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Bill· SS. 3265 (101st)referred
United States · United States Congress · 27 October 1990
Amends title XIX (Medicaid) of the Social Security Act to require States to provide for the receipt and initial processing of Medicaid applications at locations other than those used for the receipt and processing of applications for Aid to Families with Dependent Children under part A of title IV such as hospitals or clinics providing covered services to Medicaid applicants. Prohibits States from discontinuing a child's Medicaid benefits until it is determined that the child is not eligible for such benefits on any basis. Prohibits the application of fixed durational limits to medically necessary inpatient hospital services for all Medicaid-eligible individuals regardless of age. Prohibits aggregate or institutional volume caps which would limit medically necessary days or result in arbitrary reductions in established payment rates for days exceeding such caps. Prohibits the waiver of such prohibitions to promote cost-effectiveness and efficiency. Requires outlier adjustments under State prospective payment plans for medically necessary inpatient hospital services for very high cost or exceptionally lengthy cases regardless of the age of the Medicaid-eligible patient. Requires a uniform national minimum Medicaid payment adjustment for disproportionate share hospitals. Allows State flexibility in setting adjustments for different types of disproportionate share providers. Prohibits application of visit limits to medically necessary covered outpatient services provided to individuals in disproportionate share hospitals as defined by the States under current law for inpatient payment adjustment. Requires States to adjust payments for outpatient services provided to individuals by disproportionate share hospitals. Prohibits the waiver of such provisions to promote cost-effectiveness and efficiency. Directs the General Accounting Office to conduct a study and report to the Congress on Medicaid hospital reimbursement comparing payment levels with the cost of providing care to Medicaid patients.
Bill· HRH.R. 5961 (101st)referred
United States · United States Congress · 27 October 1990
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to allow home medical equipment suppliers who agree to accept the Medicare-approved amount as payment in full for standard home medical equipment to charge Medicare beneficiaries who request upgraded equipment an additional amount if the supplier first offers the standard item to the patient and provides the patient with an itemized list of all charges, including the portion to be paid by Medicare. Sets forth penalties for violations of this Act.
Bill· SS. 3238 (101st)referred
United States · United States Congress · 24 October 1990
Title X Pregnancy Counseling Act of 1990 - Directs the Secretary of Health and Human Services, notwithstanding any other provision of law, to ensure that projects receiving assistance under title X of the Public Health Service Act offer pregnant women information and counseling on all legal and medical options. Requires that women requesting information regarding an unintended pregnancy be provided with nondirective counseling and referral on prenatal care, delivery, infant care, foster care, adoption services, and pregnancy termination.
Bill· HRH.R. 5908 (101st)referred
United States · United States Congress · 24 October 1990
Amends the Poison Prevention Packaging Act of 1970 to require that prescription drug samples distributed by manufacturers to prescribing practitioners meet special packaging standards if they are intended to be dispensed to consumers in the same packages.
Bill· HRH.R. 5898 (101st)referred
United States · United States Congress · 22 October 1990
Long-Term Care Incentives Act of 1990 - Title I: Tax Treatment of Qualified Long-Term Care Insurance Policies - Amends the Internal Revenue Code to provide for the treatment of qualified long-term care insurance as accident and health insurance for purposes of insurance company taxation. Provides for the exclusion as a death benefit of any amount paid to an individual under a life insurance contract because such individual is terminally ill, has a dread disease, or has been permanently confined to a nursing home. Title II: Tax Incentives for Purchase of Qualified Long-Term Care Insurance - Allows a tax credit for a percentage of qualified long-term care premiums. Allows a deduction for expenses relating to long-term care and an exclusion from gross income of benefits received from long-term care insurance. Allows a deduction for employers of contributions made for long-term care insurance if any refund or premium is applied to reduce the future costs of the plan or increase its benefits. Allows the inclusion of such insurance in cafeteria plans. Excludes from gross income amounts withdrawn from individual retirement accounts and certain employer cash or deferred arrangements to pay long-term care premiums and expenses. Increases the amounts of deductible contributions to individual retirement plans. Excludes from gross income amounts received from the surrender, cancellation, or exchange of any life insurance contract if such amounts are used to pay premiums for long-term care insurance. Authorizes the tax-free use of the gain from the sale of a principal residence for the purchase of long-term health care insurance. Title III: Medicaid Amendments - Amends title XIX of the Social Security Act (Medicaid) to set forth eligibility requirements for long-term care benefits and to require coverage of home and community-based long-term care.
Bill· HRH.R. 5897 (101st)referred
United States · United States Congress · 22 October 1990
Establishes the National Commission on Drug Abuse Treatment Effectiveness to develop recommendations for: (1) the planning and operation of model programs of treatment for drug abuse; and (2) evaluation criteria for drug treatment programs. Authorizes appropriations. Terminates the Commission two years after designation of its first chairman.
Bill· HRH.R. 5899 (101st)referred
United States · United States Congress · 22 October 1990
Breast Cancer Screening Safety Act of 1990 - Amends the Public Health Service Act to require certification in order for a facility to perform mammograms or mammography services. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; and (4) establish standards regarding the qualifications for individuals to interpret screening mammograms. Authorizes the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to establish a Mammography Registry to maintain information on the former mammograms of women.
