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Bill· HRH.R. 10025 (94th)referred
United States · United States Congress · 3 October 1975
Emergency Medical Services Systems Act Amendments - Extends through fiscal year 1979, under the Emergency Medical Services Systems Act, the prohibition of grants or contracts made by the Secretary of Health, Education, and Welfare, for the modernization of emergency facilities to States, units of local government, or other public service entities which did not receive a grant or contract for the same purpose the preceeding fiscal year. Authorizes the Secretary to make a second grant to or enter into a second contract with an eligible entity for the expansion and improvement of emergency medical services. Includes planning costs in the coverage of grants and contracts for expansion and improvement of emergency medical services. States that emphasis in awarding grants or contracts for research relating to the delivery of emergency medical services in rural areas should be placed on identifying and using techniques and methods to apply the results of such research. Authorizes recipients of grants or contracts for the: (1) establishment and operation; or (2) expansion and improvement of an emergency medical services system to use funds under such grant or contract for a training program related to such a system. Authorizes through fiscal year 1977 appropriations for the making of payments pursuant to grants and contracts for feasibility studies and planning in connection with the establishment and operation of an emergency medical services system. Authorizes through fiscal year 1980 appropriations for grants and contracts for the establishment and operation, and planning and improvement of such emergency systems. Directs that at least 20 percent of the funds appropriated be made available for feasibility studies and planning from 15 percent to 10 percent of the funds appropriated. Authorizes through fiscal year 1978 appropriations for the making of payments pursuant to grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. Defines the duties of the unit established within the Department of Health, Education and Welfare for the administration of grants made and contracts entered into under the Emergency Medical Services Act. Directs the Secretary to make grants and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and similar institutions to assist programs of training in the field of emergency medical service. Authorizes through fiscal year 1980 appropriations for the making of payments pursuant to grants and contracts for such training programs. Directs the Secretary to conduct two studies in areas related to the improvement of emergency medical services.
Bill· SS. 2446 (94th)referred
United States · United States Congress · 2 October 1975
Provides that the inpatient hospital deductible under title XVIII (Medicare) of the Social Security Act shall be increased from $40 to $92 in the case of any spell of illness beginning before 1977. Sets forth a formula for adjusting the impatient deductible for subsequent years, equal to $92 multiplied by the ratio of the current average per diem rate for inpatient hospital services for the preceding year to the current average per diem rate for such services for 1974.
Bill· HRH.R. 9991 (94th)referred
United States · United States Congress · 2 October 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. 9919 (94th)referred
United States · United States Congress · 30 September 1975
Indian Health Care Improvement Act - States that the Congress declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Authorizes the Secretary of Health, Education, and Welfare acting through the Indian Health Service, to make grants to public or nonprofit private health or educational entities or Indian tribes or tribal organizations to assist such entities in meeting the costs of: (1) identifying Indians with a potential for education or training in the health professions and encouraging and assisting them; (2) publicizing existing sources of financial aid available to Indians enrolled in any medical or health-related school referred to in this Act or who are undertaking training necessary to qualify them to enroll in any such school; or (3) establishing other programs which the Secretary determines will enhance and facilitate the enrollment of Indians, and the subsequent pursuit and completion by them of courses of study, in any school referred to in this Act. Authorizes to be appropraited specified sums for each of the seven fiscal years commencing with that of 1977 for payment of such grants. Directs the Secretary, acting through the Service, to make scholarship grants for up to two years to Indians who: (1) have successfully completed their high school education or high school equivalency; and (2) have demonstrated the capability to successfully complete courses of study in schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, podiatry, pharmacy, public health, nursing, or allied health professions. Authorizes appropriations for scholarship grants of $2,000,000 for fiscal year 1977; $2,500,000 for fiscal year 1978; and similar sums through fiscal year 1983. Directs the Secretary, acting through the Service, to make scholarship grants to individuals who are enrolled in schools of medicine, osteopathy, denistry, veterinary medicine, optometry, podiatry, pharmacy, public health, nursing, or allied health professions, and who agree to provide their professional services to Indians after the completion of their professional training. Authorizes appropriations for such grants of specified sums for the fiscal years 1977 through 1983, and of such sums as are necessary for the succeeding fiscal years, to continue to make scholarship grants under this Act to individuals who have received such grants prior to the end of the fifth fiscal year and who are eligible for such grants during each such succeeding fiscal year. Directs the Secretary, acting through the Service, to make grants to individuals, nonprofit entities, appropriate public or private agencies, educational institutions, or Indian tribes and tribal organizations to enable the recipients of such grants to establish and carry out programs to train individuals so as to enable them to provide their services to Indians. Authorizes to be appropriated specified sums to carry out such provisions for the fiscal years 1977 through 1983. States that the Secretary may provide allowances to health professionals employed in the Service to enable them for a period of time each year prescribed by regulation of the Secretary to take leave of their duty stations for professional consultation and refresher training courses. Title II: Health Services - Authorizes the Secretary to expend specific amounts of funds over a five-fiscal year period for the following health services: (1) patient care; (2) field health, excluding dental care; (3) dental care; (4) mental health; (5) provision of health care personnel in primary and secondary Bureau of Indian Affairs schools; and (6) maintenance and repair. Title III: Health Facilities - Authorizes the Secretary to expend $528,637,000 over a seven-fiscal year period in order to eliminate inadequate, outdated, and otherwise unsatisfactory service in hospitals, health centers, health stations, staff housing, and other service facilities. Authorizes the Secretary to expend $378,000,000 within a five-fiscal year period following the enactment of this Act, to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Title IV: Access to Health Services - Provides that the Secretary may enter into agreements with the appropriate State agency for the purpose of reimbursing such agency for health care and services provided in Service facilities to Indians who are beneficiaries of the Medicaid provisions of the Social Security Act. Title V: Health Services for the Urban Indians - Directs the Secretary, acting through the Service, to enter into contracts with urban Indian organizations to assist such organizations to establish and administer, in the urban centers in which such organizations are situated, programs which meet the requirements set forth in this Act of making health services more accessible to the urban Indian population. Authorizes to be appropriated for the purpose of this title $5,000,000 for fiscal year 1977; $10,000,000,000 for fiscal year 1978; and $15,000,000 for fiscal year 1979. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. Authorizes appropriations to the Secretary of $150,000 to support a one-year study by the National Indian Health Board of mental health problems, including alcoholism and related problems, among Indians.
