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101 records in 1983

Records

Bill· HRH.R. 4040 (98th)referred

Medicare Benefits Improvement and Cost Containment Act of 1983

United States · United States Congress · 29 September 1983

Medicare Benefits Improvement and Cost Containment Act - Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services, through negotiations, to provide for the determination of payment rates for services by preferred providers so long as the total amount of payments made under title XVIII pursuant to such rates does not exceed: (1) the amount which would otherwise be paid without regard to this Act, in the case of a physician who has entered into an agreement to accept assignment under part B (Supplementary Medical Insurance) of title XVIII; or (2) the adjusted average per capita cost, in the case of services furnished under parts A (Hospital Insurance) and B of title XVIII by an eligible Health Maintenance Organization or Competitive Medical Plan (organization) which has entered into a ceertain agreement with the Secretary. Requires under such an agreement that an organization: (1) provide all services described on parts A and B; (2) may provide additional benefits; (3) assures that in the event of an organization's insolvency, its enrollees will be held harmless; and (4) agrees to receive payment on a per capita basis. Authorizes the Secretary to waive any deductible and coinsurance amounts which otherwise might be imposed under title XVIII, in making payments with respect to services furnished by the providers specified above (preferred providers). Prohibits any State from preventing any group health plan payors: (1) from negotiating or entering into contracts for alternative rates of payments with, or determining alternative rates of payment for, providers of health care services and offering the benefit of such alternative rates to group health plan beneficiaries who select such providers; or (2) with the agreement of group policyholders and subject to the terms of any applicable collective bargaining agreement, from limiting payment under a policy to services secured by group health plan beneficiaries from providers of health care services charging alternative rates. Directs the Secretary to provide for Medicare demonstration projects in at least four States, under which: (1) the Secretary would contract with one more organizations to perform the functions both of intermediaries under part A of title XVIII and carriers under part B with respect to benefits furnished in a State; (2) if the Secretary contracts with one organization in an area, the Secretary must permit any other organization in the area to enter into such a contract; (3) individuals residing in the State covered by the project and entitled or enrolled under part A or B of title XVIII would be required to enroll with at least one participating organization, but may elect to receive any covered service through any qualified Medicare provider; (4) an organization may offer additional benefits, at no additional cost; (5) an organization will not charge copayments or deductibles if a beneficiary is enrolled with and receives benefits directly from the organization; (6) each organization would receive payment at an annual per capita rate equal to 95 percent of the adjusted per capita cost; and (7) each organization shall have the right of final claim review for necessity and appropriateness of items and services furnished. Directs the Secretary to submit to Congress a protocol report concerning such demonstration projects and annual reports.

Bill· HRH.R. 4000 (98th)open

A bill to place conditions on payment, under part B of the medicare program, with respect to debridement of mycotic toenails.

United States · United States Congress · 27 September 1983

Directs the Secretary of Health and Human Services to provide that payment will not be made under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act for a podiatrist's debridement of mycotic toenails: (1) if debridement is performed more than once every 60 days, unless the need for more frequent treatment is documented; and (2) unless a culture is taken and, in the case of patient in a nursing facility, the physician refers the patient in writing to a podiatrist.

Bill· SS. 1880 (98th)referred

A bill to amend title 10, United States Code, to include chiropractic care in the health care that may be provided to members and certain former members of the uniformed services their dependents and to authorize chiropractors to be appointed as commissioned officers in the Armed Forces to provide such chiropractic care.

United States · United States Congress · 22 September 1983

Amends the Civilian Health and Medical Program of the Uniformed Services to include chiropractic care among the services offered members, former members, and dependents of the uniformed services. Authorizes the appointment of chiropractors as commissioned officers in the Medical Services Corps of the Army, the Navy, and the Air Force. Entitles such officers to the same pay as dental officers.