Bill· HRH.R. 5890 (101st)referred
United States · United States Congress · 22 October 1990
Medicaid Access Improvement Amendments of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide for the receipt and initial processing of Medicaid applications at locations other than those used for the receipt and processing of applications for Aid to Families with Dependent Children under part A of title IV such as hospitals or clinics providing covered services to Medicaid applicants. Prohibits States from discontinuing a child's Medicaid benefits until it is determined that the child is not eligible for such benefits on any basis. Prohibits the application of fixed durational limits to medically necessary inpatient hospital services for all Medicaid-eligible individuals regardless of age. Prohibits aggregate or institutional volume caps which would limit medically necessary days or result in arbitrary reductions in established payment rates for days exceeding such caps. Prohibits the waiver of such prohibitions to promote cost-effectiveness and efficiency. Requires outlier adjustments under State prospective payment plans for medically necessary inpatient hospital services for very high cost or exceptionally lengthy cases regardless of the age of the Medicaid-eligible patient. Allows State flexibility in setting adjustments for different types of disproportionate share providers. Prohibits application of visit limits to medically necessary covered outpatient services provided to individuals in disproportionate share hospitals as defined by the States under current law for inpatient payment adjustment. Requires States to adjust payments for outpatient services provided to individuals by disproportionate share hospitals. Prohibits the waiver of such provisions to promote cost-effectiveness and efficiency.
Bill· HRH.R. 5888 (101st)referred
United States · United States Congress · 21 October 1990
Rural Health Care Amendments of 1990 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a demonstration program known as the Rural Health Care Provider Recruitment and Education Program to assist rural communities in recruiting and educating eligible individuals to serve as health care providers. Directs the Secretary to make grants to States that have established State loan repayment programs to share the costs incurred by local communities and by the States in providing funds to full-time students in a program leading to a degree in medicine or osteopathy or licensure or certification as a nurse midwife, nurse practitioner, or physician assistant. Requires each student to agree to serve at least two years (but not less than the number of years in which the applicant was provided assistance). Requires that grant funds provided to States be used for 25 percent of the costs of the education. Requires students receiving assistance to serve in the rural community represented by the local community that provided assistance. Authorizes appropriations.
Resolution· HCONRESH.Con.Res. 387 (101st)referred
United States · United States Congress · 20 October 1990
Declares that it is the sense of the Congress that the United States should: (1) give highest national priority to developing a national child health policy; (2) establish a universal national children's health insurance program; and (3) devote sufficient resources to achieving, by the year 2000, the Surgeon General's Maternal and Child Health Objectives.
Bill· SS. 3224 (101st)referred
United States · United States Congress · 19 October 1990
Breast Cancer Screening Safety Act of 1990 - Amends the Public Health Service Act to require certification in order for a facility to perform mammograms or mammography services. Authorizes the Secretary of Health and Human Services to issue and renew certificates for up to two years. Requires, in order to be certified, that a facility be accredited. Allows the Secretary to approve a private nonprofit organization to be an accreditation body which meets certain requirements, including inspecting facilities. Directs the Secretary to: (1) establish standards for facilities to assure the safety and accuracy of mammography; (2) specify organizations eligible to certify individuals to perform radiological procedures; (3) specify boards eligible to certify individuals to interpret screening mammograms; and (4) establish standards regarding the qualifications for individuals to interpret screening mammograms. Authorizes the Secretary to conduct annual announced and unannounced inspections of certified facilities. Provides for: (1) intermediate sanctions for certain violations; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Requires fees for certificate issuance and renewal, and for inspections, sufficient to cover costs. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Allows the Secretary to exempt facilities in a State with more stringent requirements from compliance with this Act. Directs the Secretary to establish a Mammography Registry to maintain information on the former mammograms of women.
Bill· SS. 3219 (101st)referred
United States · United States Congress · 18 October 1990
Directs the Secretary of Health and Human Services to enter into arrangements with the National Academy of Sciences to conduct a comprehensive study and investigation of the effectiveness in reducing drug addiction of the various components of the Federal anti-drug program, including: (1) crop eradication; (2) crop substitution; (3) support for local and foreign law enforcement; (4) interdiction; (5) education; (6) treatment; (7) criminal justice system reforms; and (8) research. Requires that such study: (1) control for the effects of broad societal changes unrelated to specific anti-drug initiatives, such as changing demographic patterns; (2) separate the effects of each component of the Federal anti-drug program from the effects of other anti-drug initiatives; (3) consider the extent to which the expenditure of Federal funds on job training, education, and other health, education, and welfare programs contributes to reducing epidemic drug addiction; (4) examine the cost of each component of the Federal anti-drug program, as well as such other programs which reduce drug addiction; and (5) take into account social and demographic factors which influence rates and forms of epidemic drug addiction and provide information on the effectiveness of the various components of the Federal anti-drug program on various demographic subgroups within the population. Requires the General Accounting Office to provide to the Congress annual audit reports concerning the management and expenditures of the component parts of the Federal anti-drug program.
Bill· HRH.R. 5845 (101st)referred
United States · United States Congress · 17 October 1990
Medigap Consumer Information Access Act of 1990 - Directs the Secretary of Health and Human Services to commence a demonstration project under which the Secretary shall provide funds to each of 20 eligible States to establish and operate a toll-free telephone hotline to provide information concerning Medicare supplemental insurance. Sets forth eligibility, matching, and reporting requirements. Sets forth: (1) requirements with respect to the type of information to be provided by the hotlines (including policy comparison information for all Medicare supplemental policies and long-term care policies available, information that will assist individuals in filing claims or obtaining benefits, information concerning Medicare supplemental policy problem resolution or referral, information concerning State resources, information, and procedures, and information concerning medigap fraud or abuse convictions or penalties assessed against an insurer); (2) training requirements for individuals answering hotlines; and (3) requirements for providing information to benefit specialists employed by State agencies on aging. Requires each State participating in the demonstration project to: (1) develop and disseminate a Medicare supplemental policy educational brochure that summarizes the features of the hotline; and (2) develop a method to measure consumer satisfaction with such hotline and to respond to complaints.