Bill· HRH.R. 9916 (94th)referred
United States · United States Congress · 30 September 1975
Emergency Medical Services Systems Act Amendments - Extends through fiscal year 1979, under the Emergency Medical Services Systems Act, the prohibition of grants or contracts made by the Secretary of Health, Education, and Welfare, for the modernization of emergency facilities to States, units of local government, or other public service entities which did not receive a grant or contract for the same purpose the preceeding fiscal year. Authorizes the Secretary to make a second grant to or enter into a second contract with an eligible entity for the expansion and improvement of emergency medical services. Includes planning costs in the coverage of grants and contracts for expansion and improvement of emergency medical services. States that emphasis in awarding grants or contracts for research relating to the delivery of emergency medical services in rural areas should be placed on identifying and using techniques and methods to apply the results of such research. Authorizes recipients of grants or contracts for the: (1) establishment and operation; or (2) expansion and improvement of an emergency medical services system to use funds under such grant or contract for a training program related to such a system. Authorizes through fiscal year 1977 appropriations for the making of payments pursuant to grants and contracts for feasibility studies and planning in connection with the establishment and operation of an emergency medical services system. Authorizes through fiscal year 1980 appropriations for grants and contracts for the establishment and operation, and planning and improvement of such emergency systems. Directs that at least 20 percent of the funds appropriated be made available for feasibility studies and planning from 15 percent to 10 percent of the funds appropriated. Authorizes through fiscal year 1978 appropriations for the making of payments pursuant to grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. Defines the duties of the unit established within the Department of Health, Education and Welfare for the administration of grants made and contracts entered into under the Emergency Medical Services Act. Directs the Secretary to make grants and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and similar institutions to assist programs of training in the field of emergency medical service. Authorizes through fiscal year 1980 appropriations for the making of payments pursuant to grants and contracts for such training programs. Directs the Secretary to conduct two studies in areas related to the improvement of emergency medical services.
Resolution· HRESH.Res. 757 (94th)passed
United States · United States Congress · 30 September 1975
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 7988) to amend the Public Health Service Act to revise and extend the program under the National Heart and Lung Institute, to revise and extend the program of National Research Service Awards, and to establish a national program with respect to genetic diseases; and to require a study and report on the release of research information. Directs that after general debate, which shall be confined to the bill and shall continue not to exceed one hour to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Provides that it shall be in order to consider the amendment in the nature of a substitute recommended by the Committee on Interstate and Foreign Commerce now printed in the bill as an original bill for the purpose of amendment under the five-minute rule, and said substitute shall be read for amendment by titles instead of by sections. Directs that, at the conclusion of such consideration, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and any Member may demand a separate vote in the House on any amendment adopted in the Committee of the Whole to the bill or to the committee amendment in the nature of a substitute. Provides that the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit with or without instructions.
Bill· HRH.R. 9894 (94th)referred
United States · United States Congress · 29 September 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. 9853 (94th)referred
United States · United States Congress · 25 September 1975
Authorizes payment under the supplementary medical insurance program of title XVIII (Medicare) of the Social Security Act for optometric and medical vision care.
Resolution· HRESH.Res. 738 (94th)referred
United States · United States Congress · 25 September 1975
Expresses the sense of the House of Representatives that all medical assistance legislation provide for optometric services. Urges the States to continue such services whether or not they are included in any primary group of health care offerings.
Bill· HRH.R. 9829 (94th)referred
United States · United States Congress · 24 September 1975
National Home Health Care Act - Broadens the coverage of home health services under the supplementary medical insurance (Medicare) program 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 individual could otherwise obtain only 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 Act and the various medical assistance programs under 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 overcharging 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 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 Act shall constitute a medical expense paid or incurred by such person for purposes of deductions under the Internal Revenue Code. Requires the Secretary of Health, Education, and Welfare to conduct a study and report to the Congress on the feasibility of extending to the Medicare program the prospective cost-related method of computing payments to nursing homes and home health agencies which is currently provided for under the Medicaid programs.
Bill· HRH.R. 9827 (94th)referred
United States · United States Congress · 24 September 1975
Provides under the Social Security Act that the entire area of a State may be redesignated as a single Professional Standards Review Organization area by majority vote of the doctors voting.
Bill· HRH.R. 9793 (94th)referred
United States · United States Congress · 23 September 1975
Provides under title II (Old-Age, Survivors, and Disability Insurance) and title XVIII (Medicare) of the Social Security Act for medicare coverage for disabled individuals under age 65 from the first month of their entitlement to benefits based on disability, in cases where the individuals involved are becoming reentitled to such coverage after a previous coverage period which ended during the preceding 5 years.
Bill· HRH.R. 9609 (94th)referred
United States · United States Congress · 17 September 1975
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for fiscal year 1976 and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for fiscal year 1976 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for fiscal year 1976, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
Bill· HRH.R. 9634 (94th)referred
United States · United States Congress · 17 September 1975
Emergency Medical Services Systems Act Amendments - Extends through fiscal year 1979, under the Emergency Medical Services Systems Act, the prohibition of grants or contracts made by the Secretary of Health, Education, and Welfare, for the modernization of emergency facilities to States, units of local government, or other public service entities which did not receive a grant or contract for the same purpose the preceeding fiscal year. Authorizes the Secretary to make a second grant to or enter into a second contract with an eligible entity for the expansion and improvement of emergency medical services. Includes planning costs in the coverage of grants and contracts for expansion and improvement of emergency medical services. States that emphasis in awarding grants or contracts for research relating to the delivery of emergency medical services in rural areas should be placed on identifying and using techniques and methods to apply the results of such research. Authorizes recipients of grants or contracts for the: (1) establishment and operation; or (2) expansion and improvement of an emergency medical services system to use funds under such grant or contract for a training program related to such a system. Authorizes through fiscal year 1977 appropriations for the making of payments pursuant to grants and contracts for feasibility studies and planning in connection with the establishment and operation of an emergency medical services system. Authorizes through fiscal year 1980 appropriations for grants and contracts for the establishment and operation, and planning and improvement of such emergency systems. Directs that at least 20 percent of the funds appropriated be made available for feasibility studies and planning from 15 percent to 10 percent of the funds appropriated. Authorizes through fiscal year 1978 appropriations for the making of payments pursuant to grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. Defines the duties of the unit established within the Department of Health, Education and Welfare for the administration of grants made and contracts entered into under the Emergency Medical Services Act. Directs the Secretary to make grants and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and similar institutions to assist programs of training in the field of emergency medical service. Authorizes through fiscal year 1980 appropriations for the making of payments pursuant to grants and contracts for such training programs. Directs the Secretary to conduct two studies in areas related to the improvement of emergency medical services.
Bill· HRH.R. 9636 (94th)referred
United States · United States Congress · 17 September 1975
Revises the Public Works and Economic Development Act of 1965 to extend the special economic development and adjustment assistance provided by that Act to eligible recipients in areas which have demonstrated long-term economic deterioration. Increases from $100,000,000 to $125,000,000 the appropriation authorized for fiscal year 1976 for the special economic development and adjustment assistance program of the Public Works and Economic Development Act of 1965.