Law· HRH.R. 3979 (98th)enacted

Comprehensive Smoking Education Act

United States · United States Congress · 22 September 1983

Comprehensive Smoking Education Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to inform the public of the health hazards of cigarettes through research, demonstration, and educational activities. Establishes an Interagency Committee on Smoking and Health to coordinate such Federal and private activities. Requires the Secretary to report to Congress biennially (with the first report due by January 1, 1984). Amends the Federal Cigarette Labeling and Advertising Act to require cigarette packages to carry one of three specified label warnings on a rotating basis. Makes it unlawful to advertise cigarettes without one of three specified warnings. Makes it unlawful to manufacture, import, or package cigarettes commercially without disclosing tar, nicotine, and carbon monoxide levels on the package. Requires the Secretary to test such levels at least once a year. Makes it unlawful to manufacture, import, or package cigarettes commercially without first filing with the Secretary a list of chemical additives (types and amounts). Requires the Secretary to report at least annually to Congress regarding cigarette additives and their health hazards. Increases the fine for violation of such Act from $10,000 to $100,000.

Bill· HRH.R. 3977 (98th)open

National Task Force on Organ Procurement and Transplant Reimbursement Act

United States · United States Congress · 22 September 1983

National Task Force on Organ Procurement and Transplant Reimbursement Act - Directs the Secretary of Health and Human Services to establish within 60 days a National Task Force on Organ Procurement and Transplant Reimbursement to develop a plan for a comprehensive organ donor network and organ procurement system. Sets forth membership and operating provisions. Authorizes the Task Force to submit interim reports to the President and each House of Congress, and a final report within six months after its establishment. Terminates such Task Force three months after submitting such final report.

Bill· HRH.R. 3967 (98th)referred

A bill to amend title XVIII of the Social Security Act to apply the so-called 'swing-bed' provision to hospitals with up to 125 beds.

United States · United States Congress · 22 September 1983

Amends title XVIII (Medicare) of the Social Security Act to permit hospital of up to 125 beds (currently, 50 beds) in a rural area to use its inpatient hospital facilities to provide services which if provided by a skilled nursing facility would constitute extended care services.

Bill· SS. 1862 (98th)referred

A bill to establish a Select Commission on Drug Interdiction and Enforcement.

United States · United States Congress · 20 September 1983

Establishes a Select Commission on Drug Interdiction and Enforcement. Provides that the Commission be composed of: (1) four members appointed by the President; (2) four members appointed by the Speaker of the House of Representatives from the membership of the House Committee on the Judiciary; (3) four members appointed by the President pro tempore of the Senate from the membership of the Senate Committee on the Judiciary; and (4) the Attorney General, the Secretary of the Treasury, the Secretary of Transportation and the Secretary of State. Requires the Commission to study and evaluate existing laws, policies, and procedures governing drug interdiction and make administrative, legislative, and procedural recommendations to the President and Congress. Authorizes appropriations.