Bill· HRH.R. 5851 (101st)referred
United States · United States Congress · 17 October 1990
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to cover air fluidized bead bed therapy in nursing facilities.
Bill· HRH.R. 5830 (101st)referred
United States · United States Congress · 15 October 1990
Physician Liability Protection Act of 1990 - Amends part B (Peer Review) of title XI of the Social Security Act to provide immunity from malpractice liability to physicians who follow the practice guidelines developed by the Administrator for Health Care Policy and Research.
Bill· SS. 3191 (101st)reported
United States · United States Congress · 11 October 1990
Civilian Ex-Prisoner of War Health Benefits Act of 1990 - Entitles any person who was forcibly detained, held hostage, or interned, including those detained during World War II, the Korean conflict, the Vietnam conflict, or the Lebanese civil war, to necessary medical care for any injury or disability resulting from the period of internment or hiding. Directs the Secretary of Labor to establish an advisory committee known as the Former Civilian American Internee Committee.
Bill· SS. 3178 (101st)referred
United States · United States Congress · 10 October 1990
Amends title XVIII (Medicare) of the Social Security Act to cover as a prosthetic device corrective eyeglasses provided with intraocular lenses following cataract surgery.
Bill· HRH.R. 5807 (101st)referred
United States · United States Congress · 10 October 1990
National Commission on Choices in Health Care Reform Act of 1990 - Establishes a National Commission on Choices in Health Care Reform to: (1) examine the health care systems of countries, including Canada, Japan, and Germany; (2) prepare legislative proposals for a U.S. national system; and (3) evaluate the extent to which each such proposal serves system objectives described in this Act. Terminates the Commission after submission of its report. Authorizes appropriations.
Bill· SS. 3175 (101st)referred
United States · United States Congress · 9 October 1990
Nursing Home Reform Improvements Act of 1990 - Amends title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act to make miscellaneous amendments and clarifications to Medicare and Medicaid requirements imposed on nursing facilities by the Omnibus Budget Reconciliation Act of 1987, particularly nurse aide training and annual resident review requirements.
Bill· SS. 3166 (101st)referred
United States · United States Congress · 5 October 1990
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, through the Centers for Disease Control, to make grants and enter into contracts for the development, demonstration, and evaluation of methods for the screening, referral, and immunization of children up to six years old against vaccine-preventable diseases and for the dissemination of related information to health and allied health professionals. Directs the Secretary to use additional resources to implement projects to make more effective use of immunization grant resources to immunize at least 90 percent of all children by 24 months of age. Authorizes appropriations for immunization demonstration project grants and contracts under this Act.
Bill· SS. 3158 (101st)referred
United States · United States Congress · 4 October 1990
Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services and the Prospective Payment Assessment Commission to submit to the Congress a report recommending a methodology that provides for the elimination of the rural/urban Medicare reimbursement differential. Requires promulgation of regulations to implement the recommendations and actual implementation in 1992 if the Congress fails to enact, by a specified date, legislation with respect to the average standardized amounts applicable to large urban, other urban, and rural hospitals.
Bill· SS. 3149 (101st)referred
United States · United States Congress · 2 October 1990
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to cover air fluidized bead bed therapy in nursing facilities.
Bill· HJRESH.J.Res. 661 (101st)referred
United States · United States Congress · 1 October 1990
Designates October 31, 1990, as Pediatric AIDS Awareness Day.
Bill· HJRESH.J.Res. 662 (101st)referred
United States · United States Congress · 1 October 1990
Designates December 1, 1990, as World AIDS Day.
Bill· SS. 3142 (101st)referred
United States · United States Congress · 28 September 1990
Provides direct Medicare (title XVIII of the Social Security Act) payments to hospitals for hospital-supported nursing or allied health education costs. Prohibits any reduction in Medicare payments to recoup such costs claimed for FY 1984 through 1990.
Bill· HRH.R. 5750 (101st)referred
United States · United States Congress · 28 September 1990
Medicaid Substance Abuse Treatment Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to provide federally reimbursed Medicaid coverage of alcoholism and drug dependency residential treatment services for pregnant women whose family income is below 185 percent of the Federal poverty level and for their Medicaid-eligible children and spouses. Lists the required services included in such coverage as: (1) culturally appropriate individual, group, and family counseling and addiction education and treatment provided pursuant to individualized treatment plans; (2) room and board in a structured environment with on-site supervision 24 hours a day; (3) therapeutic child care or counseling for children of individuals in treatment; (4) parental assistance in obtaining developmental assistance for their preschool children and public education for themselves and their school-age children; (5) easier access to other health and social services; (6) planning and assistance in reentering society; (7) supervision of children when their mother is in therapy; and (8) continuing specialized training of residential treatment facility staff members in the most recent and effective treatment techniques. Requires that such coverage continue for at least 12 months, except that the coverage of pregnant women must continue for one year following the end of pregnancy. Limits the size of a residential treatment facility to a facility with no more than 40 beds or with modular units of no more than 40 beds unless the Secretary of Health and Human Services issues a waiver for a larger facility after finding that its residents will receive services that provide therapeutic benefit equal to or greater than that provided in a smaller facility.
