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Bill· SS. 1353 (94th)referred
United States · United States Congress · 26 March 1975
Modifies the definition of the terms "rural" and "rural area" under the Consolidated farm and Rural Development Act for purposes of loans and grants to community medical facilities under such Act.
Law· HRH.R. 5546 (94th)open
United States · United States Congress · 26 March 1975
Health Manpower Act - Title I: Extension of Current Authorization Through Fiscal Year 1975 - Extends the authorization for specified trainee, construction, loan guarantee, interest subsidy, special project, financial distress, and scholarship grants, under the Public Health Service Act through fiscal year 1975. Title II: General Provisions - Establishes minimum requirements for the training of physician assistants, nurse practitioners, and expanded function dental auxiliaries to extend one academic year and include supervised clinical practice and at least 4 months of classroom instruction. Prohibits discrimination on the basis of race, color, national origin, religion, or sex by schools training students in the health sciences. Defines acts constituting discrimination. Requires assurances that such schools or entities will not discriminate as a condition of any financial assistance under the Public Health Service Act. Requires financial assistance recipients to maintain records of the disposition of such assistance. Provides that active service of commissioned officers in the Public Health Service shall be accorded the same status as active military service under the Soldiers' and Sailors' Civil Relief Act of 1940. Title III: Assistance for Construction of Teaching Facilities - Authorizes appropriations for fiscal years 1976, 1977, and 1978 for grants for the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Specifies ceilings for the amounts of such grants. Title IV: Student Assistance; National Health Service Corps - Provides that student loans under the Public Health Service Act may not exceed annual tuition costs plus $2,500. Increases the interest rate on such loans from 3 to 7 percent. Authorizes $30,000,000 to be appropriated for distribution in the student loan funds by participating schools for each of fiscal years 1976, 1977, and 1978. Authorizes the Secretary of Health, Education, and Welfare to make grants to schools of public health for traineeships to train students enrolled in such schools. Authorizes grants for the continuance of scholarship payments to public and private health profession schools through September 30, 1978. Establishes the Public Health and National Health Service Corps Scholarship Training Program. Specifies requirements for participation in the program by eligible institutions and students (including required periods of public health service for participating students). Authorizes grants of up to $25,000 under such program. Revises the National Health Service Corps Program (1) to provide greater financial incentives for physicians and dentists to deliver health services to medically underserved populations, and (2) to insure greater cooperation between State and Federal authorities in the administration of health programs to medically underserved populations. Directs the Secretary to report annually to the Congress concerning the effectiveness of such programs. Establishes the National Advisory Council on the National Health Service Corps. Authorizes specified appropriations for fiscal years 1976, 1977, and 1978 for the revision of the National Health Service Corps Program. Title V: Grants for Health Professions Schools - Authorizes grants to be made to health profession schools in amounts determined by the number of full-time students and the type of training afforded by the school. Authorizes appropriations for such grants for fiscal years 1976, 1977, and 1978. Specifies application requirements for the awarding of such grants, including assurances of improved quality of training and increased enrollments by prospective recipients. Entitles eligible public health, veterinary, optometry, pharmacy, and podiatry schools to start-up grants under the Public Health Service Act. Authorizes appropriations for fiscal years 1976, 1977, and 1978 for such grants. Authorizes appropriations under such Act for financial distress grants for fiscal years 1976, 1977, and 1978. Title VI: Special Project Grants and Contracts - Authorizes appropriations to the Secretary for fiscal years 1976, 1977, and 1978 to provide financial assistance to promote (1) residency programs in the general practice of dentistry and (2) with respect to schools of medicine and osteopathy, provision of clinical instruction in family medicine. Broadens the assistance program for financially disadvantaged students, and authorizes appropriations for such program for fiscal years 1976, 1977, and 1978. Authorizes appropriations to the Secretary for fiscal years 1976, 1977, and 1978 for project grants and contracts for schools of optometry, pharmacy, and podiatry to assist these schools in cooperating with other health profession training programs and institutions. Provides for the education and training of United States students returning from foreign medical schools with deficiencies in their medical school educations. Authorizes the Secretary to expand the overall program for training of physician assistants and expanded function dental auxiliaries. Title VII: Public and Allied Health Personnel - Authorizes appropriations for fiscal years 1976, 1977, and 1978 for (1) institutional grants for graduate programs in health administration, hospital administration, health planning, environmental health, and preventive medicine; (2) grants for traineeships to train public and community health personnel for which the Secretary determines there is unusual need; (3) project grants and contracts for the education, coordination, and management of allied health personnel; and (4) grants for advanced training of allied health personnel. Title VIII: Medical Residency Training Programs - Restricts the number of first-year positions to be available in medical residency training programs under the Public Health Service Act. Requires the Secretary to establish a medical residency training program accrediting agency for accrediting such programs for which first-year positions may be designated. Title IX: Miscellaneous - Directs the Secretary to contract for a study of the current and projected geographical distribution of physicians by specialty and subspecialty. Directs the Secretary to arrange for studies (1) to classify allied health personnel according to activities, to identify education costs in each classification, and to identify classifications in which personnel shortages are critical; and (2) of funding alternatives for health professions education.
Bill· HRH.R. 5616 (94th)referred
United States · United States Congress · 26 March 1975
National Home Health Care Act - Broadens the coverage of home health service under the supplementary medical insurance (Medicare) program of the Social Security Act by authorizing payments for homemaker services under specified circumstances and removes the 100-visit limitation presently applicable to the home health service program. Revises the coverage of post-hospital home health services under the Medicare program. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payments of rent under such program for elderly persons who would otherwise require nursing home care. Requires contributions by adult children towards their parents' nursing and home health care expenses under the Medicaid program. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program.
