for the consideration of H.R. 1326 (community and migrant health centers).
Bill· SS. 1839 (100th)referred
United States · United States Congress · 3 November 1987
Medicare Adult Day Health Care Amendments of 1987 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide for the establishment of adult day health care programs providing certain medically supervised health services furnished by an adult day health care center in an ambulatory group care setting on a less than 24-hour basis to individuals who are 18 years of age or older and: (1) have a medical or mental impairment that, but for the provision of adult day health care, would require the provision of care in a hospital or in a skilled or intermediate care facility; or (2) cannot perform on a daily basis certain activities of daily living. Sets forth standards for such a center. Sets forth matters which, as a condition of payment, must be certified by an existing State program which determines eligibility under title XIX (Medicaid) of the Social Security Act or by a State-administered preadmission screening program meeting certain minimum requirements. Makes deductibles inapplicable to adult day health care, requiring only the payment of a specified coinsurance amount. Provides for the evaluation of plans of correction submitted by centers found not to meet the conditions of participation and for sanctions against such centers, in lieu of cancellation of certification, including civil fines and suspensions of payments. Directs the Secretary of Health and Human Services to issue regulations regarding adult day health care programs. Requires the Secretary to adopt the standards established by the National Institute of Adult Day Care as the minimum standards for qualifying as a provider of such care.
Bill· SS. 1829 (100th)referred
United States · United States Congress · 28 October 1987
Authorizes the President, on behalf of the Congress, to present a gold medal to Mary Lasker in recognition of her humanitarian contributions in medical research and education, urban beautification, and the fine arts. Authorizes appropriations. Authorizes the Secretary of the Treasury to provide for the sale of bronze duplicates of the medal.
Bill· HRH.R. 3546 (100th)referred
United States · United States Congress · 26 October 1987
National Childhood Vaccine Injury Amendments of 1987 - Title I: National Vaccine Injury Compensation Program - Amends title XXI (Vaccines) of the Public Health Service Act to repeal provisions relating to court jurisdiction over proceedings regarding compensation under the National Vaccine Injury Compensation Program. Requires each manufacturer of certain vaccines, as a condition of obtaining or retaining its licensure under specified provisions of the Federal Food, Drug, and Cosmetic Act, to secure the payment of compensation: (1) with any person or fund, while that person or fund is authorized to insure vaccine-injury compensation and authorized by the Vaccine Compensation Board (Board) (established by this Act) to insure payment; or (2) by receiving authorization from the Board to self-insure. Authorizes the Board to require self-insurers to deposit an indemnity bond or securities. Requires the Board to: (1) authorize an insurer to provide vaccine-injury insurance upon the Board's determination that the insurer has the capacity to provide the compensation required; and (2) carry out its responsibilities regarding authorization of insurers in a manner consistent with the administration by the Secretary of Labor of the Longshore and Harbor Workers' Compensation Act. Prohibits the insurance from excluding compensation for injuries arising during the policy period, regardless of whether the claim is filed during the policy period. Removes a provision which states that the National Vaccine Injury Compensation Program is to be administered by the Secretary of Health and Human Services. Revises general rules for petitions for compensation. Repeals a provision allowing a court to find that the first indications of a condition occurred during a specified time period even though the record of the occurrence was made after the time period expired. Requires an insurer to render its decision on a petition for compensation within 90 days of filing. Substitutes the insurer for the court in provisions relating to determination of eligibility and compensation. Revises provisions relating to qualifications and aids to interpretation of the Vaccine Injury Table. Changes the time period required for public comment on proposed revisions to the Table. Revises provisions relating to the compensation awarded, including: (1) changing the limit on awards for actual and projected pain and suffering and emotional distress; (2) setting forth provisions regarding whether projected expenses are paid periodically or in a lump sum; (3) providing a formula for calculation of lost earnings; and (4) setting forth provisions relating to awards of attorneys' fees and other costs, and calculation of the amount of attorneys' fees. Repeals provisions relating to: (1) prohibition of certain types of compensation; (2) compensation to be included in awards regarding vaccines administered before the effective date; (3) payment of compensation; and (4) a declaration that the Program is not primarily liable. Provides for settlement of claims between the petitioner and the insurer in accordance with the law of the petitioner's State of residence, to be approved by a court if so required by State law. Authorizes the Vaccine Compensation Board to review and modify compensation awards, except settlements providing for lump sum payments. Provides that, when the manufacturer of the vaccine administered cannot be identified, any compensation which the petitioner is awarded shall be paid by the insurer of the manufacturer with whom the petition was filed. Requires the insurers of each vaccine periodically to undertake an accounting to assure an equitable distribution among the insurers of the cost of compensation awards for which the manufacturer could not be identified. Exempts Federal or federally-assisted programs from provisions regarding the liability of health insurance carriers, prepaid health plans, and benefit providers. Allows filing of petitions when the right to do so is created by a revision of the Vaccine Injury Table, except when the vaccine-related injury or death occurred more than 2 years before the revision of the Table. (Current law allows such filing, except when the injury or death occurred more than eight years before revision.) Revises provisions relating to subrogation to: (1) subrogate the petitioner's rights to the insurer instead of to the trust fund; (2) remove provisions allowing a court to refer the record of a proceeding to the Secretary and the Attorney General with respect to a civil action; and (3) remove provisions requiring amounts recovered under certain provisions to be deposited in the trust fund. Modifies the composition of and quorum requirements for the Advisory Commission on Childhood Vaccines. Establishes in the executive branch a Vaccine Compensation Board to hear disputed claims arising from decisions with respect to petitions for compensation and requests for modifications. Authorizes the Board to conduct de novo reviews of the petition. Prohibits staying of payment of amounts required by an award, unless ordered by the Board on the ground of irreparable injury. Provides that any person aggrieved