Healthcare

Medicaid Long-Term Care Demonstration Project Waiver Act of 1989

United States · United States Congress · 22 November 1989

Medicaid Long-Term Care Demonstration Project Waiver Act of 1989 - Directs the Secretary of Health and Human Services to establish demonstration projects in nine specified States allowing individuals with income and resources above Medicaid (title XIX of the Social Security Act) eligibility levels to receive Medicaid long-term care benefits if they purchase a State approved long-term care insurance policy covering long-term care for a period preceding their Medicaid eligibility.

Commissioned Corps of the Public Health Service Revitalization Amendments of 1990

United States · United States Congress · 21 November 1989

Commissioned Corps of the Public Health Service Revitalization Amendments of 1989 - Amends the Public Health Service Act (PHSA), in provisions relating to a service obligation undertaken by certain commissioned officers in return for payment by the Public Health Service (PHS) of educational expenses, to limit discharge in bankruptcy of a payment obligation in lieu of service. Applies provisions of Federal law authorizing installment deductions from pay for indebtedness to the United States to members of the uniformed services (currently, the armed forces) as well as employees. Amends the PHSA to prohibit a commissioned medical officer in the Regular or Reserve Corps from receiving additional special pay under specified provisions of the PHSA for any period during which the officer is assigned to a clinical, research, or staff associate program administered by the National Institutes of Health or the Alcohol, Drug Abuse, and Mental Health Administration. Applies provisions of Federal law authorizing special foreign language proficiency pay to members of the uniformed services (currently, the armed forces). Amends the PHSA to entitle commissioned officers of the PHS or their surviving beneficiaries to all the rights and benefits under existing provisions of Federal law relating to retired pay for non-regular service. Amends Federal law to prohibit an officer of the Commissioned Corps of the PHS from being credited with service as a midshipman at U.S. military academies. Applies provisions of Federal law authorizing withholding of District of Columbia and State income taxes to members of the uniformed services (currently, the armed forces). Applies provisions of Federal law prohibiting withholding agreements between Federal officials and cities or counties to members of the uniformed services (currently, the armed forces).

Health Care Policy and Research Amendments of 1989

United States · United States Congress · 21 November 1989

Health Care Policy and Research Amendments of 1989 - Title I: Agency for Health Care Policy and Research - Amends the Public Health Service Act to create a new title to establish, within the Public Health Service, the Agency for Health Care Policy and Research (Agency) to enhance the quality, appropriateness, and effectiveness of health care services, and access to such services, through establishment of a broad base of scientific research and through improvements in clinical practice and in the organization, financing, and delivery of health care services. Sets forth the general authorities and duties of the Agency Administrator, including conducting and supporting research, demonstration projects, evaluations, training, guideline development, and the dissemination of information. Requires the Administrator to undertake and support research, demonstration projects, and evaluations with respect to health care in rural areas and among low-income groups, minority groups, and the elderly. Authorizes the Administrator to provide financial assistance for new and existing multidisciplinary centers for such purposes. Prohibits the Administrator from restricting the publication of data or results from projects conducted or supported under the new title, but prohibits disclosure of identifying data without consent. Directs the Administrator and the Director of the National Library of Medicine (the Library) to enter into an agreement for indexing, abstracting, translating, publishing, and other services leading to a more effective and timely dissemination of information on research, demonstration projects, and evaluations. Directs the Administrator to promote the development and application of appropriate health care technology assessments. Establishes at the Library an information center on health care technologies and health care technology assessment. Directs the Administrator and the Director of the Library to enter into an agreement providing for the information center. Establishes within the Agency the Office of the Forum for Quality and Effectiveness in Health Care, to be headed by a Director (Director) appointed by the Administrator. Directs the Administrator, through the Director, to establish a program to be known as the Forum for Quality and Effectiveness in Health Care to develop, review, and update: (1) clinically relevant prevention, diagnosis, treatment, and management guidelines for physicians, educators, and health care practitioners; and (2) standards of quality, performance measures, and medical review criteria. Authorizes the Director, in establishing and carrying out the Forum, to enter into contracts with public or nonprofit private entities. Requires the Director to make contracts and convene panels of qualified experts, practicing physicians, and health care consumers with regard to the development, review, and updating. Authorizes the Director to: (1) convene additional panels of the same composition to develop the standards and criteria and to provide advice to the Administrator; and (2) conduct or support pilot testing of the guidelines, standards, performance measures, and review criteria. Title II: Additional Authorities and Duties with Respect to Agency for Health Care Policy and Research - Amends the Public Health Service Act to establish the National Advisory Council for Health Care Research, Evaluation, and Policy to advise the Secretary of Health and Human Services and the Administrator with respect to activities of the Agency. Directs the Secretary to establish a subcouncil on outcomes and guidelines. Declares that the Council shall, notwithstanding the Federal Advisory Committee Act, continue in existence until otherwise provided by law. Requires that technical and scientific peer review be conducted on each application for a grant, cooperative agreement, or contract under the new title of the Public Health Service Act added by this Act. Prohibits application approval by the Administrator unless the application has been recommended for approval by a peer review group. Allows adjusted peer review procedures for applications involving a direct cost under a specified amount. Directs the Administrator to establish such technical and scientific peer review groups as may be necessary. Requires that they continue in existence, notwithstanding the Federal Advisory Committee Act, until otherwise provided by law. Requires that the reviews of applications be conducted by different peer review groups than those that conduct review of applications involving dissemination activities or the development of research agendas. Provides for procedural adjustments for applications for $50,000 or less. Directs the Administrator to: (1) establish guidelines for uniform methods of developing and collecting data under the title added by this Act; (2) assure that statistics developed under that title are of high quality, timely, comprehensive, specific, standardized, and adequately analyzed and indexed; and (3) disseminate the statistics as widely as possible. Authorizes the Administrator to provide supplies and services in lieu of funds. Declares that contracts may be entered into without regard to specified provisions of Federal law relating to advances and to advertising for Government contracts. Authorizes the Administrator to appoint a deputy administrator for the Agency. Sets forth other administrative authorities. Authorizes the Administrator to make grants, cooperative agreements, and contracts to carry out the title added by this Act. Authorizes the Administrator to secure the services of experts and consultants, subject to specified Federal law. Exempts not more than 50 experts or consultants from limitations, set forth in the same Federal provisions, relating to duration of service. Requires payment of travel expenses for the exempted experts or consultants if certain requirements are met. Authorizes appropriations for FY 1990 through 1992 to carry out the title added by this Act. Requires, in addition, that a portion of amounts available under specified existing provisions of the Public Health Service Act relating to evaluations of programs be made available for evaluations under the title added by this Act. Title III: General Provisions - Removes from the Public Health Service Act provisions establishing the National Center for Health Services Research and provisions providing for grants for a council on health care technology. Directs the Secretary to request the Institute of Medicine of the National Academy of Sciences to enter into a contract to: (1) recommend priorities for the assessment of specific health care technologies under specified provisions of this Act; and (2) assist in establishing the information center, established by this Act, on health care technologies and health care technology assessment. Authorizes appropriations. Applies existing provisions enumerating certain authorities of the Secretary of Health and Human Services to provisions establishing the National Center for Health Statistics. Requires the Director of the National Center for Health Statistics to establish peer review groups to evaluate applications for grants and contracts. (Current law directs the Secretary, through the Director, to establish such groups.) Exempts entities operated by an Indian tribe or tribal or Indian organization under the Indian Self-Determination Act from certain requirements relating to the composition of the governing boards of certain community health centers.