Bill· HRH.R. 3884 (98th)referred

Health Service Act

United States · United States Congress · 14 September 1983

Health Service Act - Title I: Establishment and Operation of the United States Health Service - Establishes the United States Health Service as an independent agency of the executive branch. Directs the President to appoint an Interim National Health Board to govern the service during the months before a Permanent National Health Board is appointed. Requires the Interim Board to establish health care delivery regions throughout the United States, with an interim regional board for each region which shall in turn establish health care delivery districts and communities. Specifies procedures for the election of community boards by the community users and health care workers, and subsequent appointment of permanent district and regional boards, culminating, by this selection process from the bottom up, in the appointment of the permanent National Health Board from among regional users. Title II: Delivery of Health Care and Supplemental Services - Enumerates the basic health rights which the Service shall ensure in the delivery of services to users, among them: (1) the right to receive high quality health care and supplemental services without charge or discrimination; (2) the right to choose the health facilities from which to receive such services; (3) the right of access to all health information; (4) the right to an explanation of benefits and risks; (5) the right, in the event of terminal illness, to die with a maximum degree of dignity; and (3) the right to legal assistance to enforce these rights. Amends the Fair Labor Standards Act to entitle each employee of an employer subject to compensation to one hour of necessary health care services for every 35 hours of employment. Lists the range of services which the Health Service shall provide. Makes all individuals within the United States and its territories eligible to receive them. Requires: (1) each community board to establish community health care facilities providing certain primary and specialized services; (2) each district board to establish a general hospital; and (3) each regional board to establish a regional medical facility with highly specialized services. Specifies additional duties of regional, district, and community boards, including education on personal health matters and environmental monitoring services. Prohibits any individual employed by a health board from engaging in the private delivery of health care services. Title III: Health Labor Force - Makes the Health Service the sole judge of the qualifications of its employees, pre-emptying all State or local laws to the contrary. Directs the National Health Board to issue guidelines for the classification, certification, and employment of health workers by job category. Requires each regional board to establish a health team school for the education of health workers in its region. Applies certain Federal Standards to labor-management relations within the Service, including collective-bargaining procedures and agreements. Provides for the defense of malpractice and negligence suits brought against Service employees. Title IV: Other Functions of Health Boards - Directs the National Board to establish a health rights legal service program to assist users and workers with legal problems related to health rights and health care services. Requires each regional, district, and community board to set up a health advocacy program to ensure full realization of health rights. Provides a grievance procedure for users and workers before a regional board or the National Board. Directs the National Board to oversee occupational safety and health programs at the regional level and to contribute to the development and administration of standards under the Occupational Safety and Health Act of 1970. Requires the establishment of regional occupational safety and health programs and community safety and health action councils (OSHACs). Requires employers to provide a health facility in or near any workplace having 25 or more employees. Transfers the National Institutes of Health to the National Health Board, and requires the creation of additional National Institutes of: (1) Epidemiology; (2) Evaluative Clinical Research; (3) Health Care Services; (4) Pharmacy and Medical Supply; and (5) Sociology of Health and Health Care. Directs the National Board to formulate one-year and five-year national health plan budgets based on data collected and evaluated by the community, district, and regional boards. Requires the publication of a National Pharmacy and Medical Supply Formulary listing drugs, therapeutic devices and other medical equipment, and a comprehensive dictionary of health care terms for users. Title V: Financing of the Service - Amends the Internal Revenue Code to impose additional income taxes (health service taxes) on individuals and corporations to finance the health service program. Denies exclusion from gross income of amounts paid by employers on behalf of their employees to accident and health plans which provide insurance for medical expenses covered by this Act. Eliminates income tax deductions for certain health care expenses and charitable contributions to medical and hospital facilities where the services paid for could have been provided by the Health Service. Repeals the hospital insurance tax. Creates in the Treasury the Health Service Trust Fund. Transfers to such Fund all the assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Directs the National Board to prepare a national health budget for each fiscal year based on plans and budgets submitted annually by the regional, district, and community boards. Title VI: Miscellaneous Provisions - Makes conforming amendments to specified Acts.

Report· Bericht, Gutachten, Programm08/3630open

Bericht der "Kommission zur Auswertung der Erfahrungen mit dem reformierten § 218 des Strafgesetzbuches" (G-SIG: 10000470)

Germany · German Bundestag · 7 September 1983

Einstellung der Bevölkerung zur Reform des § 218 StGB, Erfahrungen Schwangerer mit der Handhabung der gesetzlichen Vorschriften durch Beratungsstellen, Ärzte, Krankenhäuser und Behörden, Erfahrungen der Ärzte bei Anwendung der Vorschriften, Methoden und Risiken des Schwangerschaftsabbruchs, Problematik der Familienplanung, flankierende Maßnahmen bei Schwangerschaftskonflikten

Report· Bericht, Gutachten, Programm08/2565open

Stellungnahme der Bundesregierung zum Bericht der Sachverständigen-Kommission über die Lage der Psychiatrie in der Bundesrepublik Deutschland - Zur psychiatrischen und psychotherapeutisch/psychosomatischen Versorgung der Bevölkerung - unter Berücksichtigung der inzwischen eingetretenen Veränderungen - Drucksachen 7/4200, 7/4201 - (G-SIG: 10000473)

Germany · German Bundestag · 7 September 1983

Prioritäten einer Reform der psychiatrischen und psychotherapeutischen Versorgung, Stellungnahme zu einzelnen Empfehlungen der Sachverständigenkommission, Planungsstudie zum Bericht der Sachverständigen-Kommission, Sachstand zum Maßnahmenkatalog des Zwischenberichts (Drs 7/1124), Entwicklung und Erprobung neuer Arbeitsformen und Organisationsstrukturen zur Reform der psychiatrischen Versorgung, Projekte des Modellverbundes "Ambulante psychiatrische Versorgung"