by a decision of the Board may obtain judicial review in the U.S. Court of Appeals for the Federal Circuit, subject to exception. Provides for enforcement of a compensation order which has become final upon application to a U.S. District Court. Authorizes appropriations for the administration of the Board's activities. Replaces provisions allowing the person who filed a petition to elect to file a civil action for damages rather than to accept a court judgement on the petition with provisions allowing a person to bring a civil action against the entity responsible for administration of the vaccine. States prohibited and permissible basis for the action. Allows, in the event of recovery by the claimant in a civil action, for subrogation to the insurer under the vaccine-injury compensation program. Repeals provisions relating to standards of responsibility to be imposed on manufacturers and relating to the conduct of trials in civil actions against manufacturers. Amends provisions relating to citizen's actions to: (1) require that the party bringing an action against the Secretary for alleged failure to perform an act or duty under specified provisions must be an aggrieved party; and (2) change the grounds for awarding costs of litigation so as to allow recovery only by a party which substantially prevails, in accordance with the Equal Access to Justice Act. (Current law allows awarding of costs to any party whenever the court determines such award is appropriate.) Sets compensation for members of the Vaccine Compensation Board at Level V of the Executive Schedule. Revises provisions relating to the information required to be included in materials distributed to the legal representatives of any child receiving a vaccine set forth in the Vaccine Injury Table. Makes manufacturer recordkeeping and reporting requirements applicable to components used in the preparation of a previously released product as well as to quantities of released products. Title II: National Vaccine Program - Amends title XXI (Vaccines) of the Public Health Service Act to revise the responsibilities of the Director of the National Vaccine Program. Delays for one year the due date for: (1) a plan required by current law regarding the implementation of the responsibilities of the Director; and (2) a report to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate regarding the implementation of the Program and the plan. Title III: Miscellaneous - Amends the National Childhood Vaccine Injury Act of 1986 to remove requirements that the Secretary of Health and Human Services request the Institute of Medicine of the National Academy of Sciences to conduct specified studies. Revises the wording of provisions relating to review by the Secretary of warnings, use instructions, and precautionary information issued by manufacturers of vaccines. Amends the Public Health Service Act to: (1) repeal a provision requiring recalls of licensed biological products to be issued in accordance with provisions of Federal law relating to administrative procedure adjudications; and (2) revise the wording of provisions regarding penalties for violation with reference to recalls.
Bill· HRH.R. 3547 (100th)referred
United States · United States Congress · 26 October 1987
New Drug and Device Application Fee Amendments of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to direct the Secretary of Health and Human Services to establish fees to cover the costs of review for: (1) new drugs; (2) antibiotic drugs; (3) medical devices; and (4) biologic products licensing.
Bill· SS. 1808 (100th)open
United States · United States Congress · 22 October 1987
Reclassification of Transitional Devices Amendments of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to direct the Secretary of Health and Human Services to reclassify each device placed in class III (devices requiring premarket approval) into class I (devices requiring general controls) or into class II (devices requiring performance standards), or determine that such device should remain in class III.
Bill· HRH.R. 3478 (100th)open
United States · United States Congress · 13 October 1987
Amends the Marine Protection, Research, and Sanctuaries Act of 1972 and the Federal Water Pollution Control Act of 1977 to prohibit the dumping of medical wastes into the ocean and navigable waters. Establishes a maximum fine for violations at least twice as high as that imposed for dumping other kinds of waste. Amends the Solid Waste Disposal Act to direct the Administrator of the Environmental Protection Agency to regulate the generation, transportation, treatment, storage, and disposal of medical waste as necessary to protect human health and the environment. Excludes waste already regulated as hazardous. Requires persons handling such waste to submit information and permit inspection of handling facilities, including providing samples. Establishes civil penalties for violations.
Law· HRH.R. 3459 (100th)enacted
United States · United States Congress · 9 October 1987
Orphan Drug Amendments of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to authorize the Secretary of Health and Human Services to approve an application for a license during the usual seven year moratorium on second applications for approving, certifying, or licensing drugs for rare diseases or conditions (orphan drugs) if the second application is not made by a holder of an approved application. Requires requests for designation as an orphan drug to be made before the submission of an application. Requires manufacturers of such drugs, if investigations before an application has been approved are being conducted, to notify the Secretary if the manufacturer decides to discontinue pursuit of approval of an application. Makes financial assistance available for the development of medical devices and medical foods. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to study and report to the appropriate congressional committees on whether other aspects of the orphan drug law should be expanded to encourage the development of medical devices and foods. Extends until February 1, 1989, the date by which the National Commission on Orphan Diseases shall report to the Congress on the National Institutes of Health's work in the area of rare diseases and conditions.
Resolution· HCONRESH.Con.Res. 194 (100th)referred
United States · United States Congress · 8 October 1987
Expresses the sense of the Congress that it opposes efforts to pass Federal or State legislation allowing people to assist others to commit suicide or to promote suicide as a rational solution to certain problems.
Bill· SS. 1763 (100th)referred
United States · United States Congress · 7 October 1987
An Act to Reduce Fires Caused by Cigarettes - Directs the Secretary of Health and Human Services to issue by rule a fire safety standard for cigarettes. Prohibits stockpiling of cigarettes between the issuing and effective dates of the standard. Provides for judicial review of the rule. Prohibits the manufacturing or importing of a cigarette unless the cigarette is in compliance with a standard issued under provisions of this Act. Declares violation of the prohibition to be a violation of provisions of the Federal Food, Drug, and Cosmetic Act. States that this Act does not preempt any law of a State which prescribes a more stringent fire safety standard for cigarettes. Prohibits, in any civil action for damages, admitting compliance with the standard as a defense.