Bill· HRH.R. 5545 (94th)referred
United States · United States Congress · 26 March 1975
Medical Device Amendments - Revises the Federal Food, Drug, and Cosmetic Act to provide for the safety and effectiveness of medical devices intended for human use. Establishes classifications for such devices based upon their safety and effectiveness. Directs the Secretary of Health, Education, and Welfare to classify all such devices. Authorizes the Secretary to establish panels of experts for the purpose of securing recommendations with respect to such classifications. Provides that, based on new information respecting a device, the Secretary may, upon his own initiative or upon petition of an interested person, by regulation: (1) change such device's classification; and (2) revoke, because of the change in classification, any regulation in effect with respect to such device. Authorizes the Secretary to establish a performance standard for those devices for which reasonable assurance for the safety and effectiveness of the device cannot be made. Sets forth criteria to be followed in establishing such standard. Directs the Secretary to provide for periodic evaluation of performance standards established under this Act. Establishes procedures to be followed by the Secretary in developing and changing such standards. Provides that the Secretary shall publish in the Federal Register a notice inviting any person, including any Federal agency, to submit an existing standard or an offer to develop such a standard. Requires the Secretary to obtain from the offeror such information concerning the offeror as the Secretary determines is necessary to disclose potential conflicts of interests. States that if a standard or offer to create a standard is submitted to the Secretary which he does not accept he shall publish in the Federal Register notice of that fact together with the reasons therefor. Authorizes the Secretary to accept offers to develop a proposed standard for a device. Allows the Secretary to contribute to the offeror's cost in developing a proposed standard. Makes provisions for the development of performance standards by the Secretary when no other means are available. Requires premarket approval for medical devices for which insufficient information exists for the establishment of a performance standard and which are purported or represented to be for a use which is of substantial importance in supporting, sustaining, or preventing impairment of human life. Establishes procedures for premarket approval of such devices. Sets forth criteria upon which the approval or disapproval of such devices shall be based, including a lack of showing by the applicant of reasonable assurance that such device is safe for use under the conditions prescribed in the proposed labeling. Allows the Secretary in specified circumstances to withdraw his premarket approval of a device. Sets forth procedures to be followed for the withdrawal of such approval. Authorizes the Secretary to exempt from the premarket approval requirements established by this Act devices which are intended solely for investigational use for the purpose of developing data relating to the safety and effectiveness of such devices. Authorizes the Secretary to ban devices intended for human use if he finds that: (1) they present substantial deception of a substanital risk of illness or human injury; and (2) such deception or risk could be eliminated by corrective labeling but the manufacturer does not do so. Sets forth procedures governing the banning of such devices. Authorizes the United States Court of Appeals for the District of Columbia to hear appeals of any person adversely affected by a decision, rule, or order, of the Secretary under this Act. Authorizes the Secretary to require manufacturers, distributors, and retailers of medical devices, and health professionals utilizing them to participate in a process of notification to users of those medical devices which the Secretary determines present an unreasonable risk of substantial harm to the public health. Authorizes the Secretary to require a manufacturer of a medical device intended for human use which (1) presents a substantial risk of harm to the public health and (2) was not properly designed or manufactured, to repair, replace, or refund the purchase price of such device at no cost to the person using it. Authorizes the Secretary to require that a device be limited to sale or distribution by prescription of a licensed medical practitioner. Authorizes the Secretary to establish mandatory manufacturing methods for medical devices. Sets forth procedures controlling the establishment of such methods. Requires manufacturers of medical devices intended for human use to register with the Secretary of Health, Education, and Welfare and to provide specified information concerning such devices. Requires every person who is a manufacturer, importer, or distributor of a medical device intended for human use to establish and maintain such records as the Secretary may by regulation direct. Makes conforming amendments to the Federal Food, Drug, and Cosmetic Act. Extends specified sections of such Act relating to labeling, inspection, and seizures to medical devices.
Bill· HRH.R. 5517 (94th)referred
United States · United States Congress · 26 March 1975
Authorizes the Secretary of Health, Education, and Welfare, under the Public Health Service Act, to establish in the National Institutes of Health and in four other geographical regions, treatment centers to assist individuals seeking to bear children, and to undertake research and training in advanced diagnostic and treatment methods relating to problems respecting human fertility, sterility, and the human reproductive process. Authorizes the Secretary to enter into cooperative arrangements with public or private nonprofit agencies or institutions to pay the expenses of planning and establishing basic operating support for specialized treatment centers. Authorizes to be appropriated for fiscal year 1976 and each of the next four fiscal years such sums as are necessary to pay the expenses authorized by this Act. Includes counseling for individuals who are unable to have children in the family planning projects and services assisted under the Act and provides for the referral of such individuals to specialized regional treatment centers.
Bill· HRH.R. 5547 (94th)referred
United States · United States Congress · 26 March 1975
Requires, under Title XIX (Medicaid) of the Social Security Act, that the States must provide for periodic inspections of nursing homes to determine compliance with sanitation, environmental, patient care, medical care, dietary and fire safety standards, without advance notice. Specifies that the States must create an ombudsman-ombudswoman system to receive and consider complaints and reports concerning the operation of long-term care facilities. Directs the States to appoint a trustee manager for long term care facilities which fail to meet the specified standards.