Report· Bericht, Gutachten, Programm08/2445open

Bericht der Bundesregierung über Erfahrungen mit den ergänzenden Maßnahmen nach dem Fünften Strafrechtsreformgesetz (Strafrechtsreform-Ergänzungsgesetz) vom 28. August 1975 (G-SIG: 10000478)

Germany · German Bundestag · 7 September 1983

Inanspruchnahme von Leistungen gem. § 200e und § 200f RVO (Schwangerschaftsabbruch), Ausgaben der Krankenversicherungsträger, Sicherstellung der ärztlichen Versorgung, Verwendung des Bundeszuschusses, ergänzende Maßnahmen der Sozialhilfeträger

Report· Bericht, Gutachten, Programm08/3556open

Krebsbericht als Fortschreibung der Antwort der Bundesregierung auf die Große Anfrage betreffend Krebsforschung - Drs 7/5459 - (G-SIG: 10000472)

Germany · German Bundestag · 7 September 1983

Entwicklung und Durchführung eines "Gesamtprogramms zur Krebsbekämpfung", Situation in den Bereichen Vorsorge, Versorgung der Patienten, Krebsforschung, unkonventionelle Methoden der Krebsbekämpfung, Finanzierung, Information und Dokumentation sowie Ausbildung, Weiterbildung und Fortbildung

Bill· SS. 1792 (98th)open

A bill to amend title XIX of the Social Security Act to extend medicaid coverage of home care to certain disabled individuals over 18 years of age.

United States · United States Congress · 4 August 1983

Amends title XIX (Medicaid) of the Social Security Act to authorize a State to provide home care services to all individuals who are disabled as defined in title XVI (Supplemental Security Income) of the Act and with respect to whom it has been determined that: (1) they can receive appropriate care outside an institution; and (2) they would have to be institutionalized (but for such home care) at a cost that is equal to or greater than home care. (Under current law, such services are limited to individuals 18 years of age or younger.)

Bill· SS. 1819 (98th)referred

A bill to specify the manner in which uncompensated services provided by a skilled nursing facility or an intermediate care facility shall be calculated for purposes of titles VI and XVI of the Public Health Services Act, and to require the Secretary of Health and Human Services to promulgate regulations under section 1621 (b) (1) (K) of the Public Health Service Act.

United States · United States Congress · 4 August 1983

Directs the Secretary of Health and Human Services to promulgate admission standards for nursing homes and intermediate care facilities receiving assistance under the Hill-Burton Act which are similar to medicare and medicaid-certified facilities. Permits "Hill-Burton" nursing homes to count, as uncompensated care for the poor, the difference between actual costs and medicare or medicaid reimbursement for patients who have lived in the residence for more than 12 days.

Bill· SS. 1778 (98th)referred

Health Planning Block Grant Act of 1983

United States · United States Congress · 4 August 1983

Health Planning Block Grant Act of 1983 - Repeals the current health planning law, Title XV of the Public Health Service Act, and replaces it with the Health Planning Block Grant Act of 1983. Authorizes appropriations for FY 1984-1986. Provides formulae for the allotment of appropriated funds to the States. Establishes a minimum allotment of $100,000 for each State. Enumerates the purposes for which the states may use allotments at their discretion. Details the application procedures and grant requirements. Prohibits the Secretary of Health and Human Services from prescribing for a State the manner of compliance with such requirements. Requires the chief executive officer of a State to: (1) describe the purposes for which the State intends to use the block grant; and (2) facilitate public comment upon such purposes. Repeals this Act as of October 1, 1986.

Bill· HRH.R. 3850 (98th)open

Children's Preventive Health Act of 1983

United States · United States Congress · 4 August 1983

Children's Preventive Health Act of 1983 - Amends the Public Health Service Act to authorize grants (through the Centers for Disease Control) for children's preventive health programs of: (1) lead poisoning prevention; (2) school-based fluoridation; and (3) new-born infant genetic disease screening. Sets forth grant application requirements. Authorizes appropriations for FY 1984 through FY 1986.

Bill· HRH.R. 3851 (98th)referred

A bill to amend the Federal Food, Drug, and Cosmetic Act to remove the prohibition against stating in the labeling and advertising of a drug that it has been approved under that Act.