Medical Rehabilitation Research Act of 1989

United States · United States Congress · 21 November 1989

Medical Rehabilitation Research Act of 1989 - Amends the Public Health Service Act to establish the National Center for Medical Rehabilitation Research (Center) to conduct research and research training, the dissemination of information, and other programs with respect to the rehabilitation of individuals with physical disabilities resulting from diseases or disorders of the neurological, musculoskeletal, cardiovascular, pulmonary, or other physiologic systems (medical rehabilitation). Requires the development of a comprehensive plan for the conduct and support of medical rehabilitation research. Requires the Director to establish the Medical Rehabilitation Coordinating Committee to make recommendations with regard to the plan. Requires establishment of a National Advisory Board on Medical Rehabilitation Research to assist and make recommendations on the plan. Requires coordination among Federal agencies to prevent duplicative programs in medical rehabilitation research.

Hospital Closings Community Relief Act of 1989

United States · United States Congress · 21 November 1989

Hospital Closings Community Relief Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to require each State to implement a plan by FY 1992 for responding to the diminishment in the availability of health services in an area subject to a hospital closure.

Designating May 1990 as "National Digestive Disease Awareness Month".

United States · United States Congress · 21 November 1989

Designates May 1990 as National Digestive Disease Awareness Month.

Reproductive Health Equity Act

United States · United States Congress · 20 November 1989

Reproductive Health Equity Act - Amends title XIX (Medicaid) of the Social Security Act, the Indian Health Care Improvement Act, the Peace Corps Act, the District of Columbia Self-Government and Governmental Reorganization Act, and other Federal laws covering armed forces personnel and dependents, certain veterans, Federal employees' health benefits, and Federal penal and correctional institutions to provide that services related to abortion be made available in the same manner as are other pregnancy-related services under federally-funded programs. Repeals provisions of the Indian Health Care Improvement Act requiring submission of a resource allocation plan to the Congress by December 17, 1981.

Medicaid Home and Community Care Options Act of 1989

United States · United States Congress · 20 November 1989

Medicaid Home and Community Care Options Act of 1989 - Amends title XIX (Medicaid) of the Social Security Act to permit States to provide Medicaid coverage of home and community care for functionally disabled elderly individuals. Requires that home and community care be provided to each client in accordance with an individual community care plan (ICCP) prepared and periodically reviewed and revised by a case manager on the basis of a comprehensive functional assessment of a client's needs conducted by an interdisciplinary team before his or her receipt of care and at least annually thereafter. Sets a ceiling on Medicaid payments to States for home and community care. Reduces Federal Medicaid payments to States that reduce their Medicaid home and community care expenditures below their FY 1989 expenditures for such care. Requires that such care meet minimum requirements, to be developed by the Secretary of Health and Human Services, regarding client rights and the quality of such care. Requires that community care settings: (1) disclose persons having an ownership or control interest in the setting; and (2) exclude a person from such interest if he or she has been excluded from the Medicaid program or had an interest in a community care setting repeatedly found to have provided substandard care. Makes the: (1) Secretary responsible for certifying that State home or community care providers and settings comply with Medicaid requirements; and (2) States responsible for certifying that other home or community care providers and settings comply with Medicaid requirements. Requires that providers and settings be certified annually. Bases community care setting certification on an annual, unannounced survey. Directs the Secretary to develop a protocol for conducting surveys. Authorizes the Secretary to conduct a special survey of a setting or a review of a provider when there is reason to question its compliance with this Act. Prohibits the use of surveyors who have an interest in the provider or setting being surveyed. Requires States and the Secretary to investigate complaints against community care providers or settings concerning violations of this Act's requirements. Requires each State to provide, through the State agency responsible for the certification of such providers and settings, for the receipt, review, and investigation of allegations of client neglect and abuse, and of misappropriation of client property by providers. Requires that: (1) certain information regarding home or community care providers and settings and their compliance with this Act's requirements be made available to the public; and (2) State Medicaid fraud and abuse control units be given access to provider or setting survey and certification information. Authorizes the Secretary or States to terminate a home or community care provider's participation in the Medicaid program and to impose a civil monetary penalty for failure to meet this Act's requirements. Sets forth the Secretary's responsibilities relating to home and community care requirements. Requires that State Medicaid payment rates for home and community care be reasonable and adequate to meet the costs of providing such care efficiently, and in accordance with applicable laws, regulations, and standards. Prohibits the coverage of civil monetary penalties imposed against providers of home and community care.