Bill· HRH.R. 5528 (94th)referred
United States · United States Congress · 26 March 1975
Provides, under the Social Security Act, for the establishment and revision of Professional Standards Review Organization areas, such establishment and revision to take into account the recommendations of the doctors of medicine or osteopathy. States that the final determination in the establishment or revision of any Professional Standards Review Organization area shall be subject to review in a civil action commenced by any interested person. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned. Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical specialty organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Provides for the protection of the confidentiality of medical records compiled under this Act. Empowers the Secretary of Health, Education, and Welfare to enter into a contract with any State medical society or private nonprofit organization (including medical foundations) designated by a State medical society for the provision of necessary technical and other assistance in the creation and operation of local professional standards review organizations.
Bill· HRH.R. 5519 (94th)referred
United States · United States Congress · 26 March 1975
Requires federally related health care facilities to test infants born in the facility or brought to it for health care for specified diseases. Defines a "federally related health care facility" for the purposes of this Act.
Bill· HRH.R. 5515 (94th)referred
United States · United States Congress · 26 March 1975
Provides, under the Social Security Act, for the establishment and revision of Professional Standards Review Organization areas, such establishment and revision to take into account the recommendations of the doctors of medicine or osteopathy. States that the final determination in the establishment or revision of any Professional Standards Review Organization area shall be subject to review in a civil action commenced by any interested person. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned. Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical specialty organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Provides for the protection of the confidentiality of medical records compiled under this Act. Empowers the Secretary of Health, Education, and Welfare to enter into a contract with any State medical society or private nonprofit organization (including medical foundations) designated by a State medical society for the provision of necessary technical and other assistance in the creation and operation of local professional standards review organizations.
Bill· HRH.R. 5518 (94th)referred
United States · United States Congress · 26 March 1975
Authorizes the Secretary of Health, Education, and Welfare, under the Public Health Service Act, to make grants to public or nonprofit entities or to individuals, for the purpose of promoting research in fertility and sterility, in humans and the human reproductive process. Authorizes to be appropriated such sums as are necessary to make payments for fiscal year 1976, and for each of the next four fiscal years.
Bill· HRH.R. 5468 (94th)referred
United States · United States Congress · 25 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
Bill· HRH.R. 5478 (94th)referred
United States · United States Congress · 25 March 1975
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 5467 (94th)referred
United States · United States Congress · 25 March 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program of of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the indiviudal could otherwise obtain in a skilled nursing facility. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payment of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program. Establishes, in the Department of Health, Education, and Welfare, a home health patient ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled, (2) provide safeguards against over-charging for home health services, (3) identify abuses against home health patients, (4) receive, handle, and expedite complaints by home health patients, (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable, and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Makes the children over 18 of parents receiving nursing and home health care assistance under the medicaid program liable for a specified portion of the expenses of such assistance, depending upon the income of such child. Permits the waiver of such obligation in any case where the State agency determines, in accordance with regulations prescribed by the Secretary, that the imposition of such obligation or the making of such collection would impose undue hardship. Provides that any amount collected from or otherwise paid by any person in satisfaction of any obligation imposed by this section shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code ot 1954.
Bill· HRH.R. 5463 (94th)referred
United States · United States Congress · 25 March 1975
Rural Health Care Delivery Improvement Act - Declares that it is the policy of Congress and the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare an Office of Rural Health. Authorizes the Director of such office to award grants, contracts, loans, and loan guarantees for projects to: (1) examine existing models of rural health care delivery; (2) determine such models applicability and transferability to other rural areas; and (3) assist in the study, planning, and development of rural health care delivery models. States that the Director shall: (1) provide liason among all Federal agencies for the purpose of coordinating health care programs in rural areas; (2) provide technical assistance and advice for the development of rural health care delivery models; and (3) provide for the coordination of programs assisted under this Act with programs of the National Health Service Corps. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund. Stipulates that the Director shall not approve an application for a loan or a loan guarantee under this Act unless he determines that the terms and conditions are sufficient to protect the financial interests of the United States. Establishes a Rural Health Care Advisory Committee composed of eleven members. Directs such committee to make recommendations to the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health. Stipulates that the Director shall not approve an award of any grant, contract, loan, or loan guarantee under this Act unless such award has been approved by the Rural Health Care Advisory Committee and the appropriate State and local medical society. Authorizes to be appropriated for grants and contracts under this Act $75,000,000 for fiscal year 1976, $100,000,000 for fiscal year 1977, and $125,000,000 for fiscal year 1978. Authorizes to be appropriated for the rural health care delivery loan guarantee and loan fund such amounts as may be required from time to time for the fund.
Bill· HRH.R. 5428 (94th)referred
United States · United States Congress · 25 March 1975
National Health Education Policy and Development Act - Declares that the Congress finds that (1) a number of health problems have their roots in the habits, lifestyles, attitudes, and beliefs of the American people; and (2) there is a need for the development of effective school health education programs. Declares that it is the purpose of this Act to develop a national health education policy and program, and to authorize financial assistance for the development and implementation of that policy. Establishes within the Department of Health, Education, and Welfare a Health Education Administration. Establishes a permanent Advisory Council for Health Education to advise, consult with, and make recommendations to the Administrator on matters relating to the administration of this Act. Directs the Administrator to conduct a study and submit a report to the Congress on specified subjects including: (1) the current status of health education in the United States; (2) areas of greatest potential impact for health education; and (3) opportunities to improve, by means of health education, the well being of ethnic groups with distinctive health problems. Authorizes the Administrator, upon recommendation of the Council, to make grants to or enter into contracts with public or nonprofit private entities for the purpose of: (1) developing specific educational and informational techniques for the dissemination of health information; (2) developing mutifaceted systems of health care education for a defined geographic area; and (3) providing the training for personnel to carry out health education programs. Requires the Administrator to submit an annual report to the Congress on the status of health education in the United States. Authorizes to be appropriated for the purposes of carrying out this Act a sum not to exceed $5,000,000 for the first fiscal year after the enactment of this Act, $10,000,000 for the second fiscal year, and $15,000,000,000 for the third fiscal year.