Bill· HRH.R. 9610 (94th)referred
United States · United States Congress · 17 September 1975
Arthritis Prevention, Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
Bill· HRH.R. 9607 (94th)referred
United States · United States Congress · 17 September 1975
Medicare Long-Term Care Act - Establishes, under title XVIII of the Social Security Act (Medicare), a voluntary program to provide long-term care benefits for aged and disabled individuals who elect to enroll under such program, financed from premium payments by enrollees together with contributions from funds appropriated by the Federal Government and contributions by the States. Lists criteria for eligibility for long-term care service benefits. Provides that the benefits provided to an individual by this Act shall consist of (1) home health services, (2) homemaker services, (3) nutrition services, (4) long-term institutional care services, (5) day care and foster home services, and (6) community mental health center outpatient services. Enumerates the requirements for a State long-term care agency. Provides for the payment of premiums for benefits received under this Act. Establishes on the books of the Treasury of the United States a trust fund to be known as the Federal Long-Term Care Trust Fund. Creates a body to be known as the Board of Trustees, composed of the Secretary of the Treasury, the Secretary of Labor, and the Secretary of Health, Education, and Welfare, all ex officio. States that the Secretary of the Treasury shall be the Managing Trustee of the Board of Trustees and that the Commissioner of Social Security shall serve as the Secretary of the Board of Trustees. Provides that the Board of Trustees shall meet not less frequently than once each calendar year. Enumerates the duties of the Board of Trustees. Declares that a community long-term care center shall: (1) provide the items and services listed in this Act to each individual (i) who is eligible for benefits under this part, (ii) who resides in the area served by such center and (iii) who is certified as requiring such services; (2) evaluate and certify the long-term care needs of an individual for whom such care may be required in order to maintain such individual in an independent living arrangement which is reasonable given such individual's state of health and other circumstances (but not including such individual's economic circumstances); (3) maintain a continuous relationship with (and periodically evaluate not less than annually) each individual who is receiving any of the items and services listed in this Act; (4) provide full opportunity for such individual and his family to participate in the determinations and functions under this Act; (5) provide an organized system for making its existence and location known to all individuals in its service area who are eligible for benefits under this part, and for making known to such individuals the method or methods by which they may most efficiently obtain and use the services which it makes available; and (6) performs such other functions as the Secretary of Health, Education, and Welfare may by regulation prescribe in order to have such center most effectively carry out the purposes of this Act. Provides a formula for payments to States for the reimbursement of community long-term care centers. Directs the Secretary, after consultation with organizations representing the chief executives of the various States, and other interested parties, to develop and make available to community long-term care centers one or more methods of obtaining payment for the benefits covered under this Act on a prospective basis. States that once a community long-term care center elects a particular prospective method, it may not alter its election without the prior approval of the Secretary. Provides that whenever the Secretary finds that the number of community long-term care centers electing a particular prospective payment method promulgated in accordance with this Act is not sufficient to provide an adequate basis for either the operation or evaluation of that method, the Secretary shall withdraw that method and allow the community long-term care centers which have elected such method to select another method withn 30 days of notice of such withdrawal. Permits a Governor of a State to certify to the Secretary a method of prospective payment other than those promulgated under this Act. States that the determination of whether an individual is entitled to benefits under this Act shall be made by the Secretary in accordance with regulations prescribed by him. Provides for increases in supplemental security income benefits.
Bill· HRH.R. 9582 (94th)referred
United States · United States Congress · 11 September 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. 9554 (94th)referred
United States · United States Congress · 11 September 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. 9481 (94th)referred
United States · United States Congress · 9 September 1975
Indian Health Care Improvement Act - States that the Congress declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Authorizes the Secretary of Health, Education, and Welfare acting through the Indian Health Service, to make grants to public or nonprofit private health or educational entities or Indian tribes or tribal organizations to assist such entities in meeting the costs of: (1) identifying Indians with a potential for education or training in the health professions and encouraging and assisting them; (2) publicizing existing sources of financial aid available to Indians enrolled in any medical or health-related school referred to in this Act or who are undertaking training necessary to qualify them to enroll in any such school; or (3) establishing other programs which the Secretary determines will enhance and facilitate the enrollment of Indians, and the subsequent pursuit and completion by them of courses of study, in any school referred to in this Act. Authorizes to be appropraited specified sums for each of the seven fiscal years commencing with that of 1977 for payment of such grants. Directs the Secretary, acting through the Service, to make scholarship grants for up to two years to Indians who: (1) have successfully completed their high school education or high school equivalency; and (2) have demonstrated the capability to successfully complete courses of study in schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, podiatry, pharmacy, public health, nursing, or allied health professions. Authorizes appropriations for scholarship grants of $2,000,000 for fiscal year 1977; $2,500,000 for fiscal year 1978; and similar sums through fiscal year 1983. Directs the Secretary, acting through the Service, to make scholarship grants to individuals who are enrolled in schools of medicine, osteopathy, denistry, veterinary medicine, optometry, podiatry, pharmacy, public health, nursing, or allied health professions, and who agree to provide their professional services to Indians after the completion of their professional training. Authorizes appropriations for such grants of specified sums for the fiscal years 1977 through 1983, and of such sums as are necessary for the succeeding fiscal years, to continue to make scholarship grants under this Act to individuals who have received such grants prior to the end of the fifth fiscal year and who are eligible for such grants during each such succeeding fiscal year. Directs the Secretary, acting through the Service, to make grants to individuals, nonprofit entities, appropriate public or private agencies, educational institutions, or Indian tribes and tribal organizations to enable the recipients of such grants to establish and carry out programs to train individuals so as to enable them to provide their services to Indians. Authorizes to be appropriated specified sums to carry out such provisions for the fiscal years 1977 through 1983. States that the Secretary may provide allowances to health professionals employed in the Service to enable them for a period of time each year prescribed by regulation of the Secretary to take leave of their duty stations for professional consultation and refresher training courses. Title II: Health Services - Authorizes the Secretary to expend specific amounts of funds over a five-fiscal year period for the following health services: (1) patient care; (2) field health, excluding dental care; (3) dental care; (4) mental health; (5) provision of health care personnel in primary and secondary Bureau of Indian Affairs schools; and (6) maintenance and repair. Title III: Health Facilities - Authorizes the Secretary to expend $528,637,000 over a seven-fiscal year period in order to eliminate inadequate, outdated, and otherwise unsatisfactory service in hospitals, health centers, health stations, staff housing, and other service facilities. Authorizes the Secretary to expend $378,000,000 within a five-fiscal year period following the enactment of this Act, to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Title IV: Access to Health Services - Provides that the Secretary may enter into agreements with the appropriate State agency for the purpose of reimbursing such agency for health care and services provided in Service facilities to Indians who are beneficiaries of the Medicaid provisions of the Social Security Act. Title V: Health Services for the Urban Indians - Directs the Secretary, acting through the Service, to enter into contracts with urban Indian organizations to assist such organizations to establish and administer, in the urban centers in which such organizations are situated, programs which meet the requirements set forth in this Act of making health services more accessible to the urban Indian population. Authorizes to be appropriated for the purpose of this title $5,000,000 for fiscal year 1977; $10,000,000,000 for fiscal year 1978; and $15,000,000 for fiscal year 1979. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. Authorizes appropriations to the Secretary of $150,000 to support a one-year study by the National Indian Health Board of mental health problems, including alcoholism and related problems, among Indians.
