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51 records in US in 2000
United States · United States Congress · 15 December 2000
Offering People True Insurance Options Nationwide Act of 2000 - Directs the Office of Personnel Management to administer a health insurance program that offers Federal employees health benefits plans to individuals who are not Federal employees.
United States · United States Congress · 14 December 2000
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) coverage of biennial screening pap smear and pelvic exams; (2) coverage of screening for glaucoma; (3) coverage of screening colonoscopy for average risk individuals; (4) revision of payments and standards for screening mammography; and (5) coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII to provide for: (1) acceleration of reduction of beneficiary copayment for hospital outpatient department (OPD) services; (2) preservation of coverage of drugs and biologicals under Medicare part B (Supplementary Medical Insurance); (3) elimination of time limitation on Medicare benefits for immunosuppressive drugs; and (4) imposition of certain billing limits on drugs. (Sec. 115) Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to provide for a waiver of 24-month waiting period for Medicare coverage of individuals disabled with amyotrophic lateral sclerosis. Subtitle C: Demonstration Projects and Studies - Outlines: (1) a Health and Human Services (HHS) demonstration project for disease management for severely chronically ill Medicare beneficiaries; (2) HHS demonstration projects for cancer prevention and treatment for ethnic and racial minorities; (3) a National Academy of Sciences study of the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries; (4) a Medicare Payment Advisory Commission (MEDPAC) study on consumer coalitions in marking Medicare+Choice (SSA title XVIII part C) plans; (5) an HHS study on the effect of limitations on State payment for Medicare cost-sharing on access to services for qualified Medicare beneficiaries; (6) HHS studies on preventive interventions in primary care for older Americans; (7) a MEDPAC study on Medicare coverage of cardiac and pulmonary rehabilitation therapy services; and (8) the Lifestyle Modification Program Demonstration project. Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVII to: (1) prohibit beneficiary cost-sharing for clinical diagnostic laboratory tests furnished by critical access hospitals; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) exempt critical access hospital swing beds from the skilled nursing facility (SNF) prospective payment system (PPS); (4) provide for payment in critical access hospitals for emergency room on-call physicians; and (5) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 206) Requires the General Accounting Office (GAO) to study certain eligibility requirements for critical access hospitals. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after October 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) an option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study and report to Congress on rural providers under The Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to provide for revision of the acute care hospital payment update for 2001 . (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; as well as (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; and (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for Congress of nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for an increase in the payment base for hospice care for FY 2001. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. (Sec. 323) Directs MEDPAC to study the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; and (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to study: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (2) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII with respect to the PPS for hospital OPD services to direct the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast agents from those that do not. (Sec. 431) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 432) Directs the Secretary to make payment under Medicare part B to a hospital or an ambulatory clinic that is operated by the Indian Health Service (IHS) or by an Indian tribe or tribal organization for specified services furnished in or at the direction of the hospital or clinic as if such services were furnished in or at the direction of such hospital or clinic that was not operated by the IHS, tribe, or organization. Prohibits payment from being made for such services under Medicare part B to the extent that payment is otherwise made for such services under Medicare. (Sec. 433) Directs the Comptroller General to study the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 434) Directs MEDPAC to study the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 436) Directs the Comptroller General to study: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 438) Directs MEDPAC to study the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a one-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides that, in the case of certain home health agencies that were receiving periodic interim payments under Medicare as of September 30, 2000, the Secretary shall make a single two-month periodic interim payment to such agency. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. (Sec. 508) Provides for a temporary payment increase for home health services furnished in a rural area for 2001 and 2002. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeals rights, including the right of an individual to request a medically exigent review from the contractor who made the initial determination. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (Health Care Financing Administration (HCFA) Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services (thus increasing by 15 percent the amount that may be reimbursed). (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to report to specified congressional committees on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. (Sec. 547) Prohibits payment increases relating to the acute care hospital payment update, indirect costs of graduate medical education percentage adjustment, and DSH payments from applying to discharges occurring after FY 2001 and from being taken into account in calculating the payment amounts applicable for discharges occurring after such fiscal year. Provides for: (1) similar treatment with respect to SNF services; and (2) a transitional allowance for full market basket increase with respect to home health services as well as a temporary increase for rural home health services. Prohibits payment increases relating to the following matters from applying after calendar year 2001 and from being taken into account in calculating the payment amounts applicable for items and services furnished after such year: (1) covered OPD services; (2) renal dialysis services paid for on a composite rate basis; (3) ambulance services; (4) durable medical equipment; and (5) prosthetic devices and orthotics and prosthetics. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) increase the minimum payment amount and the minimum percentage increase; and (2) provide for a phase-in of risk adjustment. (Sec. 604) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 605) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 607) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 609) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof), or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medicare supplemental health insurance enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. (Sec. 623) Amends SSA title XVIII to provide for increased civil monetary penalties for Medicare+Choice organizations that terminate contracts mid-year. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization demonstration project authority. (Sec. 632) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for revised terms and conditions for extension of Medicare community nursing organization demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX with respect to DSH payments and: (1) continuation of Medicaid DSH allotments at FY 2000 levels for FY 2001 and 2002; and (2) a special rule for Medicaid DSH allotment for extremely low DSH States. (Sec. 701) Outlines provisions for: (1) assuring identification of Medicaid managed care patients for purposes of making DSH payments; (2) application of the Medicaid DSH transition rule to public hospitals in all States; (3) assistance for certain public hospitals; and (4) DSH payment accountability standards. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP), which shall be applicable only for FY 2001 through 2005. (Sec. 707) Provides for a one-year extension of provisions on eligibility for medical assistance (welfare-to-work transition) under Medicaid. (Sec. 708) Makes additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 709) Directs the Secretary to develop and distribute to States a simplified application form for use by individuals in applying for medical assistance for Medicare cost-sharing under Medicaid. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce a SCHIP allotment by Medicaid expansion SCHIP costs; (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services; and (5) provide for application of Medicaid child presumptive eligibility provisions under SCHIP. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to conduct a study Congress on the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001. Subtitle E: Information on Nurse Staffing - Amends SSA titles XVIII and XIX to require a SNF and a nursing facility to post daily for each shift the current number of licensed and unlicensed nursing staff directly responsible for resident care in the facility. Subtitle F: Adjustment of Multiemployer Plan Benefits Guaranteed - Amends the Employee Retirement Income Security Act of 1974 to provide for adjustment of multiemployer plan benefits guaranteed.
United States · United States Congress · 14 December 2000
Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2001 - Makes appropriations for FY 2001 for the Departments of Labor, Health and Human Services, and Education and related agencies. Title I: Department of Labor - Department of Labor Appropriations Act, 2001 - Makes appropriations for FY 2001 to the Department of Labor for: (1) training and employment services; (2) community service employment for older Americans; (3) Federal unemployment benefits and allowances; (4) State unemployment insurance and employment service operations; (5) advances to the Unemployment Trust Fund and other trust funds; (6) employment and training program administration; (7) the Pension and Welfare Benefits Administration and the Pension Benefit Guaranty Corporation; (8) the Employment Standards Administration; (9) certain special benefits; (10) the Black Lung Disability Trust Fund; (11) the Occupational Safety and Health Administration; (12) the Mine Safety and Health Administration; (13) the Bureau of Labor Statistics; (14) departmental management; (15) veterans employment and training; and (16) the Office of Inspector General. Sets forth authorized uses of, and limitations on, funds appropriated under this title. (Sec. 103) Amends part A (Temporary Assistance to Needy Families) (TANF) of title IV of the Social Security Act (SSA) to: (1) require entities receiving welfare-to-work grant funds to remit to the Secretary of Labor any funds not expended within five (currently, three) years after the date such funds are provided; and (2) eliminate set-aside welfare-to-work grants for successful performance States. (Sec. 104) Prohibits the use of funds provided in any Act making appropriations for FY 2001 to implement regulations regarding temporary alien labor certification applications and petitions for admission of nonimmigrant workers or any similar or successor rule with an effective date prior to October 1, 2001. (Sec. 106) Amends the Immigration and Nationality Act to make funds available from the H-1B Nonimmigrant Petitioner Account for decreasing processing time for permanent labor certification applications. Title II: Department of Health and Human Services - Department of Health and Human Services Appropriations Act, 2001 - Makes appropriations for FY 2001 to the Department of Health and Human Services (HHS) for: (1) the Health Resources and Services Administration; (2) health education assistance loans; (3) the Vaccine Injury Compensation Program Trust Fund; (4) the Centers for Disease Control and Prevention; (5) the National Institutes of Health (NIH), including amounts for the John E. Fogarty International Center, the National Library of Medicine, the Office of the Director, and buildings and facilities; (6) the Substance Abuse and Mental Health Services Administration; (7) the Agency for Healthcare Research and Quality; (8) the Health Care Financing Administration for grants to States for Medicaid, payments to health care trust funds, and program management; (9) the Health Maintenance Organization Loan and Loan Guarantee Fund; (10) the Administration for Children and Families for child support enforcement and family support programs; (11) low income home energy assistance; (12) refugee and entrant assistance; (13) the child care and development block grant; (14) the social services block grant; (15) children and families services programs; (16) promoting safe and stable families pursuant to a specified provision of the Social Security Act; (17) payments to States for foster care and adoption assistance; (18) the Administration on Aging; (19) the Office of the Secretary for general departmental management; (20) the Office of Inspector General; (21) the Office for Civil Rights; (22) policy research; (23) retirement pay and medical benefits for Public Health Service commissioned officers; and (24) the Public Health and Social Services Emergency Fund. Rescinds FY 2001 funds for a sample study of child welfare. Sets forth authorized uses of, and limitations on, funds appropriated under this title. (Sec. 209) Prohibits funds appropriated in this Act from being made available under title X (population research and voluntary family planning) of the Public Health Service Act unless the award applicant certifies to the Secretary of HHS that it encourages family participation in the decision of minors to seek family planning services and provides counseling to minors on resisting attempts to coerce them into engaging in sexual activities. (Sec. 210) Prohibits the use of funds appropriated by this Act to carry out the Medicare+Choice program if the Secretary of HHS denies participation in such program to an otherwise eligible entity (including a Provider Sponsored Organization) because the entity informs the Secretary that it will not provide, pay for, provide coverage of, or provide referrals for abortions. (Sec. 212) Amends the Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1990 to extend through FY 2001 the authorization of admission into the United States of a specified number of refugees from the independent states of the former Soviet Union, Estonia, Latvia, and Lithuania based on religious persecution owing to participation in the Ukrainian Catholic or Orthodox churches. Makes September 30, 2001, the latest allowable entry date for specified aliens from the former Soviet Union, Estonia, Latvia, Lithuania, Vietnam, Laos, and Cambodia for purposes of qualifying for adjustment of status. (Sec. 213) Prohibits the use of funds provided in any Act making FY 2001 appropriations for the implementation in Arizona or in Kansas City, Missouri or Kansas, of the Medicare Competitive Pricing Demonstration Project operated by the Secretary of HHS. (Sec. 214) Prohibits funds appropriated by this Act from being used to withhold substance abuse funding from a State pursuant to Public Health Service Act provisions for withholding funds from States that are not in compliance with specified requirements prohibiting the sale of tobacco products to minors if a State certifies to the Secretary of HHS by March 1, 2001, that it will commit additional State funds to ensure compliance with State laws prohibiting such sales. Requires States to maintain expenditures in FY 2001 for tobacco prevention programs and compliance activities at a level not less than that maintained for FY 2000 and adding to that level the additional funds for such compliance activities required by this section. Bars the use of funds appropriated by this Act to withhold such substance abuse funding from a territory that receives less than $1 million. (Sec. 216) Prohibits funds appropriated under this Act from being expended by NIH on a contract for the care of the 288 chimpanzees acquired by NIH from the Coulston Foundation unless the contractor is accredited by the Association for the Assessment and Accreditation of Laboratory Animal Care International or has a Public Health Service assurance and has not been charged multiple times with egregious violations of the Animal Welfare Act. (Sec. 218) Extends the authority for Federal agencies to offer physicians comparability allowances until September 30, 2005 (currently, September 30, 2000). (Sec. 219) Amends the Public Health Service Act to add to the list of requirements to be met by qualified organ procurement organizations that an organization has been certified or recertified by the Secretary of Health and Human Services within the previous four-year period as meeting performance standards. Requires certification or recertification to be made through a process that either granted certification or recertification with such certification or recertification in effect as of January 1, 2000, and remaining in effect through the earlier of January 1, 2002, or the completion of recertification under regulations promulgated by the Secretary, or that is defined through regulations promulgated by January 1, 2002, that: (1) require recertifications of such organizations no more frequently than once every four years; (2) rely on outcome and process performance measures that are based on empirical evidence of organ donor potential and other related factors in each service area of such organizations; (3) use multiple outcome measures as part of the certification process; and (4) provide for a qualified organization to appeal a decertification to the Secretary on substantive and procedural grounds. (Sec. 220) Authorizes the Secretary of HHS to use certain authorities under the State Department Basic Authorities Act of 1956 and enter into reimbursable agreements with the Department of State in order for the Centers for Disease Control and Prevention to carry out international HIV/AIDS, other infectious, chronic, and environmental disease, and other health activities abroad during FY 2001. (Sec. 225) Names the National Neuroscience Research Center to be constructed on the NIH Bethesda campus the John Edward Porter Neuroscience Research Center. Title III: Department of Education - Department of Education Appropriations Act, 2001 - Makes appropriations for FY 2001 to the Department of Education for: (1) education reform; (2) education for the disadvantaged; (3) impact aid; (4) school improvement activities; (5) reading excellence; (6) Indian education; (7) bilingual and immigrant education; (8) special education; (9) rehabilitation services and disability research; (10) special institutions for persons with disabilities, including the American Printing House for the Blind, the National Technical Institute for the Deaf, the Kendall Demonstration Elementary School, the Model Secondary School for the Deaf, and Gallaudet University; (11) vocational and adult education; (12) student financial assistance; (13) the Federal Family Education Loan program account; (14) higher education; (15) Howard University; (16) the college housing and academic facilities loans program; (17) the historically Black college and university capital financing program account; (18) education research, statistics, and improvement; (19) departmental management; (20) the Office for Civil Rights; and (21) the Office of the Inspector General. Sets forth authorized uses of, and limitations on, funds appropriated under this title. (Sec. 301) Sets forth general provisions, including prohibitions on use of funds for: (1) transportation to carry out racial desegregation plans, (2) requiring transporting of students for grade restructuring, school pairing, or school clustering, except for special education students and magnet schools; (3) preventing implementation of programs of voluntary prayer and meditation in public schools; and (4) transfers of funds beyond specified limits. (Sec. 305) Directs the Comptroller General to evaluate specified aspects of the allocation of funds for programs to help disadvantaged schoolchildren, under the Elementary and Secondary Education Act of 1965 (ESEA) title I part A. (Sec. 306) Requires that specified funds for ESEA title VI programs for promoting equity be allocated through States to local educational agencies (LEAs) for programs to reduce class size with fully qualified teachers. (Sec. 307) Amends the National Educational Statistics Act of 1994 with respect to membership of the National Assessment Governing Board. (Sec. 308) Amends the Higher Education Act of 1965 (HEA) to revise student loan program provisions with respect to: (1) restoration of institutional eligibility to participate; and (2) compensation of auditors and examiners. (Sec. 310) Amends the Carl D. Perkins Vocational and Technical Education Act of 1998 to authorize appropriations in necessary amounts through FY 2003 for tribally controlled postsecondary vocational and technical institutions. (Sec. 311) Provides for perfection of security interests in specified student loans under HEA. (Sec. 312) Revises deadlines for institutions to lower student loan default rates. (Sec. 313) Directs the Secretary of Education to transfer a specified amount from the Fund for the Improvement of Education to the Secretary of the Interior for an award to the National Constitution Center for certain construction activities. (Sec. 314) Revises ESEA with respect to certain character education and programs. (Sec. 315) Directs the Secretary of Education to review the nursing program operated by Graceland University in Lamoni, Iowa, with discretion to waive certain HEA requirements. (Sec. 316) Revises authorized activities for which States may use incentive grants under the special leveraging educational assistance partnership program under HEA. Prohibits use of such grant funds for administrative costs. (Sec. 317) Allows grant recipients for student support services projects under HEA to use such funds to provide grant aid to students. (Sec. 318) Revises HEA provisions relating to the availability of variable rates of interest under student loan programs. (Sec. 319) Amends the Higher Education Amendments of 1992 to designate certain scholarships for Olympic trainees as B.J. Stupak Olympic Scholarships. (Sec. 320) Directs the Secretary of Education to release without consideration the reversionary interests retained by the United States as part of the conveyance of certain real property in Marin County, California. (Sec. 321) Directs the Secretary of Education to allocate specified funds for school repair and renovation and technology activities under the Individuals with Disabilities Education Act to certain entities for specified purposes with certain criteria and conditions. (Sec. 322) Establishes and authorizes appropriations for a new ESEA program under which the Secretary of Education is to make at least three demonstration grants for innovative methods of assisting charter school facility acquisition, construction, and renovation by enhancing the availability of loans or bond financing. (Sec. 323) Revises certain formulas under ESEA impact aid programs with respect to: (1) numbers of eligible federally connected children for whom LEAs may receive payments; and (2) determination of average tax rates for general fund purposes for LEAs. Title IV: Related Agencies - Makes appropriations for FY 2001 to the: (1) Armed Forces Retirement Home; (2) Corporation for National and Community Service; (3) Corporation for Public Broadcasting; (4) Federal Mediation and Conciliation Service; (5) Federal Mine Safety and Health Review Commission; (6) Office of Library Services; (7) Medicare Payment Advisory Commission; (8) National Commission on Libraries and Information Science; (9) National Council on Disability; (10) National Education Goals Panel; (11) National Labor Relations Board; (12) National Mediation Board; (13) Occupational Safety and Health Review Commission; (14) Railroad Retirement Board for the dual benefits payments account, Federal payments to the railroad retirement accounts, administration, and the Office of Inspector General; (15) Social Security Administration for payments to the social security trust funds, special benefits for disabled coal miners, the Supplemental Security Income (SSI) Program, administrative expenses, and the Office of Inspector General; and (16) U.S. Institute of Peace. Sets forth authorized uses of, and limitations on, funds appropriated under this title. Title V: General Provisions - Sets forth authorized uses of, and limitations on, funds appropriated under this Act. (Sec. 505) Prohibits the use of funds appropriated under this Act for programs to distribute sterile needles or syringes for the injection of illegal drugs. (Sec. 506) Sets forth Buy American requirements. (Sec. 508) Prohibits funds appropriated under this Act from being expended for abortions or for health benefits coverage that includes coverage of abortion, except in cases where the pregnancy is the result of rape or incest or where a woman suffers from a physical condition that would, as certified by a physician, place her in danger of death unless an abortion is performed. (Sec. 510) Prohibits the use of funds made available in this Act for: (1) the creation of a human embryo for research purposes; or (2) research in which a human embryo is destroyed or knowingly subjected to risk of injury or death greater than that allowed for research on fetuses in utero under Federal regulations and the Public Health Service Act. (Sec. 511) Prohibits the use of funds made available in this Act for activities to promote the legalization of a controlled substance unless there is significant medical evidence of a therapeutic advantage to the use of such substance or that federally-sponsored trials are being conducted to determine such advantage. (Sec. 515) Amends the Ticket to Work and Work Incentives Improvement Act to apply a certain schedule for the delivery of SSI supplementation payments to months after September 2001 (currently, 2009). (Sec. 516) Amends the Public Health Service Act to require the Secretary of Health and Human Services (HHS), acting through the Centers for Disease Control and Prevention, to: (1) enter into cooperative agreements with States and other entities to conduct sentinel surveillance or other special studies to determine the prevalence in various age groups and populations of specific types of human papillomavirus (HPV) in different sites in various U.S. regions through collection of special specimens for HPV using a variety of laboratory-based testing and diagnostic tools; and (2) develop and analyze data from the HPV sentinel surveillance system. Requires the Secretary, acting through the Centers, to conduct prevention research on HPV. Directs the Secretary to prepare and distribute educational materials that include information on HPV. Requires the Secretary to reexamine existing condom labels authorized pursuant to the Federal Food, Drug, and Cosmetic Act to determine whether the labels are medically accurate regarding their effectiveness in preventing sexually transmitted diseases. (Sec. 517) Amends the Federal Food, Drug, and Cosmetic Act to remove the warning label requirement for foods containing saccharin. Amends the Saccharin Study and Labeling Act to repeal requirements for statements on vending machines regarding saccharin health risks and for the distribution of information on saccharin. (Sec. 518) Amends title VIII (Special Benefits for Certain World War II Veterans) of the Social Security Act to authorize the Commissioner of Social Security to enter into an agreement with any State that provides cash payments on a regular basis to individuals entitled to benefits under such title under which the Commissioner makes such payments on behalf of the State. (Sec. 520) Reduces amounts made available under this Act for departmental management for the Departments of Labor, HHS, and Education on a pro rata basis. Title VI: Assets for Independence - Assets for Independence Act Amendments of 2000 - Amends the Assets for Independence Act (AIA) (which is title IV of the Community Opportunities, Accountability, and Training and Educational Services Act of 1998) to revise various provisions relating to program administration and flexibility in the AIA demonstration program (which is to determine the effects that certain savings accounts called individual development accounts (IDAs) can have on low-income individuals and their families). Excludes funds attributable to matching contributions by qualified entities from IDA emergency withdrawals. Includes among eligible grantees low-income credit unions and community development financial institutions. Revises requirements for withdrawals from IDA accounts for the purchase of a home. Increases the amount of funds set aside for economic literacy training and administrative costs. Includes a Federal poverty measure among alternative eligibility criteria. Declares that funds in an IDA shall be disregarded entirely for purposes of determining eligibility for Federal programs based on need. Title VII: Physical Education for Progress Act - Physical Education for Progress Act - Amends title X (Programs of National Significance) of the Elementary and Secondary Education Act of 1965 (ESEA) to authorize the Secretary of Education to award grants to, and enter into contracts with, local educational agencies (LEAs) to initiate, expand, and improve physical education programs for all kindergarten through 12th grade students. (Sec. 701) Requires such grants and contracts to be used for providing: (1) equipment and support to enable students to actively participate in physical education activities; and (2) funds for staff and teacher training and education. Requires LEA assistance applications for such assistance to contain plans for helping school physical education programs make progress toward meeting State standards for physical education. Prohibits extracurricular activities such as team sports and Reserve Officers' Training Corps (ROTC) program activities from consideration as part of the curriculum of a physical education program assisted under this title. Authorizes appropriations. Title VIII: Early Learning Opportunities - Early Learning Opportunities Act - Provides funds for increasing: (1) availability of early learning programs; and (2) compensation for child care providers. (Sec. 804) Declares that: (1) no person, including a parent, shall be required to participate in any program of early childhood education, early learning, parent education, or developmental screening under this title; (2) nothing in this title shall be construed to affect the rights of parents otherwise established in Federal, State, or local law; and (3) no entity receiving funds under this title shall be required to provide services under this title through a particular instructional method or in a particular instructional setting. (Sec. 805) Authorizes appropriations to the Department of Health and Human Services (HHS). (Sec. 806) Directs the Secretary of HHS and the Secretary of Education to develop mechanisms to resolve administrative and programmatic conflicts between Federal programs that would be a barrier to parents, caregivers, service providers, or children related to the coordination of services and funding for early learning programs. Requires nonrestrictive use of equipment and supplies for collaborative activities funded under this title and other law providing for Federal child care or early learning programs. (Sec. 807) Directs the Secretary of HHS to award grants to States to award subgrants to Local Councils to pay the Federal share of the cost of carrying out early learning programs in the locality served by the Local Council. Sets forth requirements for: (1) uses of funds; (2) duties of Lead State Agencies and of Local Councils; (3) reservations of funds for Indian tribes, Alaska Natives, and Native Hawaiians; (4) State allotments based on numbers of children age four and younger and of such children in families below the poverty line; (5) Federal and State grant administration; (6) State eligibility and preferences for Local Councils, and Local Council preferences for projects; (7) performance goals; and (8) local allocations, applications, and administration. Title IX: Rural Education Achievement Program - Rural Education Achievement Program - Revises ESEA title X part J subpart 2 to set forth the Rural Education Initiative. (Sec. 901) Authorizes appropriations for formula grants and competitive grants programs for rural LEAs with small enrollments (less than 600). Sets forth program requirements for academic achievement assessments and accountability.
United States · United States Congress · 8 December 2000
Expresses the sense of the House of Representatives that private-sector influenza vaccine distributors should give priority to distributing the available vaccine to groups of people at high risk of complications from influenza infection.
United States · United States Congress · 7 December 2000
Nursing Facility Staffing Improvement Act of 2000 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act (SSA) to: (1) require interim surveys for nursing facilities for quality deficiencies attributable to inadequate nurse staffing; (2) require prompt implementation of plans of correction for such quality deficiencies; and (3) require a nursing facility to submit to the Secretary of Health and Human Services (HHS) data with respect to facility nursing staff for review and publication on HHS's Internet site.