Bill· SS. 1321 (94th)referred
United States · United States Congress · 24 March 1975
National Drug Testing and Evaluation Act - Provides for the establishment of a National Drug Testing and Evaluation Center which shall be operated and maintained as a part of the Food and Drug Administration subject to the supervision and control of the Secretary of Health, Education, and Welfare. Provides that the Secretary of the Health, Education, and Welfare shall be responsible for conducting all tests for investigations on new drugs submitted to him for approval in order to determine whether such new drugs should be approved for commercial distribution and shall be responsible for conducting tests or investigations on drugs which have been approved to determine whether or not approval of such drugs should be withdrawn. Authorizes the Secretary to contract out such studies to qualified individuals, organizations, or institutions and makes it his responsibility to insure that the testing or investigation of any drug is conducted by experts qualified by scientific training and experience to investigate the safety and effectiveness of drugs. Provides that the sponsor of any drug submitted to the Secretary for testing and investigation shall, upon request, be provided with a report every sixty days on the results of the testing or investigation. Provides for a three-member Drug Testing Review Panel to review, upon request of the sponsor, any facet of the investigation to which the sponsor objects. Provides that the sponsor or any new drug submitted to the Secretary for testing or investigation shall be liable for the expenses incurred, including a proportionate share of the cost of staffing, maintaining and equipping the Center. Establishes a National Drug Testing Evaluation Center fund which shall be available to the Secretary for the purpose of establishing the National Drug Testing Evaluation Center, for the purpose of furnishing initial working capital, and for other specified purposes. Provides that nothing in this Act prohibits the sponsor of any drug from conducting tests or investigations on such drug in accordance with other provisions of the Food and Drug Act.
Bill· SS. 1322 (94th)referred
United States · United States Congress · 24 March 1975
Drug Quality Control and Formulary Act - Establishes, within the Department of Health, Education, and Welfare, a Formulary Committee, a majority of whose members shall be physicians and which shall consist of two officials of such Department designated by the Secretary, and of seven individuals who are of recognized professional standing and distinction in the fields of medicine, pharmacology and pharmacy. Sets forth the terms of office of the members of such Committee. Provides that the Committee shall compile, publish, and make available to all interested persons a Formulary of the United States. States that the Formulary shall contain an alphabetically arranged listing, by established name, of those drugs which the Committee finds are necessary for good medical practice. Provides that the Formulary Committee shall establish such procedures, as may be necessary, to determine the propriety of the inclusion or exclusion, in the Formulary, of any drug, including such data and testing as it may require of a proponent of a drug. Makes provisions for a hearing prior to the final determination by the Formulary Committee to remove a drug from the Formulary. Declares that no department or agency of the Government shall purchase any drug not listed in the Formulary and shall not reimburse or otherwise pay, under any program administered by it, for any drug listed in the Formulary.
Bill· SS. 1318 (94th)referred
United States · United States Congress · 24 March 1975
Drug Amendments Act - Eliminates the exception for drugs under the definition of the term "new drug" as used in the Federal Food, Drug, and Cosmetic Act. Provides that any drug which is a new drug as defined by such Act is subject to all requirements of such Act without regard to: (1) the dates upon which such drug was ever commercially used or sold in the United States; (2) whether or not a new drug application was in effect on or before October 9, 1962; (3) whether or not such drug was a new drug on or before October 9, 1962 as then defined by the Federal Food, Drug and Cosmetic Act; and (4) whether or not such drug is intended solely for use under the conditions prescribed, recommended, or suggested in labeling with respect to such drug prior to October 9, 1962. Provides that labeling, advertising, or promotional material for an article is deemed to be misleading if the representation made or suggested by statement, word, design, device, or any combination thereof relate to, concern, or otherwise bear upon: (1) the safety or effectiveness of use of a drug or device, unless such representaions are based upon adequate and well controlled investigations; and (2) any attributes, characteristics, or qualities of the article, or any matter relating thereto, unless such representations are based on data, upon which experts qualified in the evaluation of such data, could fairly and responsibly conclude that the representations made for the article in its labeling, advertising, or promotional material are fully supported. States that no publisher, radio broadcast licensee, or agency or medium for the dissemination of advertising or promotional material, except the manufacturer, packer, distributor, or seller of the article to which the false advertisement related, shall be liable under this Act for the dissemination of any false advertisement or promotional material unless he has refused, on the request of the Secretary of Health, Education, and Welfare, to furnish the name and post office address of the manufacturer, packer, distributor, seller, or advertising agency residing in the United States who caused him to disseminate such advertisement or promotional material. Removes the inspection restrictions, for purposes of enforcement of the Federal Food, Drug, and Cosmetic Act, of research data with respect to drugs. Provides that the Secretary may require by subpena the attendance and testimony of witnesses and the production of documentary evidence bearing on whether any food, drug, device or cosmetic is in violation of the Federal Food, Drug and Cosmetic Act.