Bill· HRH.R. 9474 (94th)referred
United States · United States Congress · 9 September 1975
Authorizes $200,000,000 annually to the Secretary of Health, Education, and Welfare to make available financial assistance for the operating deficits of nonprofit hospitals which are attributable to the provision of outpatient health services to persons who are unable to pay therefor and for whom reimbursement for the costs of such services is not authorized under any public program.
Bill· HRH.R. 9455 (94th)referred
United States · United States Congress · 8 September 1975
Title I: Revision of National Heart and Lung Institute Programs - Authorizes research and training in the use of blood products and the management of blood resources under the National Heart and Lung Institute programs. Authorizes the use of funds under such programs for the prevention and control of blood diseases. Title II: National Research Service Awards - Makes such awards available under Federal programs and extends the authorization for them through fiscal year 1977. Title III: Disclosure of Research Information - Provides that, subject to specified exceptions, the Secretary of Health, Education, and Welfare may not disclose any information contained in a research proposal, research hypothesis, or research design obtained by him in connection with an application or proposal for a grant, fellowship, or contract under the Public Health Service Act. Title IV: Genetic Diseases - Establishes a national program of project grants and contracts to provide for basic and applied research, research training, testing, counseling, information, and education programs with respect to genetic diseases, including sickle cell anemia, Cooley's anemia, and Tay-Sachs disease. Title V: Miscellaneous - Makes technical and conforming amendments to the Public Health Service Act.
Bill· HRH.R. 9456 (94th)referred
United States · United States Congress · 8 September 1975
Health Maintenance Organization Amendments - Expands the program of health maintenance organizations by: (1) including the service of professional personnel and allied health professions personnel for the effective and efficient delivery of the basic health services; (2) authorizing them to provide basic health services through medical groups, referral services and medical treatment for abuse of or addiction to alcohol or drugs, and supplemental health services; and (3) guaranteeing to non-Federal lenders payment of principal and interest on loans made to establish or expand health maintenance organizations or to serve medically underserved populations. Provides that in any fiscal year the amount disbursed to a health maintenance organization under this Act may not exceed $1,000,000. Requires employers of not less than 25 individuals to offer as a part of any health benefits plan the option of membership in qualified health maintenance organizations which are engaged in the provision of basic and supplemental health services in health maintenance organization service areas in which at least 25 of such employees reside. Provides criminal penalties for employers who violate this provision. Authorizes the Secretary of Health, Education, and Welfare, in order to enforce compliance with assurances made by health maintenance organizations respecting the provision of basic and supplemental health services, to bring a civil action in Federal court. Makes appropriations to finance the activities of health maintenance organizations for fiscal years 1977 and 1978.
Bill· HRH.R. 9338 (94th)referred
United States · United States Congress · 3 September 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. 9315 (94th)referred
United States · United States Congress · 3 September 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· HRH.R. 9246 (94th)referred
United States · United States Congress · 1 August 1975
Emergency Medical Services Systems Act Amendments - Extends through fiscal year 1979, under the Emergency Medical Services Systems Act, the prohibition of grants or contracts made by the Secretary of Health, Education, and Welfare, for the modernization of emergency facilities to States, units of local government, or other public service entities which did not receive a grant or contract for the same purpose the preceeding fiscal year. Authorizes the Secretary to make a second grant to or enter into a second contract with an eligible entity for the expansion and improvement of emergency medical services. Includes planning costs in the coverage of grants and contracts for expansion and improvement of emergency medical services. States that emphasis in awarding grants or contracts for research relating to the delivery of emergency medical services in rural areas should be placed on identifying and using techniques and methods to apply the results of such research. Authorizes recipients of grants or contracts for the: (1) establishment and operation; or (2) expansion and improvement of an emergency medical services system to use funds under such grant or contract for a training program related to such a system. Authorizes through fiscal year 1977 appropriations for the making of payments pursuant to grants and contracts for feasibility studies and planning in connection with the establishment and operation of an emergency medical services system. Authorizes through fiscal year 1980 appropriations for grants and contracts for the establishment and operation, and planning and improvement of such emergency systems. Directs that at least 20 percent of the funds appropriated be made available for feasibility studies and planning from 15 percent to 10 percent of the funds appropriated. Authorizes through fiscal year 1978 appropriations for the making of payments pursuant to grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. Defines the duties of the unit established within the Department of Health, Education and Welfare for the administration of grants made and contracts entered into under the Emergency Medical Services Act. Directs the Secretary to make grants and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and similar institutions to assist programs of training in the field of emergency medical service. Authorizes through fiscal year 1980 appropriations for the making of payments pursuant to grants and contracts for such training programs. Directs the Secretary to conduct two studies in areas related to the improvement of emergency medical services.
Bill· HRH.R. 9255 (94th)referred
United States · United States Congress · 1 August 1975
Burn Facilities Act - Declares it to be the purpose of this Act to direct the Secretary of Health, Education, and Welfare to establish an expanded program for the treatment of burn injuries, research on burns, and the rehabilitation of burn victims. Directs the Secretary to: (1) provide for the establishment of new burn treatment centers and the upgrading of burn units in general hospitals; (2) provide training and support of specialists to staff new and existing burn treatment facilities; (3) provide special training in emergency care of burn victims; and (4) sponsor other research and training programs related to the treatment of burn victims. Directs the Secretary of Commerce to assist the Secretary by providing information on existing burn treatment programs, and other information. Authorizes the appropriation of funds necessary for the purposes of this Act.
Bill· HRH.R. 9232 (94th)referred
United States · United States Congress · 1 August 1975
Decreases the limitation on deductions for medical expenses under the Internal Revenue Code to 2 percent of adjusted gross income. Includes the entire deduction for medical insurance within the 2-percent limitation. Eliminates the 1-percent limitation on deductions for drugs and medicine.
Bill· HRH.R. 9117 (94th)referred
United States · United States Congress · 31 July 1975
Requires under the Social Security Act the continued application of the 8 1/2 percent nursing salary cost differential which is presently allowed in determining the reasonable cost of inpatient nursing care for purposes of reimbursement to providers under the medicare program.
Bill· HRH.R. 9150 (94th)referred
United States · United States Congress · 31 July 1975
Requires that upon the request of a city with a population of three million or more such city shall be designated as a health service area pursuant to the Public Health Service Act.