United States · United States Congress · 4 August 1983

Amends the Federal Food, Drug, and Cosmetic Act to permit drug labeling and advertising to note Food and Drug Administration approval. Directs the Secretary of Health and Human Services to promulgate related regulations within one year. Permits a drug with an approved application to include on its label the statement "FDA Approved" followed by the new drug application number. Permits the advertising use of such information.

Bill· SS. 1728 (98th)referred

National Task Force on Organ Procurement and Transplant Reimbursement Act

United States · United States Congress · 2 August 1983

National Task Force on Organ Procurement and Transplant Reimbursement Act - Directs the Secretary of Health and Human Services to establish within 60 days a National Task Force on Organ Procurement and Transplant Reimbursement to develop a plan for a comprehensive organ donor network and organ procurement system. Sets forth membership and operating provisions. Authorizes the Task Force to submit interim reports to the President and each House of Congress, and a final report within six months after its establishment. Terminates such Task Force three months after submitting such final report.

Bill· HRH.R. 3696 (98th)open

A bill to amend title XVIII of the Social Security Act to provide that certain hospice programs may provide nursing care through arrangements with certified medicare providers in rural and medically underserved regions.

United States · United States Congress · 28 July 1983

Amends title XVIII (Medicare) of the Social Security Act to permit a hospice to contract out for nursing services with a Medicare certified agency if the hospice: (1) was licensed before September 2, 1982; (2) is located in a rural area; or (3) is located in an area with a medical manpower shortage.

Bill· HRH.R. 3702 (98th)referred

A bill to amend the Public Health Service Act to provide funds for the prevention and treatment of public health emergencies.

United States · United States Congress · 28 July 1983

Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, acting through the Centers for Disease Control, to make grants and enter into contracts for State and local public health emergency prevention and treatment programs. Establishes in the Treasury a Public Health Emergency Fund for such purposes. Authorizes $60,000,000 for FY 1984 and for subsequent years such sums as necessary to have $60,000 in the Fund at the beginning of each fiscal year. Requires a report to the appropriate congressional committees on any such expenditures made during a fiscal year.

Bill· HRH.R. 3703 (98th)referred

A bill to amend section 1086(c) of title 10, United States Code, to provide for payment under the CHAMPUS program of certain health care expenses incurred by certain members and former members of the uniformed services and their dependents to the extent that such expenses are not payable under medicare.

United States · United States Congress · 28 July 1983

Amends the Civilian Health and Medical Program of the Unformed Services (CHAMPUS) to provide payments for the differences between expenses incurred for health services and the amount paid for such services under another plan.

Bill· HRH.R. 3649 (98th)referred

A bill to amend the Public Health Service Act to revise the system under which communities pay the United States for the services of National Health Service Corps personnel.

United States · United States Congress · 26 July 1983

Amends the Public Health Service Act to revise community pay-back provisions for National Health Service Corps personnel services to provide that the pay-back amount shall be the difference between expected annual fees and other revenues and expected costs. States that in order to make such annual computation, an entity shall submit to the Secretary of Health and Human Services a description of needed primary and supplemental health services and an expected budget. States that from such submission the Secretary shall determine needed health services and anticipated revenues and costs, which shall be used to determine community pay-back amounts. Authorizes the Secretary to waive such pay-back in whole or in part if an entity demonstrates it needs such money to: (1) expand services; (2) increase patient capacity; (3) construct or modernize facilities; (4) improve administration; or (5) establish a financial reserve.

Bill· HRH.R. 3664 (98th)open

A bill to amend the Drug Abuse Prevention, Treatment, and Rehabilitation Act to revise the authority of the Office of Drug Abuse Policy, to establish a Deputy Director for Drug Abuse Prevention and a Deputy Director for Drug Enforcement in the Office, and for other purposes.

United States · United States Congress · 26 July 1983

Amends the Drug Abuse Prevention, Treatment, and Rehabilitation Act to establish an Office of Drug Abuse Policy within the Executive Office of the President, headed by a Director appointed by the President. Requires Deputy Directors for Drug Abuse Prevention and for Drug Enforcement. Requires the Director to establish, plan, and coordinate Federal drug abuse functions. Directs the Director to make recommendations to the President and consult and assist State and local governments in order to implement such policies. Directs the Attorney General to notify the Director that a certain drug has a potential for abuse or should be transferred or removed from a schedule under the Controlled Substances Act. Requires the Director to submit an annual report to Congress on the activities conducted under this Act.