Bill· SS. 1319 (94th)referred
United States · United States Congress · 24 March 1975
Gives the Secretary of Health, Education, and Welfare authority to require batch-by-batch certification of all drugs when needed. States that regulations providing for such certification shall contain such provisions as are necessary to carry out the purposes of this Act, including provisions prescribing: (1) standards of identity and of strength, quality, and purity; (2) tests and methods of assay to determine compliance with such standards; (3) effective periods for certificates, and other conditions under which they shall cease to be effective as to certified batches and as to portions thereof; and (4) administration and procedure. Directs the Secretary to promulgate regulations exempting specified drugs from the requirements of this Act. States that any interested person may file a petition with the Secretary proposing the issuance of any regulation contemplated by this Act. Directs that such proposal shall be made public and all interested persons shall be afforded an opportunity to present their views concerning such proposal. Requires the Secretary to make public his action upon the proposal. Provides that under specified circumstances any interested person may request a public hearing on the Secretary's action. Requires drug manufacturers to maintain records and make reports to the Secretary concerning clinical experience and other data determined by the Secretary to be necessary to insure that such drug complies with the requirements of this Act. Authorizes the Secretary to require the submission of data concerning the amount of production or distribution for a specific period of time with regard to any drug which is required to be listed.
Bill· SS. 1312 (94th)referred
United States · United States Congress · 24 March 1975
Public Health Price Protection Act - Provides that whenever it appears to the Secretary of Health, Education, and Welfare, in the case of any drug that: (1) its continued availability by reason of its general use by the medical profession may be in the public interest; (2) the usuage and price levels of such drugs are such that the volume of commerce therein may not be insubstantial; and (3) either there are fewer than four producers of such drug in the United States or the average price of such drug to the consumer is five times the direct cost to the producer; he shall immediately so certify to the Federal Trade Commission. Provides that if the Federal Trade Commission finds that the existence of a patent relating to the manufacture, use, or sale of such drug has constituted a substantial contributing factor to the high price of such drug, it shall institute a public rulemaking proceeding to determine whether such patent should be subject to mandatory licensing. Specifies the formulation of rules by the Commission to determine a proper price and licensing procedure. Provides civil penalties for violation of mandatory licensing rules. Provides for judicial review of such rules.
Bill· HRH.R. 5404 (94th)referred
United States · United States Congress · 24 March 1975
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the medicare and medicaid programs.
Bill· HRH.R. 5403 (94th)referred
United States · United States Congress · 24 March 1975
Sets forth the schedule of reimbursement of States by the Veterans' Administration for the provision of domiciliary, hospital, or nursing home care for eligible veterans. (Amends 38 U.S.C. 641)
Bill· HRH.R. 5390 (94th)referred
United States · United States Congress · 24 March 1975
Provides that specified rural hospitals shall be exempt for a period of 18 months from the requirements and provisions of Title XI of the Social Security Act relating to the establishment of professional standards review organizations and from the provisions of such Act and the regulations governing utilization review and utilization control procedures under the medicare, medicaid, and maternal and child health programs. Directs the Secretary of Health, Education, and Welfare to investigate alternative methods of utilization review and control for rural hospitals. Defines "rural hospitals" for purposes of this Act as meaning a hospital which is located in a community having a population of less than 50,000, but only if: (1) there is no other is no other community which has a population of fifty thousand or more within a ten-mile radius of such hospital; (2) the combined average patient load for all hospitals within such ten-mile radius is less than forty per day; and (3) the number of practicing physicians on the regular staff of such hospital does not exceed seven.
Bill· HRH.R. 5375 (94th)referred
United States · United States Congress · 24 March 1975
Authorizes payment under the supplementary medical insurance program of title XVIII (Medicare) of the Social Security Act for optometric and medical vision care.
Bill· HRH.R. 5374 (94th)referred
United States · United States Congress · 24 March 1975
Authorizes payment under the supplementary medical insurance program of title XVIII (Medicare) of the Social Security Act for optometric and medical vision care.
Bill· SS. 1304 (94th)referred
United States · United States Congress · 21 March 1975
Expands the term "hospital" under title XVIII (Medicare) of the Social Security Act to include immediate care facilities. Provides coverage under title XIX (Medicaid) of such Act for the institutional costs of the specialized medical services of facilities treating cases requiring immediate care. Makes a facility eligible for reimbursement if it meets medical standards comparable to those required of a hospital emergency room.
Bill· HRH.R. 5349 (94th)referred
United States · United States Congress · 21 March 1975
Provides that specified rural hospitals shall be exempt for a period of 18 months from the requirements and provisions of Title XI of the Social Security Act relating to the establishment of professional standards review organizations and from the provisions of such Act and the regulations governing utilization review and utilization control procedures under the medicare, medicaid, and maternal and child health programs. Directs the Secretary of Health, Education, and Welfare to investigate alternative methods of utilization review and control for rural hospitals. Defines "rural hospitals" for purposes of this Act as meaning a hospital which is located in a community having a population of less than 50,000, but only if: (1) there is no other is no other community which has a population of fifty thousand or more within a ten-mile radius of such hospital; (2) the combined average patient load for all hospitals within such ten-mile radius is less than forty per day; and (3) the number of practicing physicians on the regular staff of such hospital does not exceed seven.
Bill· HRH.R. 5333 (94th)referred
United States · United States Congress · 21 March 1975
Provides, under the Social Security Act, that any State with a statewide Professional Standards Review Organization shall be established as one area for which a Professional Standards Review Organization may be designated, if such State requests.