Bill· HRH.R. 5736 (101st)referred
United States · United States Congress · 27 September 1990
Amends title XVIII (Medicare) of the Social Security Act to cover as a prosthetic device corrective eyeglasses provided with intraocular lenses following cataract surgery.
Bill· SS. 3118 (101st)referred
United States · United States Congress · 26 September 1990
Medicaid Drug Dependency Treatment Coverage Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to provide for Medicaid coverage for inpatient and outpatient alcoholism and drug dependency treatment services (including counseling) provided by a State authorized entity.
Bill· SS. 3116 (101st)referred
United States · United States Congress · 26 September 1990
Amends title XIX (Medicaid) of the Social Security Act to provide that infants born to Medicaid-eligible women are continuously eligible for benefits under such title for one year.
Resolution· HCONRESH.Con.Res. 375 (101st)referred
United States · United States Congress · 26 September 1990
Expresses the sense of the Congress that the Congress should enact a national health program with specified characteristics.
Bill· SS. 3106 (101st)referred
United States · United States Congress · 25 September 1990
Spousal Impoverishment Improvement Act - Amends the Medicare Catastrophic Coverage Act of 1988 to extend Medicaid spousal impoverishments protection to individuals who entered nursing homes before September 30, 1989. Amends title XIX (Medicaid) of the Social Security Act to make Medicaid home health care spousal protection rules mandatory for States that apply more stringent Medicaid eligibility requirements than are imposed under title XVI (Supplemental Security Income).
Law· HRH.R. 5702 (101st)enacted
United States · United States Congress · 24 September 1990
Minority Health Improvement Act of 1990 - Amends the Public Health Service Act to establish within the Office of the Assistant Secretary for Health the Office of Minority Health, to be headed by a Deputy Assistant Secretary for Minority Health. Directs the Secretary of Health and Human Services, through the Deputy Assistant Secretary, with respect to minority health, to carry out the duties of the office, including: (1) establishing goals and coordinating departmental activities: (2) increasing the participation of minorities in health service and promotion programs, and in data collection and research; (3) establishing a national minority health resource center to facilitate information exchange; (4) support research; and (5) develop health information and teaching programs. Authorizes the Secretary to make grants, cooperative agreements, and contracts. Authorizes appropriations. Directs the Secretary, through the Administrator of the Health Resources and Services Administration, to make grants to provide to residents of public housing: (1) primary health services; (2) referrals and follow-up services; and (3) health counseling and education services. Requires, subject to waiver, that services covered by Medicaid be provided by providers qualified to receive Medicaid payments. Requires that services be provided at locations immediately accessible to residents of public housing. Allows grant funds to be used to: (1) train public housing residents to provide health screenings and provide educational services; and (2) provide health services to individuals who are not residents of public housing. Authorizes appropriations. Replaces provisions mandating grants to health professions schools for programs of excellence in education for minorities with similar provisions, adding detailed eligibility requirements. Designates a school receiving a grant as a Center of Excellence in Minority Health Professions Education, a Hispanic Center of Excellence in Health Professions Education, or a Native American Center of Excellence in Health Professions Education. Requires public and nonprofit private schools to maintain the level of non-Federal spending at least at the level of the preceding fiscal year, but applies that requirement to nonprofit private schools only to the extent of the non-Federal amounts available to the school. Authorizes appropriations. Requires that the Federal capital contribution to a student loan fund under existing provisions, the school contribution to the fund, and collected principal and interest be used only for making loans to minorities and for collection costs. Authorizes the Secretary to make grants to health professions schools for scholarships to minorities. Allows a limited percentage of the grant amounts to be used to assist undergraduates committed to a career in the health professions. Sets forth requirements for schools which receive the Federal capital contributions or the grants for scholarships, including: (1) recruiting minority students and minority faculty; (2) ensuring instruction on minority health issues; (3) making arrangements with secondary and undergraduate institutions regarding the educational preparation of minority students to enter the health professions; (4) providing students experience in clinics which provide services to a significant number of minority individuals; (5) establishing a mentor program. Authorizes appropriations for the Federal capital contributions and for the grants for scholarships. Directs the Secretary to establish a program in which the Federal Government agrees to repay a limited amount of the educational loans of minority individuals who agree to serve as members of the faculties of eligible health professions schools. Requires, subject to waiver, that the school where an individual serves on the faculty agree to repay an amount equal to the Federal payment. Authorizes appropriations. Amends provisions relating to the National Center for Health Statistics to direct the Secretary to encourage States and registration areas to obtain detailed data on ethnic and racial populations, including subpopulations of Hispanics and Asian Americans. Requires an annual collection of data from a statistically valid sample concerning the general health, illness, and disability of the civilian noninstitutionalized population. Specifies elements required to be addressed on an annual or rotating basis. Directs the Secretary to collect and analyze health data specific to particular ethnic and racial populations. Authorizes the Secretary, through the Center, to make grants, with regard to ethnic and racial populations and subpopulations, for: (1) the conduct of surveys or studies; (2) analysis of data; and (3) research on methods for developing statistics. Exempts such surveys or studies from provisions prohibiting the release of information if the establishment or person supplying the information is identifiable. Authorizes appropriations for the activities of the National Center for Health Statistics. Repeals provisions: (1) prohibiting making a grant or contract under provisions relating to the Center that may be entered into under another provision; and (2) mandating assessments of health manpower shortages and a related report to the Congress.