Bill· HRH.R. 9130 (94th)referred
United States · United States Congress · 31 July 1975
Indian Health Care Improvement Act - States that the Congress declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Authorizes the Secretary of Health, Education, and Welfare acting through the Indian Health Service, to make grants to public or nonprofit private health or educational entities or Indian tribes or tribal organizations to assist such entities in meeting the costs of: (1) identifying Indians with a potential for education or training in the health professions and encouraging and assisting them; (2) publicizing existing sources of financial aid available to Indians enrolled in any medical or health-related school referred to in this Act or who are undertaking training necessary to qualify them to enroll in any such school; or (3) establishing other programs which the Secretary determines will enhance and facilitate the enrollment of Indians, and the subsequent pursuit and completion by them of courses of study, in any school referred to in this Act. Authorizes to be appropraited specified sums for each of the seven fiscal years commencing with that of 1977 for payment of such grants. Directs the Secretary, acting through the Service, to make scholarship grants for up to two years to Indians who: (1) have successfully completed their high school education or high school equivalency; and (2) have demonstrated the capability to successfully complete courses of study in schools of medicine, osteopathy, dentistry, veterinary medicine, optometry, podiatry, pharmacy, public health, nursing, or allied health professions. Authorizes appropriations for scholarship grants of $2,000,000 for fiscal year 1977; $2,500,000 for fiscal year 1978; and similar sums through fiscal year 1983. Directs the Secretary, acting through the Service, to make scholarship grants to individuals who are enrolled in schools of medicine, osteopathy, denistry, veterinary medicine, optometry, podiatry, pharmacy, public health, nursing, or allied health professions, and who agree to provide their professional services to Indians after the completion of their professional training. Authorizes appropriations for such grants of specified sums for the fiscal years 1977 through 1983, and of such sums as are necessary for the succeeding fiscal years, to continue to make scholarship grants under this Act to individuals who have received such grants prior to the end of the fifth fiscal year and who are eligible for such grants during each such succeeding fiscal year. Directs the Secretary, acting through the Service, to make grants to individuals, nonprofit entities, appropriate public or private agencies, educational institutions, or Indian tribes and tribal organizations to enable the recipients of such grants to establish and carry out programs to train individuals so as to enable them to provide their services to Indians. Authorizes to be appropriated specified sums to carry out such provisions for the fiscal years 1977 through 1983. States that the Secretary may provide allowances to health professionals employed in the Service to enable them for a period of time each year prescribed by regulation of the Secretary to take leave of their duty stations for professional consultation and refresher training courses. Title II: Health Services - Authorizes the Secretary to expend specific amounts of funds over a five-fiscal year period for the following health services: (1) patient care; (2) field health, excluding dental care; (3) dental care; (4) mental health; (5) provision of health care personnel in primary and secondary Bureau of Indian Affairs schools; and (6) maintenance and repair. Title III: Health Facilities - Authorizes the Secretary to expend $528,637,000 over a seven-fiscal year period in order to eliminate inadequate, outdated, and otherwise unsatisfactory service in hospitals, health centers, health stations, staff housing, and other service facilities. Authorizes the Secretary to expend $378,000,000 within a five-fiscal year period following the enactment of this Act, to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Title IV: Access to Health Services - Provides that the Secretary may enter into agreements with the appropriate State agency for the purpose of reimbursing such agency for health care and services provided in Service facilities to Indians who are beneficiaries of the Medicaid provisions of the Social Security Act. Title V: Health Services for the Urban Indians - Directs the Secretary, acting through the Service, to enter into contracts with urban Indian organizations to assist such organizations to establish and administer, in the urban centers in which such organizations are situated, programs which meet the requirements set forth in this Act of making health services more accessible to the urban Indian population. Authorizes to be appropriated for the purpose of this title $5,000,000 for fiscal year 1977; $10,000,000,000 for fiscal year 1978; and $15,000,000 for fiscal year 1979. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. Authorizes appropriations to the Secretary of $150,000 to support a one-year study by the National Indian Health Board of mental health problems, including alcoholism and related problems, among Indians.
Bill· HRH.R. 9094 (94th)referred
United States · United States Congress · 31 July 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. 9096 (94th)referred
United States · United States Congress · 31 July 1975
Revises the Federal Food, Drug, and Cosmetic Act by specifying that the Secretary of Health, Education, and Welfare may not classify any vitamin or mineral as a drug solely because it exceeds the level which is nutritionally rational or useful.
Bill· HRH.R. 9066 (94th)referred
United States · United States Congress · 30 July 1975
Health Maintenance Organization Amendments - Makes the offering of supplemental health services, as defined by the Health Maintenance Organization Act of 1973, optional by health maintenance organizations. Eliminates the requirement imposed by such Act that health maintenance organizations offer annual open enrollment for individual membership. Redesignates medical treatment and referral services for drug or alcohol abuse or addiction and home health services as supplemental health services for purposes of such Act. Enables private entities to obtain federally guaranteed loans for the planning, initial development, and operation of a health maintenance organization to serve populations in addition to medically underserved populations. Includes State and local governmental employers as among those employers which must offer employees the option of membership in a health maintenance organization. Sets forth new procedures, penalties, and other requirements, to be applied by the Secretary of Health, Education, and Welfare where health maintenance organizations are alleged to be in noncompliance with such Act. Extends the authorization of appropriations for programs under such Act an additional two years.
Bill· HRH.R. 9046 (94th)referred
United States · United States Congress · 30 July 1975
Provides, under the Domestic Volunteer Service Act of 1973, that volunteers in foster grandparent programs may furnish supportive services to mentally retarded individuals regardless of the age of such individuals.
Bill· HRH.R. 9035 (94th)referred
United States · United States Congress · 30 July 1975
Revises the Clean Air Act by extending through 1981 the interim standards applicable to emmissions of carbon monoxide, hydrocarbons and oxides of nitrogen from light vehicles manufactured during 1975.
Bill· SS. 2214 (94th)referred
United States · United States Congress · 29 July 1975
Revises the Clean Air Act by extending through 1981 the interim standards applicable to emissions of carbon monoxide, hydrocarbons and oxides of nitrogen from light vehicles manufactured during 1975.
Law· HRH.R. 9019 (94th)open
United States · United States Congress · 29 July 1975
Health Maintenance Organization Amendments - Expands the program of health maintenance organizations by: (1) including the service of professional personnel and allied health professions personnel for the effective and efficient delivery of the basic health services; (2) authorizing them to provide basic health services through medical groups, referral services and medical treatment for abuse of or addiction to alcohol or drugs, and supplemental health services; and (3) guaranteeing to non-Federal lenders payment of principal and interest on loans made to establish or expand health maintenance organizations or to serve medically underserved populations. Provides that in any fiscal year the amount disbursed to a health maintenance organization under this Act may not exceed $1,000,000. Requires employers of not less than 25 individuals to offer as a part of any health benefits plan the option of membership in qualified health maintenance organizations which are engaged in the provision of basic and supplemental health services in health maintenance organization service areas in which at least 25 of such employees reside. Provides criminal penalties for employers who violate this provision. Authorizes the Secretary of Health, Education, and Welfare, in order to enforce compliance with assurances made by health maintenance organizations respecting the provision of basic and supplemental health services, to bring a civil action in Federal court. Makes appropriations to finance the activities of health maintenance organizations for fiscal years 1977 and 1978.
Bill· HRH.R. 9003 (94th)referred
United States · United States Congress · 29 July 1975
Increases the excise tax under the Internal Revenue Code on small and large cigarettes, providing that such increased taxes collected after June 30, 1976, shall be appropriated to the National Cancer Research Fund established by this Act in the Treasury in specified amounts for fiscal years 1977 and 1978.