United States · United States Congress · 5 December 2000
American Homeownership and Economic Opportunity Act of 2000 - Title I: Removal of Barriers to Housing Affordability - Housing Affordability Barrier Removal Act of 2000 - Amends the Housing and Community Development Act of 1992 to authorize FY 2001 through 2005 appropriations for (consolidated) State and local grants for regulatory barrier removal. Makes consortia of local governments eligible grantees. Requires grant use in coordination with the local comprehensive affordability strategy under the Cranston-Gonzalez National Affordable Housing Act. (Sec. 103) Amends the Housing and Community Development Act of 1992 to state that the regulatory barriers clearinghouse shall be established within the Office of Policy Development of the Department of Housing and Urban Development under the direction of the Assistant Secretary for Policy Development and Research. Title II: Homeownership for Working Families - Authorizes the Secretary to insure refinancing of home equity conversions for elderly home owners. Provides for: (1) specified transaction disclosures; (2) waiver of counseling under specified conditions; (3) fee limitations; (4) single premium reduction; and (5) an actuarial study to determine insurance premium adequacy. Includes housing cooperatives in the demonstration program of insurance of home equity conversion mortgages for elderly home owners. Directs the Secretary to waive up-front premiums for mortgages used for costs of long-term care insurance or health care. (Sec. 202) Amends the Housing Opportunity Program Extension Act of 1996 to authorize FY 2001 appropriations for self-help housing providers. Makes certain nongrant fund advances by an organization eligible for reimbursement. Revises fund recapture provisions. Title III: Section 8 Homeownership Option - Amends the United States Housing Act of 1937 to provide a single grant home ownership downpayment option (in lieu of monthly payments) under the section 8 housing assistance program. (Sec. 302) Authorizes a public housing agency providing tenant-based section 8 housing assistance to provide assistance for a qualifying disabled family that purchases a home which will be owned and occupied by one or more members of such family. Sets forth program provisions. (Sec. 303) Authorizes FY 2001 appropriations (with a 50 percent matching requirement) for home ownership programs under the section 8 home ownership demonstration program. Title IV: Private Mortgage Insurance Cancellation and Termination - Private Mortgage Insurance Technical Corrections and Clarification Act - Amends the Homeowners Protection Act of 1998 with respect to the definition of "cancellation date" to replace "amortization schedules" with, and define, "amortization schedule then in effect" for purposes of adjustable rate mortgages. Includes balloon mortgages within the definition of "adjustable rate mortgages." States that if a residential mortgage loan is modified (with mortgagor-mortgagee agreement) the cancellation date, termination date, or final agreement shall be recalculated to reflect such modifications. (Sec. 404) Extends mortgage insurance cancellation rights beyond the cancellation date for a qualifying borrower who is current on required payments. (Sec. 405) Revises the automatic termination date with respect to a mortgagor who is not current on payments as of the mortgage termination date. States that the cancellation or termination of private mortgage insurance shall not affect the rights of any mortgagee, servicer, or insurer to enforce any accrued obligation for premium payments. (Sec. 406) Revises and defines specified terms. Title V: Native American Homeownership - Subtitle A: Native American Housing - Establishes the Lands Title Report Commission to facilitate home loan mortgages on Indian trust lands. Terminates the Commission one year after its initial meeting. Authorizes appropriations. (Sec. 502) Amends the Housing and Community Development Act of 1992 to make permanent the Indian housing loan guarantee authority. (Sec. 503) Amends the Native American Housing Assistance and Self-Determination Act of 1996 to: (1) restrict the Secretary's authority to waive housing plan requirements to not more than 90 days; (2) permit the Secretary to waive local cooperation requirements upon a good faith showing and agreement to make certain payments in lieu of taxes; (3) permit assistance to Indian families that are not low-income upon a showing of need; (4) eliminate separate housing plan requirements for small tribes; (5) permit the Secretary to waive certain environmental review requirements under specified conditions; (6) permit reservation housing assistance for specified full-time Federal, State, county, or tribal law enforcement officers; (7) revise audit, review, and hearing provisions; (8) prescribe a funding formula for housing authorities operating fewer than 250 units based on an average of FY 1992 through 1997 allocations; and (9) repeal the requirement regarding the certification of compliance with subsidy layering requirements. Subtitle B: Native Hawaiian Housing - Hawaiian Homelands Homeownership Act of 2000 - Amends the Native American Housing Assistance and Self-Determination Act of 1996 to add a new Title VIII, Housing Assistance for Native Hawaiians. Directs the Secretary to make block grants to carry out affordable housing activities for Native Hawaiian families on or near Hawaiian Home Lands. Authorizes the Secretary to make grants to the Department of Hawaiian Home Lands (defined as the agency or department of Hawaii responsible for administration of the Hawaiian Homes Commission Act, 1920) only if the Director of the Department has submitted a housing plan that meets requirements under this Act, unless otherwise waived by the Secretary. Sets forth plan terms, conditions, and requirements, including a condition that, to the extent practicable, the Department use private nonprofit organizations in the planning and development of such housing. Provides for plan review by the Secretary. Sets forth provisions regarding the treatment of program income, project labor standards, and environmental review under the National Environmental Policy Act of 1969. Limits assistance for affordable housing activities under the program to low-income Native Hawaiian families, with specified exceptions for: (1) certain home ownership activities; and (2) assistance to non-Native Hawaiians if the presence of the family in the housing involved is essential to the well-being of Native Hawaiian families and the housing need cannot be met without assistance. Describes eligible affordable housing activities. Sets forth program requirements, including the development of policies governing rents, home buyer payments, eligibility, management, leases, and tenant selection. Sets the maximum monthly rent or home buyer payment at 30 percent of the monthly adjusted family income. Directs the Secretary, in instances of substantial Department noncompliance, to terminate, reduce, or limit payments. Authorizes the Secretary, in addition to such actions, to refer the matter to the Attorney General for civil action. Sets forth review, auditing, and reporting requirements for the Secretary and the Director. Provides for discretionary audits by the Comptroller General. Authorizes appropriations through FY 2005. (Sec. 514) Amends the Housing and Community Development Act of 1992 to authorize the Secretary to guarantee up to $100 million in loans from approved lenders in each of FY 2001 through 2005 to provide access to sources of private financing to Native Hawaiian families who could otherwise not acquire housing financing because of the unique legal status of the Hawaiian Home Lands or as a result of a lack of access to private financial markets. Authorizes loan guarantees of up to 100 percent of unpaid interest and principal. Provides that a loan will be used to construct, acquire, or rehabilitate not more than four-family dwellings that are standard housing and located on Hawaiian Home Lands for which an approved housing plan to provide affordable home ownership housing applies. Sets forth eligible lender categories. Limits loans to 30-year terms. Permits the Secretary to guarantee a loan only upon determining that there is a reasonable prospect of repayment. Establishes a loan guarantee fee. Authorizes loan transfer and assumption, subject to governmental supervision. Provides for lender disqualification for specified violations, and civil monetary penalties for intentional violations. Establishes a Hawaiian Housing Guarantee Fund for the purpose of providing loan guarantees under this Act. Authorizes appropriations through FY 2005. Directs the Secretary to establish safety and quality standards for housing financed under these provisions. Title VI: Manufactured Housing Improvement - Manufactured Housing Improvement Act of 2000 - Amends the National Manufactured Housing Construction and Safety Standards Act of 1974 to define specified terms. (Sec. 604) Directs the Secretary to establish manufactured home construction and safety standards in accordance with the consensus standards development process (provided for by this Act). Directs the Secretary to contract with: (1) a temporary administering organization to appoint the initial members of the consensus committee and administer the consensus standards development and related procedural and enforcement processes; and (2) a subsequent administering organization for the development of Federal standards and related procedural and enforcement regulations. Establishes the consensus committee which shall provide the Secretary with periodic recommendations respecting Federal manufactured housing construction and safety standards and related procedural and enforcement regulations. States that committee members shall represent producer, consumer, and general interest and public official interests. Sets forth related administrative provisions. (Sec. 605) Eliminates the National Manufactured Home Advisory Council. Requires manufacturers to provide approved design and installation instructions with each manufactured home. Requires, within specified deadlines: (1) the consensus committee to develop and submit to the Secretary proposed model manufactured home installation standards; and (2) the Secretary to develop model standards. Requires an opportunity for public comment prior to such standards' issuance. Prohibits a State or manufacturer, during the five-year period beginning with the enactment of this Act, from establishing manufactured home installation standards that provide less protection than existing standards. Directs the Secretary, not later than the expiration of such five-year period, to implement in a State that has not adopted a similar program a program which provides for: (1) installation standards and designs and instructions that meet or exceed model standards; (2) installer training and licensing; and (3) installation inspection. (Sec. 606) Directs the Secretary to submit cost information to the consensus committee. (Sec. 607) Includes among research and testing activities: (1) encouraging government-sponsored housing entities to implement secondary market securitization programs for manufactured home loans; and (2) reviewing the programs for Federal Housing Administration manufactured home loans. (Sec. 608) Makes it a prohibited act to fail to comply with the Secretary's installation standards in any State that has not adopted a State installation program. (Sec.609) Authorizes the Secretary to collect manufacturer fees, and sets forth their permitted and prohibited uses. Establishes in the Treasury a Manufactured Housing Fees Trust Fund. Requires inspection and monitoring work to be carried out by independent contractors.. Requires the Secretary to continue funding States with approved plans at levels not less than those existing immediately prior to enactment of this Act. (Sec. 610) Directs the Secretary to establish a dispute resolution program within five years of the enactment of this Act. (Sec. 611) Eliminates the manufactured housing annual reporting requirement. (Sec. 612) Sets forth effective date provisions. (Sec. 613) Sets forth savings provisions, including certain contract duration provisions. Title VII: Rural Housing Ownership - Amends the Housing Act of 1949 to direct the Secretary to provide guarantees for rural housing loan refinancing. (Sec. 702) Increases from $2,500 to $7,500 the amount of a rural housing repair loan that needs to be evidenced only by a promissory note. (Sec. 703) Makes limited partnerships eligible for farm labor housing loans. (Sec. 704) Sets forth project accounting and recordkeeping requirements. (Sec. 705) Extends the rural designation of certain areas until the 2010 census. (Sec. 707) Makes Indian tribes (as defined by this Act) eligible for the multifamily rental housing loan guarantee program. (Sec. 708) Establishes civil and criminal penalties for rural housing program equity skimming. Authorizes the Secretary to impose civil monetary penalties and prohibit renewal or extension of loan or assistance agreements for program violations. (Sec. 709) Amends Federal criminal law to include such equity skimming under money laundering provisions. Title VIII: Housing for Elderly and Disabled Families - Affordable Housing for Seniors and Families Act - Subtitle A: Refinancing for Section 202 Supportive Housing for the Elderly - Directs the Secretary: (1) to approve prepayment of indebtedness, including refinancing under specified conditions, provided the project sponsor continues to operate the project on terms at least as advantageous to tenants as required under the original agreement; and (2) upon refinancing, to use at least 50 percent of the resultant savings in a manner that is advantageous to the tenants. Subtitle B: Authorization of Appropriations for Supportive Housing for the Elderly and Persons With Disabilities - Amends the Housing Act of 1959 to authorize FY 2001 through 2003 appropriations for supportive housing for the elderly. (Sec. 822) Amends the Cranston-Gonzalez National Affordable Housing Act to authorize FY 2001 through 2003 appropriations for supportive housing for persons with disabilities. (Sec. 823) Authorizes FY 2001 through 2003 appropriations for: (1) grants for service coordinators for elderly and disabled residents of certain federally assisted multifamily housing; and (2) contracts for congregate services for certain federally assisted housing. Subtitle C: Expanding Public Housing Opportunities for the Elderly and Persons with Disabilities - Part 1: Housing for the Elderly - Amends the Housing Act of 1959, with respect to supportive services for the elderly, to make for-profit limited partnerships eligible program participants. (Sec. 832) Permits owners to use mixed funding sources for amenities and other design features. (Sec. 833) Expands acquisition authority. (Sec. 834) Authorizes project reserves to be used to reduce the number of dwelling units by retrofitting unmarketable units. (Sec. 835) States that no provision of law shall be construed to prohibit commercial operations in a project location that benefits project residents. Part 2: Housing for Persons with Disabilities - Amends the Housing Act of 1959 to make certain for-profit limited partnerships eligible recipients under the supportive housing for persons with disabilities program. (Sec. 842) Amends the Cranston-Gonzalez National Affordable Housing Act with respect to the supportive housing for persons with disabilities program to permit owners to use mixed funding sources for amenities and other design features. (Sec. 843) Provides that tenant-based assistance may be provided through a qualifying public housing agency or a private nonprofit organization. Limits tenant-based assistance to 25 percent of fiscal year program assistance. (Sec. 844) Authorizes project reserves to be used to reduce the number of dwelling units by retrofitting unmarketable units. (Sec. 845) States that no provision of law shall be construed to prohibit commercial operations in a project location that benefits project residents. Part 3: Other Provisions - Amends the Housing and Community Development Act of 1992 to permit service coordinator services to be provided to low-income or elderly persons living in the vicinity of specified federally assisted housing. Includes telemarketing fraud protection among the services provided to elderly residents of federally assisted housing and under the supportive housing program. Directs the Secretary, in coordination with the Secretary of Health and Human Services, to establish related service coordinator guidelines. Subtitle D: Preservation of Affordable Stock - Amends the National Housing Act, as amended by the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001, respecting rental and cooperative housing for lower- income families, to eliminate certain restrictions on owner retention of excess charges, including retention and use of certain previously collected excess charges. Title IX: Other Related Housing Provisions - Amends the National Housing Act to extend the insurance-eligible loan term for manufactured home lots to 20 years and 32 days. (Sec. 902) Amends the United States Housing Act of 1937, as amended by the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001, respecting enhanced section 8 voucher assistance, to: (1) include within the definition of "eligibility event" any termination or expiration of a contract for rental assistance during any fiscal year after 1994; and (2) provide that a maximum payment adversely affecting assisted families shall not be considered reasonable. (Sec. 904) Permits section 8 assistance to "grand-families." Title X: Federal Reserve Board Provisions - Amends the Federal Reserve Act to authorize the Board to acquire sites or property. (Sec. 1002) Revises the positions of Board members on the Executive Schedule (increasing their salary levels). (Sec. 1003) Revises Federal Reserve System semi-annual reporting requirements. Title XI: Banking and Housing Agency Reports - Federal Reporting Act of 2000 - Makes a specified provision of the Federal Reports Elimination and Sunset Act of 1995 (reporting requirements included on a list prepared by the Clerk of the House of Representatives for the first session of the 103rd Congress) inapplicable to certain monetary policy, banking, and housing reporting requirements under specified Acts (Sec. 1103) Sets forth specified report coordination requirements respecting: (1) the Federal Deposit Insurance Corporation; (2) the Board of Governors of the Federal Reserve System; (3) the Comptroller of the Treasury; (4) the Export-Import Bank; (5) the Department of Housing and Urban Development; and (6) the Federal Housing Administration. (Sec. 1104) Amends the: (1) Export-Import Bank Act of 1945 to eliminate certain activity and fiscal authority reporting requirements of the Export-Import Bank; and (2) Federal Deposit Insurance Act to eliminate the requirement for a semiannual report on activities and efforts of the Federal Deposit Insurance Corporation. Title XII: Financial Regulatory Relief - Financial Regulatory Relief and Economic Efficiency Act of 2000 - Subtitle A: Improving Monetary Policy and Financial Institution Management Practices - Amends the Home Owners' Loan Act (HOLA) to: (1) repeal savings association liquid asset requirements; and (2) permit a savings and loan holding company, with the prior approval by the Director of the Office of Thrift Supervision, to acquire more than five percent of the voting shares of a non-subsidiary savings association or non-subsidiary savings and loan holding company. (Sec. 1203) Amends the Federal Deposit Insurance Act (FDIA) to repeal deposit broker notification and recordkeeping requirements. (Sec. 1204) Amends the National Bank Consolidation and Merger Act to prescribe expedited procedures permitting a national bank to: (1) reorganize as either a bank holding company, or as a bank holding company subsidiary; or (2) merge with subsidiaries or nonbank affiliates. (Sec. 1205) Amends Federal banking law to increase from one year to three years the term of the national bank director. Amends the Banking Act of 1933 to authorize the Comptroller of the Currency to exempt a national banking association from the 25-member limit on the number of members of an association's governing body. (Sec. 1207) Amends Federal banking law and the FDIA to: (1) repeal the mandate that the purchase or acquisition by a national banking association or depository institution of its own capital stock to prevent loss upon a previously contracted debt be disposed of within six months from the time of purchase; and (2) provide that if an institution acquires its own stock to prevent loss upon a debt previously contracted for in good faith, such transaction shall not be deemed to be a loan or discount on the security of its own capital stock. (Sec. 1208) Amends the Federal Deposit Insurance Corporation Improvement Act of 1991 to increase from 90 percent to 100 percent of fair market value the permissible valuation of readily marketable purchased mortgage servicing rights that may be included in calculating an insured depository institution's tangible capital, risk-based capital, or leverage limit, if the Federal regulatory agencies jointly find that such an increase will not adversely affect the deposit insurance funds or the safety and soundness of insured depository institutions. Subtitle B: Streamlining Activities of Institutions - Requires that Federal banking agencies work jointly to develop: (1) electronic filing and public dissemination of depository institution status reports (call reports); and (2) uniform formats and simplified filing instructions for such reports. Subtitle C: Streamlining Agency Actions - Amends the FDIA to: (1) repeal the mandate that Federal banking agencies develop jointly a method for supplemental disclosures in required Federal filings of the estimated fair market value of depository institution assets and liabilities; (2) authorize the Federal Deposit Insurance Corporation (FDIC) to establish the interest rate for or make post-insolvency interest payments to creditors' claims against the receivership estates of insured Federal or State depository institutions following satisfaction by the receiver of the principal amount of all creditor claims; and (3) mandate that Federal banking agencies jointly submit an annual report to certain congressional banking committees regarding differences in accounting and capital standards used by such agencies (currently such reports must be filed by the agencies individually). (Sec. 1224) Amends the Federal Home Loan Bank Act to extend the deadline for the Finance Board's issuance of regulations respecting Federal home loan bank capital standards. Subtitle D: Technical Corrections - Makes technical corrections to related Acts. (Sec. 1233) Amends Federal banking law to: (1) authorize the Comptroller of the Currency to waive the citizenship requirement for a minority of the total number of directors sitting on the board of a national bank; (2) declare it is unlawful for the Comptroller to hold an interest in any national bank; and (3) repeal specified capital and surplus requirements for national banking associations. (Sec. 1234) Amends the International Bank Act of 1978 to modify examination requirements pertaining to establishment and operation by a foreign bank of Federal branches and agencies.
United States · United States Congress · 5 December 2000
American Homeownership and Economic Opportunity Act of 2000 - Title I: Removal of Barriers to Housing Affordability - Housing Affordability Barrier Removal Act of 2000 - Amends the Housing and Community Development Act of 1992 to authorize FY 2001 through 2005 appropriations for (consolidated) State and local grants for regulatory barrier removal. Makes consortia of local governments eligible grantees. Requires grant use in coordination with the local comprehensive Afford ability strategy under the Cranston-Gonzalez National Affordable Housing Act. (Sec. 103) Amends the Housing and Community Development Act of 1992 to state that the regulatory barriers clearinghouse shall be established within the Office of Policy Development of the Department of Housing and Urban Development under the direction of the Assistant Secretary for Policy Development and Research. Title II: Homeownership for Working Families - Authorizes the Secretary to insure refinancing of home equity conversions for elderly home owners. Provides for: (1) specified transaction disclosures; (2) waiver of counseling under specified conditions; (3) fee limitations; (4) single premium reduction; and (5) an actuarial study to determine insurance premium adequacy. Includes housing cooperatives in the demonstration program of insurance of home equity conversion mortgages for elderly home owners. Directs the Secretary to waive up-front premiums for mortgages used for costs of long-term care insurance or health care. (Sec. 202) Amends the Housing Opportunity Program Extension Act of 1996 to authorize FY 2001 appropriations for self-help housing providers. Makes certain nongrant fund advances by an organization eligible for reimbursement. Revises fund recapture provisions. Title III: Section 8 Homeownership Option - Amends the United States Housing Act of 1937 to provide a single grant home ownership downpayment option (in lieu of monthly payments) under the section 8 housing assistance program. (Sec. 302) Authorizes a public housing agency providing tenant-based section 8 housing assistance to provide assistance for a qualifying disabled family that purchases a home which will be owned and occupied by one or more members of such family. Sets forth program provisions. (Sec. 303) Authorizes FY 2001 appropriations (with a 50 percent matching requirement) for home ownership programs under the section 8 home ownership demonstration program. Title IV: Private Mortgage Insurance Cancellation and Termination - Private Mortgage Insurance Technical Corrections and Clarification Act - Amends the Homeowners Protection Act of 1998 with respect to the definition of "cancellation date" to replace "amortization schedules" with, and define, "amortization schedule then in effect" for purposes of adjustable rate mortgages. Includes balloon mortgages within the definition of "adjustable rate mortgages." States that if a residential mortgage loan is modified (with mortgagor-mortgagee agreement) the cancellation date, termination date, or final agreement shall be recalculated to reflect such modifications. (Sec. 404) Extends mortgage insurance cancellation rights beyond the cancellation date for a qualifying borrower who is current on required payments. (Sec. 405) Revises the automatic termination date with respect to a mortgagor who is not current on payments as of the mortgage termination date. States that the cancellation or termination of private mortgage insurance shall not affect the rights of any mortgagee, servicer, or insurer to enforce any accrued obligation for premium payments. (Sec. 406) Revises and defines specified terms. Title V: Native American Homeownership - Subtitle A: Native American Housing - Establishes the Lands Title Report Commission to facilitate home loan mortgages on Indian trust lands. Terminates the Commission one year after its initial meeting. Authorizes appropriations. (Sec. 502) Amends the Housing and Community Development Act of 1992 to make permanent the Indian housing loan guarantee authority. (Sec. 503) Amends the Native American Housing Assistance and Self-Determination Act of 1996 to: (1) restrict the Secretary's authority to waive housing plan requirements to not more than 90 days; (2) permit the Secretary to waive local cooperation requirements upon a good faith showing and agreement to make certain payments in lieu of taxes; (3) permit assistance to Indian families that are not low-income upon a showing of need; (4) eliminate separate housing plan requirements for small tribes; (5) permit the Secretary to waive certain environmental review requirements under specified conditions; (6) permit reservation housing assistance for specified full-time Federal, State, county, or tribal law enforcement officers; (7) revise audit, review, and hearing provisions; (8) prescribe a funding formula for housing authorities operating fewer than 250 units based on an average of FY 1992 through 1997 allocations; and (9) repeal the requirement regarding the certification of compliance with subsidy layering requirements. Subtitle B: Native Hawaiian Housing - Hawaiian Homelands Homeownership Act of 2000 - Amends the Native American Housing Assistance and Self-Determination Act of 1996 to add a new Title VIII, Housing Assistance for Native Hawaiians. Directs the Secretary to make block grants to carry out affordable housing activities for Native Hawaiian families on or near Hawaiian Home Lands. Authorizes the Secretary to make grants to the Department of Hawaiian Home Lands (defined as the agency or department of Hawaii responsible for administration of the Hawaiian Homes Commission Act, 1920) only if the Director of the Department has submitted a housing plan that meets requirements under this Act, unless otherwise waived by the Secretary. Sets forth plan terms, conditions, and requirements, including a condition that, to the extent practicable, the Department use private nonprofit organizations in the planning and development of such housing. Provides for plan review by the Secretary. Sets forth provisions regarding the treatment of program income, project labor standards, and environmental review under the National Environmental Policy Act of 1969. Limits assistance for affordable housing activities under the program to low-income Native Hawaiian families, with specified exceptions for: (1) certain home ownership activities; and (2) assistance to non-Native Hawaiians if the presence of the family in the housing involved is essential to the well-being of Native Hawaiian families and the housing need cannot be met without assistance. Describes eligible affordable housing activities. Sets forth program requirements, including the development of policies governing rents, home buyer payments, eligibility, management, leases, and tenant selection. Sets the maximum monthly rent or home buyer payment at 30 percent of the monthly adjusted family income. Directs the Secretary, in instances of substantial Department noncompliance, to terminate, reduce, or limit payments. Authorizes the Secretary, in addition to such actions, to refer the matter to the Attorney General for civil action. Sets forth review, auditing, and reporting requirements for the Secretary and the Director. Provides for discretionary audits by the Comptroller General. Authorizes appropriations through FY 2005. (Sec. 514) Amends the Housing and Community Development Act of 1992 to authorize the Secretary to guarantee up to $100 million in loans from approved lenders in each of FY 2001 through 2005 to provide access to sources of private financing to Native Hawaiian families who could otherwise not acquire housing financing because of the unique legal status of the Hawaiian Home Lands or as a result of a lack of access to private financial markets. Authorizes loan guarantees of up to 100 percent of unpaid interest and principal. Provides that a loan will be used to construct, acquire, or rehabilitate not more than four-family dwellings that are standard housing and located on Hawaiian Home Lands for which an approved housing plan to provide affordable home ownership housing applies. Sets forth eligible lender categories. Limits loans to 30-year terms. Permits the Secretary to guarantee a loan only upon determining that there is a reasonable prospect of repayment. Establishes a loan guarantee fee. Authorizes loan transfer and assumption, subject to governmental supervision. Provides for lender disqualification for specified violations, and civil monetary penalties for intentional violations. Establishes a Hawaiian Housing Guarantee Fund for the purpose of providing loan guarantees under this Act. Authorizes appropriations through FY 2005. Directs the Secretary to establish safety and quality standards for housing financed under these provisions. Title VI: Manufactured Housing Improvement - Manufactured Housing Improvement Act of 2000 - Amends the National Manufactured Housing Construction and Safety Standards Act of 1974 to define specified terms. (Sec. 604) Directs the Secretary to establish manufactured home construction and safety standards in accordance with the consensus standards development process (provided for by this Act). Directs the Secretary to contract with: (1) a temporary administering organization to appoint the initial members of the consensus committee and administer the consensus standards development and related procedural and enforcement processes; and (2) a subsequent administering organization for the development of Federal standards and related procedural and enforcement regulations. Establishes the consensus committee which shall provide the Secretary with periodic recommendations respecting Federal manufactured housing construction and safety standards and related procedural and enforcement regulations. States that committee members shall represent producer, consumer, and general interest and public official interests. Sets forth related administrative provisions. (Sec. 605) Eliminates the National Manufactured Home Advisory Council. Requires manufacturers to provide approved design and installation instructions with each manufactured home. Requires, within specified deadlines: (1) the consensus committee to develop and submit to the Secretary proposed model manufactured home installation standards; and (2) the Secretary to develop model standards. Requires an opportunity for public comment prior to such standards' issuance. Prohibits a State or manufacturer, during the five-year period beginning with the enactment of this Act, from establishing manufactured home installation standards that provide less protection than existing standards. Directs the Secretary, not later than the expiration of such five-year period, to implement in a State that has not adopted a similar program a program which provides for: (1) installation standards and designs and instructions that meet or exceed model standards; (2) installer training and licensing; and (3) installation inspection. (Sec. 606) Directs the Secretary to submit cost information to the consensus committee. (Sec. 607) Includes among research and testing activities: (1) encouraging government-sponsored housing entities to implement secondary market securitization programs for manufactured home loans; and (2) reviewing the programs for Federal Housing Administration manufactured home loans. (Sec. 608) Makes it a prohibited act to fail to comply with the Secretary's installation standards in any State that has not adopted a State installation program. (Sec.609) Authorizes the Secretary to collect manufacturer fees, and sets forth their permitted and prohibited uses. Establishes in the Treasury a Manufactured Housing Fees Trust Fund. Requires inspection and monitoring work to be carried out by independent contractors.. Requires the Secretary to continue funding States with approved plans at levels not less than those existing immediately prior to enactment of this Act. (Sec. 610) Directs the Secretary to establish a dispute resolution program within five years of the enactment of this Act. (Sec. 611) Eliminates the manufactured housing annual reporting requirement. (Sec. 612) Sets forth effective date provisions. (Sec. 613) Sets forth savings provisions, including certain contract duration provisions. Title VII: Rural Housing Ownership - Amends the Housing Act of 1949 to direct the Secretary to provide guarantees for rural housing loan refinancing. (Sec. 702) Increases from $2,500 to $7,500 the amount of a rural housing repair loan that needs to be evidenced only by a promissory note. (Sec. 703) Makes limited partnerships eligible for farm labor housing loans. (Sec. 704) Sets forth project accounting and recordkeeping requirements. (Sec. 705) Extends the rural designation of certain areas until the 2010 census. (Sec. 707) Makes Indian tribes (as defined by this Act) eligible for the multifamily rental housing loan guarantee program. (Sec. 708) Establishes civil and criminal penalties for rural housing program equity skimming. Authorizes the Secretary to impose civil monetary penalties and prohibit renewal or extension of loan or assistance agreements for program violations. (Sec. 709) Amends Federal criminal law to include such equity skimming under money laundering provisions. Title VIII: Housing for Elderly and Disabled Families - Affordable Housing for Seniors and Families Act - Subtitle A: Refinancing for Section 202 Supportive Housing for the Elderly - Directs the Secretary: (1) to approve prepayment of indebtedness, including refinancing under specified conditions, provided the project sponsor continues to operate the project on terms at least as advantageous to tenants as required under the original agreement; and (2) upon refinancing, to use at least 50 percent of the resultant savings in a manner that is advantageous to the tenants. Subtitle B: Authorization of Appropriations for Supportive Housing for the Elderly and Persons With Disabilities - Amends the Housing Act of 1959 to authorize FY 2001 through 2003 appropriations for supportive housing for the elderly. (Sec. 822) Amends the Cranston-Gonzalez National Affordable Housing Act to authorize FY 2001 through 2003 appropriations for supportive housing for persons with disabilities. (Sec. 823) Authorizes FY 2001 through 2003 appropriations for: (1) grants for service coordinators for elderly and disabled residents of certain federally assisted multifamily housing; and (2) contracts for congregate services for certain federally assisted housing. Subtitle C: Expanding Public Housing Opportunities for the Elderly and Persons with Disabilities - Part 1: Housing for the Elderly - Amends the Housing Act of 1959, with respect to supportive services for the elderly, to make for-profit limited partnerships eligible program participants. (Sec. 832) Permits owners to use mixed funding sources for amenities and other design features. (Sec. 833) Expands acquisition authority. (Sec. 834) Authorizes project reserves to be used to reduce the number of dwelling units by retrofitting unmarketable units. (Sec. 835) States that no provision of law shall be construed to prohibit commercial operations in a project location that benefits project residents. Part 2: Housing for Persons with Disabilities - Amends the Housing Act of 1959 to make certain for-profit limited partnerships eligible recipients under the supportive housing for persons with disabilities program. (Sec. 842) Amends the Cranston-Gonzalez National Affordable Housing Act with respect to the supportive housing for persons with disabilities program to permit owners to use mixed funding sources for amenities and other design features. (Sec. 843) Provides that tenant-based assistance may be provided through a qualifying public housing agency or a private nonprofit organization. Limits tenant-based assistance to 25 percent of fiscal year program assistance. (Sec. 844) Authorizes project reserves to be used to reduce the number of dwelling units by retrofitting unmarketable units. (Sec. 845) States that no provision of law shall be construed to prohibit commercial operations in a project location that benefits project residents. Part 3: Other Provisions - Amends the Housing and Community Development Act of 1992 to permit service coordinator services to be provided to low-income or elderly persons living in the vicinity of specified federally assisted housing. Includes telemarketing fraud protection among the services provided to elderly residents of federally assisted housing and under the supportive housing program. Directs the Secretary, in coordination with the Secretary of Health and Human Services, to establish related service coordinator guidelines. Subtitle D: Preservation of Affordable Stock - Amends the National Housing Act, as amended by the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001, respecting rental and cooperative housing for lower- income families, to eliminate certain restrictions on owner retention of excess charges, including retention and use of certain previously collected excess charges. Title IX: Other Related Housing Provisions - Amends the National Housing Act to extend the insurance-eligible loan term for manufactured home lots to 20 years and 32 days. (Sec. 902) Amends the United States Housing Act of 1937, as amended by the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001, respecting enhanced section 8 voucher assistance, to: (1) include within the definition of "eligibility event" any termination or expiration of a contract for rental assistance during any fiscal year after 1994; and (2) provide that a maximum payment adversely affecting assisted families shall not be considered reasonable. (Sec. 904) Permits section 8 assistance to "grand-families." Title X: Federal Reserve Board Provisions - Amends the Federal Reserve Act to authorize the Board to acquire sites or property. (Sec. 1002) Revises the positions of Board members on the Executive Schedule (increasing their salary levels). (Sec. 1003) Revises Federal Reserve System semi-annual reporting requirements. Title XI: Banking and Housing Agency Reports - Federal Reporting Act of 2000 - Makes a specified provision of the Federal Reports Elimination and Sunset Act of 1995 (reporting requirements included on a list prepared by the Clerk of the House of Representatives for the first session of the 103rd Congress) inapplicable to certain monetary policy, banking, and housing reporting requirements under specified Acts (Sec. 1103) Sets forth specified report coordination requirements respecting: (1) the Federal Deposit Insurance Corporation; (2) the Board of Governors of the Federal Reserve System; (3) the Comptroller of the Treasury; (4) the Export-Import Bank; (5) the Department of Housing and Urban Development; and (6) the Federal Housing Administration. (Sec. 1104) Amends the: (1) Export-Import Bank Act of 1945 to eliminate certain activity and fiscal authority reporting requirements of the Export-Import Bank; and (2) Federal Deposit Insurance Act to eliminate the requirement for a semiannual report on activities and efforts of the Federal Deposit Insurance Corporation. Title XII: Financial Regulatory Relief - Financial Regulatory Relief and Economic Efficiency Act of 2000 - Subtitle A: Improving Monetary Policy and Financial Institution Management Practices - Amends the Home Owners' Loan Act (HOLA) to: (1) repeal savings association liquid asset requirements; and (2) permit a savings and loan holding company, with the prior approval by the Director of the Office of Thrift Supervision, to acquire more than five percent of the voting shares of a non-subsidiary savings association or non-subsidiary savings and loan holding company. (Sec. 1203) Amends the Federal Deposit Insurance Act (FDIA) to repeal deposit broker notification and recordkeeping requirements. (Sec. 1204) Amends the National Bank Consolidation and Merger Act to prescribe expedited procedures permitting a national bank to: (1) reorganize as either a bank holding company, or as a bank holding company subsidiary; or (2) merge with subsidiaries or nonbank affiliates. (Sec. 1205) Amends Federal banking law to increase from one year to three years the term of the national bank director. Amends the Banking Act of 1933 to authorize the Comptroller of the Currency to exempt a national banking association from the 25-member limit on the number of members of an association's governing body. (Sec. 1207) Amends Federal banking law and the FDIA to: (1) repeal the mandate that the purchase or acquisition by a national banking association or depository institution of its own capital stock to prevent loss upon a previously contracted debt be disposed of within six months from the time of purchase; and (2) provide that if an institution acquires its own stock to prevent loss upon a debt previously contracted for in good faith, such transaction shall not be deemed to be a loan or discount on the security of its own capital stock. (Sec. 1208) Amends the Federal Deposit Insurance Corporation Improvement Act of 1991 to increase from 90 percent to 100 percent of fair market value the permissible valuation of readily marketable purchased mortgage servicing rights that may be included in calculating an insured depository institution's tangible capital, risk-based capital, or leverage limit, if the Federal regulatory agencies jointly find that such an increase will not adversely affect the deposit insurance funds or the safety and soundness of insured depository institutions. Subtitle B: Streamlining Activities of Institutions - Requires that Federal banking agencies work jointly to develop: (1) electronic filing and public dissemination of depository institution status reports (call reports); and (2) uniform formats and simplified filing instructions for such reports. Subtitle C: Streamlining Agency Actions - Amends the FDIA to: (1) repeal the mandate that Federal banking agencies develop jointly a method for supplemental disclosures in required Federal filings of the estimated fair market value of depository institution assets and liabilities; (2) authorize the Federal Deposit Insurance Corporation (FDIC) to establish the interest rate for or make post-insolvency interest payments to creditors' claims against the receivership estates of insured Federal or State depository institutions following satisfaction by the receiver of the principal amount of all creditor claims; and (3) mandate that Federal banking agencies jointly submit an annual report to certain congressional banking committees regarding differences in accounting and capital standards used by such agencies (currently such reports must be filed by the agencies individually). (Sec. 1224) Amends the Federal Home Loan Bank Act to extend the deadline for the Finance Board's issuance of regulations respecting Federal home loan bank capital standards. Subtitle D: Technical Corrections - Makes technical corrections to related Acts. (Sec. 1233) Amends Federal banking law to: (1) authorize the Comptroller of the Currency to waive the citizenship requirement for a minority of the total number of directors sitting on the board of a national bank; (2) declare it is unlawful for the Comptroller to hold an interest in any national bank; and (3) repeal specified capital and surplus requirements for national banking associations. (Sec. 1234) Amends the International Bank Act of 1978 to modify examination requirements pertaining to establishment and operation by a foreign bank of Federal branches and agencies.
United States · United States Congress · 14 November 2000
Amends title XVIII (Medicare) of the Social Security Act (SSA) to revise Medicare billing requirements for certain hospitals or freestanding ambulatory clinics operated by the Indian Health Service or by an Indian tribe or tribal organization.