Bill· HRH.R. 5693 (101st)open
United States · United States Congress · 24 September 1990
Family Planning Reauthorization Act of 1990 - Amends the Public Health Service Act to authorize appropriations for projects, training, and information and materials related to family planning.
Bill· HRH.R. 5692 (101st)open
United States · United States Congress · 24 September 1990
Amends the Public Health Service Act to authorize appropriations for adolescent family life demonstration projects.
Bill· HRH.R. 5700 (101st)referred
United States · United States Congress · 24 September 1990
National Institutes of Health Minority Scholarship and Loan Repayment Program Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, through the Director of the National Institutes of Health (NIH), to establish a program of undergraduate scholarships for underrepresented minorities in academic programs for careers in professions needed by NIH in return for the scholarship recipients agreeing to serve as employees of NIH for a prescribed period. Requires the NIH Director to carry out activities to facilitate the interest of the individuals in pursuing careers as employees of NIH. Conditions the scholarship on approval by the NIH Director of the individual's academic program. Directs the Secretary, through the NIH Director, to establish a program of contracts to repay the principal and interest of educational loans of underrepresented minority health professionals who have a substantial amount of educational loans relative to income in return for the health professionals conducting clinical research as employees of NIH for a prescribed period.
Bill· HRH.R. 5696 (101st)referred
United States · United States Congress · 24 September 1990
International Medical Graduates Anti-Discrimination Act - Amends the Health Care Quality Improvement Act of 1986 to direct the Secretary of Health and Human Services to establish a National Repository of Medical Graduate Records. Requires the Federation of State Medical Boards (FSMB) to provide biannually to the repository the graduate educational, training, experience, and examination records of all medical graduates applying for licensing. Directs the Secretary to establish procedures to certify the records and requires the records, once certified, to be recognized as official records for State purposes of awarding medical licenses, residency positions, medical staff privileges, and clinical privileges. Prohibits the Secretary from releasing records of a graduate without the written consent of the graduate. Prohibits: (1) discrimination against an international medical graduate, on the basis of the international medical degree of the graduate, in licensing, licensing by endorsement, hiring for medical staff positions, or granting clinical privileges; and (2) requiring an international graduate to provide additional information or meet additional requirements that would not be required from a graduate of a school in a State or Canada. Directs the Secretary to make available to the FSMB grants for developing and administering a single national medical licensing examination or set of examinations. Authorizes appropriations.
Bill· HRH.R. 5689 (101st)referred
United States · United States Congress · 21 September 1990
Amends the Public Health Service Act to extend to 48 (currently, 24) months after the effective date of specified provisions the deadline for filing certain petitions for compensation under the National Vaccine Injury Compensation Program.
Bill· SS. 3081 (101st)referred
United States · United States Congress · 19 September 1990
Better Health Protection for Mothers and Children Act of 1990 - Amends title XIX (Medicaid) of the Social Security Act to require States to extend Medicaid coverage to all children under age 19 whose family income is below the Federal poverty level. Eliminates resource eligibility tests for pregnant women and children. Continues a child's coverage for a minimum of one year regardless of any change in family income. Directs the Secretary of Health and Human Services to develop Medicaid payment methodologies for obstetrical and pediatric services and obstetrical and pediatric inpatient hospital services on the basis of the methodologies used for determining payments for physician and hospital services under title XVIII (Medicare) of the Social Security Act. Requires that the Secretary consider establishing a global fee for pregnancy-related services. Requires States to set Medicaid payment rates for obstetrical services and pediatric services for infants under age one no lower than the rates established under the new payment methodologies. Provides for the partial implementation of the new payment methodologies if the revenues raised pursuant to this Act are not sufficient to cover the additional expenditures caused by this Act's amendments. Sets the Federal share of additional Medicaid payments resulting from this Act's payment reforms and expansion of Medicaid eligibility at 100 percent through 1993, decreasing such share each year thereafter so that by 1997 the regular Federal-State Medicaid cost allocation will apply. Increases the Federal excise tax on cigarettes. Directs the Secretary to enter into agreements with several States for the conduct of demonstration projects testing the effect of alternative strategies on the cost and quality of Medicaid services to pregnant women and children, including: (1) selective contracting with community providers, with financial incentives for the delivery of high quality, cost-effective, managed care; (2) the use of non-physician providers; and (3) the use of case-management techniques to coordinate services for pregnant women.
Bill· SS. 3076 (101st)referred
United States · United States Congress · 19 September 1990
Amends the Omnibus Budget Reconciliation Act of 1986 and the Consolidated Omnibus Budget Reconciliation Act of 1985 to make permanent certain provisions providing for a limited waiver of liability of hospices, skilled nursing facilities, and home health services for Medicare payments for services for which Medicare coverage is later denied.
Bill· SS. 3074 (101st)referred
United States · United States Congress · 19 September 1990
Amends title XVIII (Medicare) of the Social Security Act to: (1) require entities insuring, underwriting, or administering employee group health plans to notify the Secretary of Health and Human Services with respect to plan enrollees who are entitled to certain benefits under the Medicare Secondary Payer Program; (2) establish a penalty for failure to provide such information; and (3) direct the Secretary to collect and store such information in a data bank and to make such information available to fiscal intermediaries and carriers.