Senior Biomedical Research Service Act

United States · United States Congress · 20 November 1989

Senior Biomedical Research Service Act - Amends the Public Health Service Act to establish in the Public Health Service a Senior Biomedical Research Service. Requires the Service to: (1) be appointed without regard to provisions of Federal law relating to Government organization and employees; and (2) consist of individuals outstanding in the field of biomedical research or clinical research evaluation.

National Commission to Study the Causes of the Demand for Drugs in the United States

United States · United States Congress · 20 November 1989

National Commission to Study the Causes of the Demand for Drugs in the United States - Establishes the National Commission to Study the Causes of the Demand for Drugs in the United States to study the causes of drug abuse in the United States and to assess the needs of Government at all levels to create a socially supportive environment that reduces the desire of individuals to experiment with and abuse illicit drugs. Requires the Commission to examine the factors that contribute to drug abuse and the efforts being made to prevent such abuse. Authorizes appropriations.

To direct the Secretary of Health and Human Services to analyze differences in actual operating costs among rural, large urban, and other urban hospitals, and for other purposes.

United States · United States Congress · 20 November 1989

Directs the Secretary of Health and Human Services to conduct a study and report to the Congress and the Prospective Payment Assessment Commission on differences in actual operating costs among rural, large urban, and other urban hospitals under title XVIII (Medicare) of the Social Security Act. Requires such Commission to submit an evaluation of the Secretary's findings to the Congress.

Designating September 9 through 15, 1990, as "Paget's Disease Awareness Week".

United States · United States Congress · 20 November 1989

Designates September 9 through September 15, 1990, as National Paget's Disease Awareness Week.

To amend title XIX of the Social Security Act to permit States to elect the option of covering substance abuse treatment services under the medicaid program.

United States · United States Congress · 19 November 1989

Amends title XIX (Medicaid) of the Social Security Act to permit States to cover substance abuse treatment services for Medicaid-eligible individuals who desire to rid themselves of substance abuse problems.

Vaccine Injury Compensation Technical Amendments of 1989

United States · United States Congress · 18 November 1989

Vaccine Injury Compensation Technical Amendments of 1989 - Amends title XXI (Vaccines) of the Public Health Service Act to direct the Secretary of Health and Human Services to inform the public of the availability of the National Vaccine Injury Compensation Program. Makes miscellaneous changes affecting the procedures to be followed and compensation available under the Program. Grants the U.S. Claims Court and the U.S. Claims Court special masters (currently, the U.S. Claims Court) jurisdiction over proceedings to determine entitlement to compensation under the Program. Establishes within the U.S. Claims Court an office of special masters. Provides for the appointment, removal, terms of office, compensation, and functioning of the special masters, and for the responsibilities of the chief special master. Requires the special masters to promulgate rules providing for: (1) a less-adversarial, expeditious, and informal proceeding; (2) flexible and informal admissibility standards; (3) summary judgment; (4) the opportunity to submit arguments and evidence on the record without routine use of oral presentations, cross examinations, or hearings; and (5) limitations on discovery and allowing the special masters to replace the usual rules of discovery in civil actions in the Claims Court. Provides for the responsibility and authority of the special masters. Prohibits discovery other than that required by the special master. Provides for the disclosure and protection from disclosure of certain types of information involved in a proceeding. Allows payment of compensation under the Program to be used as ordered by the special master to purchase an annuity or otherwise used, with the consent of the petitioner, as determined by the special master to be in the best interests of the petitioner. Requires that payment of compensation for damages associated with the administration of a vaccine before the effective date of specified provisions be determined on the basis of the net present value of the elements of compensation and paid as ordered by the master or, with consent, as determined to be in the petitioner's best interests. Requires the chief special master to determine net discount rates, annuity appreciation rates, and annuity discount rates. Prohibits payments from the Program for any item or service covered by a State health benefits program other than title XIX (Medicaid) of the Social Security Act (currently, by any State health benefits program). Authorizes appropriations through FY 1993 for payment of compensation under the Program. Extends from 365 to 420 days the time period after which, if the Claims Court has not entered a judgment, the petitioner may withdraw the petition and file a civil action. Requires that the legal representatives of children receiving vaccines be provided with a summary of relevant Federal recommendations concerning a complete schedule of childhood immunizations and the availability of the Program. Directs the Secretary to establish a task force on safer childhood vaccines to prepare recommendations to the Secretary on the implementation of provisions directing the Secretary to promote the development of safer childhood vaccines. Authorizes appropriations for the administration of the National Vaccine Injury Compensation Program for FY 1990 and 1991. Directs the Secretary to conduct a study and report to the Congress by January 1, 1992, concerning such Program. Declares that, if any amendment made by this subtitle is held unconstitutional, title XXI (Vaccines) of the Public Health Service Act without that amendment shall continue in effect. (Current law invalidates all of title XXI if any part of it is held unconstitutional.)