United States · United States Congress · 14 November 2000
District of Columbia Appropriations Act, 2001 - Makes appropriations for the District of Columbia for FY 2001, including amounts for the Federal payments: (1) for District of Columbia Resident Tuition Support; (2) for incentives for adoption of children; (3) for the commercial revitalization program; (4) to the District of Columbia Public Schools; (5) for the Metropolitan Police Department; (6) to Covenant House Washington for a new community service center for homeless, runaway and at-risk youth; (7) to the District of Columbia Corrections Trustee Operations; (8) to the District of Columbia Courts; (9) to the Defender Services in District of Columbia Courts; (10) to the Court Services and Offender Supervision Agency for the District of Columbia (including transfer of funds); (11) to the Washington Interfaith Network for costs incurred in carrying out preconstruction activities at the former Fort Dupont Dwellings and Additions; (12) for a study and development of a plan to simplify the District government employee compensation system; (13) for construction of a Metrorail station to be located at New York and Florida Avenues, Northeast; (14) for Brownfield Remediation at Poplar Point; (15) to reimburse the District for expenses incurred in connection with presidential inauguration activities; (16) to the Children's National Medical Center; (17) to the Child Advocacy Center; (18) to the St. Coletta of Greater Washington, Inc. expansion project; and (19) to the District of Columbia Special Olympics. Appropriates specified sums out of the District's general fund (and other funds, in some cases) for the current fiscal year for: (1) operating expenses (with certain limits); (2) the District of Columbia Financial Responsibility and Management Assistance Authority (Authority); (3) governmental direction and support; (4) economic development and regulation; (5) public safety and justice; (6) the public education system; (7) human support services; (8) public works; (9) receivership programs; (10) replacement of funds expended during FY 2000 from the Reserve established by the District of Columbia Financial Responsibility and Management Assistance Act of 1995; and (11) the emergency reserve fund established under the District of Columbia Home Rule Act by this Act. Provides funds for the purpose of restructuring the delivery of health services in the District of Columbia, provided the restructuring plan reduces personnel levels of D.C. General Hospital and of the Public Benefit Corporation (PBC) consistent with the reduction set forth in the August 25, 2000, PBC Board of Directors resolution. Appropriates funds for: (1) repayment of loans and interest; (2) repayment of general fund recovery debt; (3) payment of interest on short-term borrowing; (4) reimbursement for necessary expenses incurred in connection with presidential inauguration activities; (5) lease payments in accordance with the Certificates of Participation involving the land site underlying the building located at One Judiciary Square; (6) expenses associated with the John A. Wilson Building; (7) optical and dental insurance payments; (8) management supervisory service; (9) the implementation of a Cafeteria Plan; (10) the Water and Sewer Authority and the Washington Aqueduct; (11) the Lottery and Charitable Games Enterprise Fund; (12) the Sports and Entertainment Commission; (13) the District of Columbia Health and Hospitals Public Benefit Corporation; (14) the District of Columbia Retirement Board; (15) the Correctional Industries Fund; (16) the Washington Convention Center Enterprise Fund; and (17) capital outlay (including rescissions). Transfers specified funds to the Tobacco Settlement Trust Fund to be spent pursuant to local law. Requires the Mayor and District Council to make reductions of specified amounts for operational improvements savings and for management reform savings in local funds to one or more of the appropriation headings in this Act. Sets forth authorizations as well as limitations and prohibitions on the uses of appropriations under this Act, and directives to the Mayor, the Council, and the Board of Education identical with or similar to those in the District of Columbia Appropriations Act, 2000. (Sec. 104) Requires the Mayor to maintain an index of all employment personal services and consulting contracts (except collective bargaining agreements or related contracts) in effect on behalf of the District government, including severance clause information. (Sec. 129) Amends the District of Columbia School Reform Act to modify contracting requirements for public charter schools with respect to: (1) specify exceptions to the notice requirements for procurement contracts; and (2) submission of contracts to the eligible chartering authority. Provides that no provision of any law regarding the establishment, administration, or operation of District public charter schools shall apply if it duplicates or is inconsistent with such Act. Subjects a public charter school which offers a preschool or prekindergarten program to the same child care licensing requirements (if any) which apply to a District public school which offers such a program. Allows a public charter school to: (1) assign payments made to the school to a financial institution for use as collateral to secure a loan or for the repayment of a loan; (2) acquire goods and services through the General Services Administration (GSA) and participate in GSA programs in the same manner and to the extent as any District government entity; and (3) delegate to a nonprofit, District tax-exempt organization the school's authority to participate in such programs. (Sec. 123) Prohibits the expenditure of funds appropriated under this Act for abortions except where the mother's life would be endangered if the fetus were carried to term or in cases of rape or incest. (Sec. 124) Bars the use of funds made available by this Act to implement or enforce: (1) the District of Columbia Health Care Benefits Expansion Act of 1992 (also known as the District Domestic Partner Act); or (2) any system of registration of unmarried, cohabiting couples for purposes of extending them benefits on the same basis as such benefits are extended to legally married couples. (Sec. 126) Allows the Mayor to accept, obligate, and expend Federal, private, and other grants received by the District government that are not reflected in the amounts appropriated in this Act if the Chief Financial Officer reports to the Authority on detailed information regarding such grant, and the Authority approves such activity. Prohibits any obligation or expenditure from the general fund or other District government funds in anticipation of the approval or receipt of a Federal, private, or other grant not subject to this Act. (Sec. 129) Prohibits any D.C. government officer or employee from entering into a procurement agreement in excess of $2,500 on behalf of any D.C. government entity until the officer or employee has analyzed how procurement under D.C. government regulations and procedures would differ from procurement under the Federal supply schedule and other Government Services Administration regulations and procedures. (Sec. 131) Requires recipients of funds under this Act to comply with the Buy American Act. Expresses the sense of Congress that, to the greatest extent practicable, such funds should be used to purchase only American-made equipment and products. Declares a person ineligible to receive any contract made with funds provided under this Act if the person has been judicially determined to have intentionally affixed a "Made in America" label to a product that is not U.S.-made. (Sec. 134) Prohibits the use of funds contained in this Act to transfer or confine inmates classified above the medium security level, as defined by the Federal Bureau of Prisons classification instrument, to the Northeast Ohio Correctional Center located in Youngstown, Ohio. (Sec. 135) Amends Federal law to transfer from the Comptroller General of the United States to the District's Inspector General responsibility for the annual financial statement audit of the District's Highway Trust Fund. (Sec. 137) Prohibits the use of funds under this Act for any program of distributing sterile needles or syringes for the hypodermic injection of any illegal drug. (Sec. 140) Prohibits the use of funds under this Act 60 days after its enactment to pay the salary of any chief financial officer of any District government office who has not filed a certification with the Mayor and the Chief Financial Officer that the officer understands the duties and restrictions applicable, including any duty to prepare certain requested reports. (Sec. 141) Requires the proposed FY 2002 budget of the District government to specify potential adjustments that might become necessary in the event that the management savings achieved by the District during the year do not meet the level of management savings projected. (Sec. 142) Requires any document showing the budget for a District government office that contains specified general, nondescriptive labels categorizing activities to include descriptions of the types of activities covered and a detailed breakdown of the amount allocated for each one. (Sec. 143) Prohibits the use of funds under this Act to enact or carry out any law, rule, or regulation to legalize or otherwise reduce penalties associated with the possession, use, or distribution of any schedule I substance under the Controlled Substances Act or any tetrahydrocannabinols (THC) derivative. Provides that the Legalization of Marijuana for Medical Treatment Initiative of 1998, also known as Initiative 59, approved by the electors of the District on November 3, 1998, shall not take effect. (Sec. 144) Authorizes the D.C. Mayor to allocate the District's limitation amount of qualified zone academy bonds among qualified zone academies within the District. (Sec. 145) Amends the Balanced Budget Act of 1997 to treat the Trustee and employees of the Office of the Trustee and the Office of Adult Probation, the employees of the Office of Parole, and the employees of the Pretrial Services Agency as Federal employees solely for purposes relating to the Civil Service Retirement System, the Federal Employees Retirement System, life insurance, and health insurance. (Sec. 146) Expresses the sense of the Congress that the Authority should quickly complete the sale of the Franklin School property which has been vacant for over 20 years. (Sec. 147) Declares that: (1) nothing in this Act shall be construed to prevent the Council or Mayor from addressing the issue of the provision of contraceptive coverage by health insurance plans; but (2) it is the intent of Congress that any legislation enacted on such issue should include a "conscience clause" which provides exceptions for religious beliefs and moral convictions. (Sec. 148) Repeals the Medical Examiner chapter of the District of Columbia Code. Makes such repeal effective on the date on which legislation enacted by the Council to establish the Office of the Chief Medical Examiner in the executive branch of the District government takes effect. (Sec. 149) Requires the Superior Court of the District or the District of Columbia Court of Appeals to assign interest on a voucher submitted by a court-appointed attorney for payment if the voucher is not paid within 45 days of its submission. (Sec. 150) Makes it unlawful for any person to distribute any needle or syringe for the hypodermic injection of any illegal drug in any area of the District of Columbia within 1000 feet of a public or private elementary or secondary school (including a public charter school). Specifies sites deemed outside or inside such 1000-foot perimeter. (Sec. 151) Appropriates a Federal contribution to the D.C. Metropolitan Police Department upon enactment by the District of a specified law banning possession of tobacco products by individuals under age 18. (Sec. 152) Declares that nothing in this Act bars the District of Columbia Corporation Counsel from reviewing or commenting on briefs in private lawsuits, or from consulting with officials of the District government regarding such lawsuits. (Sec. 153) Declares that nothing in the Federal Grant and Cooperative Agreements Act of 1977 may be construed to prohibit the Administrator of the Environmental Protection Agency from negotiating and entering into cooperative agreements and grants which affect real property of the Federal Government in the District of Columbia, if the principal purpose of the agreement or grant is to provide comparable benefits for Federal and Non-Federal properties in the District of Columbia. (Sec. 154) Amends the District of Columbia Home Rule Act to direct the District of Columbia to conduct its financial management in accordance with a comprehensive financial management policy covering cash, debt, financial asset, emergency reserve management policies, and a policy for determining real property tax exemptions for the District of Columbia. Prescribes procedures for: (1) annual review of the comprehensive management policy by the Chief Financial Officer; and (2) development of the first such policy. (Sec. 155) Amends the District of Columbia Home Rule Act to outline the duties of the Chief Financial Officer in a non-control year or following the lapse of the District of Columbia Financial Responsibility and Management Assistance Authority. (Sec. 156) Declares that employees of the District of Columbia government will only receive overtime compensation for time worked in excess of 40 hours per week. (Sec. 157) Authorizes the Court Services and Offender Supervision Agency to continue to operate its ongoing drug-free workplace testing program during the period that its plan is being reviewed for approval by the Department of Health and Human Services. (Sec. 158) Requires the Mayor to report quarterly, beginning October 1, 2000, to specified congressional committees on the District's progress with respect to: (1) crime; (2) access to drug abuse treatment; (3) management of parolees and pre-trial violent offenders; (4) education; (5) improvement in basic District services, including rat control and abatement; (6) application for and management of Federal grants; and (7) indicators of child well-being. (Sec. 159) Amends the District of Columbia Home Rule Act to establish an interest-bearing emergency cash reserve fund into which the Mayor shall deposit an amount required to maintain a balance (by FY 2004, and incrementally until then) of at least four percent of the total budget appropriated for operating expenditures for the fiscal year which is derived from local funds. Requires full replenishment of the fund at the beginning of each fiscal year. Limits the use of the emergency reserve fund to unanticipated and non-recurring extraordinary needs of an emergency nature, including a natural disaster or calamity or unexpected obligations by Federal law. Prohibits use of such fund for: (1) District agency receiverships; (2) shortfalls in projected reductions in the District's proposed budgets; or (3) settlements and judgments by or against the District government. Establishes an interest- bearing contingency cash reserve fund into which the Mayor shall deposit an amount required to maintain a balance (by FY 2007, and incrementally during FY 2005 and 2006) of at least three percent of the total budget appropriated for operating expenditures for the fiscal year which is derived from local funds. Requires full replenishment of the fund at the beginning of each fiscal year. Limits the use of the fund to non-recurring or unforeseen needs arising during the fiscal year, including expenses associated with unforeseen weather or other natural disasters, unexpected obligations by Federal law or new public safety or health needs or requirements identified after the budget process has occurred, or opportunities to achieve cost savings. Allows use of the fund to cover revenue shortfalls experienced for cash receipts that are at least five percent below forecast for three consecutive months (based on a two-month rolling average). Prohibits use of such fund for shortfalls in projected reductions included in the District's proposed budgets. Conditions any use of the fund on the Chief Financial Officer's analysis of: (1) the availability of other sources of funding to carry out a particular allocation; and (2) the impact of such allocation on the balance and integrity of the fund itself. Amends the District of Columbia Financial Responsibility and Management Assistance Act of 1995 to repeal current requirements for a positive reserve fund balance. (Sec. 160) Amends the District of Columbia Home Rule Act to authorize the City Council to delegate to the District of Columbia Tobacco Settlement Financing Corporation the Council's authority to issue revenue bonds, notes, and other obligations used to finance capital projects which are secured by payments under the Master Tobacco Settlement Agreement. Waives the congressional review period for the Tobacco Settlement Financing Act of 2000. (Sec. 161) Amends the Student Loan Marketing Association Reorganization Act of 1996, as amended by the District of Columbia Appropriations Act, 2000, to provide a set aside of specified appropriations for a credit enhancement fund for grants to eligible nonprofit corporations and other specified entities for public charter schools in the District. (Sec. 162) Grants the D.C. Mayor exclusive authority to approve and execute leases of the Washington Marina and the Washington municipal fish wharf with the existing lessees for an initial term of 30 years and other terms and conditions the Mayor deems appropriate. (Sec. 163) Amends the National Capital Revitalization and Self-Government Improvement Act of 1997 to provide for transfer without consideration to Fairfax County, Virginia, of any property located south of Silverbrooke Road identified for educational uses in the County reuse plan. (Sec. 164) Amends the District of Columbia Procurement Practices Act of 1985 to allow the District's Inspector General to contract for the independent audit of the District's financial statements with an auditor who was a subcontractor to the independent auditor who audited the District's financial statements for the preceding fiscal year. (Sec. 165) Amends the National Capital Revitalization and Self-Government Improvement Act of 1997 to direct the Administrator of General Services to convey to Fairfax County, Virginia, fee simple title to the Laurel Hill Residential Land located at the Lorton Correctional Complex north of Silverbrooke Road, if by January 15, 2001, Fairfax County agrees to convey Meadowood Farm to the Secretary of the Interior. (Sec. 166) Amends the District of Columbia Appropriations Act, 2000 to authorize the Federal Highway Administration to conduct and perform specified 14th Street bridge work related to a project to complete design requirements for compliance with the National Environmental Policy Act for the construction of expanded lane capacity for the 14th Street Bridge. (Sec. 167) Declares that the explanatory language contained in the Joint Explanatory Statement of the Committee of Conference for District of Columbia Appropriations contained in the Conference Report to accompany H.R. 4942 of the 106th Congress shall be considered to constitute a joint explanatory statement of a committee of conference for the provisions in this Act.
United States · United States Congress · 3 November 2000
Common Sense Patients' Bill of Rights Act - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act (PHSA), and the Internal Revenue Code (IRC) to: (1) provide for a patients' bill of rights, patient access to information, and accountability of health plans; and (2) expand access to health care coverage through tax incentives. Title I: Patients' Bill Of Rights - Subtitle A: Right Advice and Care - Establishes patients' rights to medical advice and care (under ERISA, PHSA, and IRC). Subtitle B: Right to Information About Plans And Providers - Establishes patients' rights to information about plans and providers. Subtitle C: Right To Hold Health Plans Accountable - Establishes patients' rights to hold health plans accountable. Subtitle D: State Flexibility in Applying Requirements to Health Insurance Issuers - Provides for State flexibility in applying requirements to health insurance issuers. Subtitle E: Effective Dates; Coordination in Implementation; Miscellaneous Provisions - Provides for coordination in implementation. Title II: Remedies - Amends ERISA to provide for: (1) availability of, and limitations on, court remedies relating to medically reviewable determinations and timely review of claims; and (2) expanded court remedies relating to group health plan determinations that are not medically reviewable. Title III: Health Care Coverage Access Tax Incentives - Amends the IRC with respect to medical savings accounts (MSAs) to: (1) repeal certain limitations on availability; (2) expand availability beyond employees of small employers and self-employed individuals; (3) increase the amount of allowable tax deduction for contributors; (4) allow both employers and employees to contribute; (5) reduce permitted deductibles under high-deductible heath plans, but provide for cost-of-living adjustments; (6) allow MSAs to be offered under cafeteria plans; and (7) direct the Comptroller General to study and report on the impact of MSAs on the cost of conventional insurance. Allows a tax deduction for 100 percent of the health insurance costs of self-employed individuals. Title IV: Health Care Paperwork - Establishes the Health Care Panel to Devise a Uniform Explanation of Benefits to devise a single form for use by third-party health care payers for remittance of claims to providers.
United States · United States Congress · 2 November 2000
Chemical Security and Right to Know Act of 2000 - Amends provisions of the Clean Air Act regarding accidental releases of hazardous substances anticipated to cause death, injury, or serious health or environmental effects to require the Attorney General to: (1) determine whether owners or operators of stationary sources have taken adequate actions to detect, prevent, and minimize the consequences of criminal releases that may cause harm to public health and safety and the environment; and (2) promulgate requirements to ensure that such actions are taken, if they have not been taken. Requires the Administrator of the Environmental Protection Agency to make risk management plans submitted by certain stationary source owners or operators publicly available.
United States · United States Congress · 2 November 2000
Medicare Program Infrastructure Investment Act of 2000 - Establishes within the Department of Health and Human Services (HHS) a Health Care Infrastructure Advisory Commission to: (1) develop a strategy to create an advanced informational infrastructure for the administration of the Medicare program under parts A (Hospital Insurance) and B (Supplementary Medical Insurance) of the Social Security Act (SSA); and (2) submit to Congress a strategic plan to implement it, as well as progress reports. Amends SSA title XI to provide that if the HHS Secretary adopts a batch standard for a transaction involving a health care provider to enable health information to be exchanged electronically, the Secretary shall also adopt an interactive standard compatible with the batch standard so that the provider may immediately complete the transaction at the point of service.
United States · United States Congress · 1 November 2000
Retired Coal Miners Health Benefit Security Act - Amends Subchapter B (Combined Benefit Fund) of Subtitle J (Coal Industry Health Benefits) the Internal Revenue Code to authorize appropriations from the Treasury to the United Mine Workers of America Combined Benefit Fund for FY 2001 for the payment of benefits. Provides that a specified amount shall be used to provide specified coal industry operator relief. Requires a report.
United States · United States Congress · 1 November 2000
Medicaid DSH Fairness Act of 2000 - Amends the Balanced Budget Act of 1997, as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to apply the Medicaid disproportionate share hospital (DSH) transition rule under title XIX of the Social Security Act to public hospitals in all States.
United States · United States Congress · 1 November 2000
Medicare, Medicaid, and SCHIP Benefits Improvement and Beneficiary Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) coverage of biennial screening pap smear and pelvic exams; (2) coverage of screening for glaucoma; (3) coverage of screening colonoscopy for average risk individuals; (4) revision of payments and standards for screening mammography; (5) coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease; and (6) extension of Medicare part A (Hospital Insurance) coverage for workers with disabilities. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII to provide for: (1) acceleration of reduction of beneficiary copayment for hospital outpatient department (OPD) services; (2) preservation of coverage of drugs and biologicals under Medicare part B (Supplementary Medical Insurance); (3) elimination of time limitation on Medicare benefits for immunosuppressive drugs; (4) imposition of billing limits on drugs; and (5) availability of application forms for medical assistance for Medicare cost-sharing. (Sec. 116) Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to provide for a waiver of 24-month waiting period for Medicare coverage of individuals disabled with amyotrophic lateral sclerosis. Subtitle C: Demonstration Projects and Studies - Outlines: (1) a Health and Human Services (HHS) demonstration project for disease management for severely chronically ill Medicare beneficiaries; (2) HHS demonstration projects for cancer prevention and treatment for ethnic and racial minorities; (3) a National Academy of Sciences study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries; (4) a Medicare Payment Advisory Commission (MEDPAC) study on consumer coalitions in marking Medicare+Choice (SSA title XVIII part C) plans; (5) an HHS study on the effect of limitations on State payment for Medicare cost-sharing on access to services for qualified Medicare beneficiaries; (6) HHS studies on preventive interventions in primary care for older Americans; and (7) a MEDPAC study on Medicare coverage of cardiac and pulmonary rehabilitation therapy services. Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVII to: (1) prohibit beneficiary cost-sharing for clinical diagnostic laboratory tests furnished by critical access hospitals; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) exempt critical access hospital swing beds from the skilled nursing facility (SNF) prospective payment system (PPS); (4) provide for payment in critical access hospitals for emergency room on-call physicians; and (5) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 206) Requires the General Accounting Office (GAO) to conduct a study on certain eligibility requirements for critical access hospitals. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after October 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) an option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study and report to Congress on rural providers under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to provide for elimination of the reduction in the PPS hospital payment update. (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; as well as (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified; and (3) increase in the base payment for Puerto Rico DSH hospitals. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for Congress of nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for a full market basket increase for hospice care for FY 2001 and 2002. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. (Sec. 323) Directs MEDPAC to conduct a study on the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. (Sec. 332) Outlines provisions for hospital geographic reclassification for labor costs applicable to other PPS systems and for grants to States for improvements in nursing home staffing and quality. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS; and (7) the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast media from those that do not. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two- year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to conduct a study on: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (2) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 431) Makes a hospital or a free-standing ambulatory care clinic, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, eligible for payments for services for which payment is made under Medicare part B for physicians' services if and for so long as it meets all of the requirements which are applicable generally to such payments, services, hospitals, and clinics. (Sec. 432) Directs the Comptroller General to study the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 433) Directs MEDPAC to study the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 435) Directs the Comptroller General to study: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 437) Directs MEDPAC to study the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a two-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides for a temporary two-month extension of periodic interim payments under BBA '97 in the case of a home health agency receiving periodic interim payments as of September 30, 2000. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. (Sec. 508) Provides for a temporary payment increase for home health services furnished in a rural area for2001 and 2002. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeal rights, including the right of an individual to request a medically exigent review from the contractor who made the initial determination. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (Health Care Financing Administration (HCFA) Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services (thus increasing by 15 percent the amount that may be reimbursed). (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to report to specified congressional committees on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. (Sec. 547) Amends SSA title XVIII with respect to agreements with providers of services to provide for the application of the bloodborne pathogen standard to certain hospitals. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) increase the payment amount for 2001 through 2003 for accountable Medicare+Choice coordinated care plans; and (2) provide for a ten-year phase-in of risk adjustment. (Sec. 603) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 604) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 605) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 608) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof) or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medicare supplemental health insurance enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. (Sec. 623) Amends SSA title XVIII to provide for civil monetary penalties for contract default by a Medicare+Choice organization. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization demonstration project authority. (Sec. 632) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for revised terms and conditions for extension of Medicare community nursing organization demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX with respect to DSH payments and: (1) continuation of Medicaid DSH allotments at FY 2000 levels for FY 2001 and 2002; and (2) a special rule for Medicaid DSH allotment for extremely low DSH States. (Sec. 701) Outlines provisions for: (1) assuring identification of Medicaid managed care patients for purposes of making DSH payments; (2) application of the Medicaid DSH transition rule to public hospitals in all States; (3) assistance for certain public hospitals; and (4) DSH payment accountability standards. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP), which shall apply only for FY 2001 through 2005. (Sec. 707) Amends SSA title XIX to provide for optional coverage of legal immigrants under Medicaid. (Sec. 708) Makes additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 709) Provides for a one year extension of provisions on eligibility for medical assistance under Medicaid. (Sec. 710) Includes as Medicaid medical assistance any services furnished by a physician assistant which the assistant is legally authorized to perform under State law and with the supervision of a physician. (Sec. 711) Gives States the option of allowing families of disabled children to purchase Medicaid coverage for such children. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce a SCHIP allotment by Medicaid expansion SCHIP costs; (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services; and (5) provide optional coverage of certain legal immigrants under SCHIP. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to study the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001.
United States · United States Congress · 1 November 2000
Right to Know Act of 2000 - Prohibits funds in any Federal appropriations Act for any fiscal year from being used to conduct or support any program of testing individuals for infection with the human immunodeficiency virus (HIV) in which there is a failure to find and disclose to the tested individuals the test results, together with appropriate counseling.
United States · United States Congress · 1 November 2000
Seniors' Health Care Restoration Act of 2000 - Amends part C (Medicare+Choice) of title XVIII (Medicare) of the Social Security Act with regard to: (1) increased payment for areas with two or fewer Medicare+Choice contracts; and (2) an increase in the minimum percentage update. Outlines provisions for a transition to revised Medicare+Choice payment rates. Directs the Secretary to provide for coverage of outpatient prescription drugs for eligible Medicare beneficiaries. Establishes in the Federal Supplementary Medical Insurance Trust Fund the Emergency Reserve Outpatient Prescription Drug Account for payment for such coverage. Provides for the crediting of funds to such Account.
United States · United States Congress · 30 October 2000
HMO Guaranty Act of 2000 - Establishes in the U.S. Treasury the HMO Guaranty Fund to provide payments to States to pay the outstanding health care provider claims of insolvent health maintenance organizations (HMOs) and to provide for a temporary continuation of health care coverage for covered individuals. Requires each HMO that is licensed by a State to provide health care coverage to make biannual payments to the Guaranty Fund in accordance with an assessment schedule to be established by the Secretary of Health and Human Services. Permits deferrals or exemptions if an HMO demonstrates that payment of the assessment would endanger its ability to fulfill contractual obligations or place it in an unsound financial condition. Prescribes a civil penalty for failure to pay.
United States · United States Congress · 30 October 2000
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for: (1) coverage of biennial screening pap smear and pelvic exams; (2) coverage of screening for glaucoma; (3) coverage of screening colonoscopy for average risk individuals; (4) revision of payments and standards for screening mammography; (5) coverage of medical nutrition therapy services for beneficiaries with diabetes or a renal disease; and (6) extension of Medicare part A (Hospital Insurance) coverage for workers with disabilities. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII to provide for: (1) acceleration of reduction of beneficiary copayment for hospital outpatient department (OPD) services; (2) preservation of coverage of drugs and biologicals under Medicare part B (Supplementary Medical Insurance); (3) elimination of time limitation on Medicare benefits for immunosuppressive drugs; (4) imposition of billing limits on drugs; and (5) availability of application forms for medical assistance for Medicare cost-sharing. Subtitle C: Demonstration Projects and Studies - Outlines: (1) a Health and Human Services (HHS) demonstration project for disease management for severely chronically ill Medicare beneficiaries; (2) HHS demonstration projects for cancer prevention and treatment for ethnic and racial minorities; (3) a National Academy of Sciences study on the addition of coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit provided to Medicare beneficiaries; (4) a Medicare Payment Advisory Commission (MEDPAC) study on consumer coalitions in marking Medicare+Choice (SSA title XVIII part C) plans; (5) an HHS study on the effect of limitations on State payment for Medicare cost-sharing on access to services for qualified Medicare beneficiaries; (6) HHS studies on preventive interventions in primary care for older Americans; and (7) a MEDPAC study on Medicare coverage of cardiac and pulmonary rehabilitation therapy services. (Sec. 126) Amends SSA title II (Old Age, Survivors and Disability Insurance) (OASDI) to provide for a waiver of 24-month waiting period for Medicare coverage of individuals disabled with amyotrophic lateral sclerosis (ALS). Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVII to: (1) prohibit beneficiary cost-sharing for clinical diagnostic laboratory tests furnished by critical access hospitals; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) exempt critical access hospital swing beds from the skilled nursing facility (SNF) prospective payment system (PPS); (4) provide for payment in critical access hospitals for emergency room on-call physicians; and (5) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 206) Requires the General Accounting Office (GAO) to conduct a study on certain eligibility requirements for critical access hospitals. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after October 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) an option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study and report to Congress on rural providers under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to provide for elimination of the reduction in the PPS hospital payment update. (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; as well as (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified; and (3) increase in the base payment for Puerto Rico DSH hospitals. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for Congress of nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for a full market basket increase for hospice care for FY 2001 and 2002. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. (Sec. 323) Directs MEDPAC to conduct a study on the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; and (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two-year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to conduct a study on: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (2) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII with respect to the PPS for hospital OPD services to direct the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast media from those that do not. (Sec. 431) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 432) Makes a hospital or a free-standing ambulatory care clinic, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, eligible for payments for services for which payment is made under Medicare part B for physicians' services if and for so long as it meets all of the requirements which are applicable generally to such payments, services, hospitals, and clinics. (Sec. 433) Directs the Comptroller General to study the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 434) Directs MEDPAC to study the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 436) Directs the Comptroller General to study: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 438) Directs MEDPAC to study the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a two-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides for a temporary two-month extension of periodic interim payments under BBA '97 in the case of a home health agency receiving periodic interim payments as of September 30, 2000. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. (Sec. 508) Provides for bonus payments for rural home health agencies in 2001 and 2002. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeals rights, including the right of an individual to request a medically exigent review from the contractor who made the initial determination. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (Health Care Financing Administration (HCFA) Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services (thus increasing by 15 percent the amount that may be reimbursed). (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to report to specified congressional committees on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. (Sec. 547) Amends SSA title XVIII with respect to agreements with providers of services to provide for the application of the bloodborne pathogen standard to certain hospitals. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) increase the payment amount for 2001 through 2003 for accountable Medicare+Choice coordinated care plans; (2) increase the minimum percentage increase for 2001; and (3) provide for a ten-year phase-in of risk adjustment. (Sec. 604) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 605) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 607) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 609) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof), or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medicare supplemental health insurance enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. (Sec. 623) Amends SSA title XVIII to provide for civil monetary penalties for contract default by a Medicare+Choice organization. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization demonstration project authority. (Sec. 632) Amends the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 to provide for revised terms and conditions for extension of Medicare community nursing organization demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX with respect to DSH payments and: (1) continuation of Medicaid DSH allotments at FY 2000 levels for FY 2001 and 2002: (2) a special rule for Medicaid DSH allotment for extremely low DSH States; and (3) contingent allotment for Tennessee. (Sec. 701) Outlines provisions for: (1) assuring identification of Medicaid managed care patients for purposes of making DSH payments; (2) application of the Medicaid DSH transition rule to public hospitals in all States; (3) assistance for certain public hospitals; and (4) DSH payment accountability standards. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance Program) (SCHIP), which shall apply only for FY 2001 through 2005. (Sec. 707) Amends SSA title XIX to provide for optional coverage of legal immigrants under Medicaid. (Sec. 708) Makes additional entities qualified to determine Medicaid presumptive eligibility for low-income children. (Sec. 709) Provides for a one-year extension of provisions on eligibility for medical assistance under Medicaid. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce a SCHIP allotment by Medicaid expansion SCHIP costs; (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services; and (5) provide optional coverage of certain legal immigrants under SCHIP. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to study the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001. Subtitle E: Nurse Staffing and Quality Improvement Act of 2000 - Nursing Home Staffing and Quality Improvement Act of 2000 - Directs the Secretary to establish a program of competitive grants to eligible States for the purpose of improving the quality of care furnished in nursing homes operating in the State. (Sec. 943) Amends SSA titles XVIII and XIX to add requirements for SNFs and nursing facilities to report to the Secretary on data regarding staffing levels and information regarding patient classification. (Sec. 944) Amends SSA title XI to establish the Nursing Facility Civil Money Penalties Collection Account to be used for awarding grants under this subtitle. Subtitle F: Family Opportunities Act - Family Opportunity Act of 2000 - Amends SSA title XVIII to: (1) give States the option of allowing families of disabled children to purchase Medicaid coverage for them; and (2) provide for treatment of inpatient psychiatric hospital services for individuals under age 21 under waivers allowing for payment for part or all of the cost of home or community-based services. (Sec. 954) Authorizes a State to apply to the Secretary for approval of a demonstration project to provide Medicaid coverage to up to a specified maximum number of children with a potentially severe disability. (Sec. 955) Amends SSA title V (Maternal and Child Health Services) to make appropriations to the Secretary for special projects of regional and national significance for development and support of family-to-family health information centers. (Sec. 956) Amends SSA title XIX to provide for the restoration of Medicaid eligibility to certain SSI beneficiaries under age 21.
United States · United States Congress · 27 October 2000
Medicaid DSH Fairness Act of 2000 - Amends the Balanced Budget Act of 1997, as amended by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999, to apply the Medicaid disproportionate share hospital (DSH) transition rule under title XIX of the Social Security Act to public hospitals in all States.