Bill· HRH.R. 3419 (100th)referred
United States · United States Congress · 5 October 1987
AIDS Prevention Act of 1987 - Title I: Education with Respect to Prevention and Control of Acquired Immune Deficiency Syndrome - Authorizes the Secretary of Education to make grants to State and local educational agencies, institutions of higher education, and other public and nonprofit private entities for demonstration projects for the development and implementation of programs for educating students in secondary schools and institutions of higher education with respect to the prevention of exposure to, and the transmission of, the etiologic agent for acquired immune deficiency syndrome (AIDS). Authorizes the use of grant funds for the development and dissemination of educational materials, the training of teachers and counselors, the instruction of students, outreach activities, technical assistance, and activities with respect to the evaluation of such programs. Prohibits making grants unless the applicant agrees that: (1) the educational materials will provide scientific information regarding the etiologic agent, discourage high risk behaviors, promote sexual abstinence before marriage and fidelity within marriage, and be appropriate for the age of the students for whom the program is developed; and (2) the applicant will provide notice to the community involved that the program is to be developed and will solicit and consider comments from interested persons. Directs the Secretary of Education, in making the grants, to give preference to geographic areas where there is a particular risk regarding AIDS. Prohibits making the grants unless the applicant submits a description of the intended uses of the grant and agrees to expend the grant so as to supplement and not to supplant State, local, and other non-Federal funds. Authorizes appropriations for FY 1988 through 1990. Title II: Testing for Infection with Etiologic Agent for Acquired Immune Deficiency Syndrome - Directs the Secretary of Health and Human Services (Secretary), in each fiscal year, to make an allotment for each State. Prohibits making payments of the allotments unless the State agrees to use the payments to carry out a program of: (1) mandatory, routine, and voluntary testing, under confidential conditions, for the etiologic agent; and (2) confidential contact tracing and confidential counseling regarding infection with the etiologic agent. Prohibits making payments to a State unless the State provides, directly or through donations from public or private entities, in cash or in kind, non-Federal contributions as matching funds for 25 percent of the testing program costs in FY 1988, 50 percent in FY 1989, and 75 percent in FY 1990. Prohibits making payments unless the State agrees to provide mandatory or routine testing of any individual who: (1) is to donate blood, semen, or an organ; (2) receives health care relating to substance abuse or to a sexually transmitted disease; (3) is imprisoned in any State penal or correctional institution; (4) is between 15 and 50 years of age and is admitted to a hospital for health care; (5) receives health care or counseling from a family-planning clinic; or (6) applies for a marriage license. Authorizes States to expend payments for voluntary testing. Allows the use of either procedures requiring or procedures not requiring the identity of the individual to be provided to the testing entity. Prohibits making payments to a State unless the State agrees, in carrying out the mandatory or routine testing, to require that the name and address of any individual infected with the etiologic agent be reported to the State public health officer and to require that the officer carry out a program of contact tracing. Prohibits making payments to a State unless the State agrees, in carrying out mandatory, routine, or voluntary testing, that the State will require that individuals undergoing the testing receive appropriate counseling on the medical importance of of measures for the prevention of exposure to, and the transmission of, the etiologic agent. Prohibits making payments to a State unless the State agrees to require confidentiality in testing, contact tracing, and counseling, disclosing information only in specified circumstances and providing penalties for violation of confidentiality. Prohibits making payments to a State unless the State agrees to use 90 percent of the payments for mandatory or routine testing, reporting and contact tracing, and counseling as provided in this title. Directs the Secretary to establish criteria relating to the administration, analysis, and quality control of the tests, and the technical qualifications of individuals who administer and analyze the tests and of individuals who provide the counseling. Prohibits making payments to a State unless the State agrees to carry out the program of testing, tracing, and counseling in accordance with the criteria. Prohibits making payments unless the applicant submits a description of the intended uses of the payment, including coordination with similar programs and activities of public and private entities. Prohibits making payments unless the State agrees to prepare and submit to the Secretary an annual report and to make the report available for public inspection. Directs the Comptroller General, from time to time, to evaluate State expenditures. Provides for determination of the amount of allotments, including consideration of: (1) the extent to which a State is at risk with respect to infections with the etiologic agent; and (2) the actual costs incurred by the State in carrying out the testing, tracing, and counseling. Authorizes the Secretary to require a State to repay amounts not expended in accordance with the agreements required by provisions of this title and, if such repayment is not made, to offset such amounts against any payment due to be paid. Directs the Secretary to provide technical assistance to the State, or any public or nonprofit private entity designated by the State, directly or through contract or grants, without charge to the State. Directs the Secretary to report to the Congress on the activities of States under provisions of this title. Authorizes appropriations for FY 1988 through 1990. Title III: Research with Respect to Cost-Effective Methods of Payment of Treatment Cost for Acquired Immune Deficiency Syndrome - Directs the Secretary of Health and Human Services to make grants for research into the development of cost-effective methods of providing assistance to individuals in paying the medical cost of treatment for AIDS. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 3418 (100th)referred
United States · United States Congress · 5 October 1987
Directs the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to develop a curriculum for educating emergency response employees (EREs) with respect to the prevention of exposure to infectious diseases during the process of responding to emergencies. Directs the Secretary to establish a task force to assist in developing the curriculum, appointing to the task force representatives of the Centers for Disease Control, State governments, and EREs. Authorizes appropriations. Directs the Secretary to make grants to States to assist in purchasing educational materials and protective equipment recommended in the curriculum, with at least 75 percent of the grant spent for educational materials. Authorizes appropriations. Directs the Secretary to make grants to States to assist in conducting demonstration projects for programs of screening EREs for infectious diseases and immunizing them against vaccine-preventable infectious diseases. Prohibits the grants unless the applicant agrees that screenings and immunizations will be conducted only with the consent of the emergency response employee (ERE) involved. Exempts, from the screening and immunization provisions, infection with the etiologic agent for acquired immune deficiency syndrome (etiologic agent). Authorizes appropriations. Directs the Secretary to make grants to States to assist in the initial implementation of programs of testing notified EREs for infection with the etiologic agent. Prohibits grants unless the applicant agrees that the testing will be conducted only with the consent of the ERE. Requires the amount