Gail Roggin Wilensky, of the District of Columbia, to be Administrator of the Health Care Financing Administration, vice William L. Roper, resigned.

United States · United States Senate · 17 November 1989

Freedom of Choice Act of 1989

United States · United States Congress · 17 November 1989

Freedom of Choice Act of 1989 - Provides that a State may not restrict the right of a woman to choose to terminate a pregnancy: (1) before fetal viability; or (2) at any time, if such termination is necessary to protect the life or health of the woman. Allows a State to impose requirements medically necessary to protect the life or health of such women.

Quality Assurance in the Private Sector Drug Testing Act of 1989

United States · United States Congress · 17 November 1989

Quality Assurance in the Private Sector Drug Testing Act of 1989 - Amends the Public Health Service Act to prohibit performing toxicological analysis in connection with a drug testing program unless certified. Directs the Secretary of Health and Human Services to establish a program for certifying laboratories for performing drug tests, with annual review of certification criteria. Requires an employer, as a condition of maintaining a drug testing program, to establish a written anti-drug abuse policy and a drug-free awareness program. Declares that nothing in this Act prohibits an employer from requiring a drug test of applicants and, in certain circumstances, employees. Sets forth certain employee protections, including requiring several types of notice and prohibiting: (1) subject to exception, adverse action based on unconfirmed results; and (2) retaliation for exercise of an employee right. Prohibits disclosure of test results, except in specified circumstances. Declares that nothing in this Act prohibits an employer from: (1) taking action necessary to ensure a safe workplace; (2) taking action necessary, including termination, in certain circumstances; (3) requiring certain employees to participate in a treatment program; or (4) refusing to place or reinstate an employee with a confirmed positive test in a sensitive position. Directs the Secretary to establish a program for the certification of laboratories for the performance of toxicological urinalysis conducted for drug testing programs. Requires the certification program to be enforced under the procedures and sanctions in specified provisions relating to the licensing of clinical laboratories. Sets forth procedures for employee complaints of unlawful discharge or discrimination. Directs the Secretary, on a finding of a violation of this Act, to provide relief as the Secretary determines appropriate, including reinstatement, promotion, and the payment of lost wages and benefits. Makes the rights and remedies in these provisions the exclusive rights and remedies for any violation of this Act. Declares the good faith compliance of an employer with the standards and procedures of this Act to constitute an affirmative defense. Declares that this Act does not require an employer to establish a drug testing program or make employment decisions based on test results. Declares that this Act preempts any State or local law or regulation, but does not prohibit the Secretary of Transportation or the Nuclear Regulatory Commission from issuing regulations on drug and alcohol testing. Allows professional athletes to be treated as sensitive employees, except that they are not covered by provisions prohibiting disclosure of test results.

A bill to provide that certain payments made by the Cedar Springs Medical Clinic are considered correct payments not requiring any repayment, and for other purposes.

United States · United States Congress · 17 November 1989

Deems Medicare (title XVIII of the Social Security Act) payments made to the Cedar Spring Medical Clinic, Cedar Springs, Michigan, for physician assistant services provided during 1986, 1987, or 1988 to have been correct payments. Directs the Secretary of Health and Human Services to conduct a study and report to the Congress on the circumstances under which physician assistant services are reimbursed under the Medicare program.

Screening Mammography Medicare Coverage Act of 1989

United States · United States Congress · 17 November 1989

Screening Mammography Medicare Coverage Act of 1989 - Amends title XVIII (Medicare) of the Social Security Act to cover screening mammographies for women over age 34 under part B (Supplementary Medical Insurance) of the Medicare program.

Freedom of Choice Act of 1989

United States · United States Congress · 17 November 1989

Freedom of Choice Act of 1989 - Provides that a State may not restrict the right of a woman to choose to terminate a pregnancy: (1) before fetal viability; or (2) at any time, if such termination is necessary to protect the life or health of the woman. Allows a State to impose requirements medically necessary to protect the life or health of such women.

Area Health Education Centers Enhancement Act of 1989

United States · United States Congress · 17 November 1989

Area Health Education Centers Enhancement Act of 1989 - Directs the Secretary of Health and Human Services to conduct a study concerning the area health education center program, including the clinical clerkship program, continuing education in rural areas, and recruitment and retention efforts relating to medically underserved areas. Authorizes appropriations. Amends the Public Health Service Act to authorize the Secretary to extend the contract of a health education and training center for not more than a six-year period if it is designated by the Secretary as disadvantaged due to factors beyond the control of the center. Increases the authorization of appropriations for area health education centers for FY 1991.

Area Health Education Center Initiative Act of 1989

United States · United States Congress · 17 November 1989

Area Health Education Center Initiative Act of 1989 - Amends the Public Health Service Act to authorize appropriations to carry out this Act. Directs the Secretary of Health and Human Services to contract with schools of medicine and osteopathic medicine for the establishment of area health education centers to serve any health manpower shortage area in which there is a significant number of: (1) low-income individuals; or (2) individuals with chronic diseases or disorders. Requires a set-aside of at least 25 percent for the Appalachian region. Requires each such school participating in an area health education center program to establish at least one area health education center: (1) in a rural area designated as a health manpower shortage area; and (2) in certain circumstances, in such a rural area not previously served by such program.