United States · United States Congress · 27 October 2000
Hispanic Health Act of 2000 - Title I: Annual Report to Congress on Programs for Improving Health Status of Hispanic Individuals - Requires the Secretary of Health and Human Services to report to Congress on programs carried out through the Public Health Service for improving the health status of Hispanic individuals regarding diabetes, HIV infection, AIDS, substance abuse, and mental health. Title II: Diabetes Control and Prevention - Authorizes appropriations for: (1) diabetes education and prevention activities for Hispanic individuals; and (2) implementation of recommendations of the Diabetes Research Working Group. Title III: HIV Prevention Activities Regarding Hispanic Individuals - Directs the Secretary to: (1) carry out activities relating to HIV prevention activities among Hispanic individuals; and (2) make grants to Hispanic-serving institutions for carrying out HIV- related projects among racial and ethnic minority groups. Title IV: Prevention of Latina Adolescent Suicides - Directs the Secretary to carry out a grant program for reducing suicide attempts among Latina adolescents. Authorizes appropriations. Title V: Bilingual Health Professionals - Directs the Secretary to carry out a program for training bilingual health professionals in the treatment of minority health conditions. Authorizes appropriations. Title VI: Cultural Competence - Directs the Secretary to: (1) develop educational materials on providing health services in a culturally competent manner; (2) establish a Center for Linguistic and Cultural Competence in Health Care; and (3) carry out cultural competence demonstration projects at two hospitals. Authorizes appropriations. Title VII: Hispanic-Serving Health Professions Schools - Directs the Secretary to make grants to Hispanic-serving health professions schools to recruit Hispanic individuals for enrollment. Authorizes appropriations. Title VIII: Data Regarding Race and Ethnicity - Amends the Public Health Service Act to require the Secretary to collect and maintain health care race and ethnicity data. (Sec. 802) Directs the Secretary to develop outcome measures used to evaluate, by race and ethnicity, the performance of health care programs and projects to individuals under Medicare and Medicaid programs (titles XVIII and XIX of the Social Security Act). Title IX: General Provisions - Provides definitions and an effective date.
United States · United States Congress · 27 October 2000
Endangered Species Act Amendments of 2000 - Amends the Endangered Species Act of 1973 to exempt from certain consultation and conferencing any Federal agency action with respect to the conservation of endangered and threatened species that: (1) is consistent with an incidental taking permit; (2) addresses an imminent threat to public health or safety or a catastrophic natural event or compliance with Federal, State, or local safety or public health requirements; (3) consists of routine operation, maintenance, repair, or replacement of a project or facility, including the Woodrow Wilson Bridge, and operation of a project or facility in accordance with a previously issued Federal license, permit, or other authorization; or (4) permits activities that occur on private land. Directs the Secretary to promulgate standards for rendering taxonomic determinations of species and subspecies. Sets forth provisions for the compensation of Federal actions taken resulting in the diminishment of the value of private property.
United States · United States Congress · 26 October 2000
Vaccine Injury Compensation Program Improvement Act of 2000 - Amends provisions of the Public Health Service Act relating to the national vaccine injury compensation program to require a petition for compensation under the program to contain an affidavit that the petitioner sustained or aggravated an illness, disability, injury, or condition in positive association with a vaccine received.
United States · United States Congress · 26 October 2000
Medicaid Intensive Community Mental Health Treatment Act of 2000 - Amends title XIX (Medicaid) of the Social Security Act to provide States with the option of covering intensive community mental health treatment under the Medicaid program.
United States · United States Congress · 26 October 2000
Patients' Declaration of Independence Act of 2000 - Provides, in the case of a group health plan that is a freedom-of-choice plan with respect to a participant or beneficiary, that: (1) an employer maintaining the plan shall not be liable pursuant to any cause of action relating to the provision of (or failure to provide, or manner of provision of) benefits under any health insurance coverage that may be secured by such participant or beneficiary in connection with the plan; and (2) there shall be no right of recovery, indemnity, or contribution by a person against such an employer (or an employee of such an employer acting within the scope of employment) for damages assessed against the person pursuant to any such cause of action. Provides that, for certain purposes under the Employee Retirement Income Security Act of 1974 (ERISA), any such employer (and any such employee) shall not be considered a fiduciary of the plan. Defines a freedom-of-choice group health plan as one which: (1) provides benefits on behalf of the participant or beneficiary only in the form of a contribution towards the cost of health insurance coverage that meets the applicable requirements of law; (2) does not impose any restriction with respect to such coverage, including the benefits available under such coverage, the health insurance issuer that offers such coverage, and the selection of such coverage; and (3) provides that the participant (and not the employer or plan) is the owner of the health insurance coverage. Requires such a contribution to be treated as employer-provided coverage under a health plan, for purposes of the Internal Revenue Code.
United States · United States Congress · 25 October 2000
Medicare Mental Health Modernization Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) repeal the current formula for calculating expenses for treatment of mental disorders; and thus (2) provide for Medicare beneficiary copayments for outpatient mental health services that are the same as beneficiary copayments for other Medicare part B (Supplementary Medical Insurance) services. Amends Medicare part A (Hospital Insurance) to provide for coverage of intensive residential services. Directs the Secretary of Health and Human Services to study and report to Congress on whether the criteria for Medicare coverage of any therapy service (including occupational and physical therapy) or any outpatient mental health care service unduly restricts the access to such a service of any Medicare beneficiary diagnosed with Alzheimer's disease or a related mental illness because the coverage criteria requires the beneficiary to display continuing clinical improvement to continue to receive the service. Amends Medicare to: (1) cover mental health counselor services; and (2) exclude clinical social worker services from coverage under the Medicare skilled nursing facility prospective payment system.
United States · United States Congress · 25 October 2000
California Reclaimed Water Act for the 21st Century - Amends the Reclamation Wastewater and Groundwater Study and Facilities Act to authorize the Secretary of the Interior to: (1) coordinate projects for the reclamation and reuse of water under such Act with projects and programs under the CALFED Bay-Delta Program; and (2) take into account Federal expenditures for projects under such Act in making determinations under the CALFED Program relating to the equitable implementation of ecosystem restoration and water management. Requires project compliance with the National Environmental Policy Act of 1969. Authorizes the Secretary to: (1) participate in the design, planning, and construction of the Castaic Lake Water Agency reclaimed water project, the Clear Lake Basin water reuse project, the Inland Empire regional water recycling project, the San Pablo Baylands water reuse projects, the Lower Chino Area desalination demonstration and reclamation project, the West Basin Comprehensive Desalination Demonstration Program in Los Angeles County, and the City of Los Angeles Water Recycling Program (replaces existing provisions authorizing the Secretary's participation in the Los Angeles area water reclamation and reuse project); (2) provide design and construction assistance for the East Bay Municipal Utility District/Dublin San Ramon Services District advanced wastewater reuse treatment project; (3) provide assistance to California in carrying out projects under the California water recycling program; and (4) carry out programs to assist agencies in projects to construct regional brine lines in the San Francisco Bay and Santa Clara Valley areas and to export the salinity imported from the Colorado River to the Pacific Ocean. Directs the Secretary to carry out a program in cooperation with the Water Reuse Foundation to conduct research concerning water reuse in relation to public health, water quality, new technology, salt management, economics, and ecosystem restoration. Adds a separate Federal cost share limitation with respect to the San Gabriel Basin demonstration project.
United States · United States Congress · 25 October 2000
Mental Health Access Act - Amends the Public Health Service Act to allow a health insurance issuer to impose a preexisting condition exclusion relating to a preexisting mental condition only if: (1) such exclusion relates to a condition for which medical advice, diagnosis, care, or treatment was recommended or received within the six-month period ending on the enrollment date; (2) such exclusion extends for no more than 12 months after the enrollment date; and (3) the exclusion period is reduced by the aggregate periods of creditable coverage applicable to the individual or dependent as of the enrollment date. Prohibits any such issuer from requiring an individual or dependent with a preexisting mental health condition to pay a premium or contribution which is greater than that charged to an individual without such condition when the additional charge is based solely on such preexisting condition.
United States · United States Congress · 25 October 2000
Surviving Spouses and Dependents Outreach Enhancement and Veterans Casework Improvement Act - Encourages all elements within the Department of Veterans Affairs, public and private sector entities, and veterans' widows and surviving spouses and their organizations to work cooperatively to fully inform veterans' surviving spouses and dependents regarding their eligibility for veterans' benefits and health care services. Requires the Secretary of Veterans Affairs to assign appropriate Department employees to conduct outreach programs and provide outreach services for eligible spouses and dependents.
United States · United States Congress · 25 October 2000
Medicare Truth in Labeling Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to change the name of the Medicare+Choice program under Medicare part C to the Medicare-No-Choice program.
United States · United States Congress · 25 October 2000
Basic Access to Secure Health Insurance Coverage Health Plan (BASIC Health Plan) Act - Title I: Affordable Health Insurance for Parents and Children - Amends titles XIX (Medicaid) and XXI (Children's Health Insurance) (CHIP) of the Social Security Act (SSA) to: (1) require State Medicaid plans to provide that the State will provide medical assistance or health coverage under CHIP for certain families in accordance with specified conditions; and (2) require, with respect to a State that does not provide such medical assistance for such families, to provide health coverage under CHIP for them through an amendment to its State CHIP plan. Provides for enhancing matching Medicaid and CHIP funds for medical and for child health assistance. (Sec. 101) Makes the CHIP program into a permanent entitlement program, and makes necessary appropriations. (Sec. 102) Amends SSA titles XIX and XXI to require a State to provide Medicaid for aliens lawfully residing in the United States and otherwise eligible for such assistance. (Sec. 103) Amends SSA titles XIX and XXI to provide Medicaid and CHIP coverage of children through age 20 (currently, through age 19). (Sec. 104) Amends SSA title XIX to: (1) establish State requirements for determining the eligibility of individuals under age 20 for Medicaid in the case of States with a State CHIP plan; (2) qualify additional entities to determine Medicaid presumptive eligibility for pregnant women; and (3) provide for automatic reassessment of CHIP and Medicaid eligibility for children losing it. Amends the Richard B. Russell National School Lunch Act to require provision of Medicaid and CHIP applications and information under the school lunch program. (Sec. 105) Amends SSA title XXI to: (1) include vision, hearing, and dental services for children as basic services required for benchmark-equivalent coverage; and (2) prohibit limitation on the scope or the duration for Federal Employees' Health Benefit Program-equivalent children's health insurance coverage. (Sec. 106) Amends SSA title XIX with regard to assuring coverage for certain low-income families to provide for elimination of the 100 hour rule and other Aid to Families and Dependent Children program-related eligibility restrictions. (Sec. 107) Amends SSA title XXI with respect to payments to States to impose restrictions on expenditures for marketing activities in order for them to be considered reasonable costs to administer the State's CHIP plan. Amends SSA titles XIX and XXI to prohibit payment to the States with respect to any amounts expended for an entity that receives payments under the State Medicaid or CHIP plan unless: (1) no person with an ownership or control interest in the entity is a person that is debarred, suspended, or otherwise excluded from participating in procurement or non-procurement activities under the Federal Acquisition Regulation; and (2) such entity has not entered into an employment, consulting, or other agreement with such a person for items or services material to its plan obligations. (Sec. 108) Authorizes the Secretary to award demonstration grants to up to seven States (or other qualified entities) to conduct innovative programs designed to improve outreach to homeless individuals and families under such programs and their provision of services. Authorizes appropriations. Title II: Access to Affordable Care for all Americans - Amends SSA title XIX to require State Medicaid plans to extend Medicaid to certain single individuals not otherwise eligible for medical assistance whose income is at least a certain percentage of the poverty line for each fiscal year beginning with FY 2003 through 2008. Amends SSA title XXI with respect to require similar coverage under CHIP for certain single individuals. Title III: Additional Provisions - Amends SSA title XIX to require each State with an approved Medicaid plan to make Medicaid or CHIP available to any individual or family with income exceeding 300 percent of the poverty line through payment of a premium determined in accordance with specified guidelines. Amends SSA title XXI to make CHIP available through premium payments to an individual or family for whom a State does not make such coverage available. Requires a covered employer to inform each employee who is not eligible for the employer's health benefits coverage of the opportunity to purchase such health benefits coverage under Medicaid or CHIP.
United States · United States Congress · 25 October 2000
Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 - Title I: Medicare Beneficiary Improvements - Subtitle A: Improved Preventive Benefits - Amends title XVIII (Medicare) of the Social Security Act (SSA) to provide for coverage of: (1) biennial (currently, triennial) screening pap smear and pelvic exams; (2) screening for glaucoma for high-risk individuals; and (3) screening colonoscopy for average risk individuals. (Sec. 104) Revises provisions for payments and standards for screening mammography. Outlines payment for certain screening mammographies that use a specified new technology. (Sec. 105) Amends SSA title XVIII to provide for coverage of specified medical nutrition therapy services for certain beneficiaries with diabetes or a renal disease. Directs the Secretary of Health and Human Services (HHS) to report to Congress any recommendations with respect to the expansion to other Medicare beneficiary populations of such medical nutrition therapy services benefit. Subtitle B: Other Beneficiary Improvements - Amends SSA title XVIII with regard to the prospective payment system(PPS) for hospital outpatient department (ODP) services, reducing the upper limit on beneficiary copayment. (Sec. 111) Directs the Comptroller General to evaluate and report to Congress on the extent to which the premium levels for Medicare supplemental (Medigap) policies reflect the reductions in copayment resulting from this subtitle. (Sec. 112) Amends SSA title XVIII to include as "medical and other health services," for coverage purposes, drugs and biologicals which are not usually self-administered by the patient (currently, drugs and biologicals which cannot be self-administered). (Sec. 113) Eliminates the time limitation on Medicare benefits for immunosuppressive drugs. (Sec. 114) Provides for the imposition of billing limits on prescription drugs. Subtitle C: Demonstration Projects and Studies - Directs the Secretary to conduct a demonstration project with respect to the impact on costs and on health outcomes of applying disease management to eligible Medicare beneficiaries with diagnosed, advanced-stage congestive heart failure, diabetes, or coronary heart disease. (Sec. 122) Directs the Secretary to conduct demonstration projects for the purpose of developing models and evaluating methods that: (1) improve the quality of items and services provided to target individuals in order to facilitate reduced disparities in early detection and treatment of cancer; (2) improve clinical outcomes, satisfaction, quality of life, and appropriate use of Medicare-covered services and referral patterns among those target individuals with cancer; (3) eliminate disparities in the rate of preventive cancer screening measures among target individuals; and (4) promote collaboration with community-based organizations to ensure cultural competency of health care professionals and linguistic access for persons with limited English proficiency. Directs the Secretary to: (1) evaluate best practices in the private sector, community programs, and academic research of methods that reduce disparities among individuals of racial and ethnic minority groups in the prevention and treatment of cancer; (2) design the demonstration projects based on such evaluation; and (3) implement at least nine such projects, including two for each of the four major racial and ethnic minority groups. Provides that if a report on the cost-effectiveness of the demonstration projects contains an evaluation that they reduce or do not increase Medicare expenditures, reduce racial and ethnic health disparities in the quality of health care services provided to target individuals, and increase satisfaction of beneficiaries and health care providers, the Secretary shall continue the existing projects, and may expand their numbers. Provides for funding. (Sec. 123) Directs the Secretary to request the National Academy of Sciences to study and report to Congress on the addition of Medicare coverage of routine thyroid screening using a thyroid stimulating hormone test as a preventive benefit. (Sec. 124) Directs the Medicare Payment Advisory Commission (MEDPAC) to study and report to Congress on the use of consumer coalitions in the marketing of Medicare+Choice (Medicare part C (Medicare+Choice) plans. (Sec. 125) Directs the Secretary to study and report to Congress on whether access to certain services (including mental health services) for qualified Medicare beneficiaries has been affected by limitations on a State's payment for Medicare cost-sharing for such beneficiaries. (Sec. 126) Directs the Secretary to contract with the Institute of Medicine to study and report to Congress and the Secretary on the appropriateness of waiving the 24-month waiting period for Medicare disability eligibility for individuals with amyotrophic lateral sclerosis (ALS) and other similar diseases. (Sec. 127) Requires the Secretary to conduct a series of studies for a report to Congress identifying preventive interventions most valuable to older Americans that can be delivered in the primary care setting. Amends the mission statement of the United States Preventive Services Task Force to include the evaluation of services of particular relevance to older Americans. (Sec. 128) Directs MEDPAC to study and report to Congress on Medicare coverage of cardiac and pulmonary rehabilitation therapy services. Title II: Rural Health Care Improvements - Subtitle A: Critical Access Hospital Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to: (1) prohibit the application of beneficiary cost-sharing under Medicare part B (Supplementary Medical Insurance) to clinical diagnostic laboratory services furnished as an outpatient critical access hospital service; (2) increase the amount a critical access hospital may elect to be paid for outpatient critical access hospital (OCAH) services with respect to the fee schedule payment for OCAH professional services; (3) direct the Secretary to cover the reasonable costs for emergency room on-call physicians; and (4) provide for the treatment of ambulance services furnished by certain critical access hospitals. (Sec. 203) Amends SSA title XVIII with regard to payment to skilled nursing facilities (SNFs) for routine service costs to: (1) exempt critical access hospital swing beds from the SNF PPS; and (2) base payment on a reasonable cost basis for swing bed services furnished by critical access hospitals. (Sec. 206) Directs the Comptroller General to study and report to Congress on the eligibility requirements for Medicare critical access hospitals with respect to limitations on average length of stay and number of beds in such a hospital. Subtitle B: Other Rural Hospitals Provisions - Amends SSA title XVIII with regard to payment to hospitals for inpatient hospital services to provide for: (1) application of a uniform threshold for urban and rural hospitals to be classified as disproportionate share hospitals (DSHs) for discharges occurring on or after April 1, 2001; (2) adjustment of payment formulas for various specified hospitals, including hospitals that are both sole community hospitals and rural referral centers for discharges occurring during such period; (3) establishment of the option to base eligibility for the Medicare dependent, small rural hospital program on discharges during two of the three most recently audited cost reporting periods; and (4) extension of the option to use rebased target amounts to all sole community hospitals. (Sec. 214) Directs MEDPAC, in its study of and report to Congress on rural providers under BBRA, to analyze the impact of volume on the per unit cost of rural hospitals with psychiatric units, and recommend whether special treatment for such hospitals may be warranted. Subtitle C: Other Rural Provisions - Amends SSA title XVIII with regard to special payment rules for particular items and services to provide transitional assistance for providers of ambulance services in rural areas. (Sec. 221) Directs the Comptroller General to study and report to Congress on the: (1) cost of efficiently providing ambulance services for trips originating in rural areas; and (2) means by which rural areas with low population densities can be identified for the purpose of designating areas in which, because of low usage, the cost of providing ambulance services would be expected to be higher than similar services provided in more heavily populated areas. (Sec. 222) Amends SSA title XVIII part B with regard to the use of carriers for administration of benefits concerning payment for certain physician assistant services. (Sec. 223) Amends BBA'97 to: (1) set a time limit for Medicare reimbursement for telehealth services; and (2) provide for an expansion of Medicare payment for such services. Directs the Secretary to study and report to Congress on additional: (1) settings and sites for the provision of telehealth services; (2) practitioners that may be reimbursed for furnishing telehealth services; and (3) geographic areas in which telehealth services may be reimbursed. (Sec. 224) Amends SSA title XVIII part B to provide for expanding access to rural health clinics. (Sec. 225) Directs MEDPAC to study and report to Congress on the effect of low patient and procedure volume on the financial status of low-volume, isolated rural health care providers participating in Medicare. Title III: Provisions Relating to Part A - Subtitle A: Inpatient Hospital Services - Amends SSA title XVIII to revise the acute care hospital payment update for 2001, with a special rule for payment for FY 2001 for inpatient hospital services furnished by DSH hospitals. (Sec. 301) Directs the Secretary, when rebasing and revising the hospital market basket index, to consider the prices of blood and blood products purchased by hospitals and to determine whether those prices are adequately reflected in such index. Requires MEDPAC to study and report to Congress on: (1) any increased costs incurred by DSHs in providing inpatient hospital services to Medicare beneficiaries during the period from October 1, 1983, through September 30, 1999, that were attributable to complying with new blood safety measure requirements and providing such services using new technologies; (2) the extent to which the PPS for such services provides adequate and timely recognition of such increased costs; (3) the prospects for cost increases that hospitals will incur in providing such services that are attributable to complying with new blood safety measure requirements and providing such services using new technologies during the ten years after enactment of this Act; and (4) the feasibility and advisability of establishing mechanisms under such PPS to provide for more timely and accurate recognition of such cost increases in the future. Amends SSA title XVIII with respect to payment to hospitals for inpatient hospital services and updating previous standardized amounts to provide for: (1) an adjustment for inpatient case mix changes; (2) modification of the transition for indirect medical education percentage adjustment for DSHs; and (3) decreases in reductions for DSH payments. (Sec. 304) Provides for a three-year effective period for any decision of the Medicare Geographic Classification Review Board to reclassify a DSH for purposes of adjusting the diagnosis-related group (DRG) prospective payment rate for hospital wage level area differences for FY 2001 or any fiscal year thereafter. Requires the Secretary to establish procedures under which a DSH hospital may elect to terminate such reclassification before the end of such period. Directs the Secretary to: (1) establish a process under which an appropriate statewide entity may apply to have all the geographic areas in a State treated as a single geographic area for purposes of computing and applying the area wage index; and (2) provide for the collection of data every three years on occupational mix for employees of each DSH in the provision of inpatient hospital services in order to construct an occupational mix adjustment in the applicable hospital area wage index. (Sec. 305) Amends SSA title XVIII with respect to prospective payment for inpatient rehabilitation hospital services and: (1) assistance with administrative costs associated with completion of patient assessment; and (2) a rehabilitation facility election to apply full prospective payment rate without phase-in. (Sec. 306) Provides that, with respect to the inpatient services of psychiatric hospitals and certain psychiatric units, in making incentive payments to such hospitals for cost reporting periods from October 1, 2000, through October 1, 2001, the Secretary shall increase the percent of the target amount used in determining such payments. (Sec. 307) Amends SSA title XVIII to provide for: (1) increased target amounts and caps for long-term care hospitals before implementation of the PPS required under the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act of 1999 for payment for inpatient hospital services provided in long-term care hospitals; and (2) alternative implementation of such PPS by the Secretary based on the use of existing hospital DRGs that have been modified. Subtitle B: Adjustments to PPS Payments for Skilled Nursing Facilities - Amends SSA title XVIII with respect to payment to SNFs for routine service costs to revise updating requirements, among other changes eliminating the reduction in the skilled nursing facility market basket update in 2001. (Sec. 311) Directs the Comptroller General to report to Congress on the adequacy of Medicare payment rates to SNFs and the extent to which Medicare contributes to the financial viability of such facilities. Requires the Secretary to study and report to Congress on the different systems for categorizing patients in Medicare SNFs in a manner that accounts for the relative resource utilization of different patient types. (Sec. 312) Directs the Secretary to increase the nursing component of the case-mix adjusted Federal prospective payment rate specified in the final rule published in the Federal Register by the Health Care Financing Administration on July 31, 2000, effective for services furnished on or after April 1, 2001, and before October 1, 2002. Requires the Comptroller General to conduct an audit for a report to Congress on nursing staffing ratios in a representative sample of Medicare SNFs. (Sec. 313) Amends SSA title XVIII to limit application of the SNF consolidated billing requirement to a period during which the resident is provided Medicare part A (Hospital Insurance) covered post-hospital extended care services. Requires the Secretary to monitor payments made under Medicare part B for items and services furnished to SNF residents during a time in which they are not being provided Medicare covered post-hospital extended care services, in order to ensure that there is not duplicate billing for services or excessive services provided. (Sec. 314) Provides that, for purposes of computing payments for certain covered SNF services, the Secretary shall increase the adjusted Federal per diem rate for covered SNF services for specified RUG-III (resource utilization group) rehabilitation groups furnished to an individual during the period in which such individual is classified in such a RUG-III category. Directs the HHS Inspector General to review the Medicare payment structure for services classified within RUGs and report to Congress on whether payment incentives exist for the delivery of inadequate care. (Sec. 315) Authorizes the Secretary to establish a procedure for the geographic reclassification of a SNF for purposes of payment for covered SNF services under the PPS for SNFs for routine service costs. Subtitle C: Hospice Care - Amends SSA title XVIII to provide for a full market basket increase for hospice care for FY 2001. (Sec. 322) Requires that the certification regarding an individual's terminal illness be based on the physician's or medical director's clinical judgment regarding the normal course of the illness. Directs the Secretary to study and report to Congress on the appropriateness of requiring such a certification in order for an individual to receive hospice benefits under Medicare. (Sec. 323) Directs MEDPAC to study and report to Congress on the factors affecting the use of hospice benefits under Medicare program and differences in such use between urban and rural hospice programs and based upon the presenting condition of the patient. Subtitle D: Other Provisions - Amends SSA title XVIII to provide for a reduction in Medicare part A late enrollment premium increases (penalty) for a qualified State or local government retiree group in the case where a State, a local government, or an agency or instrumentality of a State or local government, determines to pay, for the life of each individual in such a group, the monthly premiums due. Title IV: Provisions Relating to Part B - Subtitle A: Hospital Outpatient Services - Amends SSA title XVIII with respect to the PPS for hospital OPD services to provide for: (1) a full market basket increase for such services for 2001; (2) adjustment for service mix changes; (3) use of categories in determining eligibility of a device for pass-through payments; (4) application of OPD PPS transitional corridor payments to certain hospitals that did not submit a 1996 cost report; (5) treatment of children's hospitals under the PPS; and (6) inclusion of temperature monitored cryoablation in transitional pass-through for certain medical devices, drugs, and biologicals under the PPS. (Sec. 404) Provides that, for purposes of making determinations of provider-based status under Medicare on or after October 1, 2000, any facility or organization that is treated as provider-based in relation to a hospital or critical access hospital under Medicare as of October 1, 2000: (1) shall continue to be treated as provider-based in relation to such hospital or critical access hospital under Medicare during the two year period beginning on October 1, 2000; and (2) the requirements, limitations, and exclusions specified in appropriate Federal regulations detailing requirements for a determination that a facility or an organization has provider-based status shall not apply to such facility or organization in relation to such hospital or critical access hospital until after the end of such two year period. Prohibits a facility or organization for which a determination of provider-based status in relation to a hospital or critical access hospital is requested during FY 2001 or 2002 from being treated as not having such status in relation to such a hospital for any period before a determination is made with respect to such status pursuant to such request and in making a determination with respect to such status for any facility or organization in relationship to such a hospital on or after October 1, 2000, the facility or organization shall be treated as satisfying any requirements and standards for geographic location in relation to such a hospital if the facility or organization: (1) satisfies appropriate Federal regulations pertaining to location in immediate vicinity or is located not more than 35 miles from the main campus of the hospital or critical access hospital; and (2) is owned and operated by a hospital or critical access hospital that meets specified criteria. Subtitle B: Provisions Relating to Physicians' Services - Directs the Comptroller General to study and report to Congress on: (1) the appropriateness of furnishing in physicians' offices specialist physicians' services which are ordinarily furnished in hospital outpatient departments; and (2) the refinements to the practice expense relative value units during the transition to a resource-based practice expense system for physician payments under Medicare. (Sec. 412) Amends SSA title XVIII to require the Secretary to conduct demonstration projects to test and, if proven effective, expand the use of incentives to health care groups participating in Medicare that: (1) encourage coordination of the care furnished to individuals under Medicare parts A and B by institutional and other providers, practitioners, and suppliers of health care items and services; (2) encourage investment in administrative structures and processes to ensure efficient service delivery; and (3) reward physicians for improving health outcomes. (Sec. 413) Directs the Comptroller General to study and report to Congress on the current Medicare enrollment process for groups that retain independent contractor physicians with particular emphasis on hospital-based physicians. Subtitle C: Other Services - Amends SSA title XVIII to provide for a one-year extension of the moratorium on certain physical therapy services caps. (Sec. 421) Directs the Secretary to study and report to Congress on the implications: (1) of eliminating the "in the room" supervision requirement for Medicare payment for services of physical therapy assistants supervised by physical therapists; and (2) of such requirement on the cap imposed under Medicare on physical therapy services. (Sec. 422) Amends SSA title XVIII with respect to Medicare coverage for end stage renal disease (ESRD) patients to increase the update for dialysis services furnished on or after January 1, 2001. Directs the Secretary to: (1) collect data and develop an ESRD market basket whereby the Secretary can estimate, before the beginning of a year, the percentage by which the costs for the year of the mix of labor and nonlabor goods and services included in the ESRD composite rate will exceed the costs of such mix for the preceding year; and (2) develop a system which includes in such composite rate, to the maximum extent feasible, payment for clinical diagnostic laboratory tests and drugs that are routinely used in furnishing dialysis services to Medicare beneficiaries, but which are currently separately billable by renal dialysis facilities. Directs the Comptroller General to study and report to Congress on the access of Medicare beneficiaries to renal dialysis services. (Sec. 423) Amends SSA title XVIII with respect to payment for ambulance services to provide for: (1) restoration of the full consumer price index (CPI) increase for 2001; and (2) continued phase-in of the application of the payment rates under the ambulance services fee schedule in an efficient and fair manner; except that when the Secretary implements such fee schedule, such phase-in shall provide for full payment of any national mileage rate for ambulance services provided by suppliers that are paid by carriers in any of the 50 States where payment by a carrier for such services for all such suppliers in such State, before the fee schedule's implementation, did not include a separate amount for all mileage within the county from which the beneficiary is transported. (Sec. 424) Prohibits the Secretary from implementing a revised PPS for services of ambulatory surgical facilities before January 1, 2002. Amends BBRA with respect to the phase-in of the PPS for ambulatory surgical centers to: (1) extend the phase-in to four years; and (2) direct the Secretary, by January 1, 2003, to incorporate data from a 1999 Medicare cost survey or a subsequent cost survey for purposes of implementing or revising such PPS. (Sec. 425) Amends SSA title XVIII, with respect to special payment rules for particular items and services, to provide for: (1) the full update for durable medical equipment, orthotics, and prosthetics in 2001; and (3) addition of special payment provisions and requirements for prosthetics and certain custom fabricated orthotic items. Directs the Comptroller General to study and report to Congress on Health Care Financing Administration (HCFA) Ruling 96-1, issued on September 1, 1996, with respect to distinguishing orthotics from durable medical equipment under Medicare. (Sec. 428) Amends SSA title XVIII to provide for the replacement of, and payment for, prosthetic devices and parts. (Sec. 429) Directs the Comptroller General to study and report to Congress and the Secretary on the reimbursement for drugs and biologicals under the current Medicare payment methodology and for related services under Medicare part B, with recommendations for revised payment methodologies. Directs the Secretary to revise such payment methodology based on such recommendations. (Sec. 430) Amends SSA title XVIII with respect to the PPS for hospital OPD services to direct the Secretary to create additional groups of covered OPD services that classify separately those procedures that utilize contrast media from those that do not. (Sec. 431) Amends SSA title XVIII part D (Miscellaneous) to revise the qualifications for community mental health centers under provisions defining partial hospitalization services. (Sec. 432) Makes a hospital or a free-standing ambulatory care clinic, whether operated by the Indian Health Service or by an Indian tribe or tribal organization, eligible for payments for services for which payment is made under Medicare part B for physicians' services if and for so long as it meets all of the requirements which are applicable generally to such payments, services, hospitals, and clinics. (Sec. 433) Directs the Comptroller General to study and report to Congress on the effect on Medicare and on Medicare beneficiaries of coverage of surgical first assisting services of certified registered nurse first assistants. (Sec. 434) Directs MEDPAC to study and report to Congress on the appropriateness of: (1) the current Medicare payment rates for services provided by a certified nurse-midwife, a physician assistant, a nurse practitioner, and a clinical nurse specialist; and (2) Medicare coverage for services provided by a surgical technologist, a marriage counselor, a marriage and family therapist, a pastoral care counselor, and a licensed professional counselor of mental health. (Sec. 436) Directs the Comptroller General to study and report to Congress on: (1) the costs of providing emergency and medical transportation services across the range of acuity levels of conditions for which such transportation services are provided; (2) the post-payment audit process under Medicare as such process applies to physicians; and (3) the aggregate effects of regulatory, audit, oversight, and paperwork burdens on physicians and other health care providers participating in Medicare. (Sec. 438) Directs MEDPAC to study and report to Congress on the barriers to coverage and payment for outpatient interventional pain medicine procedures under Medicare. Title V: Provisions Relating to Parts A and B - Subtitle A: Home Health Services - Amends SSA title XVIII to provide for a one-year additional delay in the application of the 15 percent reduction on payment limits for home health services. (Sec. 501) Amends BBRA to delay for an additional year the 15 percent reduction in payment rates for home health services after implementation of the PPS. Requires the Comptroller General, instead of the Secretary (as