of the grant to be determined on the basis of the population of the geographic area relative to the U.S. population. Prohibits grants unless the applicant agrees to provide counseling before and, for both those testing negative and those testing positive, after testing. States that such agreements do not prohibit providing the counseling services to an ERE who will not undergo testing. Authorizes appropriations. Requires a medical facility to notify the employer of EREs if the facility determines that a victim the EREs transported to the facility has an infectious disease. Requires a medical facility, upon request of an employer of EREs, to notify the employer if the facility makes a determination that a victim transported by EREs has an infectious disease. Makes notification requirements apply to both the facility receiving the victim and, if the victim dies, to the facility ascertaining the cause of death. Requires such disclosure on request by any ERE employer. Sets forth notification procedures. Directs the public health officer of each State to designate one official of each employer of EREs to make requests and receive notifications. Prohibits other individuals from receiving notifications. Provides for notification of EREs and for requests from an ERE to an employer that the employer request notification from the medical facility. Prohibits: (1) persons providing testing or counseling services from disclosing the identity of any notified ERE; and (2) persons receiving a disclosure of protected information from disclosing the information. Provides for exceptions to the prohibitions. Prohibits a person from discriminating against an otherwise qualified notified ERE in employment, housing, public accommodations, governmental services, or the provision of benefits under any program receiving Federal financial assistance, solely because the ERE is, or is regarded as being, infected with the etiologic agent. Prohibits a person who obtains, as a result of notification provisions of this Act, information relating to the identity of a victim of an emergency who is infected with the etiologic agent, from disclosing such information. Provides, for violations of certain provisions of this Act, for civil monetary penalties, injunctive relief, civil causes of action, and criminal penalties.
Bill· HRH.R. 3397 (100th)referred
United States · United States Congress · 1 October 1987
Authorizes the Secretary of Health and Human Services to make grants to States to assist in providing to the public information on the diagnosis, prevention, and control of Lyme disease. Authorizes appropriations for FY 1988 and 1989.
Law· SS. 1727 (100th)enacted
United States · United States Congress · 29 September 1987
National Institute on Deafness and Other Communication Disorders Act - Amends title IV (National Research Institutes) of the Public Health Service Act to establish the National Institute on Deafness and Other Communication Disorders (Institute) as an agency of the National Institutes of Health (NIH). Removes communicative disorders from the title and purpose of the National Institute of Neurological and Communicative Disorders and Stroke. Requires the Director of the Institute, with the advice of the Institute's advisory council, to establish a National Deafness and Other Communications Disorders Program (Program). Requires the Director to prepare and transmit to the Director of NIH a plan to initiate, expand, intensify, and coordinate activities of the Institute respecting disorders of hearing, balance, voice, speech, taste, and smell. Requires activities under the Program to be coordinated with other national research institutes and describes the minimum activities of the Program. Requires the Director to establish a National Deafness and Other Communication Disorders Data System for the collection, storage, analysis, retrieval, and dissemination of data and a National Deafness and Other Communication Disorders Information Clearinghouse. Requires the Director, after consultation with the advisory council, to provide for the development, modernization, and operation of new and existing centers for studies of disorders of hearing and other communication processes. Sets forth requirements for the centers, including conducting research and training programs and information and continuing education programs for health professionals, and public information programs. Authorizes centers to provide stipends for health professionals in their training programs. Describes other programs the centers may undertake. Requires the Director to provide for an equitable geographical distribution of centers and to give appropriate consideration to the need for centers for the elderly and for children. Limits support of a center to seven years, with one or more additional periods of not more than five years, if recommended by a peer review group established by the Director, with the advice of the advisory council. Authorizes appropriations. Sets forth transitional and savings provisions.
Bill· SS. 1726 (100th)referred
United States · United States Congress · 29 September 1987
Employee Health Promotion and Disease Prevention Act of 1987 - Amends title XVII (Health Information and Health Promotion) of the Public Health Service Act to direct the Secretary of Health and Human Services to undertake and support research and demonstration programs regarding: (1) worksite-based programs for public sector employees to promote healthy behavior and decrease unhealthy behavior; and (2) the special circumstances and problems encountered in providing health promotion and disease prevention programs to employees of small businesses. Authorizes appropriations for the purposes of such title for FY 1988 through 1990. Directs the Secretary to make grants and enter into contracts regarding centers for research and demonstration of health promotion and disease prevention. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 3361 (100th)open
United States · United States Congress · 29 September 1987
National Institute on Deafness and Other Communication Disorders Act - Amends title IV (National Research Institutes) of the Public Health Service Act to establish the National Institute on Deafness and Other Communication Disorders (Institute) as an agency of the National Institutes of Health (NIH). Removes communicative disorders from the title and purpose of the National Institute of Neurological and Communicative Disorders and Stroke. Requires the Director of the Institute, with the advice of the Institute's advisory council, to establish a National Deafness and Other Communications Disorders Program (Program). Requires the Director to prepare and transmit to the Director of NIH a plan to initiate, expand, intensify, and coordinate activities of the Institute respecting disorders of hearing, balance, voice, speech, taste, and smell. Requires activities under the Program to be coordinated with other national research institutes and describes the minimum activities of the Program. Requires the Director to establish a National Deafness and Other Communication Disorders Data System for the collection, storage, analysis, retrieval, and dissemination of data and a National Deafness and Other Communication Disorders Information Clearinghouse. Requires the Director, after consultation with the advisory council, to provide for the development, modernization, and operation of new and existing centers for studies of disorders of hearing and other communication processes. Sets forth requirements for the centers, including conducting research, training programs and information and continuing education programs for health professionals, and public information programs. Authorizes centers to provide stipends for health professionals in their training programs. Describes other programs the centers may undertake. Requires the Director to provide for an equitable geographical distribution of centers and to give appropriate consideration to the need for centers for the elderly and for children. Limits support of a center to seven years, with one or more additional periods of not more than five years, if recommended by a peer review group established by the Director, with the advice of the advisory council. Authorizes appropriations. Sets forth transitional and savings provisions.