Rural Physician Shortage Act of 1989

United States · United States Congress · 17 November 1989

Rural Physician Shortage Act of 1989 - Directs the Secretary of Health and Human Services to conduct a study of health manpower, including the distribution of physicians through the United States. Amends the Public Health Service Act to direct the Secretary to establish a pilot program to conduct National Health Service Corps recruitment seminars. Prohibits the Secretary from requiring that areas designated as health manpower shortage areas before enactment of this Act demonstrate a need for at least one additional full-time equivalent practitioner in order to continue to be so designated. Directs the Secretary to: (1) project Corps field strength necessary to ensure adequate physician manpower in shortage areas until the year 2019; and (2) establish a plan for maintaining such strength. Adds physicians' assistants programs to the list of degree programs eligible for Corps scholarships and loan repayments.

Designating May 1990 as "Neurofibromatosis Awareness Month".

United States · United States Congress · 17 November 1989

Designates May 1990 as Neurofibromatosis Awareness Month.

Expressing the sense of the Congress regarding the strengthening of the accreditation standards of the Joint Commission on Accreditation of Health Organizations with respect to organ donation.

United States · United States Congress · 17 November 1989

Calls upon the Joint Commission on Accreditation of Health Organizations to adopt accreditation standards at least as stringent as those of the Health Care Financing Administration with regard to organ donation, including requiring hospitals to have a written protocol for identifying potential donors, to train staff to advise donor families of the option to donate organs, and to notify organ procurement organizations of potential donors. Calls upon the Joint Commission to require accredited hospitals to maintain certain records regarding potential organ donors.

A joint resolution to designate March 11, through March 17, 1990, as "Deaf Awareness Week".

United States · United States Congress · 16 November 1989

Designates March 11 through March 17, 1990, as Deaf Awareness Week.

A bill to amend title XIX of the Social Security Act to allow for State matching payments through voluntary contributions and State taxes.

United States · United States Congress · 15 November 1989

Amends title XIX (Medicaid) of the Social Security Act to allow State Medicaid matching payments to include private funds donated by hospitals to the State and State taxes imposed with respect to the provision of Medicaid items and services.

Infectious Disease Control Act of 1989

United States · United States Congress · 14 November 1989

Infectious Disease Control Act of 1989 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a National Program for Tropical Medicine to achieve optimal prevention of human infectious diseases originating in the tropics and to plan and coordinate governmental and non-governmental activities. Requires the Program to be administered by a Director selected by the Secretary. Sets forth Program responsibilities of the Director and requires the Director to prepare a plan for the implementation of those responsibilities. Establishes the National Committee on Tropical Medicine to advise the Director. Authorizes appropriations for FY 1991 through 1993.

To require a study of what institutions are institutions for mental diseases for purposes of the medicaid program.

United States · United States Congress · 13 November 1989

Directs the Secretary of Health and Human Services to conduct a study and report to the Congress by October 1, 1990, on whether all components of an institution under common governance and administration should be considered in determining whether it is an institution for mental diseases under the Medicaid (title XIX of the Social Security Act) program. Places a moratorium on considering two specified facilities in Michigan as institutions for mental diseases under the Medicaid program.

Biomedical and Behavioral Facilities Construction Act of 1989

United States · United States Congress · 9 November 1989

Biomedical and Behavioral Facilities Construction Act of 1989 - Amends the Public Health Service Act to authorize the Director of the National Institutes of Health (NIH), through the Director of Research Resources (Director), to award grants to public or nonprofit private institutions, under provisions relating to biomedical and behavioral research facilities, to expand, remodel, renovate, or alter existing research facilities or construct new research facilities. Establishes in the Division of Research Resources of the NIH a Technical Review Board on Biomedical and Behavioral Research Facilities to: (1) advise the Director and the Advisory Council (established under existing law) on matters concerning the construction of facilities; and (2) conduct the peer review of applications under this title. Sets forth requirements for application and selection of grants. Limits the amount of any grant to 50 percent of the cost of construction or, in the case of a multipurpose facility, 50 percent of the cost of construction proportionate to the contemplated use. Allows the Director to waive these limitations for institutions of emerging excellence in biomedical or behavioral research. Provides for recapture of payments in certain circumstances for 20 years after completion of construction. Requires the Director to prescribe regulations with respect to the grants. Requires the Director to mandate peer review of applications for grants under these provisions in accordance with existing peer review provisions. Authorizes appropriations for FY 1990 through 1992.