Bill· HRH.R. 5666 (101st)referred
United States · United States Congress · 19 September 1990
Primary Pediatric Outreach and Care for Disadvantaged Children Act of 1990 - Authorizes the Secretary of Health and Human Services to make grants and contracts for the establishment of programs providing high quality primary pediatric care to economically disadvantaged children under the age of 19 who lack access to such care. Includes as required grant activities: child outpatient facilities, substance abuse detection, and data collection. Authorizes appropriations.
Bill· SS. 3072 (101st)referred
United States · United States Congress · 18 September 1990
State Health Service Corps Demonstration Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to establish a State Health Service Corps Demonstration Project. Directs the Secretary to make grants under the Project to up to three States for the Federal share of training and employment of physician and nonphysician providers serving health manpower shortage areas. Requires a recipient State to enter into an agreement with an area health education center for the planning, development, and operation of a program of such training and employment. Sets forth the responsibilities of a center. Authorizes appropriations. Requires each State carrying out a Project to establish a State Health Service Corps Scholarship Program involving a period of service in the service area or on the clinical staff of a medical school in return for a loan (for undergraduate study) or a scholarship (for graduate education, internship, or residency). Authorizes the official heading the State agency administering the Program to contract with an educational institution for the payment of scholarship or loan amounts.
Bill· SJRESS.J.Res. 368 (101st)referred
United States · United States Congress · 18 September 1990
Designates August 2, 1991, as National Parents Against Drug Abuse Day.
Bill· HRH.R. 5661 (101st)open
United States · United States Congress · 18 September 1990
National Institutes of Health Revitalization Amendment of 1990 - Title I: General Provisions Regarding Title IV of Public Health Service Act - Subtitle A: Research Freedom - Part I: Review of Proposals for Biomedical and Behavioral Research - Amends the Public Health Service Act to require review and approval, by an Institutional Review Board, a peer review group, or other entity, of research before the Secretary of Health and Human Services may approve the research or fund applications. Prohibits the Secretary from withholding funding, on ethical grounds, from research which has been so approved unless an ethics advisory board recommends withholding. Part II: Research on Transplantation of Fetal Tissue - Allows the Secretary to conduct or support research on the transplantation of human fetal tissue for therapeutic purposes, regardless of whether the tissue is obtained from a spontaneous abortion, an induced abortion, or a stillbirth, in accordance with State and local law. Establishes criminal penalties for knowingly acquiring, receiving, or otherwise transferring any human fetal tissue for valuable consideration. Excludes from the term "valuable consideration" reasonable payments associated with the transportation, implantation, processing, preservation, quality control, or storage of human fetal tissue. Prohibits any official of the executive branch from imposing a policy that the Department of Health and Human Services is prohibited from conducting or supporting any research on the transplantation of human fetal tissue for therapeutic purposes. Prohibits the Secretary from withholding funds for research which meets requirements of this subtitle. Deems a specified report of the Human Fetal Tissue Transplantation Research Panel to: (1) be issued by an ethics advisory board under provisions of this subtitle; and (2) find that there are no ethical grounds for withholding funds for research on transplantation of human fetal tissue for therapeutic purposes. Part III: Technical and Conforming Amendments - Removes provisions requiring a study of the nature, advisability, and biomedical and ethical implications of exercising any waiver of a specified risk standard relating to fetal research. Subtitle B: Clinical Research Equity Regarding Women and Minorities - Part I: Women and Minorities as Subjects in Clinical Research - Requires the Director of the National Institutes of Health (NIH) and the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (ADAMHA), in conducting and supporting research, to ensure that: (1) women and minorities are included as subjects in each project; and (2) research is conducted so as to provide for a valid analysis of whether the variables being tested affect women or minorities differently than other research subjects. Requires technical and scientific peer review to include an evaluation of compliance with these requirements. Part II: Office of Women's Health Research - Establishes within the Office of the Director of NIH the Office of Women's Health Research to ensure that research on women's health conditions is identified and addressed by NIH. Requires the Director of the Office to establish the Women's Health Research Coordinating Committee and the Women's Health Research Advisory Committee. Requires the Director of NIH to: (1) establish a data system regarding women's health research conducted or supported by NIH or ADAMHA; and (2) establish and operate a program to provide information on research and prevention activities of NIH relating to women's health and gender differences. Directs the Secretary: (1) through the Director of the Office of Women's Health Research, to contract for a study of how to remove obstacles to and advance and encourage research on women's health; and (2) to request the Institute of Medicine of the National Academy of Sciences to enter into the contract. Subtitle C: Scientific Integrity - Amends provisions relating to scientific fraud or scientific misconduct to establish within the Office of the Director of NIH the Office of Scientific Integrity. Provides for the protection of whistleblowers and for the avoidance of conflict of interest. Title II: Protection of Health Facilities - Prohibits specified acts interfering with the use of animals for research by a health facility assisted under the Public Health Service Act. Provides for fines, imprisonment, restitution, and private civil actions. Title III: National Institutes of Health in General - Directs the Secretary to establish in the Office of the Director of NIH the Advisory Committee on Health Sciences to periodically review the missions of each of the agencies of NIH for the purpose of advising the NIH Director, the Secretary, and the Congress on any modifications in the organizational structure of NIH. Requires the approval of the Committee in order for the Secretary to establish, reorganize, or abolish a national research institute. Title IV: General Provisions Respecting National Research Institutes - Requires that the Secretary, through the director of each of the national research institutes, receive directly all funds appropriated for the institute. Removes provisions allowing the Director of the National