currently required), to report to Congress an analysis of the need for such a reduction. Amends SSA title XVIII with regard to the PPS for home health services concerning the annual update to provide for an adjustment for case mix changes. (Sec. 502) Amends SSA title XVIII to provide for restoration of the full home health market basket update for home health services for FY 2001. Establishes a special rule for payment under the PPS for home health services for FY 2001 based on adjusted prospective payment amounts. (Sec. 503) Provides for a temporary two-month extension of periodic interim payments under BBA '97 in the case of a home health agency receiving periodic interim payments as of September 30, 2000. (Sec. 504) Amends SSA title XVIII to provide for the use of telehealth in the delivery of home health services. (Sec. 505) Directs the Comptroller General to study and report to Congress on variations in prices paid by home health agencies furnishing home health services under Medicare in purchasing nonroutine medical supplies and volumes if such supplies used determine the effect (if any) of variations on prices and volumes in the provision of such services. (Sec. 506) Provides that, in determining for Medicare purposes whether an office of a home health agency constitutes a branch office or a separate home health agency, neither the time nor distance between a parent office of the home health agency and a branch office shall be the sole determinant of a home health agency's branch office status. Directs the Comptroller General to study and report to Congress on the provision of adequate supervision to maintain quality of home health services delivered under Medicare in isolated rural areas. (Sec. 507) Amends SSA title XVIII with regard to the Medicare home health benefit to declare that absences from home to receive medical treatment shall not disqualify an individual from such benefit. Directs the Comptroller General to evaluate and report to Congress on the effect of such amendment on the cost of and access to home health services under Medicare. Subtitle B: Direct Graduate Medical Education - Amends SSA title XVIII to provide for an increase in the floor for direct graduate medical education payments for FY 2002. (Sec. 512) Changes the distribution formula for Medicare+Choice-related nursing and allied health education costs. Subtitle C: Changes in Medicare Coverage and Appeals Process - Amends SSA title XVIII to revise the Medicare appeals process. Provides for initial determinations of entitlement and benefits by the Secretary, by a utilization and quality control peer review organization, or by an independent contractor. Provides for redeterminations of denied benefit claims. Specifies appeals rights. (Sec. 522) Provides for the review of coverage determinations under the Medicare appeals process. Amends SSA title XI to require any advisory committee on certain Medicare coverage exclusions to: (1) assure the full participation of a nonvoting member in its deliberations; and (2) provide such nonvoting member access to all information and data (with certain exceptions) made available to the committee's voting members. Provides that, if such committee organizes into panels of experts according to types of items or services, any such panel may report directly to the Secretary without prior approval. Subtitle D: Improving Access to New Technologies - Amends SSA title XVIII to establish a new payment rule for any clinical diagnostic laboratory test performed on or after January 1, 2001, that is a new test for which no limitation amount has previously been established. (Sec. 531) Directs the Secretary to: (1) establish procedures for coding and payment determinations for the categories of new clinical diagnostic laboratory tests and new durable medical equipment under Medicare part B that permit public consultation in a manner consistent with the procedures established for implementing coding modifications for ICD-9-CM; and (2) report to Congress on the specific procedures used under Medicare part B to adjust payments for clinical diagnostic laboratory tests and durable medical equipment which are classified to existing codes where, because of a technology advance, there has been a significant increase or decrease in the resources used in the test or in the manufacture of the equipment, and a significant improvement in test or equipment performance. (Sec. 532) Directs the Secretary to: (1) maintain and continue through December 31, 2003, the use of level III codes of the HCPCS (HCFA Common Procedure Coding System) coding system (as such system was in effect on August 16, 2000); and (2) make such codes publicly available. (Sec. 533) Directs the Secretary to: (1) report to Congress on methods of expeditiously incorporating new medical services and technologies into the clinical coding system used with respect to Medicare payment for inpatient hospital services, together with a detailed description of the Secretary's preferred methods to achieve this purpose; and (2) implement such preferred methods. Amends SSA title XVIII to direct the Secretary to establish a mechanism to recognize the costs of new medical services and technologies with respect to inpatient hospital services under the hospital reimbursement control system. Subtitle E: Other Provisions - Amends SSA title XVIII to reduce from 45 percent to 30 percent the reduction in the amount of bad debts otherwise treated as allowable costs attributable to the deductibles and coinsurance amounts under Medicare for FY 2001 and subsequent fiscal years in determining the reasonable costs of outpatient hospital services. (Thus increases by 15 percent the amount that may be reimbursed.) (Sec. 542) Provides for the treatment of certain physician pathology services under Medicare. Directs the Comptroller General to study and report to Congress on the effects of this treatment on hospitals and laboratories and access of fee-for-service Medicare beneficiaries to the technical component of physician pathology services. (Sec. 543) Amends SSA title XI to make permanent the authority for the Secretary to issue written advisory opinions under provisions for guidance regarding application of health care fraud and abuse sanctions. (Sec. 544) Amends SSA title XVIII to make various specified changes in annual MEDPAC reporting with regard to revision of deadlines for submission of reports and on the record votes on recommendations. (Sec. 545) Directs the Secretary to submit to the Committee on Ways and Means and the Committee on Commerce of the House of Representatives and the Committee on Finance of the Senate a report on the development of standard instruments for the assessment of the health and functional status of patients, for whom specified items and services are furnished, and include in the report a recommendation on the use of such standard instruments for payment purposes. (Sec. 546) Directs the Comptroller General to report to specified congressional committees on the effect of the Emergency Medical Treatment and Active Labor Act on hospitals, emergency physicians, and physicians covering emergency department call throughout the United States. Title VI: Provisions Relating to Part C (Medicare+Choice Program) and Other Medicare Managed Care Provisions - Subtitle A: Medicare+Choice Payment Reforms - Amends SSA title XVIII part C (Medicare+Choice) with regard to payments to Medicare+Choice organizations to: (1) increase the minimum payment amount for 2001 for certain areas; (2) increase the minimum percentage increase for 2001; and (3) provide for a ten-year phase in of risk adjustment. (Sec. 604) Provides for a transition to revised Medicare+Choice payment rates. (Sec. 605) Amends SSA title XVIII part C to provide for revision of payment rates for ESRD patients enrolled in Medicare+Choice plans. (Sec. 606) Amends SSA title XVIII part C with regard to premiums to permit Medicare part B premium reductions as additional benefits under Medicare+Choice plans. (Sec. 607) Amends SSA title XVIII part C with regard to payments to Medicare+Choice organizations to: (1) ensure full implementation of risk adjustment methodology for congestive heart failure enrollees for 2001; and (2) provide for the expansion of the application of Medicare+Choice's new entry bonus. (Sec. 609) Directs the Secretary to report to Congress on a method to phase-in the costs of military facility services furnished by the Department of Veterans Affairs, and those furnished by the Department of Defense, to Medicare-eligible beneficiaries in the calculation of an area's Medicare+Choice capitation payment. Subtitle B: Other Medicare+Choice Reforms - Amends SSA title XVIII part C to provide for payment of additional amounts for new Medicare+Choice benefits covered during a contract term. (Sec. 612) Prohibits the Secretary from implementing, other than at the beginning of a calendar year, regulations that impose, significant regulatory requirements on a Medicare+Choice organization or plan. (Sec. 613) Provides for timely approval of marketing material that follows model marketing language, and for avoiding duplicative regulation with respect to plan requirements. (Sec. 615) Provides that, in the case of a Medicare+Choice organization that offers a Medicare+Choice plan in an area in which more than one local coverage policy is applied with respect to different parts of the area, the organization may elect to have the local coverage policy for the part of the area that is most beneficial to Medicare+Choice enrollees apply with respect to all Medicare+Choice enrollees enrolled in the plan. (Sec. 616) Requires: (1) the quality assurance program under the Medicare+Choice program to include a separate focus on racial and ethnic minorities; and (2) the Secretary to submit to Congress a report regarding how such quality assurance programs focus on racial and ethnic minorities. (Sec. 617) Authorizes the Secretary to waive or to modify requirements that hinder the design of, the offering of, or enrollment in Medicare+Choice plans under contracts between Medicare+Choice organizations and employers, labor organizations, or the trustees of a fund established by one or more employers or labor organizations (or combination thereof) to furnish benefits to the entity's employees, former employees (or combination thereof) or to members or former members (or combination thereof) of the labor organizations. (Sec. 618) Amends SSA title XVIII part D with regard to special Medigap enrollment anti-discrimination provision for certain beneficiaries. (Sec. 619) Amends SSA title XVIII part C to restore the effective date of elections and changes of elections of Medicare+Choice plans. (Sec. 620) Permits ESRD beneficiaries to enroll in another Medicare+Choice plan if the plan in which they are enrolled is terminated. (Sec. 621) Provides that, in covering post-hospital extended care services, a Medicare+Choice plan shall provide for such coverage through a home SNF if: (1) the enrollee elects to receive such coverage through such SNF; and (2) the SNF has a contract with the Medicare+Choice organization for the provision of such services, or the SNF agrees to accept substantially similar payment under the same terms and conditions that apply to similarly situated SNFs under contract with the Medicare+Choice organization through which the enrollee would otherwise receive such services. Requires a MEDPAC report to Congress on the effects of such requirements. (Sec. 622) Directs HCFA's Chief Actuary to review the actuarial assumptions and data used by the Medicare+Choice organization with respect to such rates, amounts, and values to determine the appropriateness of such assumptions and data. Subtitle C: Other Managed Care Reforms - Amends the Omnibus Budget Reconciliation Act of 1987 to provide for a one-year extension of the social health maintenance organization (SHMO) demonstration project authority. (Sec. 632) Amends BBRA to provide for revised terms and conditions for extension of Medicare community nursing organization (CNO) demonstration project. (Sec. 633) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to provide for a two-year extension of Medicare municipal health services demonstration projects. (Sec. 634) Amends SSA title XVIII part D with regard to payments to health maintenance organizations and competitive medical plans and service area expansion for Medicare cost contracts during transition period. Title VII: Medicaid - Amends SSA title XIX (Medicaid) with respect to adjustment in payment for inpatient hospital services furnished by DSH hospitals and the limit on Federal financial participation to provide for: (1) increased allotments for FY 2001 and 2002; and (2) a special rule for Medicaid DSH allotment for extremely low DSH States. (Sec. 701) Amends SSA title XIX with respect to adjustment in payment for inpatient hospital services furnished by DSH hospitals and Medicaid provisions relating to managed care to provide for identification of patients for purposes of making DSH payments. Provides, during a specified period, for application of Medicaid DSH transition rule under BBA '97 to public hospitals in all States, except California. States that beginning with FY 2002, and subject to a specified limitation on expenditures, with respect to a State, payment adjustments made under Medicaid to a specified hospital shall be made without regard to the DSH allotment limitation for the State. Directs the Secretary to implement accountability standards to ensure that Federal funds provided with respect to DSH adjustments made under Medicaid provisions for adjustment in payment for inpatient hospital services furnished by DSH are used to reimburse States and hospitals eligible for such payment adjustments for providing uncompensated health care to low-income patients. (Sec. 702) Amends SSA title XIX to create a new PPS for Federally-qualified health centers and rural health clinics. Directs the Comptroller General to provide for a study and report to Congress on the need for, and how to, rebase or refine costs for making Medicaid payment for services provided by Federally-qualified health centers and rural health clinics. (Sec. 703) Amends SSA XI to establish an approval process for a State's application for an extension of any State-wide comprehensive demonstration project for which a waiver of compliance with Medicaid requirements is granted. (Sec. 704) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 with respect to Medicaid county-organized health systems. (Sec. 705) Directs the Secretary to issue a final regulation based on the proposed rule announced on October 5, 2000, that: (1) modifies the upper payment limit test applied to State Medicaid spending for inpatient hospital services, outpatient hospital services, nursing facility services, intermediate care facility services for the mentally retarded, and clinic services by applying an aggregate upper payment limit to payments made to government facilities that are not State-owned or operated facilities; and (2) provides for a specified transition period. (Sec. 706) Prescribes a formula for the Federal medical assistance percentage for Alaska for purposes of SSA titles XIX and XXI (State Children's Health Insurance) (SCHIP), which shall be applicable only for FY 2001 through 2005. Title VIII: State Children's Health Insurance Program - Amends SSA title XXI to: (1) establish a rule for redistribution and extended availability of unused FY 1998 and 1999 SCHIP allotments; (2) provide authority to pay Medicaid expansion SCHIP costs from SCHIP appropriations; (3) eliminate requirement to reduce SCHIP allotment by Medicaid expansion SCHIP costs; and (4) provide authority to transfer SCHIP appropriations to the Medicaid appropriation account as reimbursement for Medicaid expenditures for Medicaid expansion SCHIP services. Title IX: Other Provisions - Subtitle A: PACE Program - Amends BBA '97 with respect to programs of all-inclusive care for the elderly (PACE programs) to provide for an extension of transition for the current PACE demonstration project waiver authority. (Sec. 902) Amends SSA title XVIII with respect to payments to, and coverage of benefits under, PACE programs, and regulations and use of PACE protocol to provide for the continuation of modifications or waivers of operational requirements under demonstration status. (Sec. 903) Directs the Secretary to approve or deny a request for a modification or a waiver of provisions of the PACE protocol not later than 90 days after the Secretary receives the request, in order to provide flexibility in exercising waiver authority. Permits the Secretary to exercise authority to modify or to waive such provisions in a manner that responds promptly to the needs of PACE programs relating to areas of employment and the use of community-based primary care physicians in order to provide flexibility in exercising waiver authority. Subtitle B: Outreach to Eligible Low-Income Medicare Beneficiaries - Amends SSA title XI to direct the Commissioner of Social Security to: (1) conduct outreach efforts to identify individuals entitled to Medicare benefits who may be eligible for medical assistance for payment of the cost of Medicare cost-sharing under Medicaid; and (2) notify such individuals of the availability of such medical assistance. (Sec. 911) Directs the Comptroller General to study and report to Congress on the impact of such outreach efforts on the enrollment of individuals for Medicare cost-sharing under Medicaid. Subtitle C: Maternal and Child Health Block Grant - Amends SSA title V (Maternal and Child Health Services) to increase the authorization of appropriations for the Maternal and Child Health Services block grant for FY 2001 and each fiscal year thereafter. Subtitle D: Diabetes - Amends the Public Health Service Act to increase FY 2001 through 2003 appropriations for special diabetes programs for children with type I diabetes and for special diabetes programs for Indians. (Sec. 931) Amends BBA '97 to extend the final report on diabetes grant programs. (Sec. 932) Amends the Ricky Ray Hemophilia Relief Fund Act of 1998 to make appropriations to the Ricky Ray Hemophilia Relief Fund for FY 2001.
United States · United States Congress · 25 October 2000
Pain Relief Promotion Act of 2000 - Title I: Promoting Pain Management and Palliative Care - Amends the Public Health Service Act to require the director of the Agency for Healthcare Research and Quality to promote and advance scientific understanding of, and collect and disseminate protocols and evidence-based practices regarding, pain management and palliative care. Defines "pain management and palliative care" as certain types of actions, the purpose of which is to diagnose and alleviate pain and other distressing signs and symptoms and to enhance the quality of life, not to hasten or postpone death. (Sec. 102) Authorizes the Secretary of Health and Human Services to award grants, cooperative agreements, and contracts for development and implementation of programs to provide education and training to health care professionals in pain management and palliative care. Defines "pain management and palliative care" as certain types of actions, the purpose of which is to diagnose and alleviate pain and other distressing signs and symptoms and to enhance the quality of life, not to hasten or postpone death. Adds the provisions of this paragraph to the list of provisions for which the Secretary is required to make a specified amount available and increases the amount specified. Title II: Use of Controlled Substances Consistent With the Controlled Substances Act - Amends the Controlled Substances Act to declare that, for that Act and any implementing regulations, alleviating pain or discomfort in the usual course of professional practice is a legitimate medical purpose for the dispensing, distributing, or administering of a controlled substance that is consistent with public health and safety, even if it may increase the risk of death. Prohibits the Attorney General, in determining whether a registration (to manufacture, distribute, or dispense controlled substances) is consistent with the public interest, from giving any force and effect to State law authorizing or permitting assisted suicide or euthanasia, notwithstanding any other provision of the Act, and with regard to conduct after enactment of this Act. Gives the Attorney General, in an action to deny, revoke, or suspend a registration based on alleged intentions to cause or assist in causing death, the burden of proving, by clear and convincing evidence, that the intent was to cause death or assist another person in causing death. Declares that the burden is not met by proving that the applicant or registrant knew that the use of the controlled substance may increase the risk of death. (Sec. 202) Authorizes the Attorney General to carry out education and training programs for Federal, State, and local personnel on the means by which investigation and enforcement actions by law enforcement personnel may better accommodate the necessary and legitimate use of controlled substances in pain management and palliative care. (Sec. 203) Requires, notwithstanding any other provision of law, construing the operation of the diversion control fee account program of the Drug Enforcement Administration to include carrying out the provisions of this title (other than section 203).
United States · United States Congress · 25 October 2000
California Reclaimed Water Act for the 21st Century - Amend the Reclamation Wastewater and Groundwater Study and Facilities Act to authorize the Secretary of the Interior to: (1) coordinate projects for the reclamation and reuse of water under such Act with projects and programs under the CALFED Bay-Delta Program; and (2) take into account Federal expenditures for projects under such Act in making determinations under the CALFED Program relating to the equitable implementation of ecosystem restoration and water management. Requires project compliance with the National Environmental Policy Act of 1969. Authorizes the Secretary to: (1) participate in the design, planning, and construction of the Castaic Lake Water Agency reclaimed water project, the Clear Lake Basin water reuse project, the Inland Empire regional water recycling project, the San Pablo Baylands water reuse projects, the Lower Chino Area desalination demonstration and reclamation project, the West Basin Comprehensive Desalination Demonstration Program in Los Angeles County, and the City of Los Angeles Water Recycling Program (replaces existing provisions authorizing the Secretary's participation in the Los Angeles area water reclamation and reuse project); (2) provide design and construction assistance for the East Bay Municipal Utility District/Dublin San Ramon Services District advanced wastewater reuse treatment project; (3) provide assistance to California in carrying out projects under the California water recycling program; and (4) carry out programs to assist agencies in projects to construct regional brine lines in the San Francisco Bay and Santa Clara Valley areas and to export the salinity imported from the Colorado River to the Pacific Ocean. Directs the Secretary to carry out a program in cooperation with the Water Reuse Foundation to conduct research concerning water reuse in relation to public health, water quality, new technology, salt management, economics, and ecosystem restoration. Adds a separate Federal cost share limitation with respect to the San Gabriel Basin demonstration project.
United States · United States Congress · 25 October 2000
District of Columbia Appropriations Act, 2001 - Makes appropriations for the District of Columbia for FY 2001, including amounts for the Federal payments: (1) for District of Columbia Resident Tuition Support; (2) for incentives for adoption of children; (3) for the commercial revitalization program; (4) to the District of Columbia Public Schools; (5) for the Metropolitan Police Department; (6) to Covenant House Washington for a new community service center for homeless, runaway and at-risk youth; (7) to the District of Columbia Corrections Trustee Operations; (8) to the District of Columbia Courts; (9) to the Defender Services in District of Columbia Courts; (10) to the Court Services and Offender Supervision Agency for the District of Columbia (including transfer of funds); (11) to the Washington Interfaith Network for costs incurred in carrying out preconstruction activities at the former Fort Dupont Dwellings and Additions; (12) for a study and development of a plan to simplify the District government employee compensation system; (13) for construction of a Metrorail station to be located at New York and Florida Avenues, Northeast; (14) for Brownfield Remediation at Poplar Point; (15) to reimburse the District for expenses incurred in connection with presidential inauguration activities; (16) to the Children's National Medical Center; (17) to the Child Advocacy Center; (18) to the St. Coletta of Greater Washington, Inc. expansion project; and (19) to the District of Columbia Special Olympics. Appropriates specified sums out of the District's general fund (and other funds, in some cases) for the current fiscal year for: (1) operating expenses (with certain limits); (2) the District of Columbia Financial Responsibility and Management Assistance Authority (Authority); (3) governmental direction and support; (4) economic development and regulation; (5) public safety and justice; (6) the public education system; (7) human support services; (8) public works; (9) receivership programs; (10) replacement of funds expended during FY 2000 from the Reserve established by the District of Columbia Financial Responsibility and Management Assistance Act of 1995; and (11) the emergency reserve fund established under the District of Columbia Home Rule Act by this Act. Provides funds for the purpose of restructuring the delivery of health services in the District of Columbia, provided the restructuring plan reduces personnel levels of D.C. General Hospital and of the Public Benefit Corporation (PBC) consistent with the reduction set forth in the August 25, 2000, PBC Board of Directors resolution. Appropriates funds for: (1) repayment of loans and interest; (2) repayment of general fund recovery debt; (3) payment of interest on short-term borrowing; (4) reimbursement for necessary expenses incurred in connection with presidential inauguration activities; (5) lease payments in accordance with the Certificates of Participation involving the land site underlying the building located at One Judiciary Square; (6) expenses associated with the John A. Wilson Building; (7) optical and dental insurance payments; (8) management supervisory service; (9) the implementation of a Cafeteria Plan; (10) the Water and Sewer Authority and the Washington Aqueduct; (11) the Lottery and Charitable Games Enterprise Fund; (12) the Sports and Entertainment Commission; (13) the District of Columbia Health and Hospitals Public Benefit Corporation; (14) the District of Columbia Retirement Board; (15) the Correctional Industries Fund; (16) the Washington Convention Center Enterprise Fund; and (17) capital outlay (including rescissions). Transfers specified funds to the Tobacco Settlement Trust Fund to be spent pursuant to local law. Requires the Mayor and District Council to make reductions of specified amounts for operational improvements savings and for management reform savings in local funds to one or more of the appropriation headings in this Act. Sets forth authorizations as well as limitations and prohibitions on the uses of appropriations under this Act, and directives to the Mayor, the Council, and the Board of Education identical with or similar to those in the District of Columbia Appropriations Act, 2000. (Sec. 104) Requires the Mayor to maintain an index of all employment personal services and consulting contracts (except collective bargaining agreements or related contracts) in effect on behalf of the District government, including severance clause information. (Sec. 129) Amends the District of Columbia School Reform Act to modify contracting requirements for public charter schools with respect to: (1) specify exceptions to the notice requirements for procurement contracts; and (2) submission of contracts to the eligible chartering authority. Provides that no provision of any law regarding the establishment, administration, or operation of District public charter schools shall apply if it duplicates or is inconsistent with such Act. Subjects a public charter school which offers a preschool or prekindergarten program to the same child care licensing requirements (if any) which apply to a District public school which offers such a program. Allows a public charter school to: (1) assign payments made to the school to a financial institution for use as collateral to secure a loan or for the repayment of a loan; (2) acquire goods and services through the General Services Administration (GSA) and participate in GSA programs in the same manner and to the extent as any District government entity; and (3) delegate to a nonprofit, District tax-exempt organization the school's authority to participate in such programs. (Sec. 123) Prohibits the expenditure of funds appropriated under this Act for abortions except where the mother's life would be endangered if the fetus were carried to term or in cases of rape or incest. (Sec. 124) Bars the use of funds made available by this Act to implement or enforce: (1) the District of Columbia Health Care Benefits Expansion Act of 1992 (also known as the District Domestic Partner Act); or (2) any system of registration of unmarried, cohabiting couples for purposes of extending them benefits on the same basis as such benefits are extended to legally married couples. (Sec. 126) Allows the Mayor to accept, obligate, and expend Federal, private, and other grants received by the District government that are not reflected in the amounts appropriated in this Act if the Chief Financial Officer reports to the Authority on detailed information regarding such grant, and the Authority approves such activity. Prohibits any obligation or expenditure from the general fund or other District government funds in anticipation of the approval or receipt of a Federal, private, or other grant not subject to this Act. (Sec. 129) Prohibits any D.C. government officer or employee from entering into a procurement agreement in excess of $2,500 on behalf of any D.C. government entity until the officer or employee has analyzed how procurement under D.C. government regulations and procedures would differ from procurement under the Federal supply schedule and other Government Services Administration regulations and procedures. (Sec. 131) Requires recipients of funds under this Act to comply with the Buy American Act. Expresses the sense of Congress that, to the greatest extent practicable, such funds should be used to purchase only American-made equipment and products. Declares a person ineligible to receive any contract made with funds provided under this Act if the person has been judicially determined to have intentionally affixed a "Made in America" label to a product that is not U.S.-made. (Sec. 134) Prohibits the use of funds contained in this Act to transfer or confine inmates classified above the medium security level, as defined by the Federal Bureau of Prisons classification instrument, to the Northeast Ohio Correctional Center located in Youngstown, Ohio. (Sec. 135) Amends Federal law to transfer from the Comptroller General of the United States to the District's Inspector General responsibility for the annual financial statement audit of the District's Highway Trust Fund. (Sec. 137) Prohibits the use of funds under this Act for any program of distributing sterile needles or syringes for the hypodermic injection of any illegal drug. (Sec. 140) Prohibits the use of funds under this Act 60 days after its enactment to pay the salary of any chief financial officer of any District government office who has not filed a certification with the Mayor and the Chief Financial Officer that the officer understands the duties and restrictions applicable, including any duty to prepare certain requested reports. (Sec. 141) Requires the proposed FY 2002 budget of the District government to specify potential adjustments that might become necessary in the event that the management savings achieved by the District during the year do not meet the level of management savings projected. (Sec. 142) Requires any document showing the budget for a District government office that contains specified general, nondescriptive labels categorizing activities to include descriptions of the types of activities covered and a detailed breakdown of the amount allocated for each one. (Sec. 143) Prohibits the use of funds under this Act to enact or carry out any law, rule, or regulation to legalize or otherwise reduce penalties associated with the possession, use, or distribution of any schedule I substance under the Controlled Substances Act or any tetrahydrocannabinols (THC) derivative. Provides that the Legalization of Marijuana for Medical Treatment Initiative of 1998, also known as Initiative 59, approved by the electors of the District on November 3, 1998, shall not take effect. (Sec. 144) Authorizes the D.C. Mayor to allocate the District's limitation amount of qualified zone academy bonds among qualified zone academies within the District. (Sec. 145) Amends the Balanced Budget Act of 1997 to treat the Trustee and employees of the Office of the Trustee and the Office of Adult Probation, the employees of the Office of Parole, and the employees of the Pretrial Services Agency as Federal employees solely for purposes relating to the Civil Service Retirement System, the Federal Employees Retirement System, life insurance, and health insurance. (Sec. 146) Expresses the sense of the Congress that the Authority should quickly complete the sale of the Franklin School property which has been vacant for over 20 years. (Sec. 147) Declares that: (1) nothing in this Act shall be construed to prevent the Council or Mayor from addressing the issue of the provision of contraceptive coverage by health insurance plans; but (2) it is the intent of Congress that any legislation enacted on such issue should include a "conscience clause" which provides exceptions for religious beliefs and moral convictions. (Sec. 148) Repeals the Medical Examiner chapter of the District of Columbia Code. Makes such repeal effective on the date on which legislation enacted by the Council to establish the Office of the Chief Medical Examiner in the executive branch of the District government takes effect. (Sec. 149) Requires the Superior Court of the District or the District of Columbia Court of Appeals to assign interest on a voucher submitted by a court-appointed attorney for payment if the voucher is not paid within 45 days of its submission. (Sec. 150) Makes it unlawful for any person to distribute any needle or syringe for the hypodermic injection of any illegal drug in any area of the District of Columbia within 1000 feet of a public or private elementary or secondary school (including a public charter school). Specifies sites deemed outside or inside such 1000-foot perimeter. (Sec. 151) Appropriates a Federal contribution to the D.C. Metropolitan Police Department upon enactment by the District of a specified law banning possession of tobacco products by individuals under age 18. (Sec. 152) Declares that nothing in this Act bars the District of Columbia Corporation Counsel from reviewing or commenting on briefs in private lawsuits, or from consulting with officials of the District government regarding such lawsuits. (Sec. 153) Declares that nothing in the Federal Grant and Cooperative Agreements Act of 1977 may be construed to prohibit the Administrator of the Environmental Protection Agency from negotiating and entering into cooperative agreements and grants which affect real property of the Federal Government in the District of Columbia, if the principal purpose of the agreement or grant is to provide comparable benefits for Federal and Non-Federal properties in the District of Columbia. (Sec. 154) Amends the District of Columbia Home Rule Act to direct the District of Columbia to conduct its financial management in accordance with a comprehensive financial management policy covering cash, debt, financial asset, emergency reserve management policies, and a policy for determining real property tax exemptions for the District of Columbia. Prescribes procedures for: (1) annual review of the comprehensive management policy by the Chief Financial Officer; and (2) development of the first such policy. (Sec. 155) Amends the District of Columbia Home Rule Act to outline the duties of the Chief Financial Officer in a non-control year or following the lapse of the District of Columbia Financial Responsibility and Management Assistance Authority. (Sec. 156) Declares that employees of the District of Columbia government will only receive overtime compensation for time worked in excess of 40 hours per week. (Sec. 157) Authorizes the Court Services and Offender Supervision Agency to continue to operate its ongoing drug-free workplace testing program during the period that its plan is being reviewed for approval by the Department of Health and Human Services. (Sec. 158) Requires the Mayor to report quarterly, beginning October 1, 2000, to specified congressional committees on the District's progress with respect to: (1) crime; (2) access to drug abuse treatment; (3) management of parolees and pre-trial violent offenders; (4) education; (5) improvement in basic District services, including rat control and abatement; (6) application for and management of Federal grants; and (7) indicators of child well-being. (Sec. 159) Amends the District of Columbia Home Rule Act to establish an interest-bearing emergency cash reserve fund into which the Mayor shall deposit an amount required to maintain a balance (by FY 2004, and incrementally until then) of at least four percent of the total budget appropriated for operating expenditures for the fiscal year which is derived from local funds. Requires full replenishment of the fund at the beginning of each fiscal year. Limits the use of the emergency reserve fund to unanticipated and non-recurring extraordinary needs of an emergency nature, including a natural disaster or calamity or unexpected obligations by Federal law. Prohibits use of such fund for: (1) District agency receiverships; (2) shortfalls in projected reductions in the District's proposed budgets; or (3) settlements and judgments by or against the District government. Establishes an interest- bearing contingency cash reserve fund into which the Mayor shall deposit an amount required to maintain a balance (by FY 2007, and incrementally during FY 2005 and 2006) of at least three percent of the total budget appropriated for operating expenditures for the fiscal year which is derived from local funds. Requires full replenishment of the fund at the beginning of each fiscal year. Limits the use of the fund to non-recurring or unforeseen needs arising during the fiscal year, including expenses associated with unforeseen weather or other natural disasters, unexpected obligations by Federal law or new public safety or health needs or requirements identified after the budget process has occurred, or opportunities to achieve cost savings. Allows use of the fund to cover revenue shortfalls experienced for cash receipts that are at least five percent below forecast for three consecutive months (based on a two-month rolling average). Prohibits use of such fund for shortfalls in projected reductions included in the District's proposed budgets. Conditions any use of the fund on the Chief Financial Officer's analysis of: (1) the availability of other sources of funding to carry out a particular allocation; and (2) the impact of such allocation on the balance and integrity of the fund itself. Amends the District of Columbia Financial Responsibility and Management Assistance Act of 1995 to repeal current requirements for a positive reserve fund balance. (Sec. 160) Amends the District of Columbia Home Rule Act to authorize the City Council to delegate to the District of Columbia Tobacco Settlement Financing Corporation the Council's authority to issue revenue bonds, notes, and other obligations used to finance capital projects which are secured by payments under the Master Tobacco Settlement Agreement. Waives the congressional review period for the Tobacco Settlement Financing Act of 2000. (Sec. 161) Amends the Student Loan Marketing Association Reorganization Act of 1996, as amended by the District of Columbia Appropriations Act, 2000, to provide a set aside of specified appropriations for a credit enhancement fund for grants to eligible nonprofit corporations and other specified entities for public charter schools in the District. (Sec. 162) Grants the D.C. Mayor exclusive authority to approve and execute leases of the Washington Marina and the Washington municipal fish wharf with the existing lessees for an initial term of 30 years and other terms and conditions the Mayor deems appropriate. (Sec. 163) Amends the National Capital Revitalization and Self-Government Improvement Act of 1997 to provide for transfer without consideration to Fairfax County, Virginia, of any property located south of Silverbrooke Road identified for educational uses in the County reuse plan. (Sec. 164) Amends the District of Columbia Procurement Practices Act of 1985 to allow the District's Inspector General to contract for the independent audit of the District's financial statements with an auditor who was a subcontractor to the independent auditor who audited the District's financial statements for the preceding fiscal year. (Sec. 165) Amends the National Capital Revitalization and Self-Government Improvement Act of 1997 to direct the Administrator of General Services to convey to Fairfax County, Virginia, fee simple title to the Laurel Hill Residential Land located at the Lorton Correctional Complex north of Silverbrooke Road, if by January 15, 2001, Fairfax County agrees to convey Meadowood Farm to the Secretary of the Interior. (Sec. 166) Amends the District of Columbia Appropriations Act, 2000 to authorize the Federal Highway Administration to conduct and perform specified 14th Street bridge work related to a project to complete design requirements for compliance with the National Environmental Policy Act for the construction of expanded lane capacity for the 14th Street Bridge.