Bill· HRH.R. 8985 (94th)referred
United States · United States Congress · 28 July 1975
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups or non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; and (2) pathology and radiology services are specifically included as parts of institutional services. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners licensed when the program begins eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required by Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications, and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or, at least, with complete health security services (other than institutional services, mental health or dental services) for the maintenance of health and the care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Permits the participation of community health centers or the like which, though furnishing services as comprehensive as are required by this Act, do not serve an enrolled or otherwise predetermined population and may not meet other requirements of this Act. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board shall divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, appliances, equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment (fee-for-service and capitation), the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care, to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for the administration of the Health Security program. Establishes a five-member, full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director will serve as secretary to the Board and shall perform such duties in the administration of the program as the Board may assign. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, and reimbursement systems for drugs; and to make such other other studies which it considers would improve the quality of services of the administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000; or, if higher, 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, raising the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Requires that after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen and Indians and Alaskan natives and also veterans and members of the Armed Forces, with the Health Security Benefit Program.
Bill· HRH.R. 8981 (94th)referred
United States · United States Congress · 28 July 1975
Health Maintenance Organization Amendments - Makes the offering of supplemental health services, as defined by the Health Maintenance Organization Act of 1973, optional by health maintenance organizations. Eliminates the requirement imposed by such Act that health maintenance organizations offer annual open enrollment for individual membership. Redesignates medical treatment and referral services for drug or alcohol abuse or addiction and home health services as supplemental health services for purposes of such Act. Enables private entities to obtain federally guaranteed loans for the planning, initial development, and operation of a health maintenance organization to serve populations in addition to medically underserved populations. Includes State and local governmental employers as among those employers which must offer employees the option of membership in a health maintenance organization. Sets forth new procedures, penalties, and other requirements, to be applied by the Secretary of Health, Education, and Welfare where health maintenance organizations are alleged to be in noncompliance with such Act. Extends the authorization of appropriations for programs under such Act an additional two years.
Bill· HRH.R. 8961 (94th)referred
United States · United States Congress · 28 July 1975
Emergency Medical Services Systems Act Amendments - Extends through fiscal year 1979, under the Emergency Medical Services Systems Act, the prohibition of grants or contracts made by the Secretary of Health, Education, and Welfare, for the modernization of emergency facilities to States, units of local government, or other public service entities which did not receive a grant or contract for the same purpose the preceeding fiscal year. Authorizes the Secretary to make a second grant to or enter into a second contract with an eligible entity for the expansion and improvement of emergency medical services. Includes planning costs in the coverage of grants and contracts for expansion and improvement of emergency medical services. States that emphasis in awarding grants or contracts for research relating to the delivery of emergency medical services in rural areas should be placed on identifying and using techniques and methods to apply the results of such research. Authorizes recipients of grants or contracts for the: (1) establishment and operation; or (2) expansion and improvement of an emergency medical services system to use funds under such grant or contract for a training program related to such a system. Authorizes through fiscal year 1977 appropriations for the making of payments pursuant to grants and contracts for feasibility studies and planning in connection with the establishment and operation of an emergency medical services system. Authorizes through fiscal year 1980 appropriations for grants and contracts for the establishment and operation, and planning and improvement of such emergency systems. Directs that at least 20 percent of the funds appropriated be made available for feasibility studies and planning from 15 percent to 10 percent of the funds appropriated. Authorizes through fiscal year 1978 appropriations for the making of payments pursuant to grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. Defines the duties of the unit established within the Department of Health, Education and Welfare for the administration of grants made and contracts entered into under the Emergency Medical Services Act. Directs the Secretary to make grants and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and similar institutions to assist programs of training in the field of emergency medical service. Authorizes through fiscal year 1980 appropriations for the making of payments pursuant to grants and contracts for such training programs. Directs the Secretary to conduct two studies in areas related to the improvement of emergency medical services.
Bill· HRH.R. 8972 (94th)referred
United States · United States Congress · 28 July 1975
Provides, under title XVIII (Medicare) and title II (Old-Age, Survivors' and Disability Insurance) of the Social Security Act, that qualified drugs requiring a physicians prescription or certification shall be included among the items and services covered under the hospital insurance program for the aged. States that the reasonable allowance for eligible drugs furnished an individual pursuant to any one prescription and purchased by such individual at any one time shall be reduced by an amount equal to the applicable prescription copayment obligator which shall be $1. Establishes, within the Department of Health, Education, and Welfare, a Formulary Committee to compile and publish a Formulary listing the drugs deemed qualified for benefits under this Act, together with maximum allowable costs and additional information concerning such drugs. Makes provisions for selecting drugs for the Formulary. Stipulates that eye and ear examinations, yearly Papanicolaou tests, hearing aids, eyeglass lenses and dentures shall be covered under the Medicare program.
Bill· HRH.R. 8956 (94th)referred
United States · United States Congress · 28 July 1975
Indian Health Care Improvement Act - Declares that it is the policy of this Nation, in fulfillment of its special responsibilities and legal obligation to the American Indian people, to meet the national goal of providing the highest possible health status to Indians and to provide existing Indian health services with all resources necessary to effect that policy. Defines the terms used in this Act. Title I: Indian Health Manpower - Directs the Secretary of Health, Education, and Welfare to make scholarship grants to individuals: (1) who are enrolled in medical schools; schools of optometry, osteophathy, dentistry, pharmacy, podiatry, public health, or nursing, or schools licensed by a State to train persons in the allied health professions, and (2) who agree to provide their professional services to Indians after completion of their professional training. Establishes a priority according to which the Secretary shall award scholarship grants under this Act. States that any scholarship grant awarded to any individual under this Act shall be awarded under the condition that such individual will, after the completion of his professional training, provide his professional services to Indians for a reasonable period of time as prescribed by the Secretary. Sets forth a formula by which the United States shall be entitled to recover scholarship grants from individuals who fail to comply with such condition for the full period. Authorizes to be appropriated for this program: $8,000,000 for fiscal year 1976, $16,000,000 for fiscal year 1977, $22,000,000 for fiscal year 1978, $30,000,000 for fiscal year 1979, and $34,000,000 for fiscal year 1980, and for each succeeding fiscal year, such sums as may be necessary to continue to make such grants to individuals who (prior to July 1, 1980) have received such grants and who are eligible for such grants under this Act during such succeeding fiscal year. Directs the Secretary to make scholarship grants for a period not to exceed two academic years to Indians who: (1) have successfully completed their high school education; and (2) have demonstrated a capability to successfully complete a premedical, predental, or preosteopathy course of study. Authorizes to be appropriated for the above program: $1,000,000 for fiscal year 1976; $2,000,000 for fiscal year 1977; and $3,000,000 for each of the next three fiscal years. Permits the Secretary to provide continuing education allowances to Indian Health Service physicians. Authorizes to be appropriated for such programs: $350,000 each year for fiscal years 1976 and 1977; $375,000 for fiscal year 1978, $390,000 for fiscal year 1979, and $410,000 for fiscal year 1980. Title II: Health Services - Authorizes the Secretary to expend over a five-fiscal-year period $123,500,000, in addition to the annual appropriations required to continue the health service program to the Indian people, and to employ additional personnel for the purpose of eliminating backlogs in Indian health care services and to supply known, unmet medical, surgical, dental