Bill· SS. 1273 (94th)referred
United States · United States Congress · 20 March 1975
Sets forth standards, relating to the rights of patients under the General Provisions of the Social Security Act, to be met by intermediate care facilities participating in programs under title XVIII (Medicare) and title XIX (Medicaid) of such Act. Provides that the statement of rights required to be adopted by such facilities shall include guarantees: (1) that the patient's civil and religious liberties will not be infringed; (2) that the patient has the right to private communications with his physician, attorney, or any other person; and (3) that the patient has the right to have privacy in treatment and in caring for personal needs and confidentiality in the treatment of personal and medical records.
Bill· SS. 1274 (94th)referred
United States · United States Congress · 20 March 1975
Revises title XI (General Provisions), title XVIII (Medicare), and title XIX (Medicaid) of the Social Security Act to make permanent specified provisions relating to inspections of long-term care institutions, including skilled nursing facilities. Provides for the publication of specified information regarding such institutions, and requires that such institutions provide training for their nonprofessional employees as a condition of participation in the medicare and medicaid programs.
Bill· SS. 1257 (94th)referred
United States · United States Congress · 20 March 1975
Telecommunications Facilities and Demonstration Act - States that the purposes of this Act are: (1) to assist (through matching grants) in the construction of noncommercial educational television or radio broadcasting facilities; (2) to demonstrate (through grants or contracts) the use of telecommunications technologies for the distribution and dissemination of health, education, and other social service information; and (3) to promote the development of nonbroadcast telecommunications facilities and services for the transmission, distribution, and delivery of health, education, and social service information. Authorizes appropriations of $7,000,000 for fiscal year 1976, and for the four succeeding fiscal years, for the payment of grants for the above purposes upon approval of applications submitted to the Secretary of Health, Education, and Welfare.
Bill· SS. 1270 (94th)referred
United States · United States Congress · 20 March 1975
Provides grants to long-term care facilities under the Social Security Act. Directs that grants defray 100 percent of the reasonable cost incurred by such facilities in establishing and carrying out a rehabilitative services program for inpatients. Authorizes appropriations for each fiscal year of such sums as are necessary to carry out the provisions of this Act. Withholds, under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, Federal funds from long-term care facilities which do not have in effect a rehabilitative services program.
Bill· SS. 1253 (94th)referred
United States · United States Congress · 20 March 1975
Revises the provisions of title XVIII (Medicare) of the Social Security Act to conform the timing of preimum determinations thereunder with the automatic benefit increases provisions in title II (Old-Age, Survivors, and Disability Insurance) of that Act. Provides for an interim and a long- term study of malpractice insurance problems among physicians and hospitals, to be conducted by the Office of Technology Assessment. Authorizes appropriations of sums necessary to carry out the provisions of this Act.
Bill· SS. 1271 (94th)referred
United States · United States Congress · 20 March 1975
Authorizes the Secretary of Housing and Urban Development, in consultation with the Secretary of Health, Education, and Welfare, under the National Housing Act, to provide insurance for loans to finance improvements to long-term care facilities required to correct deficiencies identified in State surveys and Federal certification procedures.
Bill· SS. 1276 (94th)referred
United States · United States Congress · 20 March 1975
Provides for the establishment, under title XVIII (Medicare) of the Social Security Act, of a Nursing Home Affairs Advisory Council to advise the Secretary of Health, Education, and Welfare on ways to improve the quality of care provided by long-term care facilities receiving payments under this title or title XIX (Medicaid).
Bill· SS. 1272 (94th)referred
United States · United States Congress · 20 March 1975
Revises the provisions of the Older Americans Act relating to long-term care facilities to place special emphasis on the establishment and expansion of home health services and to strengthen access by the community to long-term care facilities. Requires State agencies to establish and maintain an ombudsman office which will receive and investigate complaints from residents, patients, and the relatives and friends of residents and patients in long- term care facilities.
Bill· HRH.R. 5265 (94th)referred
United States · United States Congress · 20 March 1975
National Vitiligo Control Act - Declares the findings of Congress that vitiligo is a disfiguring, inheritable disease which cripples the personality of individuals suffering from it and which afflicts about three percent of the U.S. population. Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare shall carry out a program to develop information and educational materials relating to vitiligo and to distribute such information and materials to persons providing health care and to the general public. States that the Secretary may carry out such program through grants to or contracts with public and nonprofit public entities, and authorizes to be appropriated for such purpose $2,000,000 for fiscal year 1975, $3,000,000 for fiscal year 1976, and $4,000,000 for fiscal year 1977. Authorizes the Secretary to make grants to public and nonprofit private entities, and enter into contracts with such entities and with individuals for projects for: (1) research and research training in the diagnosis, treatment, and control of vitiligo; and (2) the development or programs to educate the public concerning the nature and inheritance of the disease. Authorizes to be appropriated for such purposes $5,000,000 for fiscal year 1975, $10,000,000 for fiscal year 1976, and $15,000,000 for fiscal year 1977. States that participation by any person in any program under this Act shall be wholly voluntary. Sets forth requirements for applicants of grants under this Act, including the requirement that all test results, medical records, and other information regarding treatment of any person treated in connection with a project assisted under this Act shall be kept confidential, unless such person consents to the release of such information. Requires the Secretary to prepare and submit to the President for transmittal to Congress, on or before April 1 of 1976, 1977, and 1978 a comprehensive report on the administration of this Act.