Emergency Substance Abuse Treatment Improvement Act of 1990

United States · United States Congress · 9 November 1989

Emergency Drug Abuse Treatment Expansion Act of 1989 - Title I: Separate Authorizations of Appropriations for Block Grants with Respect to Substance Abuse and Mental Health - Amends the Public Health Service Act to authorize appropriations: (1) with respect to alcohol and drug abuse, under specified provisions; and (2) with respect to mental health, under specified provisions. Title II: Categorical Grants with Respect to Substance Abuse - Establishes in the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA) the Office for Treatment Improvement (Treatment Office) to: (1) collaborate with the Director of the Office for Substance Abuse Prevention and the Director of the National Institute on Drug Abuse (NIDA); (2) evaluate State plans and carry out programs under existing provisions; (3) train providers of prehospital emergency medical services; (4) conduct or support described programs; and (5) take other actions with regard to treatment. Authorizes appropriations. Directs the Secretary of Health and Human Services, through the treatment Office Director, to make a demonstration grant for the establishment, within the national capital area, of a model program for comprehensive treatment services for drug abuse. Requires local governmental participation. Directs the Secretary to reserve, from appropriations for FY 1990, amounts for programs administered by the Treatment Office. Authorizes appropriations for FY 1991. Transfers authority from the Administrator of ADAMHA to the Director of the Treatment Office for an existing grant program for reduction of the waiting period for drug abuse treatment. Removes provisions prohibiting more than one grant for any treatment program. Allows a grantee to spend not more than 50 percent of the grant for follow-up services. Increases the authorization of appropriations. Revises requirements and other matters relating to an existing program regarding drug and alcohol abuse model projects for pregnant and postpartum women and their infants. Authorizes appropriations. Transfers authority from the Administrator of ADAMHA to the Director of NIDA to make grants for drug abuse demonstration projects of national significance. Removes authority to make grants for drug abuse treatment for pregnant and postpartum women and their infants. Directs the Secretary to act through the Treatment Office Director in establishing demonstration projects that provide grants for treatment and referrals for treatment. Allows the grants to be made to public and nonprofit private entities as well as to States. Increases the authorization of appropriations. Title III: Separate Formulas in Block Grants with Respect to Substance Abuse and Mental Health - Establishes separate formulas for allotments with respect to: (1) alcohol and drug abuse; and (2) mental health. Requires States to: (1) use at least 25 percent (currently, at least ten percent) of allotments for alcohol and drug abuse residential treatment services for pregnant women; (2) ensure that treatment services are available to each pregnant woman who seeks and would benefit from such services; and (3) ensure that a newborn infant of any woman determined to be abusing alcohol or any drug be tested and evaluated for fetal alcohol syndrome, physical drug dependency, or other congenital condition caused by substance abuse, provide for the health and safety of the infant, and provide health care to the infant and mother. Directs the Secretary, of FY 1990 appropriations with respect to alcohol and drug abuse under specified provisions of the Public Health Service Act, to make available a specified amount, notwithstanding specified other provisions of this Act, for prevention and treatment of alcohol and drug abuse. Title IV: Statewide Substance Abuse Treatment Plan - Requires States to develop and submit to the Secretary annually for review and approval a statewide Substance Abuse Treatment Plan. Requires the Director of the Treatment Office to establish a model State treatment plan. Directs the Secretary to issue standards for plans.

Partnership for Long-Term Care Act of 1989

United States · United States Congress · 9 November 1989

Partnership for Long-Term Care Act of 1989 - Title I: Medicaid Program Improvements - Amends title XIX (Medicaid) of the Social Security Act to require States to cover certain primary care for pregnant women and children, and nursing facility services for other individuals, whose incomes are below the Federal poverty level. Requires States to establish a subsidy program to assist individuals whose incomes are no less than the Federal poverty level and no more than twice such level in paying long-term care insurance premiums. Provides larger subsidies as individuals' incomes approach the Federal poverty level. Prohibits States from establishing a subsidy resource eligibility limit at less than twice the resource limit under title XVI (Supplemental Security Income) of the Act. Title II: Medicaid Amendments Relating to Treatment of Payments Under Qualified Long-Term Care Insurance Policies - Subtracts long-term care insurance payments from an individual's assets in determining his or her Medicaid eligibility. Title III: Financing - Amends the Internal Revenue Code to eliminate the limit on the wages or self-employment income subject to the hospital insurance tax. Title IV: Tax Treatment of Long-Term Care Insurance - Requires 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 which provide coverage for at least 12 consecutive months of diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services provided in a setting other than the acute care unit of a hospital and for an individual's loss of functional capacity. 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 coverage under an accident or health plan. Makes the penalty tax on early distributions from qualified retirement plans inapplicable when such distributions are used to pay for qualified long-term care insurance. Excludes from gross income amounts used to pay qualified long-term care expenses that are received under an annuity, endowment, or life insurance contract. Treats an individual's qualified long-term care expenses as deductible medical care expenditures. Provides for the deduction of employer contributions to a reserve fund providing employees with post-retirement qualified long-term care benefits. Makes the exchange of a life insurance, endowment insurance, or annuity contract for a qualified long-term care insurance contract a nontaxable exchange. Permits the inclusion of qualified long-term care insurance in cafeteria plans. Excludes such insurance from a cafeteria plan participant's gross income.

Older Americans Long-Term Care Insurance Act of 1989

United States · United States Congress · 8 November 1989

Older Americans Long-Term Care Insurance Act of 1989 - Title I: Tax Provisions Related to Long-Term Care Insurance - Amends the Internal Revenue Code to require that, for the purpose of determining the income tax liability of issuers of qualified long-term insurance, the contracts be treated as accident or health insurance. Applies this provision to policies covering at least 12 consecutive months of necessary diagnostic, preventive, therapeutic, rehabilitative, or personal care services that are provided in a setting other than an acute care unit of a hospital. Requires policies issued after 1989 to be reinsured by the Federal National Long-Term Care Reinsurance Corporation, if the Corporation is incorporated when the policy is issued. Directs the Secretary of Health and Human Services to: (1) submit to the Congress before 1991 a study on long-term insurance policies; and (2) report annually to the Congress regarding the certification of qualified long-term care insurance. Treats qualified long-term care insurance as accident or health insurance and its benefits as benefits for personal injuries or sickness for purposes of determining appropriate tax exclusions for employer contributions or employee benefits. Excludes from gross income: (1) distributions or payments from individual retirement plans that are used during the year to pay the premiums for qualified long-term care coverage of individuals aged 59 1/2 or older; and (2) amounts received upon surrender, cancellation, or exchange of a life insurance contract and used during the year to pay the premiums for qualified long-term care insurance. Title II: Federal National Long-Term Care Reinsurance Corporation - Federal National Long-Term Care Reinsurance Corporation Act - Authorizes the Secretary to provide for the incorporation of the Federal National Long-Term Care Reinsurance Corporation (not 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. Directs the Corporation to report annually to the President and to the Congress regarding its activities.