United States · United States Congress · 24 October 2000
Foreign Operations, Export Financing, and Related Programs Appropriations Act, 2001 - Title I: Export and Investment Assistance - Makes appropriations for FY 2001 for: (1) direct loans, loan guarantees, tied-aid grants, insurance, and administrative expenses under Export-Import Bank programs; (2) Overseas Private Investment Corporation (OPIC) direct and guaranteed loans and credit and insurance programs, including administrative expenses; and (3) the Trade and Development Agency. Title II: Bilateral Economic Assistance - Makes appropriations for FY 2001 for: (1) expenses of the President in carrying out certain programs under the Foreign Assistance Act of 1961; (2) the Agency for International Development (AID) child survival and infectious disease programs, including basic education programs (earmarking amounts for child survival and maternal health, vulnerable children, HIV-AIDS, other infectious diseases, children's basic education, UNICEF, U.S. contributions to the Global Fund for Children's Vaccines and to an international HIV-AIDS fund, and the International AIDS Vaccine Initiative); (3) specified development assistance (allowing availability of limited amounts for the Inter-American Foundation and the African Development Foundation, agriculture and rural development programs (including plant biotechnology research and development), the International Fertilizer Development Center, AmeriCares for the construction, rehabilitation, and operation of community-based primary healthcare facilities in Nicaragua, Honduras, Guatemala, and El Salvador, the U.S. Telecommunications Training Institute, the American Schools and Hospitals Abroad program, and an international media training center); (4) specified projects aimed at reunification of Cyprus; (5) specified assistance for Lebanon for scholarships and direct support of the American educational institutions there; (6) democracy and humanitarian activities in Burma; (7) specified assistance for the preservation of habitats and related activities for endangered wildlife; (8) international disaster assistance; (9) international disaster rehabilitation and reconstruction assistance to support transition to democracy and to long-term development of countries in crisis (provided AID reports to the Committees on Appropriations at least five days before the beginning of such program assistance); (10) micro and small enterprise development programs; (11) direct loans and loan guarantees under the development credit authority program for development assistance to foreign countries (provided such funds are made available only for urban and environmental programs); (12) the Foreign Service Retirement and Disability Fund; (13) operating expenses of AID and the AID Office of Inspector General; (14) Economic Support Fund (ESF) assistance (earmarking amounts for Israel, Egypt, Jordan, East Timor, Indonesia, Mongolia, and the National Democratic Alliance of Sudan); (15) the International Fund for Ireland; (16) ESF assistance for Eastern Europe and the Baltic States (earmarking amounts for Kosova and Bosnia and Herzegovina, subject to specified conditions); (17) assistance for the Independent States of the former Soviet Union (earmarking amounts for the Southern Caucasus region, the Russian Far East, assistance to meet the health and other assistance needs of victims of trafficking in persons, Ukraine, Georgia, and child survival, environmental health, and to combat infectious diseases, subject to specified conditions); (18) the Peace Corps (but with a prohibition on the use of such funds for abortions); (19) international narcotics control and law enforcement; (20) migration and refugee assistance; (21) the Emergency Refugee and Migration Assistance Fund; (22) nonproliferation, anti-terrorism, demining, and related programs and activities (including U.S. contributions to the International Atomic Energy Agency (IAEA), subject to a specified condition, the Comprehensive Nuclear Test Ban Treaty Preparatory Commission, the Korean Peninsula Energy Development Organization (KEDO), subject to specified conditions, and the Nonproliferation and Disarmament Fund); (23) international affairs technical assistance activities of the Department of the Treasury; and (24) debt restructuring of concessional loans, guarantees, and credits made to least developed countries. Bars the use of development assistance funds for: (1) coercive abortions or involuntary sterilizations (but allowing them for voluntary family planning projects in developing nations that meet specified requirements; and (2) U.S. private and voluntary organizations which obtain less than 20 percent of annual funding from sources other than the U.S. Government. Withholds 60 percent of funds appropriated to the Government of the Russian Federation until the President certifies to the Committees on Appropriations it has met certain conditions. Title III: Military Assistance - Makes appropriations for FY 2001 for: (1) expanded international military education and training (IMET) to Indonesia and Guatemala (subject to a specified condition); (2) foreign military financing grants (earmarking amounts for Israel, Egypt, Jordan, Malta, Tunisia, and Georgia (including drawdowns of defense articles and services)); and (3) international peacekeeping operations (subject to a specified condition). Prohibits foreign military financing for Sudan, Liberia, and Guatemala. Title IV: Multilateral Economic Assistance - Makes appropriations for FY 2001 for the U.S. contribution to: (1) the Global Environment Facility of the International Bank for reconstruction and Development (World Bank); (2) the International Development Association (IDA) (providing that in negotiating U.S. participation in the next replenishment of the IDA that the Secretary of the Treasury accord high priority to providing it with the policy flexibility to provide new grant assistance to countries eligible for debt reduction under the enhanced Heavily Indebted Poor Country (HIPC) Initiative); (3) the Multilateral Investment Guarantee Agency; (4) the Inter-American Investment Corporation; (5) the Enterprise for the Americas Multilateral Investment Fund; (6) the Asian Development Fund; (7) the African Development Bank; (8) the African Development Fund; (9) the European Bank for Reconstruction and Development; and (10) the International Fund for Agricultural Development. Makes appropriations for FY 2001 for international organizations. Earmarks a specified amount for the World Food Program. Prohibits the use of funds for the United Nations Fund for Science and Technology, KEDO, or the IAEA. Title V: General Provisions - Sets forth limits on the use of appropriations, including that no more than 15 percent of such appropriations shall be obligated during the last month of availability. (Sec. 502) Prohibits: (1) the use of funds for bilateral funding of international financial institutions; and (2) the transfer of such funds by AID directly to such an institution for the purpose of repaying a foreign country's loan obligations to it. (Sec. 503) Sets forth limits on the use of appropriations, including no more than specified maximums for official residence expenses, entertainment expenses, and representation allowances for AID, and for entertainment and representation allowances for the Inter-American Foundation and the Trade and Development Agency. Limits the use of funds for entertainment expenses of the Peace Corps, and of entertainment and representation allowances under the Foreign Military Financing Program. (Sec. 506) Prohibits the use of funds for: (1) the export of nuclear equipment, fuel, or technology (except for nuclear safety purposes); (2) direct assistance or reparations to Cuba, Iraq, Libya, North Korea, Iran, Sudan, or Syria; (3) assistance to any country whose duly elected head of government is deposed by military coup or decree; (4) certain transfers between appropriations accounts without prior presidential consultation with Congress; (5) assistance to any country in default in excess of a year on payments on a U.S. loan (except for any narcotics-related assistance for Colombia, Bolivia, or Peru); and (6) assistance (except in certain circumstances) for production of any commodity for export by a foreign country, if the commodity is likely to be in surplus on world markets when the resulting productive capacity is expected to become operative, and if the assistance will cause substantial injury to U.S. producers of a similar commodity. (Sec. 514) Directs the Secretary of the Treasury to instruct the U.S. Executive Directors of specified international financial institutions to oppose any assistance for the production or extraction of any commodity or mineral for export if it is in surplus on world markets and such assistance will cause substantial injury to U.S. producers of a similar commodity. (Sec. 516) Declares that funds appropriated for foreign operations, export financial, and related programs, that are returned or not made available for international organizations and programs, shall remain available for obligation through FY 2002. (Sec. 517) Prohibits the availability of assistance for the Independent States of the former Soviet Union to a Government of such an Independent State, unless such Government is making progress in implementing comprehensive economic reforms based on market principles, private ownership, respect for commercial contracts, and equitable treatment of foreign private investment. Prohibits the availability of assistance also: (1) if such a Government applies or transfers U.S. assistance to any entity for the purpose of expropriating or seizing ownership of assets, investments, or ventures (unless the President determines such assistance is in the national interest); (2) if such Government directs any action in violation of the territorial integrity or national sovereignty of any other Independent State such as those violations included in the Helsinki Final Act; or (3) to enhance its military capability (except for demilitarization, demining, or nonproliferation programs). (Sec. 518) Prohibits the use of development assistance funds for abortions or involuntary sterilizations as methods of family planning or to motivate or coerce any person to practice abortions, or provide financial incentive to undergo sterilization. (Sec. 519) Limits to no more than five percent the amount of export financing funds (other than for administrative expenses) that can be transferred from one appropriation to another, with no appropriation being increased by more than 25 percent by such transfer. (Sec. 520) Prohibits the use of funds for Colombia, Haiti, Liberia, Serbia, Sudan, Ethiopia, Eritrea, Zimbabwe, Pakistan, or the Democratic Republic of Congo, except through the regular notification procedures of the Committees on Appropriations. (Sec. 522) Makes funds available to AID for child survival, basic education, infectious disease activities and Acquired Immune Deficiency Syndrome (AIDS) research and control in developing countries. (Sec. 523) Bars funding for indirect assistance or reparations to Cuba, Iraq, Libya, Iran, Syria, North Korea, or China unless the President certifies that the withholding of such funds is contrary to the U.S. national security interest. (Sec. 524) Requires the Department of Defense (DOD) to notify the Committees on Appropriations before providing excess DOD articles to certain NATO and major non-NATO countries. (Sec. 526) Authorizes the availability of ESF funds to provide general support and grants for nongovernment organizations located outside China that have as their primary purpose fostering democracy and rule of law in that country (including earmarking amounts to such organizations to support activities which preserve cultural traditions and promote sustainable development and environmental conservation in Tibetan communities). Earmarks ESF funds to the Jamestown Foundation (currently the Robert F. Kennedy Memorial Center for Human Rights) for a project to disseminate information and support research about China, and related activities. (Sec. 527) Prohibits bilateral assistance funds to any country which the President determines grants sanctuary from prosecution to any individual or group which has committed an act of international terrorism or otherwise supports such activities. Authorizes the waiver of this prohibition by the President for national security and humanitarian reasons, requiring notification to the Committees on Appropriations. (Sec. 528) Directs the Secretary of State to report quarterly to the Committees on Appropriations on the use of supplemental appropriations for ESF assistance and military asistance to certain countries. (Sec. 529) Requires all AID contracts and subcontracts to include a clause requiring that U.S. insurance companies have a fair opportunity to bid for insurance when insurance is necessary or appropriate. (Sec. 530) Directs the Secretary of State to determine, and report periodically to the Committees on Appropriations, whether Peru has made substantial progress in creating the conditions for free and fair elections, and in respecting human rights, the rule of law, the independence and constitutional role of the judiciary and national congress, and freedom of expression and independent media. Prohibits the use of funds for assistance to Peru unless the Secretary determines that it has made substantial progress with respect to such goals. Earmarks amounts to support the work of nongovernmental organizations and the Organization of American States in promoting free and fair elections, democratic institutions, and human rights in Peru. (Sec. 531) Authorizes nongovernmental organizations which are AID grantees or contractors to place funds made available to them under this Act in interest bearing accounts in order to enhance their participation in economic activities under the Foreign Assistance Act of 1961, including endowments and debt-for-development and debt-for-nature exchanges. (Sec. 532) Directs the Administrator of AID to require foreign countries that receive foreign assistance which results in the generation of local currencies to deposit such currencies in a separate account to be used to finance foreign assistance activities. (Sec. 533) Prohibits payments to any international financial institution while the U.S. Executive Director to the institution is compensated at a rate in excess of that for Level IV of the Executive Schedule. (Sec. 534) Bars assistance to any country that is not in compliance with the United Nations (UN) sanctions against Iraq, unless the President certifies to Congress that such assistance: (1) is in the U.S. national interest; (2) will directly benefit the needy people in that country; or (3) will be humanitarian assistance for foreign nationals who have fled Iraq and Kuwait. (Sec. 535) Declares that provisions under this or any other Act authorizing appropriations for foreign operations or export financing shall not be construed to prohibit activities authorized by the Peace Corps Act, the Inter-American Foundation Act, or the African Development Foundation Act. Requires an agency to report to the Committees on Appropriations whenever it is conducting or proposing activities in a country for which such assistance is prohibited. (Sec. 536) Prohibits the use of funds to provide: (1) any financial incentive to a business for purposes of inducing it to relocate outside the United States if it will reduce the number of employees in the United States; (2) assistance for establishing or developing in a foreign country an export processing zone or other designated area in which a country's tax, tariff, labor, environment, and safety laws do not apply to activities in the area, unless the President certifies that such assistance is not likely to cause a loss of U.S. jobs; or (3) assistance for any project that contributes to the violation of internationally recognized workers rights in the recipient country. (Sec. 537) Urges the export of U.S. clean coal technology. (Sec. 538) Declares that funds appropriated under this Act for Afghanistan, Lebanon, Montenegro, and for victims of war, displaced children, and displaced Burmese may be made available notwithstanding any other provision of law. Prohibits the use of funds made available to Cambodia for military or paramilitary purposes. Authorizes the use of foreign assistance funds to support tropical forestry and biodiversity conservation programs, and subject to the regular notification procedures of the Committees on Appropriations, energy programs aimed at reducing greenhouse gas emissions. Authorizes the use of foreign assistance funds by AID to employ up to 25 personal services contractors in the United States for the purpose of providing direct, interim support for new or expanded overseas programs and activities managed by it until permanent direct hire personnel are hired and trained. Authorizes the President to waive certain prohibitions with respect to the Palestine Liberation Organization (PLO) if the President determines and certifies to Congress that it is in the national interest. (Sec. 539) Expresses the sense of Congress with respect to: (1) immediate public renunciation by the Arab League countries of the boycott of Israel (reinstated in 1997) and of American firms having commercial ties with Israel; (2) normalization of relations with Israel by such Arab countries; and (3) steps the President should take to encourage such renunciation. (Sec. 540) Authorizes the use of ESF funds to strengthen the administration of justice in countries in Latin America, the Caribbean, and in other regions. (Sec. 541) Declares that the restrictions on assistance to foreign countries contained in this Act or any other Act (except those relating to international terrorism or human rights violations) shall not be construed to restrict assistance: (1) in support of certain programs of nongovernmental organizations; or (2) under specified provisions of the Agricultural Trade Development and Assistance Act of 1954. (Sec. 542) Authorizes the reprogramming of earmarked appropriations for other programs within the same account, provided certain requirements are met. (Sec. 544) Prohibits the use of funds for publicity or propaganda purposes within the United States that were not authorized before the enactment of this Act. Earmarks specified amounts to private and voluntary organizations to deal with world hunger abroad. (Sec. 545) Declares that assistance under this Act should make full use of American resources, including commodities, products, and services, to the maximum extent possible. Declares the sense of Congress that, to the greatest extent practicable, all agricultural commodities, equipment, and products purchased with funds made available in this Act should be American-made. Requires Federal agency heads, in providing financial assistance to or entering into any contract with any entity using funds made available in this Act, to notify such entity of this intention. Directs the Secretary of the Treasury to report annually on the efforts of such agency heads and the U.S. directors of international financial institutions in complying with such requirements. (Sec. 546) Prohibits the use of funds to pay any assessments, arrearages, or dues of any UN member (including costs for attendance of another country's delegation at international conferences). (Sec. 548) Prohibits the provision of funds to a private voluntary organization that fails to provide any document, file, or record necessary to the auditing requirements of AID. (Sec. 549) Prohibits the provision of funds to any foreign government that provides lethal military equipment to a country that the Secretary of State has determined has a terrorist government, unless the President determines that the furnishing of such assistance is in the U.S. national interest. (Sec. 550) Withholds assistance from a foreign country in an amount equal to 110 percent of the total unpaid parking fines and penalties owed by the country to the District of Columbia. (Sec. 551) Prohibits the obligation of any appropriations for the PLO for the West Bank and Gaza unless the President has exercised certain authorities to suspend prohibitions on assistance to the PLO. (Sec. 552) Permits the President to provide up to a specified amount of commodities and services to the UN War Crimes Tribunal if doing so will contribute to a just resolution of charges regarding genocide or other violations of international law in the former Yugoslavia. (Sec. 553) Authorizes disposal on a grant basis in foreign countries of demining equipment used in support of the clearance of land mines and unexploded ordnance for humanitarian purposes. (Sec. 554) Prohibits the obligation of appropriations to create in Jerusalem a new U.S. agency office for the purpose of conducting U.S. business with the Palestinian Authority over Gaza and Jericho (or any successor Palestinian governing entity) provided for in the Israel-PLO Declaration of Principles. (Sec. 555) Prohibits the obligation of certain funds appropriated for Informational Program activities to pay for: (1) alcoholic beverages; or (2) entertainment expenses for recreational activities. (Sec. 556) Authorizes the President to reduce amounts owed to the United States by eligible countries as a result of: (1) housing guarantees made pursuant to the Foreign Assistance Act of 1961; (2) credits extended or guarantees issued under the Arms Export Control Act; or (3) any obligation to pay for purchases of U.S. agricultural commodities guaranteed by the Commodity Credit Corporation. Permits the exercise of such authority only: (1) to implement multilateral official debt relief and referendum agreements known as the Paris Club Agreed Minutes; and (2) with respect to countries with heavy debt burdens that are eligible to borrow from the IDA (but not from the World Bank) (IDA-only countries). Prescribes additional conditions for the exercise of such authority. (Sec. 558) Bars funds appropriated by this Act or any previous appropriations Act for foreign operations, export financing, and related programs to be made available for assistance for the Government of Haiti until: (1) the Secretary of State reports to the Committees on Appropriations that Haiti has held free and fair elections to seat a new parliament; and (2) the Director of the Office of National Drug Control Policy reports to the Committees on Appropriations that such Government is fully cooperating with the U.S. efforts to interdict illicit drug traffic through it to the United States. Earmarks a specified percentage of funds appropriated under this Act for bilateral assistance to Latin America and the Caribbean region. (Sec. 559) Requires a specified annual report of the Secretary of State containing the voting record of each foreign member country of the UN to include a side-by-side comparison of each country's overall support for the United States at the UN and the amount of U.S. assistance provided to it in FY 2000. (Sec. 560) Prohibits the United States from paying any voluntary contribution to the UN, including the UN Development Program, unless the President certifies to Congress 15 days in advance of such payment that the UN is not engaged in any effort to implement or impose any taxation on U.S. persons in order to raise revenue for itself or any of its specialized agencies. (Sec. 561) Makes the Government of Haiti eligible to purchase U.S. defense articles and services for its Coast Guard. (Sec. 562) Prohibits the obligation of any appropriations for the PLO unless the President certifies to Congress that it is in the U.S. national security interests. (Sec. 563) Prohibits the use of funds for the security forces of a foreign country if the Secretary of State believes they have committed gross violations of human rights, unless the Secretary reports to the Committees on Appropriations that such country is taking steps to bring the responsible persons to justice. (Sec. 564) Provides for bilateral and multilateral assistance sanctions (with humanitarian, democratization, and certain infrastructure project exceptions) against countries harboring war criminals indicted with respect to the former Yugoslavia. Prohibits the provision of bilateral assistance for programs in which publicly indicted war criminals are known to have any financial interest or communities that are not in compliance with specified sections of the Dayton Agreement relating to war crimes and the Tribunal. Requires the Secretary of State to report to the appropriate congressional committees on the location, if known, of publicly indicted war criminals, on country, entity and municipality authorities known to have obstructed the work of the Tribunal, and on sanctioned countries, entities, and municipalities. (Sec. 565) Prohibits the use of funds for the Government of the Russian Federation unless the President certifies to specified congressional committees that the Federation has not enacted laws or promulgated executive orders that discriminate against religious minorities in violation of international agreements on human rights and religious freedoms to which it is a party. (Sec. 566) Subjects the availability of funds in this Act to support programs or activities promoting country participation in the Kyoto Protocol to the Framework Convention on Climate Change (FCCC) to the regular notification procedures of the Committees on Appropriations. (Sec. 567) Bars funds to the Central Government of the Democratic Republic of Congo. (Sec. 568) Earmarks specified foreign assistance funds for Israel, Egypt, Jordan, Lebanon, the West Bank and Gaza, the Israel-Lebanon Monitoring Group, the Multinational Force and Observers, the Middle East Regional Democracy Fund, Middle East Regional Cooperation, and Middle East Multilateral Working Groups. (Sec. 569) Requires the President to submit to specified congressional committees a plan for the distribution of assets of an Enterprise Fund before any distribution resulting from liquidation, dissolution, or winding up of the Fund. (Sec. 570) Directs the Secretary of the Treasury to instruct the U.S. executive directors of international financial institutions to oppose loans to Cambodia (except loans to support basic human needs). Prohibits the availability of funds under this Act for assistance for the Government of Cambodia. (Sec. 571) Directs the Secretaries of Defense and of State to report jointly to Congress on all overseas military training provided to, and proposed to be provided to, foreign military personnel under programs administered by the Defense and State Departments during FY 2000 and 2001. (Sec. 572) Earmarks specified funds for KEDO for administrative expenses and heavy fuel oil costs associated with the Agreed Framework (Joint Declaration on Denuclearization of the Korean Peninsula). Earmarks other amounts to KEDO if the President certifies to Congress that North Korea is complying with the provisions of the Agreed Framework. (Sec. 573) Authorizes investment of funds made available to grantees of the African Development Foundation pending expenditure for project purposes when authorized by the President of the Foundation. (Sec. 574) Bars the use of funds appropriated under this Act to provide equipment, technical support, consulting services, or any other assistance to the Palestinian Broadcasting Corporation. (Sec. 575) Earmarks specified amounts of ESF funds for programs benefitting the Iraqi people, including for food, medicine, and other humanitarian assistance, and for a political transition in Iraq, Iraqi opposition groups for political, economic, humanitarian, and other activities, and for groups and activities seeking the prosecution of Saddam Hussein and other Iraqi government officials for war crimes. Bars the use of such funds for administrative expenses of the State Department. (Sec. 576) Directs AID to submit an annual budget justification consistent with certain requirements of this Act to the Committees on Appropriations. (Sec. 577) Prohibits the use of funds appropriated under this Act to propose or issue rules, regulations, decrees, or orders for implementation, or in preparation for implementation, of the Kyoto Protocol to the United States Framework Convention on Climate Change, which has not been submitted to the Senate for advice and consent to ratification pursuant to the U.S. Constitution, and which has not entered into force. (Sec. 578) Directs the Secretary of State, 30 days prior to the initial obligation of ESF funds for the bilateral West Bank and Gaza Program, to certify to the appropriate congressional committees that procedures have been established to assure that the Comptroller General will have access to appropriate U.S. financial information in order to review the uses of such funds for the Program. (Sec. 579) Makes foreign military financing program funds available for Indonesia if the President determines and reports to the appropriate congressional committees that the Indonesian government and the Indonesian armed forces are taking specified actions to: (1) bring to justice, and cooperate with investigations and prosecutions of, members of the armed forces and militia groups with respect to human rights violations in Indonesia and East Timor; (2) allow safe passage for refugees returning home to East Timor from West Timor; and (3) not impede the UN Transitional Authority in East Timor. (Sec. 580) Bars the use of appropriated funds under this Act for the UN Man and the Biosphere Program or the UN World Heritage Fund for programs in the United States. (Sec. 581) Directs the President, not less than 30 days prior to the next round of arms talks between the United States and Taiwan, to consult with appropriate congressional leaders and committee chairmen and ranking members regarding: (1) Taiwan's requests for purchase of defense articles and defense services during the pending round of arms talks; (2) the Administration's assessment of the legitimate defense needs of Taiwan; and (3) the decision-making process used by the Executive branch to consider such requests. (Sec. 582) Urges funds appropriated by this Act for U.S. assistance for Eastern Europe and the Baltic States to the maximum extent practicable to be used for the procurement of articles and services of U.S. origin. (Sec. 583) Bars the use of funds appropriated by this Act for assistance for the government of any country that has been determined to have: (1) provided lethal or non-lethal military support or equipment, directly or through intermediaries, within the previous six months to the Sierra Leone Revolutionary United Front (RUF), or any other group intent on destabilizing the democratically elected government of the Republic of Sierra Leone; or (2) aided or abetted, within the previous six months, in the illicit distribution, transportation, or sale of diamonds mined in Sierra Leone. (Sec. 584) Amends the Foreign Operations, Export Financing, and Related Programs Appropriations Act, 2000 to authorize voluntary separation incentive payments to AID employees who voluntarily separate (whether by retirement or resignation) on or before December 31, 2001, to eliminate AID positions and functions contained in a mandatory strategic plan outlining such payments. (Sec. 585) Earmarks a specified amount of international organizations and program funds for the UN Population Fund (UNFPA) (except for any country program in China). Conditions the availability of such funds to UNFPA on specified requirements, including that it does not fund abortions. (Sec. 586) Makes any national of Vietnam, Cambodia, or Laos who was paroled into the United States before October 1, 1997, eligible for adjustment of status. (Sec. 587) Requires information relevant to the December 2, 1980, murders of four American churchwomen in El Salvador to be made public to the fullest extent possible. (Sec. 588) Directs the Secretary of the Treasury to withhold ten percent of the U.S. payment to any international financial institution until the Secretary certifies that such institution has implemented certain procurement and financial management reforms. (Sec. 589) Authorizes the commercial leasing of defense articles (instead of government-to-government sale) to Israel, Egypt, NATO, and major non-NATO allies if the President determines that there are compelling foreign policy or national security reasons. (Sec. 591) Amends the Foreign Operations, Export Financing, and Related Programs Appropriations Act, 2000 to abolish the Inter-American Foundation in 2001. (Sec. 593) Extends the authorities of the General Accounting Office until all available funds appropriated under the 1999 Emergency Supplemental Appropriations Act are expended. (Sec. 594) Earmarks funds made available under this Act for Serbia, subject to specified conditions. (Sec. 595) Declares that the provisions of S. 3140 relating to the transfer of administrative jurisdiction over land of the Tennessee Valley Authority within the Daniel Boone National Forest to the Secretary of Agriculture are hereby enacted into law. (Sec. 596) Directs the Secretary of the Treasury to instruct the U.S. Executive Directors at specified international financial institutions to oppose any loan of such institutions that would require user fees or service charges on poor people for primary education or primary health care, including prevention and treatment efforts for HIV-AIDS, malaria, tuberculosis, and infant, child, and maternal well-being, in connection with the institutions' lending programs. (Sec. 597) Makes certain foreign assistance funds available for basic education programs for Pakistan. (Sec. 598) Earmarks a certain amount of bilateral economic assistance funds for population planning activities or other population assistance. Title VI: Emergency Supplemental Appropriation - Authorizes emergency supplemental appropriations for FY 2001 to the President for: (1) the AID for international disaster assistance for rehabilitation and reconstruction assistance for Mozambique, Madagascar, and southern Africa; (2) operating expenses of AID; (3) bilateral economic assistance for Eastern Europe and the Baltic States (earmarking amounts only for Montenegro, Croatia, and Serbia); (4) IMET and foreign military financing for grants to countries of the Balkans and southeast Europe; and (5) the Department of the Treasury for a contribution to the HIPC Trust Fund of the World Bank. (Sec. 601) Declares that amounts appropriated under this title or under any other provision of law for FY 2001 that are in addition to funds made available under title II of this Act shall be deemed to have been appropriated under such title and are subject to all limitations and restrictions contained in this Act. Title VII: Debt Reduction - Makes additional funds available for FY 2001 for the Bureau of the Public Debt for reduction of the public debt. Title VIII: International Debt Forgiveness and International Financial Institutions Reform - Amends the Bretton Woods Agreement Act to authorize appropriations for FY 2001 though 2003 for U.S. contributions to the HIPC Trust Fund of the World Bank. (Sec. 802) Directs the Secretary of the Treasury to instruct the U.S. Executive Director of each multilateral development bank to exert U.S. influence to strengthen each bank's procedures and management controls to ensure that funds disbursed by it to borrowing countries are used as intended and in a manner that complies with the conditions of the bank's loan to such country. (Sec. 803) Directs the Comptroller General to report annually to the appropriate congressional committees on the sufficiency of audits of the financial operations of each multilateral development bank conducted by persons or entities outside of such bank. (Sec. 804) Amends the Foreign Assistance Act of 1961 to repeal the President's discretionary authority to transfer certain funds to certain international financial institutions for the purpose of bilateral funding. (Sec. 805) Amends the Bretton Woods Agreement Act to declare that it is the policy of the United States to work to implement specified lending reforms in the International Monetary Fund.
United States · United States Congress · 19 October 2000
School-Based Health Centers Technical Assistance Act of 2000 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to carry out a demonstration program to provide technical assistance to assist school-based health centers operated by nonprofit private entities in developing and operating comprehensive computerized systems to maintain the following data on patient populations: (1) medical data; (2) demographic data; and (3) data that will assist the centers in billing for services provided to patients, including obtaining reimbursement from third party health insurance plans, policies, or programs. Authorizes appropriations.
United States · United States Congress · 19 October 2000
Medicare Drug Uniform Coverage Act of 2000 - Amends title XVIII (Medicare) of the Social Security Act to include as covered services and supplies any drugs and biologicals which are not usually self-administered by intravenous infusion or subcutaneous injection by the patient (currently, drugs and biologicals which cannot, as determined in accordance with regulations, be self-administered).