Bill· HRH.R. 5264 (94th)referred
United States · United States Congress · 20 March 1975
National Vitiligo Control Act - Declares the findings of Congress that vitiligo is a disfiguring, inheritable disease which cripples the personality of individuals suffering from it and which afflicts about three percent of the U.S. population. Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare shall carry out a program to develop information and educational materials relating to vitiligo and to distribute such information and materials to persons providing health care and to the general public. States that the Secretary may carry out such program through grants to or contracts with public and nonprofit public entities, and authorizes to be appropriated for such purpose $2,000,000 for fiscal year 1975, $3,000,000 for fiscal year 1976, and $4,000,000 for fiscal year 1977. Authorizes the Secretary to make grants to public and nonprofit private entities, and enter into contracts with such entities and with individuals for projects for: (1) research and research training in the diagnosis, treatment, and control of vitiligo; and (2) the development or programs to educate the public concerning the nature and inheritance of the disease. Authorizes to be appropriated for such purposes $5,000,000 for fiscal year 1975, $10,000,000 for fiscal year 1976, and $15,000,000 for fiscal year 1977. States that participation by any person in any program under this Act shall be wholly voluntary. Sets forth requirements for applicants of grants under this Act, including the requirement that all test results, medical records, and other information regarding treatment of any person treated in connection with a project assisted under this Act shall be kept confidential, unless such person consents to the release of such information. Requires the Secretary to prepare and submit to the President for transmittal to Congress, on or before April 1 of 1976, 1977, and 1978 a comprehensive report on the administration of this Act.
Bill· HRH.R. 5233 (94th)referred
United States · United States Congress · 20 March 1975
Requires States to enter into agreements with the Secretary of Health, Education, and Welfare under which the State will agree to periodically inspect public and private extended care facilities, skilled nursing homes, and intermediate care facilities. Provides that eligibility for Federal payments under title XIX (Medicaid) of the Social Security Act is contingent upon such an inspection program. Directs States to impose a fine of up to $300 for willful refusal to permit any inspection required by this Act. Requires States to enforce specified guarantees of rights of patients in public and private extended care facilities, skilled nursing homes, and intermediate care facilities, including a guarantee of the patients' right to receive adequate, high quality, and appropriate medical care.
Bill· HRH.R. 5236 (94th)referred
United States · United States Congress · 20 March 1975
Rural Health Care Delivery Improvement Act - Declares that it is the policy of Congress and the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare an Office of Rural Health. Authorizes the Director of such office to award grants, contracts, loans, and loan guarantees for projects to: (1) examine existing models of rural health care delivery; (2) determine such models applicability and transferability to other rural areas; and (3) assist in the study, planning, and development of rural health care delivery models. States that the Director shall: (1) provide liason among all Federal agencies for the purpose of coordinating health care programs in rural areas; (2) provide technical assistance and advice for the development of rural health care delivery models; and (3) provide for the coordination of programs assisted under this Act with programs of the National Health Service Corps. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund. Stipulates that the Director shall not approve an application for a loan or a loan guarantee under this Act unless he determines that the terms and conditions are sufficient to protect the financial interests of the United States. Establishes a Rural Health Care Advisory Committee composed of eleven members. Directs such committee to make recommendations to the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health. Stipulates that the Director shall not approve an award of any grant, contract, loan, or loan guarantee under this Act unless such award has been approved by the Rural Health Care Advisory Committee and the appropriate State and local medical society. Authorizes to be appropriated for grants and contracts under this Act $75,000,000 for fiscal year 1976, $100,000,000 for fiscal year 1977, and $125,000,000 for fiscal year 1978. Authorizes to be appropriated for the rural health care delivery loan guarantee and loan fund such amounts as may be required from time to time for the fund.
Bill· HRH.R. 5196 (94th)referred
United States · United States Congress · 19 March 1975
States that the Airlines Mutual Aid Agreement approved by the Civil Aeronautics Board is adverse to the public interest and is hereby terminated. States that the effective date of this Act is April 1, 1975.
Bill· HRH.R. 5184 (94th)referred
United States · United States Congress · 19 March 1975
Federal Medical Malpractice Insurance Act - Authorizes the Secretary of Health, Education, and Welfare to offer to any insurer or pool reinsurance against liability for damages resulting from acts of medical malpractice. States that, in carrying out the medical malpractice reinsurance program authorized by this Act, the Secretary shall arrange for: (1) appropriate financial participation and risk sharing in the reinsurance program by insurance companies or other insurers; and (2) other appropriate participation on other than a risk-sharing basis by insurance companies or other insurers, insurance agents and brokers, and insurance adjustment organizations. Directs the Secretary to make reinsurance available in such amounts as he determines to be necessary, based upon actuarial studies, but to make available initially such insurance in amounts in excess of $25,000. Provides that in establishing the rates for coverages, the Secretary shall consult with State insurance authorities and other knowledgeable persons and is authorized to take into consideration the nature and degree of the risks involved, the extent of anticipated losses and other enumerated factors. Requires the Secretary to report annually to the President and the Congress on his operations and activities under this Act together with such recommendations as may be appropriate.