and other Indian health needs. Title III: Health Facilities - Authorizes the Secretary to expend $400,000,000 over a five-fiscal-year period for the purpose of eliminating inadequate, outdated, and otherwise unsatisfactory service hospitals, health centers, health stations, and other service facilities. Enables the Secretary to expend $470,000,000 within a five-fiscal-year period to supply unmet needs for safe water and sanitary waste disposal facilities in existing and new Indian homes and communities. Directs the Secretary to develop a plan, together with the Secretary of Housing and Urban Development, to assure that the five-year schedule provided for in this Act will be met. Title IV: Access to Health Services - States that the service facilities used to provide health care and services to Indians are hereby deemed to be accredited facilities for the purposes of title XVIII (Medicare) and title XIX (Medicaid) of the Social Security Act. Title V: Access to Health Services for Urban Indians - Defines "Urban Indians", "Urban Indian organization" and "urban center" as used in this Act. Provides that the Secretary shall enter into contracts with urban Indian organizations to provide Federal assistance to such organizations for the purpose of establishing and administering outreach programs to make urban Indians in the urban centers in which such organizations are situated knowledgeable of the health service resources available within such centers and the means of gaining access to those resources. Directs the Secretary to prescribe the criteria for selecting urban Indian organizations with which to contract pursuant to this Act. Authorizes to be appropriated for this program: $3,000,000 for fiscal year 1976; $4,000,000 for fiscal year 1977; and $5,000,000 for fiscal year 1978. Provides that, within six months after the end of fiscal year 1976, the Secretary shall review the above program and shall submit to the Congress his assessment of it and recommendations for any further legislation. Title VI: Miscellaneous - Requires the Secretary to report annually to the President and the Congress on progress made in effecting the purposes of this Act. States that within three months after the end of fiscal year 1979, the Secretary shall review the programs established or assisted under this Act and shall submit to the Congress his assessment and recommendations of additional programs or additional assistance necessary to, at a minimum provide health services to Indians, and insure a health status for Indians, which is at a parity with the health services available to, and the health status of, the general population. Provides that the funds appropriated pursuant to this Act shall remain available until expended.
Bill· HRH.R. 8924 (94th)referred
United States · United States Congress · 25 July 1975
Provides for the coverage of a clinical psychologists' services under the supplementary medical insurance benefits program of title XVIII (Medicare) of the Social Security Act.
Bill· SS. 2174 (94th)referred
United States · United States Congress · 24 July 1975
National Health Service Corps Extension Act - Sets forth a new title of the Public Health Service Act: Title XVII - National Health Service Corps. Establishes the National Health Service Corps ("Corps") for the purpose of assisting in the establishment and initial operation of medical practices in areas containing medically underserved populations, as the term is defined in this title. Directs the Secretary of Health, Education, and Welfare to designate, on an annual basis, the medically underserved populations of each State. Directs the Secretary to establish a ten-member Council on Medically Underserved Populations. Requires the Council to establish criteria for designating medically underserved populations within one year of the enactment of this title. Requires the Secretary to provide assistance to private primary health care personnel who desire to locate and establish medical practices in areas with medically underserved populations and who have entered into an agreement with the Secretary in accordance with procedures set forth in this title. Authorizes the Secretary to make grants for a period of up to three years to approved applicants. States that such grants may include: (1) salary of the physician in accordance with the pay scale set forth in this title; (2) salaries of other personnel necessary to the practice; (3) the construction, purchase, lease or rent of facilities for the practice, including modernization or alteration of existing buildings; (4) the purchase of all equipment appropriate for the practice; (5) the costs of appropriate training and education during the initial three-year period of assistance; and (6) other costs appropriate for the establishment and initial operation of the practice. Provides a guaranteed minimum income to each private participant in the program equal to the basic pay, allowances, and bonuses that the participant would receive if he were a member of the Commissioned Corps of the Public Health Service. Provides for the recovery from the participant by the Secretary of that amount by which the total income of the participant for any fiscal year exceeds the amount that the participant would have received as a member of the Commissioned Corps of the Public Health Service. Provides for a five-year extension of a participant's agreement with the Secretary. Sets forth provisions to encourage the development of organizational arrangements for the provision of medical care in designated areas including group practice arrangements and the use of physician extenders. Requires the Secretary to provide technical assistance for the establishment and initial operation of the medical practice, including but not limited to the following: (1) appropriate financial support systems, including fee schedules and billing and fee collection systems, arrangements for reimbursement under the Medicare and Medicaid programs, or any other third party payor; (2) linkages for consultation and referral; (3) hospital privileges; (4) obtaining the necessary State and Federal licenses; (5) recruitment of supporting personnel; and (6) development of systems for hours of operation, patient appointment, patterns of patient flow, and medical record systems. Requires the Secretary to provide relocation expenses to the participant and to provide other forms of assistance to the participant in establishing a residence and a practice in a designated area. Requires an initial three year commitment of an applicant for participation in the program established by this title. Requires participants, in addition: (1) to charge individuals to whom the participant provides health services at the usual and customary rate prevailing in the area; (2) not to discriminate against any individual on the basis of the individual's ability to pay or because the payment would be made under Medicare or Medicaid; and (3) not to discriminate against any individual on the basis of race, religion, sex, color, creed, or national origin. Sets forth provisions for recovering, from an individual who breaches an agreement made pursuant to this title, a portion of the amount extended by the Secretary to aid in the establishment of a practice. Requires the Secretary to develop information programs to inform health personnel throughout the nation, including both participating health personnel and those in training, of the assistance available under this Act. Directs the Secretary to make a maximum effort to reduce professional isolation of health personnel who already reside in or decide to locate in designated areas. Authorizes the Secretary to assign Federal employees to provide health services to medically underserved populations when civilian medical care personnel are not available. Requires that any person receiving health services provided by Federal personnel be charged for such services on a fee-for-service or other basis at a rate approved by the Secretary; except that if it is determined under regulations that the person is unable to pay such charge, the Secretary shall provide that these services be furnished at a reduced rate or without charge. Authorizes the Secretary, under regulations, to adjust the monthly pay of each Federal physician and dentist engaged directly in the delivery of health services to a medically underserved population, following termination of his service obligation (if any) incurred as a result of receipt of scholarship assistance, by an amount not to exceed $1,000 so that such pay will be competitive with that of members of the same profession with equivalent training and time in practice. Authorizes the Secretary to make one-time grants, not in excess of $25,000 to medically underserved populations to be used for the purpose of establishing medical practice management systems, acquiring equipment and other expenses related to the provision of health services. Directs the Secretary to report annually to the Congress on: (1) the designation of medically underserved populations; (2) the number of primary health care personnel required to satisfy the needs of such areas; (3) the number of applicants under this title during the preceding fiscal year and the number and types of personnel assisted or assigned in the preceding year; and (4) the number of health personnel electing to continue to provide health services to medically underserved populations after completion of any obligated service requirements, the number of such personnel who do not make such election, and their reasons for not making such election, if known. Directs the Council on Medically Underserved Populations to conduct a study: (1) to analyze the current distribution of physicians by speciality; (2) to project such distribution by geographic areas in the years 1980, 1985, and 1990; and (3) to develop a reliable and appropriate methodology to establish the optimal distribution of physicians by specialty and subspecialty by geographic area. Directs the Council to conduct a study to determine the levels at which physicians are reimbursed for their services, ways in which such levels are determined, the effects of variations of such reimbursement fees on geographic distribution of physicians and other primary health care professionals, and optional ways of improving the reimbursement system in order to improve the geographic distribution of such health professionals. Authorizes to be appropriated $36,000,000 for fiscal year 1977 and $45,000,000 for fiscal year 1978.