United States · United States Congress · 19 October 2000
Amends civil service provisions to prohibit: (1) taking or failing to take any personnel action with respect to an employee or applicant because of a disclosure of information that such person believes evidences a violation of law, gross mismanagement, abuse of authority, or a danger to public health or safety (current law), without restriction as to the time, place, form, motive, or context of such disclosure, and including a disclosure made in the ordinary course of an employee's duties; and (2) the implementation or enforcement of nondisclosure policies, forms, and agreements that do not contain the statement that such nondisclosure policies do not supersede, conflict with, or otherwise alter Federal employee obligations, rights, or liabilities. Permits representation by attorneys for the Office of the Special Counsel in civil actions brought in connection with such disclosures of information or provisions relating to political activities. Allows the Special Counsel to obtain judicial review of any final order or decision of the Merit Systems Protection Board with respect to a case concerning such a disclosure or provision.
United States · United States Congress · 18 October 2000
Women's Health Research Career Enhancement Act of 2000 - Amends the Public Health Service Act to authorize appropriations for FY 2001 through 2006 to enable the: (1) Director of the Office of Research on Women's Health to carry out the Building Interdisciplinary Research Careers in Women's Health Program, which supports the career development of scientists who are commencing basic, translational, clinical, behavioral, or health services research relevant to women's health in an interdisciplinary scientific setting; and (2) Director of the National Institute of Child Health and Human Development to fund Women's Reproductive Health Research Career Development Centers.
United States · United States Congress · 18 October 2000
Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001- Makes appropriations for FY 2001 for the Departments of Veterans Affairs and Housing and Urban Development and for sundry independent agencies. Title I: Department of Veterans Affairs - Makes appropriations for the Department of Veterans Affairs for: (1) veterans' compensation, pensions, and readjustment benefits; (2) veterans' insurance and indemnities; (3) veterans' housing, education, and vocational rehabilitation loan accounts; (4) veterans' medical care; (5) medical and prosthetic research; (6) medical administration; (7) departmental administration; (8) the National Cemetery Administration; (9) the Office of Inspector General; (10) construction; (11) the parking revolving fund; and (12) grants to States for construction of extended care facilities and cemeteries. Sets forth authorized uses of, and limitations on, funds made available under this title. (Sec. 114) Prohibits the obligation of funds appropriated for medical care for the Department of Veterans Affairs for the realignment of the health care delivery system in Veterans Integrated Service Network 12 until the Secretary of Veterans Affairs makes a specified certification regarding impacts on the accessibility of veterans health care services to affected veterans. Title II: Department of Housing and Urban Development - Makes appropriations for the Department of Housing and Urban Development (HUD) for: (1) public and Indian housing; (2) the Public Housing Capital and Operating Funds; (3) drug elimination grants for low-income housing; (4) revitalization of severely distressed public housing; (5) Native American housing block grants; (6) Indian housing loan guarantees; (7) housing opportunities for persons with AIDS; (8) the Office of Rural Housing and Economic Development; (9) empowerment zones and enterprise communities; (10) the community development fund; (11) brownfields redevelopment; (12) the HOME investment partnerships program; (13) homeless assistance grants; (14) Shelter Plus Care program renewals; (15) housing for special populations; (16) the Federal Housing Administration (FHA); (17) the Government National Mortgage Association; (18) housing policy development and research; (19) fair housing activities; (20) the Lead Hazard Reduction Program; (21) management and administration; (22) the Office of Inspector General; and (23) carrying out the Federal Housing Enterprise Financial Safety and Soundness Act of 1992. Sets forth authorized uses of, and limitations on, funds made available under this title. (Sec. 203) Requires the Secretary of HUD, from amounts made available under this title for FY 2001 for housing opportunities for persons with AIDS, to make a grant for any State that: (1) received an allocation in a prior fiscal year due to having a specified number of AIDS cases outside of a metropolitan statistical area (MSA) with a population exceeding 500,000; and (2) is not otherwise eligible for a FY 2001 allocation because the areas outside the MSAs that qualify for funding in FY 2001 do not have the number of AIDS cases required. (Sec. 206) Bars the use of funds appropriated by any Act by the Secretary of HUD to prohibit any entity that is responsible for convening and managing a continuum of care process in a community for purposes of the Stewart B. McKinney Homeless Assistance Act from participating in such capacity unless the Secretary has published in the Federal Register a description of all circumstances that would be grounds for, and the procedures for, such prohibition. (Sec. 207) Requires any grant or assistance made pursuant to this title to be made in accordance with HUD accountability provisions of the Department of Housing and Urban Development Reform Act of 1989 on a competitive basis. (Sec. 210) Amends the Native American Housing Assistance and Self-Determination Act of 1996 to make housing assistance under such Act available for law enforcement officers on reservations or in other Indian areas if the presence of such officers may deter crime. (Sec. 211) Prohibits the use of funds appropriated in any Act by the Secretary of HUD to provide any assistance to benefit a facility which sells predominantly cigarettes or other tobacco products (such sales representing more than 35 percent of the annual, total in-store, non-fuel sales). (Sec. 212) Bars the use of funds to implement the June 2000 agreement between the Commonwealth of Puerto Rico, the Puerto Rico Public Housing Administration, and HUD related to the allocation of operating subsidies for such Housing Administration unless the Housing Administration and HUD submit by December 31, 2000, a schedule of benchmarks and measurable goals to the Appropriations Committees designed to address issues of mismanagement and safeguards against fraud and abuse. (Sec. 214) Amends the United States Housing Act of 1937 to provide for onsite computer access and training resources for public housing residents. Authorizes computer centers in and around public housing, through a Neighborhood Networks initiative and related activities, to be established, operated, and assisted by the use of: (1) public housing capital and operating funds, and certain technical assistance; and (2) demolition, site revitalization, replacement housing, and tenant-based assistance grants for projects. (Sec. 215) Considers the properties known as the Hawthornes in Independence, Missouri, as eligible multifamily housing for purposes of participating in a specified multifamily housing restructuring program. (Sec. 216) Amends the National Housing Act to extend through FY 2001 the authority for all project owners to retain excess income under the rental and cooperative housing program. (Sec. 217) Amends the Housing and Community Development Act of 1974 to modify the definition of "urban county" for purposes of the community development block grant program and to authorize an urban county that was so classified for FY 1999, at its option, to remain classified as such for purposes of such Act. (Sec. 218) Exempts public housing agencies in Alaska and Mississippi from certain membership requirements for their boards of directors under the United States Housing Act of 1937. (Sec. 221) Amends the United States Housing Act of 1937 to make recipients under the Native American Housing Assistance and Self-Determination Act of 1996 eligible for certain supportive services and empowerment activities currently offered to public housing residents. (Sec. 222) Extends the availability of certain grants made available under an economic development initiative pursuant to the Housing and Community Development Act of 1974 through FY 2001. (Sec. 224) Amends the Housing and Community Development Act of 1974 to extend through FY 2001 the 25 percent public services cap for the City of Los Angeles, California, under the community development block grant program. (Sec. 226) Amends the Stewart B. McKinney Homeless Assistance Act to permit the use of assistance for the costs of implementing management information systems for collecting unduplicated counts of homeless people and analyzing patterns of use of assistance under such Act. (Sec. 227) Amends the Housing and Community Development Act of 1992 to authorize loan guarantees for Indian housing to be used to refinance standard housing on Indian trust lands or in Alaska Native areas. (Sec. 228) Amends the United States Housing Act of 1937 to include within the definition of "eligibility event," for purposes of eligibility for enhanced Section 8 voucher assistance, any termination or expiration of a contract for rental assistance during fiscal years after 1996 prior to the effective date of the Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 2001. (Sec. 229) Amends the Stewart B. McKinney Homeless Assistance Act to prohibit grants for housing assistance for any governmental entity unless such entity agrees to develop and implement policies for the discharge of persons from publicly funded institutions to prevent such discharge from immediately resulting in homelessness. (Sec. 230) Amends the Preserving Affordable Housing for Senior Citizens and Families into the 21st Century Act to redesignate the Commission on Affordable Housing and Health Care Facility Needs in the 21st Century as the Commission on Affordable Housing and Health Care Facility Needs for Seniors in the 21st Century. (Sec. 231) Amends the Stewart B. McKinney Homeless Assistance Act to terminate the Interagency Council on the Homeless on October 1, 2005 (currently, October 1, 1994). (Sec. 232) Amends the United States Housing Act of 1937 to revise provisions regarding Section 8 public housing agency (PHA) project-based assistance. Allows a PHA to use amounts provided under an annual contributions contract to enter into a housing assistance payment contract with respect to an existing, newly constructed, or rehabilitated structure subject to specified requirements, including those for: (1) income mixing; (2) resident choice; (3) contract terms and extensions; (4) rent calculations; and (5) tenant selection. (Sec. 233) Requires the Secretary of HUD, in managing and disposing of any multifamily property that is held by the Secretary and occupied primarily by elderly or disabled families, to maintain any Section 8 rental assistance payments that are attached to any dwelling units in the property. (Sec. 234) Makes section 8 family unification assistance available for up to 18 months for eligible youths between the ages of 18 and 21 who have left foster care at age 16 or older. (Sec. 235) Amends the Housing and Community Development Act of 1992 to make permanent an FHA multifamily mortgage credit demonstration program. Title III: Independent Agencies - Makes appropriations for: (1) the American Battle Monuments Commission; (2) the Chemical Safety and Hazard Investigation Board; (3) the Department of the Treasury for community development financial institutions; (4) the Consumer Product Safety Commission; (5) the Corporation for National and Community Service (with a rescission of amounts available in the National Service Trust); (6) the Office of Inspector General; (7) the Court of Appeals for Veterans Claims; (8) the Department of Defense for Army cemeterial expenses; (9) the National Institute of Environmental Health Sciences for carrying out specified activities under the Comprehensive Environmental Response, Compensation and Liability Act of 1980 (CERCLA); and (10) the Agency for Toxic Substances and Disease Registry for carrying out specified activities under CERCLA, the Superfund Amendments and Reauthorization Act of 1986, and the Solid Waste Disposal Act. Appropriates funds for the Environmental Protection Agency (EPA) for: (1) science and technology activities; (2) environmental programs and management; (3) the Office of Inspector General; (4) buildings and facilities; (5) Superfund; (6) the leaking underground storage tank program; (7) oil spill response programs; and (8) assistance to States and Indian tribes for environmental programs and infrastructure. Amends the Clean Air Act to make prohibitions on Federal assistance (including highway funds) for activities which do not comply with State implementation plans for air quality standards inapplicable to nonattainment areas until one year after the area is first designated nonattainment for a specific national ambient air quality standard. Applies this provision with respect to the standard for which an area is newly designated nonattainment and provides that it does not affect the area's requirements with respect to other standards for which it is designated nonattainment. Appropriates funds for: (1) the Executive Office of the President for the Office of Science and Technology Policy, the Council on Environmental Quality, and the Office of Environmental Quality; and (2) the Federal Deposit Insurance Corporation Office of Inspector General. Makes appropriations for the Federal Emergency Management Agency for: (1) disaster relief; (2) disaster assistance direct loans; (3) salaries and expenses; (4) the Office of Inspector General; (5) emergency management planning and assistance; (6) a specified emergency food and shelter program; (7) the National Flood Insurance Fund; and (8) the National Flood Mitigation Fund. Amends the National Flood Insurance Act of 1968 to extend through December 31, 2001: (1) a certain ceiling on obligations issued under the national flood insurance program; and (2) the authorization of appropriations for certain studies. Makes appropriations for: (1) the General Services Administration for the Federal Consumer Information Center; (2) the National Aeronautics and Space Administration (NASA) for human space flight, science, aeronautics, and technology research and development, mission support, and the Office of Inspector General; (3) the National Credit Union Administration's Central Liquidity Facility; (4) the National Science Foundation for research, major construction projects, science and engineering education and human resources programs, salaries and expenses, and the Office of Inspector General; (5) the Neighborhood Reinvestment Corporation; and (6) the Selective Service System. Sets forth authorized uses of, and limitations on, funds appropriated under this title. Title IV: General Provisions - Sets forth provisions regarding availability, and prohibitions on the use, of funds appropriated by this Act. Expresses the sense of Congress that equipment and products purchased with funds made available in this Act should be American-made. (Sec. 426) Prohibits the obligation or expenditure of any of the funds provided in title II of this Act for technical assistance, training, or management improvements unless HUD provides a description of each proposed activity and a detailed budget estimate of costs as part of the budget justifications to the Appropriations Committees. (Sec. 427) Prohibits the use of funds made available in this Act for the designation, or approval of the designation, of any area as an ozone nonattainment area under the Clean Air Act pursuant to the eight-hour national ambient air quality standard for ozone promulgated by the EPA on July 18, 1997, and remanded by the District of Columbia Court of Appeals on May 14, 1999, in the case American Trucking Ass'ns. v. EPA prior to June 15, 2001, or final adjudication of such case by the Supreme Court, whichever occurs first. (Sec. 428) Amends the National Aeronautics and Space Administration Federal Employment Reduction Assistance Act of 1996 to authorize the NASA Administrator to offer voluntary separation incentive payments in order to restructure and improve the efficiency of the workforce. Extends voluntary separation incentives under such Act for separations occurring before September 30, 2002 (currently, September 30, 2000). Requires the NASA Administrator to report to the Appropriations Committees on restructuring activities. (Sec. 429) Amends the Commercial Space Launch Act to extend, though December 31, 2001, its commercial space launch industry damage indemnification provisions. Title V: Filipino Veterans' Benefits Improvements - Makes a certain payment rate for service-connected disability benefits paid to members of the Philippine Commonwealth Army who served with U.S. armed forces during World War II inapplicable to those members who are U.S. citizens or aliens lawfully admitted for permanent residence. Makes such individuals eligible for hospital and nursing home care and medical services in the same manner as a veteran. Authorizes medical services to veterans with service-connected disabilities within the limits of an outpatient clinic in the Philippines under the Secretary of Veterans Affairs' direct jurisdiction. Title VI: Debt Reduction - Provides for the deposit of an additional amount into the account to reduce the public debt.
United States · United States Congress · 17 October 2000
Internet Prescription Drug Consumer Protection Act of 2000 - Amends the Federal Food, Drug, and Cosmetic Act to require each interstate Internet seller to comply with requirements of this Act with respect to the sale or offer of prescription drugs. Requires the seller to: (1) post visibly on its web site home page its street address, the States in which it is authorized as a pharmacy, certain prescriber information, and a statement that it will dispense prescription drugs only upon a valid prescription; and (2) disclose such information to State licensing boards. Authorizes each State to bring proceedings against an Internet seller on behalf of affected consumers (requiring notice of such proceedings to the Secretary of Health and Human Services and appropriate Federal agencies). Allows the President to intervene in such actions. Directs the Secretary to: (1) engage in activities to educate the public about the dangers of purchasing prescription drugs from unlawful Internet sources; and (2) recommend to Congress the coordination of activities of Federal agencies regarding Internet sellers that operate from foreign countries with the activities of such foreign governments. Authorizes the President to initiate a civil action to enjoin or restrain the alienation or disposal of property obtained as a result of, or traceable to, a violation of this Act. Authorizes appropriations.
United States · United States Congress · 17 October 2000
Internet Prescription Drug Consumer Protection Act of 2000 - Amends the Federal Food, Drug, and Cosmetic Act to require each interstate Internet seller to comply with requirements of this Act with respect to the sale or offer of prescription drugs. Requires the seller to: (1) post visibly on its web site home page its street address, the States in which it is authorized as a pharmacy, certain prescriber information, and a statement it will dispense prescription drugs only upon a valid prescription; and (2) disclose such information to State licensing boards. Authorizes each State to bring proceedings against an Internet seller on behalf of affected consumers (requiring notice of such proceedings to the Secretary of Health and Human Services and appropriate Federal agencies). Allows the President to intervene in such actions. Directs the Secretary to: (1) engage in activities to educate the public about the dangers of purchasing prescription drugs from unlawful Internet sources; and (2) recommend to Congress the coordination of activities of Federal agencies regarding Internet sellers that operate from foreign countries with the activities of such foreign governments. Authorizes the President to initiate a civil action to enjoin or restrain the alienation or disposal of property obtained as a result of, or traceable to, a violation of this Act. Authorizes appropriations.
United States · United States Congress · 16 October 2000
Rapid Change Opportunity Act - Title I: Funding for Additional Empowerment Zones, Enterprise Communities, and Strategic Planning Communities - Empowerment Zones and Enterprise Communities Enhancement Act of 2000 - Amends title XX (Block Grants to States for Social Services) of the Social Security Act to revise additional grants requirements, providing for: (1) additional State entitlements to grants for designated qualified empowerment zones and qualified enterprise communities as well as for strategic planning communities (currently not provided for); (2) specified funding for such additional empowerment zone State grants (according to urban or rural status) as well as for additional enterprise community State grants and strategic planning community State grants; (3) direct grants to the governing bodies of eligible Indian tribes or Alaska Native villages or regional or village corporations, subject to certain conditions; (4) use of grant funds for revolving loan fund loans to residents, institutions, organizations, or businesses that hire disadvantaged adults and youths; and (5) environmental review to ensure that the National Environmental Policy Act of 1969 and other applicable Federal law are most effectively implemented in connection with the expenditure of grant funds under SSA title XX additional grants provisions. Title II: Credit Against Income Tax for Certain Investments in Businesses Located in Low-Income Communities - New Markets Tax Credit Act of 2000 - Amends the Internal Revenue Code to allow a limited credit to a taxpayer making a qualified low-income community investment. Title III: Exclusion of Certain Severance Payment Amounts from Income - Layoff Tax Relief Act - Amends the Internal Revenue Code to exclude from gross income up to$50,000 of any "qualified severance payment." Excludes from such definition payments exceeding $150,000. Title IV: Extension of Medical Benefits - Amends the Employee Retirement Income Security Act of 1974 (ERISA), the Public Health Service Act, and the Internal Revenue Code to establish a new qualifying event to extend medical benefits to covered employees who become eligible for trade adjustment assistance under the Trade Act of 1974. Title V: Community Economic Adjustment Act of 2000 - Community Economic Adjustment Act of 2000 - Amends the Public Works and Economic Development Act to establish an Office of Community Economic Adjustment in the Economic Development Administration of the Department of Commerce to coordinate the Federal response in regions and communities experiencing severe and sudden economic distress, to help such regions and communities in restructuring their economies. Authorizes appropriations. Title VI: Miscellaneous Provisions - Directs the Secretary of Labor to study and report to Congress on the feasibility of establishing and carrying out one or more pilot projects to provide public employment for temporarily dislocated workers. Amends the Workforce Investment Act of 1998 to include assistance for the preparation of resumes and related pre-employment assistance for eligible individuals under required local: (1) elements of programs for youth; and (2) core services for adults and dislocated workers. Authorizes appropriations to the President for a specified FY 2001 contribution to the International Program for the Elimination of Child Labor (IPEC) of the International Labor Organization (ILO).
United States · United States Congress · 12 October 2000
Amends civil service provisions to prohibit: (1) taking or failing to take any personnel action with respect to an employee or applicant because of a disclosure of information that such person believes evidences a violation of law, gross mismanagement, abuse of authority, or a danger to public health or safety (current law), without restriction as to the time, place, form, motive, or context of such disclosure, and including a disclosure made in the ordinary course of an employee's duties; and (2) the implementation or enforcement of nondisclosure policies, forms, and agreements that do not contain the statement that such nondisclosure policies do not supersede, conflict with, or otherwise alter Federal employee obligations, rights, or liabilities. Permits representation by attorneys for the Office of the Special Counsel in civil actions brought in connection with such disclosures of information or provisions relating to political activities. Allows the Special Counsel to obtain judicial review of any final order or decision of the Merit Systems Protection Board with respect to a case concerning such a disclosure or provision.
United States · United States Congress · 12 October 2000
Breast Cancer Prescription Drug Fairness Act - Requires each participating manufacturer of a covered outpatient drug to make available for purchase by each pharmacy a covered outpatient drug: (1) in an amount equal to the aggregate amount of the covered outpatient drug sold or distributed by the pharmacy to Medicare beneficiaries (including the amount sold or distributed to Medicare beneficiaries in a hospice program); and (2) at a price equal to the lower of either the lowest price paid for the drug by the Federal Government or the manufacturer's best price for the drug.
United States · United States Congress · 12 October 2000
Organ Donor Enhancement Act - Amends the Public Health Service Act to provide for a National Living Organ Donor Registry for the purpose of increasing the number of transplants for recipients suitably matched to biologically unrelated individuals who are willing to be living donors of organs.
United States · United States Congress · 12 October 2000
Organ Coordination Improvement Act - Amends the Public Health Service Act to authorize grants to qualifying organ donation entities for the purpose of assisting such entities in carrying out programs to coordinate the activities of eligible hospitals that relate to seeking organ donations.
United States · United States Congress · 11 October 2000
Medicaid Protection Act - Directs the Secretary of Health and Human Services to issue a final regulation that provides for application of aggregate upper payment limits to non-State publicly owned or operated hospitals, nursing facilities, and intermediate care facilities for the mentally retarded under the Medicaid program of title XIX of the Social Security Act.
United States · United States Congress · 11 October 2000
Bankruptcy Reform Act of 2000 - Title I: Needs Based Bankruptcy - Amends Federal bankruptcy law to revamp guidelines governing dismissal or conversion of a Chapter 7 liquidation petition (complete relief in bankruptcy) to one under Chapter 11 (Reorganization) or Chapter 13 (Adjustment of Debts of an Individual with Regular Income). Allows a bankruptcy panel trustee and any party in interest to move for such dismissal or conversion (current law prohibits a party in interest from such motions). Lowers the "substantial abuse" standard for dismissal or conversion to one of simple abuse. Replaces the presumption in favor of granting the relief sought by the debtor with a presumption that abuse exists if the debtor's current monthly income exceeds specified formulae. (Sec. 102) Includes within the calculation of debtor's monthly expenses: (1) those expenses incurred to maintain the safety of the debtor and the debtor's family from family violence as identified under the Family Violence Prevention and Services Act or other applicable Federal law; and (2) continuation of actual expenses paid by the debtor for the care and support of an elderly, chronically ill, or disabled household or non-dependent immediate family member. Provides that the presumption of abuse may only be rebutted with detailed documentation of special circumstances requiring additional expenses or adjustment of currently monthly total income for which there is no reasonable alternative. Requires the debtor's counsel to reimburse the bankruptcy trustee for legal fees in prosecuting a dismissal or conversion motion if the court finds that counsel's filing under Chapter 7 was in violation of certain bankruptcy rules. Requires the court, upon motion by the victim of a crime of violence or a drug trafficking crime (or at the request of a party in interest), to dismiss a voluntary case filed by an individual debtor convicted of that crime (unless the debtor establishes that filing of the case is necessary to satisfy a claim for a domestic support obligation). Redefines "disposable income" of a chapter 13 debtor to exclude such debtor's domestic support obligation that first becomes payable after the date the petition is filed. (Sec. 103) Expresses the sense of Congress that the Secretary of the Treasury has the authority to alter Internal Revenue Service (IRS) standards established to set guidelines for repayment plans as needed to accommodate their use under the Bankruptcy Code. Instructs the Director of the Executive Office for U.S. Trustees to report to certain congressional committees regarding the utilization of Internal Revenue standards for determining specified monthly expenses of a debtor and the impact of such standards upon debtors and the bankruptcy courts. (Sec. 104) Revises procedural guidelines to mandate a written notice to the individual consumer debtor before commencement of a case stating: (1) the types of services available from credit counseling agencies; (2) the criminal penalties for fraudulent concealment of assets; and (3) that all creditor-supplied information is subject to examination by the Attorney General. (Sec. 105) Instructs the Director of the Executive Office for U.S. Trustees to: (1) develop a financial management training curriculum and materials to educate individual debtors on how to better manage their finances; and (2) test, evaluate, and report to the Congress on the curriculum's effectiveness. (Sec. 106) Precludes an individual debtor from filing under Federal bankruptcy law unless the individual has received a briefing from an approved nonprofit budget and credit counseling service prior to filing a bankruptcy petition, unless the U.S. trustee or bankruptcy administrator determines that the service for the district in which the debtor lives is not reasonably able to provide adequate services to the additional individuals who would otherwise seek credit counseling because of such requirement. Conditions a Chapter 7 or Chapter 13 discharge in bankruptcy upon the debtor's completion of an approved instructional course concerning personal financial management. Requires the clerk of each district to maintain a public list of credit counseling agencies and instructional courses concerning personal financial management. Prescribes criteria for approval of such agencies and courses. Prohibits such counseling service from informing a credit reporting agency whether an individual debtor has received or sought personal financial management instruction. Establishes civil penalties for noncompliance. Title II: Enhanced Consumer Protection - Subtitle A: Penalties for Abusive Creditor Practices - Cites circumstances under which the court may reduce by up to 20 percent a claim based in whole upon unsecured consumer debts if the debtor can show by clear and convincing evidence that the claim was filed by a creditor who unreasonably refused to negotiate a reasonable alternative repayment schedule proposed by an approved credit counseling agency acting on the debtor's behalf. (Sec. 202) Makes a creditor's willful failure to credit payments received from a debtor (with a specified exception), if such failure caused material injury to the debtor, a violation of a discharge operating as an injunction. (Sec. 203) Modifies debt reaffirmation guidelines governing wholly unsecured consumer debts to mandate specified detailed disclosures and explanations to the debtor for dischargeable debt agreements. Exempts a credit union creditor from such detailed disclosures and explanations. Amends Federal criminal law to instruct the Attorney General to designate U.S. attorneys and agents of the Federal Bureau of Investigation to implement enforcement activities in addressing: (1) abusive reaffirmations of debt; and (2) materially fraudulent statements in bankruptcy schedules that are intentionally false or misleading. Directs the bankruptcy court to establish procedures for referring those cases to such U.S. attorneys and agents of the Federal Bureau of Investigation. Subtitle B: Priority Child Support - Revises priority payment guidelines to place within the first priority claim category certain unsecured claims for domestic support obligations, on the condition that funds received by a governmental unit be applied in a prescribed order. (Sec. 213) Conditions court confirmation of a debt repayment plan under Chapters 11, 12 (Debts of a Family Farmer), and 13 (and the subsequent discharge of debts) upon certification of debtor's full payment of all adjudicated domestic support obligations that are due after the petition filing date. (Sec. 214) Excepts from an automatic stay specified choses-in-action pertaining to domestic support obligations proceedings including: (1) child custody or visitation; (2) dissolution of marriage; (3) domestic violence; (4) withholding of income that is property of the bankrupt estate for payment of domestic support obligations; (5) suspension of drivers' licenses and professional licenses; (6) reporting of overdue support owed by a parent to certain consumer reporting agencies; (7) interception of specified tax refunds; (8) establishment of paternity; (9) establishment or modification of an order for domestic support obligations; and (10) enforcement of medical obligations under title IV, part D (Child Support and Establishment of Paternity) of the Social Security Act. (Sec. 215) Revamps guidelines governing the nondischargeability of certain debts for alimony, maintenance, and support to repeal the exceptions granted the debtor under specified conditions. (Sec. 216) Modifies guidelines governing property exempt from the bankruptcy estate to declare such property liable for a debt arising from domestic support obligations. (Sec. 217) Prohibits the bankruptcy trustee from avoiding a transfer that is a bona fide payment of a debt for a domestic support obligation. (Sec. 218) Redefines "disposable income" received by certain debtors, with respect to confirmation of a plan under Chapter 12 or 13, to include income not reasonably expected to be expended for a domestic support obligation that first becomes payable after the date on which a petition for debt relief is filed. (Sec. 219) Sets forth the duties of the bankruptcy trustee under chapters 7, 11, 12 and 13 regarding a claim against an individual debtor for the collection of child support, including notifying the claim holder and the appropriate State child support agency of the debtor's last known address. (Sec. 220) Makes dischargeable any debts for certain qualified educational loans which, if not discharged, would impose an undue hardship upon either the debtor or the debtor's dependent. Subtitle C: Other Consumer Protections - Modifies guidelines governing nonattorney bankruptcy petition preparers to mandate that as a prerequisite to any collection of fees for services: (1) such preparers officially disclose to debtors that they cannot practice law or give legal advice; and (2) such disclosure be signed by the debtor and filed with the requisite court documents. Prescribes enforcement and penalty guidelines for preparer noncompliance. (Sec. 222) Expresses the sense of the Congress that States should develop curricula relating to the subject of personal finance, designed for use in elementary and secondary schools. (Sec. 223) Places in the tenth order of prioritized claims against the bankrupt estate any death or personal injury claims resulting from the unlawful operation of a motor vehicle or vessel because the debtor was drug or alcohol-impaired. (Sec. 224) Permits an individual debtor to exempt from the property of the bankrupt estate certain tax-exempt retirement funds that have not been obligated in connection with any extension of credit. Exempts from either an automatic stay or a discharge in bankruptcy specified income withheld from the debtor pursuant to pension or profit sharing plans sponsored by such debtor's employer to pay certain loans from such plans. (Sec. 225) Sets forth criteria for excluding certain education individual retirement accounts from the property of the bankruptcy estate if the designated beneficiary is a child or grandchild of the debtor. (Sec. 227) Sets forth restrictions on and requirements for debt relief agency practices. Provides for civil penalties for intentional violations. Requires a debt relief agency providing bankruptcy assistance to provide prescribed disclosures to an assisted person. (Sec. 230) Instructs the Comptroller General to study and report to Congress on the feasibility, effectiveness, and cost of requiring trustees or the bankruptcy courts to provide the Office of Child Support Enforcement with the names and address of an individual debtor promptly after such debtor commences a case. Title III: Discouraging Bankruptcy Abuse - Modifies exceptions to a discharge in bankruptcy to prohibit discharge of a filing fee imposed by any court upon a prisoner. (Sec. 302) Terminates the automatic stay 30 days after filing of a petition if a chapter 7, 11, or 13 petition was pending and dismissed the previous year, unless the subsequent filing is in good faith. Delineates conditions under which a history of previous petitions in bankruptcy give rise to a rebuttable presumption that the case is not filed in good faith. (Sec. 303) Directs the court to grant two-year relief from the automatic stay upon request of a party in interest with respect to certain real property actions if the court finds that filing the bankruptcy petition was part of a scheme to delay, hinder, and defraud creditors. (Sec. 304) Modifies debtor's duties to mandate specified affirmative actions to be taken by a chapter 7 debtor, including reaffirmation of the debt, or redemption of the property within 45 days, in order to retain possession of personal property. Allows a creditor to take action with respect to such property under nonbankruptcy law if the debtor fails to act within 45 days, unless the court determines upon trustee motion that such property is of consequential value or benefit to the estate. (Sec. 305) Declares that the automatic stay is terminated regarding property of the debtor's estate securing a claim or subject to an unexpired lease, if the debtor fails to complete an intended surrender of consumer debt collateral, or an intended property redemption or debt reaffirmation in order to retain such collateral, within a revised, accelerated time frame (unless the court determines upon trustee motion that such property is of consequential value or benefit to the estate). (Sec. 306) Requires the bankruptcy court to confirm a Chapter 13 plan if it provides that the holder of a secured allowed claim shall retain the attendant lien until payment or discharge of all debts. Provides that if a Chapter 13 proceeding is dismissed or converted without completion of the plan, the holder shall retain such lien to the extent recognized by applicable nonbankruptcy law. Provides that statutory guidelines to determine the secured status of a creditor's claim do not apply if: (1) the creditor has a purchase money security interest securing the debt; (2) the underlying debt was incurred within the five-year period preceding the filing of the bankruptcy petition; and (3) the collateral for that debt consists of a motor vehicle acquired for the debtor's personal use (or if the collateral consists of any other thing of value if the debt was incurred during the one-year period preceding such filing). (Sec. 307) Increases from 180 to 730 days the length of a debtor's location of domicile for purposes of determining which State law governs the debtor's selection of property exempt from the bankrupt estate. Moderates such time frame if the debtor's domicile has not been located at a single State for such 730-day period. (Sec. 308) Reduces the value of the homestead exemption and debtor's burial plot to the extent it is attributable to any portion of any property: (1) disposed of by the debtor within the seven-year period ending on the bankruptcy petition filing date with the intent to obstruct or defraud a creditor; and (2) which the debtor could not exempt. (Sec. 309) Revamps prescriptions governing the effects of conversion from chapter 13 to another chapter. Declares that: (1) valuations of property and of allowed secured claims in a chapter 13 case shall not apply in a case converted to chapter 7; and (2) with respect to cases converted from Chapter 13, the claim of any creditor holding security as of the date of the petition shall continue to be secured by that security unless the full claim amount, as determined under applicable nonbankruptcy law, has been paid in full as of the conversion date. States that a prebankruptcy default shall have the effect given under applicable nonbankruptcy law unless it has been fully cured pursuant to the plan at the time of conversion. Provides for a Chapter 7 debtor's assumption of unexpired leases of personal property. Declares that in a Chapter 11 case in which the debtor is an individual, and in a Chapter 13 case, if the lease is not assumed in the plan, it is rejected (thus no longer subject to an automatic stay) as of the conclusion of the hearing on confirmation. Delineates a cash payment plan for chapter 13 debtors for payments to any lessor of personal property and to any creditor holding a claim secured by personal property in order to ensure adequate protection to the claim holder during the payment period. Mandates that a debtor-in-possession provide reasonable evidence of any requisite insurance coverage with respect to the use or ownership of such property. (Sec. 310) Reduces from the threshold amounts of luxury goods and consumer credit any consumer debts owed to a single creditor presumed nondischargeable in bankruptcy, if acquired within 90 days and 70 days, respectively (currently 60 days) before an order for relief is issued. (Sec. 311) Precludes an automatic stay of any eviction, unlawful detainer action, or similar proceeding by a lessor against a debtor involving residential real property in which: (1) the debtor resides as a tenant under a rental agreement; (2) the debtor resides as a tenant under a rental agreement that has terminated; or (3) eviction actions are based upon endangerment to property or person or the use of illegal drugs. Denies an automatic stay of any transfer not avoidable by the trustee. (Sec. 312) Extends the period between Chapter 7 discharges to eight years, and between Chapter 13 discharges to five years. (Sec . 