Bill· HRH.R. 5183 (94th)referred
United States · United States Congress · 19 March 1975
National Medical Injury Compensation Insurance Act - Adds a new title to the Public Health Service Act authorizing the Secretary of Health, Education, and Welfare to establish and implement a program of national medical injury compensation insurance. Establishes in the Treasury a Medical Injury Compensation Insurance Fund for making such payments and paying such administrative expenses as necessary for carrying out the insurance program under this Act. Stipulates that participation in the insurance program shall be conditioned upon continued compliance with specified requirements for eligibility, including agreement by the physician to review of health care services by the Professional Standards Review Organization. Provides that the insurance program established under this Act shall provide: (1) insurance benefits to insureds for compensation for loss incurred as a result of tort liability; and (2) no-fault benefits to beneficiaries of contracts entered into in accordance with the provisions of this Act for compensation for loss from any injury suffered as a result of health care services provided by an insured. States that the no-fault benefits shall consist of compensation for loss from injury determined in accordance with regulations of the Secretary, but limited to specified items, including: (1) all reasonable expenses necessarily incurred by a patient for medical and other health treatment; and (2) all reasonable expenses necessarily incurred for medical and vocational rehabilitation services. Sets forth procedures for the Secretary to follow in determining no-fault benefits. Provides for judicial review of the decisions of the Secretary. Sets time limitations on the filing of claims for no-fault benefits. Provides that no claim for no-fault benefits shall be accepted unless such beneficiary agrees, in writing, that no tort action will be instituted or prosecuted against the insured with respect to the injury for which no-fault benefits are claimed. Establishes within the Department of Health, Education, and Welfare the Medical Injury Compensation Insurance Administration. Directs the Secretary to perform the functions authorized by this Act through such Administration. Authorizes the Secretary to appoint an Advisory Council on Medical Injury Compensation. States that the Council shall advise, consult with, and make recommendations to, the Secretary with respect to: (1) the preparation of any regulations prescribed in accordance with this Act; and (2) the implementation and administration of this Act. Stipulates that in addition to no-fault benefits or tort damages, the Secretary shall, if the claimant or plaintiff was represented by an attorney, pay a reasonable fee to compensate such attorney for the services performed by him in connection with the claim or action to recover such damages. Imposes criminal penalties for falsifications made with respect to the requirements and provisions of this Act. Requires that within two years the Secretary shall develop national standards for the licensure of health professionals and shall prepare appropriate examinations for initial licensure and for subsequent renewal of licensure. Provides that a State may establish a program for licensure of health professionals provided it meets or exceeds the national standards.
Bill· SS. 1225 (94th)referred
United States · United States Congress · 18 March 1975
Repeals, under the Social Security Act, the provisions for the establishment of Professional Standards Review Organizations to review services covered under the Medicare and Medicaid programs.
Bill· SS. 1234 (94th)referred
United States · United States Congress · 18 March 1975
National Multiple Sclerosis and Epilepsy Act - Expresses the finds of Congress and declares the purpose of this Act. Instructs the Director of the National Institute of Neurological Diseases and Stroke to develop a neurological disease program to expand, intensify and coordinate the activities of the Institute. Specifies the scope of such program. Requires the Director to report annually on the accomplishments of the program. Empowers the Director to: (1) obtain the services of 50 experts; (2) acquire and maintain neurological disease equipment and facilities; and (3) enter into contracts to carry out the purposes of this Act. Authorizes appropriations of such sums as necessary to carry out the above objectives. Instructs the Director to develop six new centers for multiple sclerosis research and treatment and 14 new centers for other neurological and sensory diseases. Authorizes appropriations of $100,000,000, $125,000,000 and $150,000,000 for such purposes for fiscal years 1975-1977. Empowers the Director to make grants to public entities for research in neurological disorders and authorizes to be appropriated such sums as are necessary for such purposes.
Bill· HRH.R. 5117 (94th)referred
United States · United States Congress · 18 March 1975
Sets forth the criteria under which the Administrator of Veteran's Affairs may pay for care and treatment rendered to veterans by private hospitals in emergencies. (Adds 38 U.S. C. 625(a))
Bill· HRH.R. 5054 (94th)referred
United States · United States Congress · 18 March 1975
Emergency Health Benefits Protection Act - Requires the Secretary of Health, Education, and Welfare, under the Public Health Service Act, to enter into agreements with insurance carriers to provide health insurance benefits to persons unemployed, where such individuals were covered while employed by their previous employer. Requires the Secretary to enter into agreements with appropriate State agencies for purposes of determining the eligibility of individuals in the State for such benefits, and for the purpose of making payments to carriers.
Bill· HRH.R. 5049 (94th)referred
United States · United States Congress · 17 March 1975
Home Health Services Act - Provides, under the Public Health Service Act, for the establishment and initial operation of public and nonprofit private agencies which will provide home health services in areas in which such services are not otherwise available. Authorizes the Secretary of Health, Education, and Welfare to make grants: (1) to meet the initial and expanding costs of such agencies; and (2) for programs for the training of professional and paraprofessional personnel to provide home health services. Authorizes the appropriation of such sums as may be necessary to carry out this Act.
Bill· HRH.R. 5050 (94th)referred
United States · United States Congress · 17 March 1975
Revises the conditions under which post-hospital home health services may be provided udner part A and home health services may be provided under part B of title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 4999 (94th)referred
United States · United States Congress · 17 March 1975
Provides hospital insurance coverage, for a one year period, under Title XVIII (Medicare) of the Social Security Act for unemployed workers and their families. Requires as a condition of eligibility that unemployed individuals establish entitlement to weekly benefits under a State or Federal unemployment compensation law. Authorizes appropriations to the Federal Hospital Insurance Trust Fund of an amount sufficient to place such Trust Fund in the same position at the end of one fiscal year as the position it would have been in if the provisions of this Act had not been enacted.
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