Cancer Institute (NCI) to directly receive NCI funds. Excludes peer review groups under specified provisions from the application of the Federal Advisory Committee Act. Requires the Director of NIH to: (1) carry out a program to expand and intensify research on osteoporosis, Paget's disease, and related bone disorders in addition to research authorized under other Federal law; (2) establish the Advisory Board on Osteoporosis, Paget's Disease, and Related Bone Disorders; and (3) enter into a grant, cooperative agreement, or contract to establish an information clearinghouse on osteoporosis and related bone disorders. Authorizes appropriations. Title V: National Cancer Institute - Authorizes appropriations for the National Cancer Institute. Title VI: National Heart, Lung, and Blood Institute - Authorizes the National Heart, Lung, and Blood Institute (NHLBI) to conduct programs of training and education, including continuing education and laboratory and clinical research training. Authorizes appropriations for the NHLBI. Title VII: National Institute on Aging - Authorizes appropriations for the National Institute on Aging. Title VIII: National Institute of Allergy and Infectious Diseases - Authorizes the Director of the National Institute of Allergy and Infectious Diseases to make grants or enter into contracts for the development and operation of centers to conduct basic and clinical research on chronic fatigue syndrome. Title IX: National Institute of Child Health and Human Development - Subtitle A: National Center for Medical Rehabilitation Research - Requires that there be in the National Institute of Child Health and Human Development (NICHHD) the National Center for Medical Rehabilitation Research to conduct and support research and research training, the dissemination of health information, and other programs with respect to rehabilitation regarding physical disabilities resulting from diseases or disorders of any physiological system. Requires the Director of NIH to establish the Medical Rehabilitation Coordinating Committee and the National Advisory Board on Medical Rehabilitation Research. Requires the Secretary and the heads of other Federal agencies to jointly review programs being carried out with respect to medical rehabilitation research and enter into agreements for preventing duplication. Subtitle B: Research Centers With Respect to Contraception and Research Centers With Respect to Infertility - Requires the Director of the NICHHD to make grants and enter into contracts for the development and operation of three centers to conduct contraception research and two centers to conduct infertility research. Directs the Secretary to establish a program of educational loan repayments for health professionals who agree to conduct research on contraception or on infertility. Authorizes appropriations. Subtitle C: Program Regarding Obstetrics and Gynecology - Requires the Director of the NICHHD to establish an intramural laboratory and clinical research program in obstetrics and gynecology. Title X: National Library of Medicine - Subtitle A: General Provisions - Allows the National Library of Medicine (NLM) to make available its materials, facilities, or services under licensing arrangements that provide for quality control and full recovery of access costs. Authorizes appropriations to carry out provisions relating to: (1) the NLM and to other medical libraries, including regional medical libraries; (2) training in medical library sciences; and (3) biomedical publications. Subtitle B: Financial Assistance - Directs the Secretary to make grants for research on, and development and demonstration of, new educational technologies. Subtitle C: National Center for Biotechnology Information - Authorizes appropriations for the National Center for Biotechnology Information. Title XI: Other Agencies of National Institutes of Health - Subtitle A: Division of Research Resources - Redesignates the Division of Research Resources as the National Center for Research Resources. Authorizes the Director of NIH to reserve up to a specified sum to improve regional centers for research on primates. Subtitle B: National Center for Human Genome Research - Adds the National Center for Human Genome Research to the list of agencies of NIH. Declares that the purpose of the Center is to characterize the structure and function of the human genome, including the mapping and sequencing of individual genes. Requires the Director of the Center to make available a minimum percentage of funds for carrying out provisions relating to ethical issues associated with the genome project. Title XII: Awards and Training - Authorizes appropriations for payments and grants under National Research Service Awards. Title XIII: Research with Respect to Acquired Immune Deficiency Syndrome - Modifies the duties of the AIDS Clinical Research Review Committee, including requiring the Committee to give advice to other agencies of NIH as well as to the National Institute of Allergy and Infectious Diseases (NIAID). States that the requirement that the clinical evaluation units at the National Cancer Institute and NIAID conduct evaluations of treatments for acquired immune deficiency syndrome (AIDS) includes evaluations of treatment for opportunistic cancers and infectious diseases. Authorizes appropriations for model protocols for the clinical care of individuals infected with the etiologic agent for AIDS. Requires the Director of NIH to develop and implement a comprehensive plan for the conduct and support of AIDS research by NIH agencies. Title XIV: Senior Biomedical Research Service - Requires that there be in the Public Health Service a Senior Biomedical Research Service to consist of individuals outstanding in the field of biomedical research or clinical research evaluation. Title XV: Miscellaneous Provisions - Directs the Secretary to report to specified congressional committees on the appropriateness and impact of NIH assuming responsibility for all Federal research, development, testing, and evaluation functions relating to the medical aspects of biological agents in the development of defenses against biological warfare. Title XVI: Effective Date - Sets forth the effective date of this Act.
Bill· HRH.R. 5662 (101st)open
United States · United States Congress · 18 September 1990
Women, Infants, and Children Addiction Treatment Services Amendments of 1990 - Amends the Public Health Service Act to replace provisions governing a program of grants for model projects relating to alcohol and drug abuse for pregnant and postpartum women and their infants with provisions setting forth: (1) priorities in making such grants; (2) services grantees must provide, including outreach, health care, pediatric services, child care, education on obtaining employment, and case management; (3) the location, language, and cultural context in which the services are provided; (4) a requirement that the service provider be qualified to receive Medicaid payments; (5) limitations on fees imposed on service recipients; (6) the distribution of grants; (7) a requirement of non-Federal contributions; (8) eligibility for grants; and (9) other matters. Limits grants to five years.