Trauma Care Center Alien Compensation Act of 1989

United States · United States Congress · 8 November 1989

Trauma Care Center Alien Compensation Act of 1989 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make an allotment each year for each eligible trauma center to compensate, partially or fully, for unreimbursed costs of care to undocumented aliens. Authorizes appropriations.

A joint resolution to designate the month of May 1990 as "National Trauma Awareness Month".

United States · United States Congress · 7 November 1989

Designates May 1990 as National Trauma Awareness Month.

A joint resolution to authorize and request the President to issue a proclamation designating May 1990 as "Neurofibromatosis Awareness Month".

United States · United States Congress · 7 November 1989

Authorizes the President to designate May 1990 as Neurofibromatosis Awareness Month.

Medicare Catastrophic Coverage Repeal Act of 1989

United States · United States Congress · 7 November 1989

Medicare Catastrophic Coverage Repeal Act of 1989 - Title I: Provisions Relating to Part A of Medicare Program and Supplemental Medicare Premium - Repeals provisions of the Medicare Catastrophic Coverage Act of 1988 (the Act) expanding coverage under part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act. Excepts reductions of the blood deductible from such repeal. Repeals provisions of the Act imposing an annual supplemental Medicare premium on part A beneficiaries whose tax liability equals or exceeds $150 and establishes the Federal Hospital Insurance Catastrophic Coverage Reserve Fund. Delays, from November 30, 1988, to May 31, 1990, the date by which the Secretary of the Treasury must report to the Congress on Federal tax policies to promote private financing of long-term care. Title II: Provisions Relating to Part B of the Medicare Program - Repeals the Act's amendments to part B (Supplementary Medical Insurance) of the Medicare program, including the financing mechanisms created to support the Act's expansion of part B benefits. Excepts from such repeal the requirement that physician payment requests include diagnostic coding information. Requires the revision of Medicare supplemental health insurance policy standards to reflect this Act's enactment. Directs such policies to inform policyholders who are Medicare beneficiaries of the changes wrought by this Act's enactment and their effect on the policy. Requires Medicare supplemental insurance policies from which an individual terminated his or her coverage as of January 1, 1989 (or the earliest renewal date thereafter), to offer such individual a continuation of coverage respecting treatment of pre-existing conditions and group rating of premiums under terms which are at least as favorable as terms which existed on December 31, 1988. Directs the Secretary of Health and Human Services to: (1) take this Act's amendments into account in determining the payments to be made to health maintenance organizations; (2) require such organizations to adjust their agreements with Medicare beneficiaries in consideration of such amendments; and (3) notify Medicare beneficiaries of changes made by this Act's amendments. Title III: Miscellaneous Amendments - Repeals the Act's extension of: (1) certain waiver of liability provisions applicable to hospitals, skilled nursing facilities, and home health agencies; and (2) the prohibition of new Medicare cost-saving regulations. Abolishes the Advisory Committee on Medicare Home Health Claims and Medicare catastrophic illness case management demonstration projects.

A bill to amend the Public Health Service Act to reinstate the authority of the Public Health Service to regulate trains, and for other purposes.

United States · United States Congress · 2 November 1989

Amends the Public Health Service Act to declare that the authority of the Surgeon General under current law to make and enforce regulations to prevent the spread of communicable diseases exists notwithstanding any other provision of Federal law.

To repeal medicare catastrophic coverage provisions effective in years after 1989 and the supplemental medicare premium, and for other purposes.

United States · United States Congress · 2 November 1989

Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to reinstate coverage for post-hospital extended care services on the same terms as such coverage was provided prior to passage of the Medicare Catastrophic Coverage Act of 1988 (the Act). Repeals the Act's Supplemental Medicare Premium, Federal Hospital Insurance Catastrophic Coverage Reserve Fund, and limitation on a beneficiary's out-of-pocket costs under part B (Supplementary Medical Insurance) of the Medicare program. Limits the Act's drug benefits to immunosuppressants and home intravenous drugs. Delays coverage of such benefits, screening mammographies, and in-home care for chronically dependent individuals, from 1990 to 1991. Makes changes in Medicare part B monthly premium financing, including the elimination of the prescription drug monthly premium. Repeals the Federal Catastrophic Drug Insurance Trust Fund. Requires Medicare supplemental health insurance policies to reinstate the coverage of policyholders who terminated coverage as of January 1, 1989, on terms at least as favorable to the policyholder as existed prior to such date.