Bill· HRH.R. 3349 (100th)open
United States · United States Congress · 29 September 1987
Orphan Drug Amendments of 1987 - Amends the Federal Food, Drug, and Cosmetic Act to authorize the Secretary of Health and Human Services to approve an application for a license during the usual seven-year moratorium on second applications for licensing drugs for rare diseases or conditions (orphan drugs) designated under the Public Health Service Act if the second application contains reports of clinical investigations conducted by the applicant which are essential to the approval of the application and the applicant has not relied without permission upon investigations conducted by or for the license holder. Requires requests for designation as an orphan drug to be made before the submission of an application. Requires manufacturers of such drugs, if investigations are being conducted before an application has been approved, to notify the Secretary if the manufacturer decides to discontinue pursuit of approval of an application. Makes financial assistance available for the developing of medical devices and medical foods. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to study and report to the appropriate congressional committees on whether other aspects of the orphan drug law should be expanded to encourage the development of medical devices and foods. Extends until February 1, 1989, the date by which the National Commission on Orphan Diseases shall report to the Congress on the National Institutes of Health's work in the area of rare diseases and conditions.
Bill· HRH.R. 3340 (100th)open
United States · United States Congress · 23 September 1987
Nursing Shortage Relief Act of 1987 - Amends title VIII (Nurse Training) of the Public Health Service Act to add a new part on initiatives to reduce nursing shortages. Directs the Secretary of Health and Human Services (Secretary) to establish a special advisory committee to develop a comprehensive plan regarding long-term solutions to problems in recruiting and retaining nurses. Requires nurses to be included on the committee. Directs the Secretary to determine whether a nonprofit private entity with a record in supporting innovative health initiatives has completed or is completing a project to demonstrate and evaluate innovative hospital nursing practice models. Requires models to include initiatives to: (1) restructure the role of the hospital nurse, through changes in the composition of hospital staff and through innovative approaches for interaction between hospital administration and nursing personnel; (2) test innovative wage structures for nurses; and (3) evaluate the effectiveness of providing benefits such as pensions, sabbaticals, and payment of educational expenses for nurses. Directs the Secretary, if the Secretary so determines, to make a grant to the nonprofit private entity for dissemination of information describing the results of such project. Directs the Secretary, if no such project has been or is being completed, to make grants for carrying out such projects and disseminating the results. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to make grants to or enter into contracts with public and nonprofit private entities accredited for the training of nurses for projects to: (1) demonstrate and evaluate innovative nursing practice models regarding long-term health care services in the home or in long-term care facilities; and (2) develop collaborative clinical practice setting alternatives for nursing students. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to make grants to and enter into contracts with public and nonprofit private entities to develop, establish, and operate at least one and not more than five regional model professional nurse recruitment centers to recruit individuals to enter into programs to train nurses. Directs the Secretary, in making grants, to ensure inclusion of not less than one center in a rural area. Sets forth requirements for centers. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to make grants to develop and establish local educational outreach and nurse recruitment programs. Directs the Secretary, in making grants, to give priority to applicants carrying out associated degree programs in nursing education that train not more than 20 nursing students per year and have arrangements with baccalaureate degree nursing programs. Requires grant funds to be used for identifying a local area's long-term nursing needs, designing local recruitment programs, and providing for the modification and expansion of existing nursing programs. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 3301 (100th)referred
United States · United States Congress · 17 September 1987
Parent Drug Awareness Act - Amends the Federal Food, Drug, and Cosmetic Act to require that drugs derived from a human fetus be labeled accordingly.
Bill· HRH.R. 3292 (100th)referred
United States · United States Congress · 16 September 1987
Intravenous Substance Abuse and AIDS Prevention Act of 1987 - Authorizes the Secretary of Health and Human Services to make grants for treatment services to intravenous substance abusers. Conditions grants on the applicant agreeing to: (1) make available to the abusers, and their sexual partners, counseling and education with respect to preventing the transmission of the etiologic agent for acquired immune deficiency syndrome (AIDS); and (2) make testing available to the abusers to determine whether they have been infected with such agent. Prohibits making a grant unless the applicant agrees not to condition receipt of treatment services on the individual undergoing such testing. Sets forth requirements relating to the geographic distribution of grants. Provides for allocation of amounts appropriated under provisions of this Act. Authorizes the Secretary to make grants to carry out demonstration projects for reducing or preventing the incidence in infants of infections with the etiologic agent for AIDS and for providing support to infants who have such infections. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Authorizes the Secretary to make grants to provide counseling and education services with respect to preventing the transmission of the etiologic agent directly or indirectly through intravenous substance abuse. Sets forth priorities in making grants and uses for which grantees may expend grant funds. Prohibits the making of grants under this Act unless the applicant agrees not to expend amounts received under the grant to supplant any funds otherwise available to the applicant for the grant purpose. Authorizes appropriations for FY 1987 through 1990.
Bill· HRH.R. 3262 (100th)referred
United States · United States Congress · 15 September 1987
Bans Federal financial aid to any educational institution that: (1) performs an abortion, unless the abortion is required to prevent the death of either the pregnant woman or her preborn child so long as every reasonable effort is made to preserve the life of each; (2) provides, directly or indirectly, counseling or referral services regarding the availability of abortion as a means to terminate pregnancy; or (3) advocates the use of abortion as a means to terminate pregnancy.