313) Requires the Director of the Executive Office for U.S. Trustees to report to specified congressional committees about utilization of the definition of household goods under this Act with respect to: (1) the avoidance of nonpossessory, nonpurchase money security interests in household goods; and (2) the impact that such definition has had on debtors and on the bankruptcy courts. (Sec. 314) Lists among debts that are not dischargeable in bankruptcy a debt incurred to pay a tax to a non-Federal governmental unit. Revamps Chapter 13 debt discharge guidelines. Prohibits discharge from a debt for restitution or damages awarded in a civil action against the debtor for willful or malicious injury that caused personal injury or death of an individual. (Sec. 315) Prescribes notice procedures for Chapter 7 and Chapter 13 creditors. Expands debtor's duties to require filing with the bankruptcy court of: (1) all tax returns; (2) evidence of employer payments received; (3) monthly net income projections; and (4) anticipated income or expenditure increases. Permits a Chapter 7 or chapter 13 creditor to request the debtor's petition, schedules, and statement of affairs, including the debt adjustment plan filed by the debtor. Requires dismissal of a Chapter 7 or 13 case upon debtor's failure to provide to the bankruptcy trustee not later than seven days before the date first set for the first meeting of creditors a tax return for the latest taxable period prior to filing. Mandates that, at the time of filing with the taxing authority, a Chapter 7 or 13 debtor file with the bankruptcy court specified tax documentation pertaining to the period from case commencement until case termination. Requires a Chapter 13 debtor to file with the court a statement of income and expenditures in the preceding tax year, and monthly net income, showing how calculated. Makes debtor's mandatory documentation available for inspection and copying to certain bankruptcy officers and any party in interest. Requires debtors to furnish driver's license, passport, or other photograph-containing documentation establishing debtor identification. (Sec. 316) Provides for automatic dismissal if a Chapter 7 or 13 debtor fails to furnish all mandatory information, or fails to timely file the requisite schedules. Requires the court to order dismissal within five days of a request by a party in interest for debtor's failure to timely submit requisite documentation. (Sec. 317) Requires a Chapter 13 confirmation hearing to be held not later than 45 days after the first meeting of creditors. (Sec. 318). Sets forth a statutory formula to determine whether a Chapter 13 debt readjustment payment plan shall be of either three-year or five-year duration. (Sec. 319) Expresses the sense of the Congress that rule 9011 of the Federal Rules of Bankruptcy Procedure should include a requirement that all debtors' documents be submitted to the court only after debtors have made reasonable inquiry to verify that all information therein is well grounded in fact, and warranted by existing law or a good faith argument for extension, modification or reversal of existing law. (Sec. 320) Revises automatic stay guidelines to provide that in the case of an individual filing under Chapters 7, 11, or 13, the automatic stay shall terminate 60 days after a request for its release by a party in interest, unless the court orders or the parties agree to a longer time. (Sec. 321) Revamps guidelines governing a Chapter 11 business reorganization case filed by an individual to: (1) identify the property of the estate in bankruptcy; and (2) revise the contents, confirmation, and modification of a reorganization plan. (Sec. 322) Prohibits a debtor from exempting from the estate in bankruptcy any amount of interest acquired during the two years before petition filing that exceeds in the aggregate $100,000 in value in: (1) real or personal property used as a residence; (2) a cooperative that owns property used as a residency by the debtor or debtor's dependent; or (3) a burial plot for the debtor or debtor's dependent. (Sec. 323) Excludes employee benefit plan participant contributions from the property of the bankruptcy estate. (Sec. 324) Amends the Federal judicial code to: (1) grant the district court presiding over a title 11 case exclusive jurisdiction over property of the debtor and of the estate, as well as to claims relating to employment or disclosure of bankruptcy professionals; and (2) increase bankruptcy fees and the amounts deposited as offsetting collections to both the United States Trustee Systems Fund, and to a special fund of the Treasury available to offset funds appropriated for court operation and maintenance. (Sec. 326) Exempts from the prohibition against sharing of compensation or reimbursement with respect to administrative expenses of a debtor's estate any sharing, or agreeing to share, compensation with a bona fide public service attorney referral program that operates in accordance with non-Federal law regulating attorney referral services, and with rules of professional responsibility applicable to attorney acceptance of referrals. (Sec. 327) Declares that the value of personal property securing an allowed claim shall be determined based on its replacement value as of the date of petition filing without deduction for costs of sale or marketing. (Sec. 328) Revises requirements for the assumption by a trustee of a defaulted executory contract or unexpired lease. Exempts from the requirement that the trustee cure such a default any default that is a breach of a provision relating to the satisfaction of any non-penalty provision relating to a default arising from any failure to perform nonmonetary obligations under an unexpired lease of real property, if it is impossible for the trustee to cure such default by performing nonmonetary acts at and after the time of assumption. Provides, however, that if such default arises from a failure to operate in accordance with a nonresidential real property lease, then such default shall be cured by performance at and after the time of assumption in accordance with such lease, and pecuniary losses resulting from such default shall be compensated in accordance with specified law. Makes the same exception to requirements a plan must meet to avoid impairing a class of claims or interests. Requires a plan, to avoid impairment, to compensate a claim holder for any actual pecuniary loss incurred by such holder as a result of any failure to perform a nonmonetary obligation, other than a default arising from failure to operate a non-residential real property lease subject to certain requirements. Title IV: General and Small Business Bankruptcy Provisions - Subtitle A: General Business Bankruptcy Provisions - Denies a debtor an automatic stay of the commencement of an investigation or action by a securities self-regulatory organization to enforce compliance with its regulations, or of the enforcement of any order or decision obtained by such an organization, other than for monetary sanctions. (Sec. 402) Authorizes the bankruptcy court, upon request of a party in interest, to order that the U.S. trustee not convene a meeting of creditors or equity security holders if the debtor has filed a plan for which acceptances have been solicited before commencement of the case. (Sec. 403) Increases from ten days to 30 days the length of time for the perfection of a transfer of property with respect to a trustee's authority to avoid such a transfer. (Sec. 404) Amends guidelines for rejection and surrender of executory contracts and unexpired leases. (Sec. 405) Authorizes a Chapter 11 trustee to increase the membership of a committee of creditors and equity security holders to include a creditor that is a small business concern following the court's determination that such creditor holds claims of the kind represented by the committee, the aggregate amount of which is disproportionately large in comparison to the creditor's annual gross revenue. Requires such committee to provide to certain creditors who are not committee members access to information. (Sec. 406) Prohibits the bankruptcy trustee from avoiding a warehouseman's lien for costs incidental to the storage and handling of certain goods. (Sec. 407) Directs the bankruptcy court to treat the compensation awarded a trustee as a commission. (Sec. 408) States that acceptance or rejection of a chapter 11 plan may be solicited from a holder of a claim or interest if: (1) the solicitation complies with applicable nonbankruptcy law; and (2) it was made before commencement of the case in a manner complying with applicable nonbankruptcy law. (Sec. 409) Prohibits the bankruptcy trustee from avoiding a transfer if, in a case filed by a debtor whose debts are not primarily consumer debts, the aggregate value of all property that constitutes or is affected by such transfer is less than $5,000. (Sec. 411) Limits the extensions of time permitted for filing a Chapter 11 reorganization plan. (Sec. 412) Denies a discharge in bankruptcy for a debt for a fee or assessment arising from a debtor's interest in a lot in a homeowners association for as long as the debtor retains specified interests in such lot. (Sec. 413) Authorizes a creditor holding a consumer debt to participate in a meeting of creditors in a chapter 7 or 13 case, either alone or in conjunction with an attorney. (Sec. 414) Revises the definition of "disinterested person" to remove persons who are not investment bankers (thus allowing investment bankers for any outstanding security of the debtor to be treated as a disinterested person). (Sec. 418) Amends the Federal judicial code to authorize the district court or bankruptcy court to waive the Chapter 7 filing fee and other attendant fees for certain Chapter 7 debtors whom the court has determined to be unable to pay fees in installments. (Sec. 419) Directs the Advisory Committee on Bankruptcy Rules of the Judicial Conference of the United States to propose amended Federal Rules of Bankruptcy Procedure and Official Bankruptcy Forms directing chapter 11 debtors to disclose information relating to the value, operations, and profitability of any closely held corporation, partnership, or other entity in which the debtor holds a substantial or controlling interest. Subtitle B: Small Business Bankruptcy Provisions - Sets forth mandatory factors for court consideration in determining whether the disclosure statement regarding a small business reorganization plan provides adequate information. (Sec. 432) Defines a small business debtor, generally, as a person (including a debtor affiliate) with not more than $3 million in aggregate non-contingent, liquidated secured and unsecured debts as of the date of the petition or the order for relief (excluding debts owed to one or more affiliates or insiders). (Sec. 433) Directs the Advisory Committee on Bankruptcy Rules of the Judicial Conference (Advisory Committee) to propose for adoption standardized disclosure statements and plans of reorganization for small business debtors. (Sec. 434) Sets forth uniform national reporting requirements for small business debtors. (Sec. 435) Directs the Advisory Committee to propose for adoption revisions to the Federal Rules of Bankruptcy Procedure and Official Bankruptcy Forms enabling small business debtors to comply with such uniform national reporting requirements. (Sec. 436) Sets forth duties and administrative procedures in small business reorganization cases, including serial filer provisions and expanded grounds for dismissal or conversion and appointment of a trustee. (Sec. 443) Directs the Small Business Administration to study and report to the Congress on: (1) the factors that cause small businesses to become debtors in bankruptcy; and (2) how Federal bankruptcy laws can be made more efficient in assisting small businesses to retain their viability. (Sec. 444) Revises the circumstance precluding a secured single asset real estate interest creditor's relief from an automatic stay where a debtor has commenced monthly payments to each such creditor to allow the debtor, in the debtor's sole discretion, to make such payments from rents or other income generated before or after the commencement of the case by or from the property. Requires such payments in an amount equal to the interest on the value of the creditor's interest in the real estate, determined at the then-applicable nondefault contract rate of interest (currently, at the fair market rate). (Sec. 445) Allows as an administrative expense, for the two-year period following either the later of the rejection date or date of actual turnover of the premises, all monetary obligations due from a nonresidential real property lease previously assumed and subsequently rejected under the requirements governing executory contracts and unexpired leases. Title V: Municipal Bankruptcy Provisions - Makes technical amendments to requirements for a municipal bankruptcy petition. Title VI: Bankruptcy Data - Amends the Federal judicial code to require the clerk of each district to compile bankruptcy statistics for individual debtors with primarily consumer debts seeking relief under chapters 7, 11, and 13. Directs the Administrative Office of the United States Courts (Administrative Office) to make such statistics public and to report them annually to the Congress. (Sec. 602) Instructs the Attorney General to promulgate requirements for uniform forms for: (1) final reports by trustees in cases under chapters 7, 12, and 13; and (2) periodic reports by chapter 11 debtors or trustees in possession. Prescribes report contents. (Sec. 603) Prescribes guidelines for the Attorney General and the Judicial Conference of the United States (as appropriate) to establish procedures to audit debtors. (Sec. 604) Expresses the sense of the Congress that: (1) the national policy should be that all public record data held in electronic form by bankruptcy clerks should be released in electronic form in bulk to the public subject to appropriate privacy concerns and safeguards as Congress and the Judicial Conference of the United States may determine; and (2) a bankruptcy data system should be established in which a single set of data definitions are used to collect data nationwide, and in which all data for any particular bankruptcy case are aggregated in the same electronic record. Title VII: Bankruptcy Tax Provisions - Amends the bankruptcy code to modify the treatment of certain tax liens. (Sec. 702) Provides that a claim for debtor's liability for fuel tax which is filed by the base jurisdiction designated under the International Fuel Tax Agreement shall be allowed as a single claim. (Sec. 703) Mandates that the clerk of each district maintain a listing under which a governmental entity responsible for the collection of taxes within such district may designate an address for service of requests and describe where further information for filing such requests may be found. (Sec. 704) Prescribes the rate of interest to be paid on mandatory interest payments on tax claims. (Sec. 705) Revises the specifications for income tax claims receiving eighth priority (allowed unsecured claims of governmental units). Provides for tolling of the time periods covering such tax claims for stays of proceedings in a prior bankruptcy case, and the pendency or effect of offers in compromise or installment agreements. (Sec. 707) Prohibits discharge under Chapter 13 of any debt for fraudulent tax payments. (Sec. 708) States that confirmation of a bankruptcy plan does not discharge a corporate debtor from any debt for a tax or customs duty with respect to which the debtor made a fraudulent return or willfully attempted to evade or defeat such tax. (Sec. 709) Amends the automatic stay of U.S. Tax Court proceedings concerning the debtor to restrict such stay to: (1) a corporate debtor's tax liability for a taxable period the bankruptcy court may determine; or (2) concerning an individual debtor's tax liability for a taxable period ending before the order for relief. (Sec. 710) Includes among the requirements for court confirmation of a Chapter 11 bankruptcy plan which includes tax claims, that the debtor, at the minimum, make regular cash installment payments over a period ending not later than five years after the date of entry of the order for relief, and in a manner not less favorable than the most favored nonpriority unsecured claim provided for in the plan. (Sec. 711) Prohibits the avoidance of statutory tax liens by certain purchasers. (Sec. 712) Amends the Federal judicial code to require officers and agents conducting any business under court authority to pay all Federal, State and local taxes when due in the course of the business, unless it is a property tax secured by a lien against estate property which is abandoned by the bankruptcy trustee, or payment of the tax is excused under a specific bankruptcy law. Cites circumstances in which payment of such taxes may be deferred in a case pending under chapter 7 until final distribution is made. Entitles to administrative expense priority payment certain secured and postpetition unsecured taxes incurred by the bankruptcy estate, including ad valorem property taxes. Declares that a governmental unit shall not be required to file a request for the payment of administrative expenses relating to a tax liability or tax penalty. Allows a trustee to recover from property securing a claim for the payment of all ad valorem property taxes relating to such property. (Sec. 713) Requires as a condition for payment of tardily filed priority tax claims that they be filed either before the trustee commences distribution or ten days following the mailing to creditors of the summary of the trustee's final report, whichever is earlier (currently, before the trustee commences distribution of the estate). (Sec. 714) Makes nondischargeable any obligations based on income tax returns or equivalent reports or notices prepared by tax authorities. (Sec. 715) Declares that an estate's liability for unpaid tax is discharged upon payment of such tax according to certain requirements. (Sec. 716) Conditions court confirmation of a chapter 13 bankruptcy plan upon filing by the debtor: (1) of all prepetition tax returns; and (2) before the day on which the first meeting of the creditors is convened, of all tax returns for taxable periods ending in the four-year period that ends on the date of the filing of the petition. Authorizes the court to dismiss a plan or convert it to chapter 7, whichever is in the best interests of the creditors and the estate, if a chapter 13 debtor fails to comply with such time frame. Expresses the sense of the Congress that the Advisory Committee on Bankruptcy Rules of the Judicial Conference should propose for adoption amended Federal Rules of Bankruptcy Procedure pertaining to objections to tax returns and to plan confirmation. (Sec. 717) Redefines "adequate disclosure," for postpetition disclosure and solicitation purposes, to include full discussion of the potential material Federal and State tax consequences of the plan to the debtor and to a hypothetical investor domiciled in the State in which the debtor resides or has its principal place of business typical of the holders of claims or interests in the case. (Sec. 718) Denies an automatic stay (unless specified conditions are met) to the setoff of an income tax refund for a taxable period which ended before the order for relief against an income tax liability for a taxable period which also ended before the order for relief. (Sec. 719) Revises special provisions related to the treatment of State and local taxes, including the creation of a separate taxable estate when such is done for Federal tax purposes. (Sec. 720) Provides that if the debtor fails to timely file a tax return or obtain an extension, a taxing authority may petition the court to convert or dismiss a case, whichever is in the best interests of creditors and the estate. Title VIII: Ancillary and Other Cross-Border Cases - Expands the scope of bankruptcy law to incorporate the Model Law on Cross-Border Insolvency, and to establish a statutory mechanism for: (1) dealing with cases of cross-border insolvency; and (2) cooperation between U.S. courts, trustees, and debtors and their foreign counterparts. Prescribes guidelines for: (1) access of foreign representatives and creditors to Federal and State courts; (2) recognition of a foreign proceeding and relief; (3) cooperation and direct communication with foreign courts and representatives; and (4) concurrent proceedings and the coordination of foreign and domestic proceedings. Title IX: Financial Contract Provisions - Amends the Federal Deposit Insurance Act (FDIA) to redefine specified contracts, agreements, and transfers entered into with an insolvent insured depository institution before the appointment of a conservator or receiver for it. (Sec. 901) Declares that no person shall be stayed or prohibited from exercising any right to cause the acceleration of any qualified financial contract with an insured depository institution which arises upon the appointment of the Federal Deposit Insurance Corporation (FDIC) as receiver at any time after such appointment. (Sec. 902) Declares that no provision of law shall be construed as limiting the right or power of the FDIC, or authorizing any court or agency to limit or delay, in any manner, the FDIC's right or power to transfer, disaffirm, or repudiate any qualified financial contract of a failed institution. Prohibits enforcement of a walkaway clause in a qualified financial contract of a failed insured depository institution (a clause that either does not create a payment obligation of a party, or extinguishes it solely because of such party's status as a nondefaulting party). (Sec. 903) Revises guidelines governing transfers of qualified financial contracts of an insolvent institution to include: (1) transfers to a foreign bank or foreign financial institution (including its branch or agency) (but only when the contractual rights of the parties to such qualified financial contracts are enforceable substantially to the same extent as permitted under such Act); and (2) transfers of contracts subject to the rules of a clearing organization. Defines financial institution to include a broker or dealer, a depository institution, a futures commission merchant, or any other institution as determined by FDIC regulation. Suspends certain termination rights of counterparties to a qualified financial contract with an insolvent insured depository institution until after the receiver's appointment, or after receipt of notice that the contract has been transferred. Declares that none of the following institutions shall be considered a financial institution for which a conservator, receiver, trustee in bankruptcy, or other legal custodian has been appointed or which is otherwise the subject of a bankruptcy or insolvency proceeding: (1) a bridge bank; or (2) an FDIC-organized depository institution for which a conservator is appointed either immediately upon organization, or at the time of a purchase and assumption transaction between such institution and the FDIC as receiver for a depository institution in default. (Sec. 904) Prescribes guidelines for: (1) the disaffirmance or repudiation of qualified financial contracts by the conservator or receiver for a failed depository institution; and (2) the treatment of a master agreement as a single agreement and a single qualified financial contract. (Sec. 906) Amends the Federal Deposit Insurance Corporation Improvement Act of 1991 to make conforming amendments with respect to: (1) bilateral netting contracts; (2) security agreements; (3) clearing organization netting contracts; (4) contracts with uninsured national banks; and (5) contracts with uninsured Federal branches or agencies. (Sec. 907) Amends the Federal Bankruptcy Code to reflect the changes made by this Act and to: (1) deny an automatic stay to set-offs under certain swap agreements and netting agreements; and (2) restrict the avoidance power of the bankruptcy trustee regarding certain master netting agreement transfers to those transfers that are fraudulent in nature. Sets forth statutory guidelines for: (1) the termination or acceleration of designated contracts and agreements; and (2) commodity broker and stockbroker liquidation with respect to the priority of unsecured claims, or customer property or distributions. (Sec. 908) Amends the FDIA to authorize the FDIC to prescribe more detailed recordkeeping requirements for qualified financial contracts (including market valuations) by insured depository institutions. (Sec. 909) Exempts specified collateralization agreements from the contemporaneous execution requirement that renders invalid certain agreements against FDIC interests in certain asset acquisitions. (Sec. 910) Amends Federal bankruptcy law to specify the date for the measure of damages in connection with: (1) rejection by the bankruptcy trustee of designated contracts and agreements relating to executory contracts and unexpired leases; or (2) the liquidation, acceleration, or termination of such contracts and agreements. (Sec. 911) Amends the Securities Investor Protection Act of 1970 to provide that neither the filing of a protective decree by the Securities Investor Protection Corporation, nor any court protective order, shall operate as a stay of a creditor's contractual rights to liquidate, terminate, or accelerate designated contracts and agreements. Allows such application, order, or decree, however, to operate as a stay of foreclosure on securities collateral pledged by the debtor, whether or not with respect to one or more of such contracts, agreements, or securities sold by the debtor under a repurchase agreement. (Sec. 912) Declares that property of the bankrupt estate does not include any eligible asset (or its proceeds) to the extent that it was transferred by the debtor before commencement of the case to an eligible entity in connection with an asset-backed securitization (except to the extent that such asset, or its proceeds or value, may be recovered through avoidance by the bankruptcy trustee). Title X: Protection of Family Farmers - Amends the Federal bankruptcy code to: (1) reenact Chapter 12, Adjustment of Debts of a Family Farmer with Regular Annual Income (thereby reinstating family farmer bankruptcy relief); and (2) cite circumstances under which the claim of a governmental unit that arises as a result of the disposition of a farm asset used in the debtor's farming operation shall be treated as an unsecured claim not entitled to priority. Title XI: Health Care and Employee Benefits - Amends bankruptcy provisions to prescribe guidelines for disposal of the patient records of a health care business (not including a health maintenance organization) that commences a proceeding for debtor relief and the trustee does not have sufficient funds to pay for the storage of patient records as required by law. (Sec. 1103) Allows an administrative expense claim for the costs of closing a health care business, including disposal of patient records and transfer of patients to another health care business. (Sec. 1104) Requires the bankruptcy court to appoint an ombudsman to represent the interests of the patients of a health care business within 30 days after commencement of a case under chapter 7 (Liquidation), 9 (Adjustment of Debts of a Municipality), or 11 (Reorganization). (Sec. 1105) Requires the bankruptcy trustee to use all reasonable and best efforts to transfer patients from the health care business in the process of being closed to an appropriate substitute. (Sec. 1106) Denies an automatic stay to a debtor's exclusion by the Secretary of Health and Human Services from participation in the Medicare program or any other Federal health care program (thus precluding the debtor's continuation or reinstatement in such a program). Title XIV: Technical Amendments - Makes technical corrections to Federal bankruptcy, judicial, and criminal law. (Sec. 1201) Redefines single asset real estate to exclude family farms and to repeal the $4 million ceiling on the amount of noncontingent, liquidated secured debts on such property. Defines the term "transfer" to include: (1) creation of a lien; (2) retention of title as a security interest; (3) foreclosure of the debtor's equity of redemption; and (4) every mode of disposing of property or parting with an interest in property. (Sec. 1202) Requires triennial adjustment of the $5,000 value of certain implements, professional books, tools of the trade, farm animals, and crops which a debtor may exempt from the property of the estate (protecting them from creditors' liens). (Sec. 1206) Provides that a trustee or a creditors' and equity security holders' committee may pay a professional person they employ on a fixed or percentage fee basis, as well as on other bases already permitted. (Sec. 1208) Excludes from compensable professional services any expenses incurred for an attorney or an accountant by an individual member of a creditors' and equity security holders' committee. (Sec. 1209) Declares nondischargeable in bankruptcy a debt for death or personal injury caused by the debtor's operation of a vessel or aircraft while intoxicated from alcohol, a drug, or other substance. (Sec. 1213) Revises guidelines governing preferences to provide that, if the trustee avoids a security interest given between 90 days and one year before the date of the filing of the petition, by the debtor to a non-insider for the benefit of a creditor that is an insider, then such security interest shall be considered to be avoided only with respect to the insider creditor. (Sec. 1222) Permits the bankruptcy trustee to sell, use, or lease property in accordance with nonbankruptcy law governing the transfer of property by nonprofit charitable corporations, if doing so is not inconsistent with certain relief granted under the automatic stay. (Sec. 1223) Extends from 20 to 30 days the length of time after a debtor receives possession of property for perfection of a security interest in such property created by a transfer which the trustee may not avoid. (Sec. 1224) Amends the Bankruptcy Judges, United States Trustees, and Family Farmer Bankruptcy Act of 1986 to repeal the October 1, 2002, alternate effective date for application of specified amendments of such Act regarding U.S. Trustees to certain judicial districts for Alabama and North Carolina. (Makes such amendments applicable to such districts only if they elect to be included in certain bankruptcy regions.) (Sec. 1225) Bankruptcy Judgeship Act of 2000 - Amends the Federal judicial code to mandate appointments for additional temporary bankruptcy judgeships in California, Delaware, Florida, Georgia, Maryland, Michigan, Mississippi, New Jersey, New York, North Carolina Pennsylvania, Puerto Rico, Tennessee, and Virginia. Provides that the first vacancy occurring in such district five years or more after a judge is appointed under this Act shall not be filled. Extends temporary bankruptcy judgeship positions authorized for the northern district of Alabama, and the districts of Delaware, Puerto Rico, and South Carolina, and the eastern district of Tennessee. (Sec. 1226) Prescribes compensation guidelines for the services and expenses of a trustee who has petitioned the court to convert or dismiss a chapter 7 case. (Sec. 1227) Denies an automatic stay with respect to creation or perfection of a statutory lien for a special tax or special assessment on real property whether or not ad valorem, if the tax or assessment comes due after the filing of a petition for debtor relief. (Sec. 1228) Requires the Director of the Administrative Office of the U.S. Courts to develop materials and conduct training useful to courts in implementing this Act. (Sec. 1229) Amends Federal bankruptcy law to modify the right of the seller of goods to the debtor to reclaim such goods if the debtor received such goods while insolvent. Limits the period of receipt to 45 days after commencement of the case, and the time during which the seller may demand reclamation to 45 days after receipt, or before 20 days after commencement of the bankruptcy case. (Sec. 1230) Prohibits a court from granting a discharge in a chapter 7 case, or from confirming a reorganization plan in a chapter 11 or 13 case, unless requested tax documents are filed with or otherwise provided to the court. (Sec. 1231) Expresses the sense of Congress that: (1) consumer credit may sometimes be offered indiscriminately without lender action to ensure consumer repayment capacity, and in a manner which may encourage additional debt accumulation; and (2) resulting consumer debt may increasingly be a major contributing factor to consumer insolvency. Instructs the Board of Governors of the Federal Reserve System to study indiscriminate solicitation and extension of credit by the credit industry. Authorizes the Board to: (1) promulgate regulations requiring additional disclosures to consumers; and (2) take measures to ensure responsible industrywide practices and to prevent resulting consumer debt and insolvency. (Sec. 1232) Excludes from property of the estate in bankruptcy certain tangible personal property (other than securities or written or printed evidences of indebtedness or title) pledged or sold by the debtor as collateral for a loan or money advance, and: (1) the pledgee or transferee possesses such property; (2) the debtor has no obligation to repay or redeem; and (3) neither the debtor nor the trustee has exercised any right to redeem in a timely manner. (Sec. 1233) Amends the Federal judicial code to authorize private trustees and standing trustees, after exhausting administrative remedies, to obtain judicial review in a U.S. district court of: (1) any suspension or termination; or (2) denial of a claim of actual, necessary expenses. (Sec. 1235) Prescribes requirements for expedited appeals of bankruptcy cases to courts of appeals. Deems any judgment, decision, order, or decree of a bankruptcy judge to be the judgment, decision, order, or decree of an appellate district court, unless the district court files its own decision on the appeal within 30 days after the appeal from the bankruptcy judge is filed. Title XIII: Consumer Credit Disclosure - Amends the Truth in Lending Act to require: (1) specified minimum payment warnings governing an open end credit plan on which finance charges are accruing; and (2) disclosure of a toll-free number to call for an estimate of the time required to repay the balance making only minimum payments. Requires the Federal Trade Commission (FTC) to establish a toll-free number for the same purpose in the case of a creditor with respect to which the FTC is enforcing compliance with such Act. Directs the Board of Governors of the Federal Reserve System (the Board) to promulgate implementing regulations. (Sec. 1301) Authorizes the Board to study and report to Congress on the types of information available to potential borrowers from consumer credit lending institutions regarding factors qualifying such borrowers for credit, repayment requirements, and the consequences of default. (Sec. 1302) Mandates additional disclosures in credit applications and advertising about credit extensions secured by a dwelling which exceed the dwelling's fair market value, stating that the interest on the excess portion of such extension is not tax deductible for Federal income tax purposes. (Sec. 1303) Requires specified additional disclosures for: (1) introductory rates and temporary annual percentage rates of interest; (2) Internet-based credit card solicitations; and (3) late payment deadlines and penalties. (Sec. 1306) Prohibits a creditor from terminating an open end consumer credit account before its expiration date solely because finance charges have not been incurred on such account. (Sec. 1307) Authorizes the Board to study and report to Congress on certain consumer protections limiting consumer liability for unauthorized use of a debit card or similar access device. (Sec. 1308) Instructs the Board to study and report to Congress on the impact that credit extensions to dependent students have upon the rate of bankruptcy cases filed under Federal law. (Sec. 1309) Instructs the Board to promulgate regulations to provide guidance regarding the meaning of the term "clear and conspicuous" as used in the Truth in Lending Act. (Sec. 1310) Prohibits a Federal court from recognizing or enforcing any judgment rendered in a foreign court if such Federal court determines that the foreign judgment effectuates a right or interest derived from fraudulent misrepresentation or omission that occurred in the United States during a specified period. Title XIV: General Effective Date; Application of Amendments - Sets forth the effective date of this Act and the application of its amendments.