Area Health Education Centers Enhancement Act of 1989

United States · United States Congress · 31 October 1989

Area Health Education Centers Enhancement Act of 1989 - Directs the Secretary of Health and Human Services to conduct a study concerning the area health education center program, including the clinical clerkship program, continuing education in rural areas, and recruitment and retention efforts relating to medically underserved areas. Authorizes appropriations. Amends the Public Health Service Act to authorize the Secretary to extend the contract of a health education and training center for not more than a six-year period if it is designated by the Secretary as disadvantaged due to factors beyond the control of the center. Increases the authorization of appropriations for area health education centers for FY 1991.

Rural Physician Shortage Act of 1989

United States · United States Congress · 31 October 1989

Rural Physician Shortage Act of 1989 - Directs the Secretary of Health and Human Services to conduct a study of health manpower, including the distribution of physicians through the United States. Amends the Public Health Service Act to direct the Secretary to establish a pilot program to conduct National Health Service Corps recruitment seminars. Prohibits the Secretary from requiring that areas designated as health manpower shortage areas before enactment of this Act demonstrate a need for at least one additional full-time equivalent practitioner in order to continue to be so designated. Directs the Secretary to: (1) project Corps field strength necessary to ensure adequate physician manpower in shortage areas until the year 2019; and (2) establish a plan for maintaining such strength. Adds physicians' assistants programs to the list of degree programs eligible for Corps scholarships and loan repayments.

Medicare Physician Payment Reform Act of 1989

United States · United States Congress · 31 October 1989

Medicare Physician Payment Reform Act of 1989 - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide for the gradual transition, from 1992 through 1995, to the determination of Medicare payments for physician services pursuant to a fee schedule which takes into account the relative value of the work, overhead, and malpractice risks associated with each physician service. Allows for geographic variations in resource values. Sets Medicare payments for nonparticipating physicians' services at 95 percent of the fee schedule amount. Prohibits payments for the same physician service from varying on the basis of whether or not the physician is a specialist. Sets forth sumptuary provisions. Limits nonparticipating physicians' actual charges for unassigned claims. Requires that payments for physician services to Medicaid (title XIX of the Social Security Act)-eligible Medicare beneficiaries be made on an assignment-related basis. Increases the incentive payment for physicians' services furnished in manpower shortage areas from five to ten percent of the payment for such services. Sets forth miscellaneous study and reporting requirements. Directs the Secretary of Health and Human Services to establish: (1) a patient outcomes assessment research and education program focusing primarily on the study of the management of health conditions; and (2) a practice parameters development program providing health care professionals with information regarding the health care practices found to be most effective. Directs the Secretary to establish the Independent Advisory Committee on Managing Patient Outcomes and enter into a contract with the National Academy of Sciences for assistance in conducting such programs and reviewing outcomes research. Sets forth reporting requirements. Authorizes appropriations for such programs through FY 1992.

A bill to amend title 38, United States Code, to clarify the authority of the Chief Medical Director or designee regarding review of the performance of probationary title 38 health care employees.

United States · United States Congress · 31 October 1989

Revises Federal law concerning performance evaluations and disciplinary actions for certain health care employees of the Veterans Health Services and Research Administration of the Department of Veterans Affairs. Allows review boards to review the performance of such employees at any time during the two-year probationary period following their appointment and to recommend appropriate personnel actions to the Chief Medical Director. Permits the Director to accept, reject, or modify such recommendations. Requires the Director to justify any action taken which was not so recommended.

A concurrent resolution expressing the sense of the Congress relating to the conference committee action on the reform of the Medicare Catastrophic Coverage Act of 1988.

United States · United States Congress · 31 October 1989

Expresses the sense of the Congress that conference committee action on the reform of the Medicare Catastrophic Coverage Act of 1988 shall not exceed the limits set by the legislative language previously agreed upon by the Senate and the House of Representatives or establish benefits and premiums not included by such language.

To designate December 1, 1989, as "World AIDS Day".

United States · United States Congress · 31 October 1989

Designates December 1, 1989, as World AIDS Day.

Designating the month of May 1990 as "National Trauma Awareness Month".

United States · United States Congress · 25 October 1989

Designates May 1990 as National Trauma Awareness Month.

A joint resolution to designate the week of December 3, 1989, through December 9, 1989, as National Autism Week and 1990 as National Silver Anniversary Year for the Autism Society of America.

United States · United States Congress · 24 October 1989

Designates the week of December 3 through December 9, 1989, as National Autism Week. Designates 1990 as the National Silver Anniversary Year for the Autism Society of America.

To designate the period commencing February 4, 1990, and ending February 10, 1990, as "National Burn Awareness Week".

United States · United States Congress · 24 October 1989

Designates February 4 through February 10, 1990, as National Burn Awareness Week.

Low Income Treatment Assistance Program Act of 1989

United States · United States Congress · 23 October 1989

Low Income Treatment Assistance Program Act of 1989 - Amends the Public Health Service Act to make allotments to States, based on the number of cases of acquired immune deficiency syndrome (AIDS) in each State, for FY 1990 through 1992, to provide assistance in the provision of therapeutics determined to prolong life or prevent the serious deterioration of health arising from AIDS or Human Immunodeficiency Virus (HIV) disease in eligible individuals. Describes eligible individuals as those having AIDS or related conditions and low incomes. Requires an initial report to the Congress and a follow-up efficacy report assessing the program established under this Act. Requires the National Commission on Acquired Immune Deficiency Syndrome to recommend program improvements for long-term solutions to providing care of AIDS patients.

A joint resolution to designate the period commencing February 4, 1990, and ending February 10, 1990, as "National Burn Awareness Week".

United States · United States Congress · 20 October 1989

Designates February 4 through February 10, 1990, as National Burn Awareness Week.