Bill· HRH.R. 3263 (100th)referred
United States · United States Congress · 15 September 1987
Bans Federal financial aid to any educational institution that: (1) performs an abortion, unless the abortion is required to prevent the death of a pregnant woman; (2) provides, directly or indirectly, counseling or referral services regarding the availability of abortion as a means to terminate pregnancy; or (3) advocates the use of abortion as a means to terminate pregnancy.
Bill· HRH.R. 3259 (100th)referred
United States · United States Congress · 15 September 1987
Diabetes Prevention Act of 1987 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants to assist States in preventing or reducing morbidity and premature mortality resulting from diabetes, with particular emphasis on Hispanics and other populations at risk. Sets forth criteria for such grants. Authorizes appropriations. Amends provisions of the Public Health Service Act relating to block grants to state that allotments under certain provisions for preventive health services may be used for services relating to the prevention of diabetes and related complications among Hispanics and other populations at risk for diabetes.
Bill· HRH.R. 3253 (100th)referred
United States · United States Congress · 10 September 1987
Acquired Immunodeficiency Syndrome Education, Information, Risk Reduction, Training, Prevention, Treatment, Care, and Research Act of 1987 - Title I: AIDS as a National Public Health Emergency - Directs the Secretary of Health and Human Services to determine that acquired immune deficiency syndrome (AIDS) presents a public health emergency for purposes of specified provisions of the Public Health Service Act. Adds the Administrator of the Health Resources and Services Administration to the list of individuals with whom the Secretary must consult before determining that a public health emergency exists. Authorizes appropriations to increase the amount of the standard level required to be in the Public Health Emergency Fund at the beginning of each fiscal year. Requires, during any year in which AIDS is determined to present a public health emergency, that not less than 60 percent of the amounts in the Public Health Emergency Fund be reserved for the provision of drugs approved for treatment of AIDS or related conditions. Directs the Secretary to prepare and transmit to the Congress an annual report on the expenditure by the Department of Health and Human Services of amounts appropriated for programs, projects, and activities relating to AIDS. Authorizes, notwithstanding other laws, additional employees for the Food and Drug Administration, the National Institutes of Health, and the Centers for Disease Control. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to develop and implement a plan to expedite the award of grants, contracts, or cooperative agreements by any agency of the Department of Health and Human Services for projects relating to AIDS. Directs the Secretary, through the Public Health Service, to provide technical assistance to State and local governments and public and nonprofit private entities carrying out programs relating to AIDS. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to request that the National Academy of Sciences and other similar institutions provide recommendations to the Secretary concerning the creation of consortia for research and development on AIDS. Directs the Secretary to implement an emergency program to disseminate information, based on guidelines issued by the Director of the Centers for Disease Control, to all health workers, public safety workers, and emergency service workers concerning methods to reduce in the work place the risk of becoming infected with the human immunodeficiency virus. Directs the Secretary of Labor to issue a standard, based on the guidelines, under the Occupational Safety and Health Act of 1970. Title II: Comprehensive AIDS Programs - Amends the Public Health Service Act to create a new title on acquired immunodeficiency syndrome (AIDS). Directs the Secretary of Health and Human Services (Secretary), acting through the Director of the Centers for Disease Control (Director), to prepare and transmit to the Committee on Labor and Human Resources of the Senate and the Committee on Energy and Commerce of the House of Representatives a comprehensive national plan containing specified elements relating to education, information, and risk reduction activities concerning AIDS. Directs the Secretary to submit to the committees each year for the next ten years a revision of the plan. Directs the Secretary, acting through the Director, to make grants to States for the development, implementation, or expansion of State plans for education, information, risk reduction, and other activities relating to AIDS. Requires States, in order to receive grants, to submit an application with specified contents. Directs the Secretary to make grants to local governments and public and private nonprofit entities for development, establishment, or expansion of programs for targeted education, information, and risk reduction activities relating to AIDS. Directs the Secretary to give grant priority to activities directed toward individuals at highest risk of becoming infected with the acquired immunodeficiency virus. Prohibits grants from being made unless an application with specified contents is submitted. Directs the Secretary to give preference to community-based organizations which are located in, have a history of service in, and will serve specified areas. States that the Secretary may review the content of any educational or informational materials developed with grants only for scientific and factual validity. Directs the Secretary to establish a program of fellowships at the Centers for Disease Control for the training of individuals to develop skills in epidemiology, surveillance, testing, counseling, education, information, laboratory analysis, and risk reduction relating to AIDS. Declares that individuals receiving fellowships shall not be counted in determining the number of full time equivalent employees of the Department of Health and Human Services for specified purposes. Directs the Secretary to make grants to international organizations concerned with public health for: (1) programs of education, information, and risk reduction relating to AIDS; (2) projects to train individuals to develop skills and technical expertise regarding AIDS; and (3) epidemiological research relating to AIDS. Directs the Secretary to inform the Secretary of State and the Administrator of the Agency for International Development of grants made under this provision. Prohibits grants from being made unless an application is submitted. Requires that not less than 50 percent of the grants be made through the World Health Organization and, in the Western Hemisphere, through the Pan American Health Organization. Requires grants to be in furtherance of the global strategy of the World Health Organization Special Programme on Acquired Immunodeficiency Syndrome. Authorizes appropriations for FY 1988 through 1990 for grants to States, for grants to local governments and public and private nonprofit entities, for fellowships at the Centers for Disease Control, and for grants to international organizations. Authorizes the Secretary to make grants to public and nonprofit private entities for the development, establishment, or expansion in a service area of networks of comprehensive medical services for individuals who have AIDS or who are infected with the virus. Requires networks to provide: (1) comprehensive services, or referrals to comprehensive services, for such individuals, including specified services; and (2) continuing education for health care personnel involved in the delivery of services to individuals infected with the virus. Specifies allowed and prohibited uses of grants. Prohibits making grants unless an application with specified contents is submitted. Requires entities applying for a grant, prior to applying, to establish a network advisory committee to assist in development of grant applications, provide support for the development, establishment, or expansion of the network, and monitor the implementation of, and the services provided through, the network. Directs the Secretary, in making grants, to give priority to specified types of applicants. Directs the Secretary to make at least one grant each fiscal year to an applicant in each service area in which there is a high incidence of children who are infected with the virus. States criteria for selecting such applicant. Directs the Secretary to make grants to public and nonprofit private entities for projects to demonstrate innovative models for cost-effective delivery of health services to individuals with AIDS. Requires projects supported with such grants to provide for the delivery of health services in conjunction with the comprehensive medical services networks. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for comprehensive medical service networks and for innovative models for cost-effective delivery of health services for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute of Mental Health, to make grants to public and private nonprofit entities for the development, establishment, or expansion of programs to: (1) provide long-term counseling to individuals who have AIDS or who have tested positively for the presence of antibodies to the virus; and (2) conduct evaluations of the effectiveness of such counseling. Specifies purposes for which grants may be used. Prohibits making grants unless an application with specified contents is submitted. Directs the Secretary, in making grants, to give priority to entities based at, or having relationships with, entities providing comprehensive health services to individuals who have AIDS or who are infected with the virus. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary, through the Director of the National Institute on Drug Abuse, to make grants to public and nonprofit private agencies for the study of, and projects for the demonstration of, effective methods, with regard to intravenous drug abusers, to reduce the transmission of the virus and provide treatment to individuals who have AIDS or who are infected with the virus. Prohibits making grants unless an application with specified contents is submitted. Authorizes appropriations for FY 1988 through 1990. Amends title IV (National Research Institutes) of the Public Health Service Act to create the National Program on Acquired Immunodeficiency Syndrome, consisting of: (1) a research program on AIDS, including a research program relating to the prevention of AIDS; and (2) demonstration, education, and other programs for the detection, diagnosis, prevention, and treatment of AIDS and for the provision of counseling concerning AIDS. Requires the Director of the National Institutes of Health (NIH) to designate one of the Directors of the national research institutes as the Acquired Immunodeficiency Syndrome Coordinator. Makes the AIDS Coordinator responsible for administration of the Program. Directs the AIDS Coordinator, in conjunction with the Directors of the national research institutes and in consultation with the National Acquired Immunodeficiency Syndrome Advisory Board (Advisory Board), to promote cooperation between specified agencies in the diagnosis, prevention, and treatment of AIDS. Directs the AIDS Coordinator to expand clinical trials of treatments and therapies for AIDS and for infection with the virus. Authorizes the AIDS Coordinator to: (1) establish or support the large-scale production or distribution of specialized biological materials or other therapeutic substances for research relating to AIDS and set standards of safety and care for persons using such materials; (2) support, in consultation with the Advisory Board, research relating to AIDS outside the United States in certain circumstances, collaborative research involving American and foreign participants, the training of American scientists abroad and foreign scientists in the United States, and programs of education and training, including education and laboratory and clinical research training; (3) encourage and coordinate research relating to AIDS by industrial concerns in certain circumstances and provide for the exchange of information between Federal agencies and private entities involved in specified ways with therapies and vaccines for AIDS; (4) acquire, improve, repair, operate, and maintain, in consultation with the Advisory Board, laboratories and other real and personal property, make grants for the renovation of facilities, and lease certain spaces for a limited period; (5) enter into contracts and cooperative agreements to expedite and coordinate research relating to AIDS; and (6) maintain and operate the International Acquired Immunodeficiency Syndrome Research Data Bank. Directs the Secretary, in consultation with the AIDS Coordinator, to establish in NIH a National Acquired Immunodeficiency Syndrome Advisory Board to: (1) review and evaluate the implementation of the Program; (2) advise and make recommendations to the Congress, the Secretary, the Director of NIH, the AIDS Coordinator, and the heads of other Federal agencies; and (3) maintain liaisons with other advisory bodies and key non-Federal entities involved with the control of AIDS. Requires the Advisory Board to prepare an annual report for the AIDS Coordinator describing the Advisory Board's activities and making recommendations regarding the Program. Authorizes the Director of the Institute to enter into cooperative agreements with and make grants to public or private nonprofit entities for planning, establishing, or strengthening, and providing basic operating support for, centers for basic and clinical research into, and training in, advanced diagnostic, prevention, and treatment methods for AIDS. Specifies permitted uses for Federal payments under a cooperative agreement or grant. Limits support of a center to five years, subject to extension for periods of up to five years, if recommended by a peer review group. Requires, in the Institute, appointment of an Associate Director for Prevention to coordinate and promote the programs in the Institute concerning the prevention of infectious diseases, including AIDS. Directs the Associate Director for Prevention to prepare, for inclusion in a biennial report required by existing law, a description of the prevention activities of the Institute. Requires the Director of the Institute to establish a virus and serum bank in which all human immunodeficiency virus serotypes and serum are available to qualified investigators. States that AIDS is included within the scope of the purpose of the National Institute on Allergy and Infectious Diseases. Directs the Secretary, acting through the Director of the National Institute on Allergy and Infectious Diseases, to make awards, under existing provisions for National Research Service Awards, for the training of individuals to participate in national research efforts relating to AIDS. Requires the Director of the Office of Management and Budget, the Director of the Office of Personnel Management, or the Administrator of General Services to respond to any priority request made by the AIDS Coordinator of the NIH within 14 calendar days. Title III: Improvement of Provision of Community-Based Services to AIDS Patients Under the Medicaid Program - Amends title XIX (Medicaid) of the Social Security Act to require that a State plan for medical assistance include provision of hospice care for specified individuals in certain circumstances. Directs the Secretary to provide for demonstration projects by States to improve the provision of hospice care to Medicaid beneficiaries who have AIDS. Specifies elements the projects must include, including provisions relating to: (1) increasing the payment rate; (2) treating patients diagnosed with AIDS as terminally ill; and (3) waiving a limitation on the aggregate days of inpatient care. Authorizes the Secretary to waive the requirements of title XIX of the Social Security Act as necessary, subject to limitations, to implement demonstration projects. Limits the aggregate amount of Federal expenditures for the projects in FY 1988, 1989, or 1990. Directs the Secretary to report to the Congress on the results of the projects. Directs the Secretary to provide for demonstration projects by States to improve the provision of home health services to Medicaid beneficiaries who have AIDS. Specifies elements the projects must include. Authorizes the Secretary to waive the requirements of title XIX of the Social Security Act as necessary, subject to limitations, to implement the demonstration projects. Limits the aggregate amount of Federal expenditures for the projects in FY 1988, 1989, or 1990. Directs the Secretary to report to the Congress on the results of the projects. Directs the Secretary, through the Public Health Service, to make grants to demonstrate the effectiveness of training home health aides and homemakers to meet the needs of patients with AIDS provided care in their homes. Specifies elements the projects may include. Authorizes appropriations for FY 1988 through 1990.