Bill· HRH.R. 8886 (94th)referred
United States · United States Congress · 24 July 1975
Provides under title XVIII (Medicare) of the Social Security Act that supplementary medical insurance covers durable medical equipment used in the patient's home which is furnished on a lease-purchase basis. Directs the Secretary of Health, Education, and Welfare to encourage suppliers of durable medical equipment to make such equipment available on a lease- purchase basis.
Bill· HRH.R. 8887 (94th)referred
United States · United States Congress · 24 July 1975
Comprehensive National Health Care Act - States that the purpose of this Act is to create a system of national health care benefits which will make comprehensive health services available to all residents of the United States. Title I: National Health Care Program - Repeals title XVIII (Medicare) of the Social Security Act. Establishes a health care benefits program covering: (1) inpatient hospital services; (2) physicians' services; (3) medical and other health services; (4) home health services; (5) post-hospital extended care services; (6) outpatient drugs and biologicals; (7) routine dental services; (8) developmental vision care services, as defined in regulations, routine eye and vision examinations, and eyeglasses; (9) hearing aids and examinations therefor; (10) routine physical examinations and preventive services as defined in regulations; and (11) ambulance services in specified instances. Limits post hospital extended care services and home health care services coverage to one hundred and eighty days per year. Limits inpatient psychiatric hospital services to 45 days per year. States that every individual, without regard to race, sex, income or age, who is a resident of the United States shall be eligible for health care benefits. Directs the Social Security Administration to establish a separate account for each individual covered by this program. Requires the Social Security Administration to make payments to providers of services under the provisions of this Act. Sets forth conditions and limitations on payment for services. Allows payments for emergency hospital services furnished to individuals entitled to benefits under this Act. States that payment for major surgery and other specialized services may be made only when such services are furnished by specialists. States that payment may not be made for services furnished by a professional practitioner in a hospital which is not a participating provider of services, except for specified outpatient services. Establishes an area health care services board within each geographic area established by the Public Health Service Act. Enumerates regulations governing prospective payment methods under this Act. Requires providers of services to file on agreement with the Administration not to charge individuals for services for which the individual is entitled to have payment made under this Act. Authorizes the Administration to enter into contracts with carriers to perform specified functions. States that payment for services rendered by a physician shall be made in accordance with a single fee schedule applicable throughout the designated geographical area. Establishes a National Health Care Formulary Committee, consisting of the Commissioner of Food and Drugs and three other individuals. Directs the Committee to compile, publish, and make available a National Health Care Formulary containing an alphabetical list of drugs, including specific dosage forms and strengths. Establishes a National Health Care Trust Fund, and a Board of Trustees to govern such fund. Directs the Board to report to Congress annually on the status and operation of the Fund. Defines terms used in this title. Provides criminal penalties for violators of the provisions of this Act. Establishes a Provider Reimbursement Review Board to hold hearings on cost reports filed by providers of services, if such provider is dissatisfied with a final determination of his cost report. States that at such hearing, the provider of services shall have the right to be represented by Counsel. Creates a National Health Care Benefits Advisory Council to provide advice and recommendations for the consideration of the Administration with respect to this title. Directs the Administration to prescribe necessary regulations to carry out the provisions of this title. Imposes a special income tax to finance the health care program. Provides that one-half the amount paid may be taken as an income tax credit. Title II: Independent Social Security Administration - States that the purpose of this title is to strengthen the fiscal and administrative structure of the contributory social security programs. Establishes as an independent agency of the executive branch a Social Security Administration. States that the Administration shall administer the program established by this Act, in addition to the Old Age, Survivors and Disability Insurance program, and the black lung benefits program. Directs the Administration to study the most effective methods of providing economic security through social insurance. Requires the Administration to submit an annual report to Congress on its activities and recommendations for legislation. Abolishes the positions of Commissioners of Social Security. Title III: Miscellaneous Provisions - Provides that existing employer-employee health benefits plans shall be unaffected by this Act. Makes technical and conforming amendments to the Social Security Act.
Bill· HRH.R. 8883 (94th)referred
United States · United States Congress · 24 July 1975
Emergency Medical Services Systems Act Amendments - Extends through fiscal year 1979, under the Emergency Medical Services Systems Act, the prohibition of grants or contracts made by the Secretary of Health, Education, and Welfare, for the modernization of emergency facilities to States, units of local government, or other public service entities which did not receive a grant or contract for the same purpose the preceeding fiscal year. Authorizes the Secretary to make a second grant to or enter into a second contract with an eligible entity for the expansion and improvement of emergency medical services. Includes planning costs in the coverage of grants and contracts for expansion and improvement of emergency medical services. States that emphasis in awarding grants or contracts for research relating to the delivery of emergency medical services in rural areas should be placed on identifying and using techniques and methods to apply the results of such research. Authorizes recipients of grants or contracts for the: (1) establishment and operation; or (2) expansion and improvement of an emergency medical services system to use funds under such grant or contract for a training program related to such a system. Authorizes through fiscal year 1977 appropriations for the making of payments pursuant to grants and contracts for feasibility studies and planning in connection with the establishment and operation of an emergency medical services system. Authorizes through fiscal year 1980 appropriations for grants and contracts for the establishment and operation, and planning and improvement of such emergency systems. Directs that at least 20 percent of the funds appropriated be made available for feasibility studies and planning from 15 percent to 10 percent of the funds appropriated. Authorizes through fiscal year 1978 appropriations for the making of payments pursuant to grants and contracts for the support of research in emergency medical techniques, methods, devices, and delivery. Defines the duties of the unit established within the Department of Health, Education and Welfare for the administration of grants made and contracts entered into under the Emergency Medical Services Act. Directs the Secretary to make grants and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and similar institutions to assist programs of training in the field of emergency medical service. Authorizes through fiscal year 1980 appropriations for the making of payments pursuant to grants and contracts for such training programs. Directs the Secretary to conduct two studies in areas related to the improvement of emergency medical services.
Bill· SJRESS.J.Res. 112 (94th)referred
United States · United States Congress · 23 July 1975
Authorizes the President to designate the third week of September of each year as "National Medical Assistants' Week".