Bill· HRH.R. 5659 (101st)referred
United States · United States Congress · 18 September 1990
Operation Desert Shield Reserve Forces Health Care Act of 1990 - Entitles Reserve members called to active duty for more than 30 days in connection with Operation Desert Shield, no matter where such duty is performed, to medical and dental care and other health care benefits currently authorized under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) for dependents of active-duty personnel serving on active duty for more than 30 days. Provides such Reserve personnel with such coverage for 30 days after release from such active duty, unless such member is covered by a private insurance plan prior to the end of such period. States that health care coverage for a condition incurred by an eligible Reserve member or his or her dependent before or during the period of active duty or the 30-day transitional period may not be prohibited under an insurance plan solely on the grounds that the condition is a preexisting condition if such care would have been provided had the Reserve member not been called or ordered to active duty. Authorizes the dependents of such Reserve member, during the period of active duty and the 30-day transitional period, to participate in the Uniformed Services Active Duty Dependents Dental Plan, notwithstanding a current requirement under such Plan that the member accept an active-duty commitment of not less than two years. Amends the Internal Revenue Code to define and provide a tax credit for employer health plan contributions for coverage of Operation Desert Shield reservists and their dependents. Makes such credit part of the general business credit of an employer for tax purposes.
Bill· SJRESS.J.Res. 367 (101st)open
United States · United States Congress · 17 September 1990
Designates November 11 through 17, 1990, as Gaucher's Disease Awareness Week.
Law· SJRESS.J.Res. 366 (101st)enacted
United States · United States Congress · 17 September 1990
Designates March 30, 1991, as National Doctors Day.
Bill· HRH.R. 5626 (101st)referred
United States · United States Congress · 14 September 1990
Medigap Standards Reform Act of 1990 - Amends title XVIII (Medicare) of the Social Security Act to require that Medicare supplemental policy issuers: (1) establish four types of benefit packages, ranging from standard to comprehensive; and (2) provide purchasers of a policy with a description of its benefits that uses uniform language specified by the Secretary of Health and Human Services and uniform format to help consumers compare benefits among policies. Prohibits an issuer from selling a Medicare supplemental (Medigap) policy unless the insurer offers the prospective buyer a policy that only includes the standard benefit package. Allows additional benefits to be offered if: (1) they are not generally available in any of the four types of benefit packages; and (2) the insurer specifies the additional premium for each benefit. Permits each State to design its own four-benefit package provided that the standard benefit package is one of the packages offered either alone or along with additional comprehensive benefits in other packages. Directs the Secretary to specify the benefits for each type of package provided under a Medigap policy in the absence of a State-specific approach to the four-benefit package. Defines the standard benefit package to be used in both State and federally designed benefit package. Requires applicants to sign a statement prior to sale which indicates current coverage except in cases where the policy is purchased to replace existing coverage or where States pay Medigap premiums for Medicaid (title XIX of the Social Security Act) beneficiaries. Makes it a violation of this Act for a Medigap policy to be issued without the obtainment of such a statement or if a statement indicates that the applicant is currently covered under another Medigap policy. Provides for: (1) suspension of such a policy during the receipt of Medicaid benefits; (2) identification of duplicate coverage through the matching of information supplied by insurers and employers; and (3) reporting of duplicate coverage by the Secretary to States which have designated a four-benefit package. Requires Medigap insurers to use a uniform methodology for calculating loss ratios. Requires States to report to the Secretary annually on loss-ratios under Medigap policies and the use of sanctions for policies that fail to use a uniform methodology for calculating loss-ratios. Requires Medigap issuers of replacement policies to waive any time periods applicable to preexisting conditions, waiting periods, limitation periods, and probationary periods for similar benefits contained in the new policy to the extent such time was spent under the original policy. Requires Medigap insurers to issue policies without any conditions to individuals for six months after they first enroll in Part B (Supplementary Medical Insurance) of the Medicare program. Establishes minimum loss ratios for hospital indemnity and dread disease policies which are sold to or renewed by Medicare beneficiaries. Directs the Secretary to promulgate regulations to implement this Act which include uniform enforcement provisions and reflect certain revisions made in National Association of Insurance Commissioners' Medigap standards. Gives States one year from the date of publication of such regulations or until the next session of the State legislature to adopt such regulations. Provides for certification of State regulatory programs by the Secretary, rather than the Supplemental Insurance Panel. Requires all Medigap policies to be approved by the State in which the policy is sold or certified by the Secretary prior to sale. Amends the Internal Revenue Code to subject an entity that issues a Medigap policy which has not been certified by the Secretary or sells such a policy in a State where it has not been approved to an excise tax equal to 50 percent of the policy premium.
Bill· SS. 3052 (101st)referred
United States · United States Congress · 13 September 1990
Trauma-Care Center Revitalization Act of 1990 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants for the operating expenses of trauma-care centers with substantial uncompensated costs in areas with significant violence arising from drug abuse. Gives priority to centers: (1) receiving State or political subdivision support not connected to any Federal program; (2) in areas where a trauma center has ceased participation; or (3) which, because of uncompensated costs, will be unable to participate in the trauma care system. Limits support for a center to three years, subject to extension by the Secretary for one additional year. Authorizes appropriations.