Bill· HRH.R. 3241 (100th)open
United States · United States Congress · 9 September 1987
Equal Opportunity for Medical Licensure and Reciprocity Act of 1987 - Prohibits discrimination against any person who graduated from a medical school outside the United States and who is a licensed physician in the United States: (1) in equal access to practice medicine within any U.S. jurisdiction; (2) by law, regulation, policy, or requirements; and (3) by conditions or requirements which differ from the conditions or requirements as applied to graduates of U.S. medical schools. Applies the prohibition to any medical specialty as well as to the general practice of medicine. Prohibits the Secretary of Health and Human Services from making a grant, loan guarantee, or interest subsidy to, or for the benefit of, any school of medicine, unless the application contains assurances that the school will not discriminate against a graduate of a non-U.S. medical school. Requires any State, in order to be eligible to receive payments under title XIX (Medicaid) of the Social Security Act, to adopt medical licensure and medical reciprocity standards which provide equal opportunity to any graduate of a non-U.S. medical school, as compared to any graduate of a U.S. medical school, provided the non-U.S. medical school graduate has completed the U.S. postgraduate training and obtained a license to practice medicine in any U.S. State.
Law· SS. 1666 (100th)enacted
United States · United States Congress · 7 August 1987
Increases amounts payable as physicians comparability allowances. Extends the authority to grant such allowances until September 30, 1990. (Currently, authority for such allowances terminates on September 30, 1987.) Provides for special pay for psychologists in the commissioned corps of the Public Health Service Corps. Sets forth the rates of such special pay.
Bill· SS. 1634 (100th)open
United States · United States Congress · 7 August 1987
Access to Health Insurance for Medically Uninsurable Individuals Act of 1987 - Authorizes appropriations for FY 1988 through 1990 and provides for allotment of appropriated funds to the States. Requires States to use the funds to develop and operate qualified risk pools to provide health insurance for medically uninsurable individuals. Limits to ten percent the amount of the funds which may be used for administration and requires States to pay from non-Federal sources the remaining costs of administering the funds. Requires an application for the funds to contain certain assurances and certifications by the chief executive officer of a State. Requires such officer to prepare and furnish to the Secretary of Health and Human Services a description of the intended use of the payments, including the programs and activities to be supported. Requires the description to be open to public comment. Provides for an annual report from each State to the Secretary, with copies made available to interested persons. Requires States to provide for a biennial financial and compliance audit of funds provided the State and a single financial and compliance audit of each entity administering the funds. Provides for repayment of funds found not to have been expended in accordance with this Act and authorizes the Secretary to withhold funds from any State that does not use its allotment in accordance with this Act. Authorizes the Comptroller General of the United States to conduct investigations of the use of funds received under this Act. Prohibits discrimination in any program or activity funded under this Act. Provides for criminal penalties for false statements made in connection with items or services for which payment may be made from funds under this Act. Directs the Secretary to prepare and transmit to the Congress a report describing the activities conducted and assessing the efficacy of qualified risk pools established under this Act and containing recommendations.
Bill· SS. 1633 (100th)open
United States · United States Congress · 7 August 1987
Organ Transplant Amendments Act of 1987 - Amends the Public Health Service Act to authorize grants under existing provisions for consolidation as well as for establishment, initial operation, and expansion of organ procurement organizations. Authorizes the Secretary of Health and Human Services to make grants for special projects designed to increase the number of organ donors. Directs the Secretary, in making the grants, to give special consideration to proposals from existing organ procurement organizations. Prohibits grants from exceeding a specified amount in a year. Revises organ procurement organization provisions concerning organ procurement and distribution. Authorizes appropriations for FY 1988 through 1990. Requires that the Organ Procurement and Transplantation Network: (1) establish medical criteria for allocating organs and provide a periodic opportunity for public comment on the criteria; (2) assist organ procurement organizations in the distribution of organs (current provisions require the Network to assist procurement organizations in the distribution of organs which cannot be placed within the service areas of the organizations); (3) prepare and distribute samples of blood sera from potential recipients, to the extent practicable, on a national as well as a regional basis; and (4) carry out studies and demonstration projects regarding organ procurement and allocation procedures. Directs the Secretary to establish procedures for considering comments received from interested persons relating to how the Network is carrying out its duties. Requires the Secretary to maintain an identifiable administrative unit in the Public Health Service regarding organ procurement through FY 1990. (Current provisions require such a unit through FY 1988.) Revises specified reporting requirements.