Resolution· HRESH.Res. 281 (98th)referred

A resolution expressing the sense of the House of Representatives in support of affordable health care for the elderly and all Americans.

United States · United States Congress · 25 July 1983

Expresses the sense of the House of Representatives that: (1) legislation is immediately required to protect Medicare and Medicaid (titles XVIII and XIX of the Social Security Act); and (2) an urgency exists to assure affordable health care for older Americans. States that Congress should enact legislation to reduce and control the rising cost of health care.

Resolution· SRESS.Res. 180 (98th)open

A resolution expressing the sense of the Senate in support of affordable and decent health care for older Americans.

United States · United States Congress · 21 July 1983

Expresses the sense of the Senate that the Congress should enact legislation to control the rising cost of health care, without burdening the elderly and the poor, which: (1) uses the prospective payment method; (2) avoids additional cost sharing by Medicare and Medicaid (titles XVIII and XIX of the Social Security Act) recipients; (3) does not increase out-of-pocket costs or reduce benefits for older Americans; (4) provides incentives for States to have their own health care cost containment programs; and (5) provides better coverage for preventive and chronic care, and provides alternatives to institutionalization under Medicare and Medicaid.

Bill· HRH.R. 3633 (98th)referred

A bill to amend the Federal Food, Drug, and Cosmetic Act to strengthen the authority of the Food and Drug Administration to control the use of drugs which present risks to the public and to secure data on adverse reactions to drugs, and for other purposes.

United States · United States Congress · 21 July 1983

Amends the Federal Food, Drug, and Cosmetic Act to authorize the Secretary of Health and Human Services to impose restrictions on the distribution, dispensing, and administration of prescription drugs determined to present significant risks to patients or public health without such restrictions. Authorizes the imposition of such restrictions as a condition of approval for, or continued use of, new drugs. Prohibits the imposition of such restrictions on certain practitioners. Requires, for any drug determined to involve a risk of serious illness or injury, the voluntary and informed consent of the patient before the drug is dispensed. Requires a biennial evaluation of drug restrictions to determine whether they require modification or removal. Directs the Secretary, if necessary, to require persons approved to dispense new drugs to establish a system for identifying and collecting data on their effect on users and other clinical experience and to report to the Secretary on such data. Requires manufacturers of non-prescription drugs to establish a similar system and to make similar reports to the Secretary. Directs the Secretary to establish in the Food and Drug Administration a National Center for Drug Surveillance to coordinate such data collection. Requires the Secretary to report to Congress not later than six months after the end of a fiscal year on the information and data collected under this Act. Directs the Secretary to establish a program to encourage physicians, institutional health care providers, and patients to report adverse reactions to drugs to the National Center for Drug Surveillance.

Bill· HRH.R. 3624 (98th)referred

A bill to establish a trust fund which is financed from revenues from the windfall profit tax and which is used as a reserve for the Federal Hospital Insurance Trust Fund, and for other purposes.

United States · United States Congress · 21 July 1983

Amends title XVIII (Medicare) of the Social Security Act to establish in the Treasury the Federal Hospital Insurance Reserve Trust Fund. Appropriates to the Trust Fund for each fiscal year 25 percent of the revenues from the windfall profit tax for such year. Limits the aggregate amount appropriated to the Trust Fund to $70,000,000,000 for all fiscal years. Directs the Secretary of the Treasury to transfer to the Trust Fund amounts so appropriated at least quarterly. Creates a Board of Trustees to hold and manage the Trust Fund and report to Congress annually on the operation of the Trust Fund and whenever the Trust Fund amount is too small. Sets forth requirements for investment by the Trust Fund in interest-bearing obligations of the United States or in federally guaranteed obligations. Directs the Secretary to transfer from the Trust Fund to the Federal Hospital Insurance Trust Fund such amounts as may be provided by appropriation Acts.

Bill· HRH.R. 3616 (98th)referred

A bill to amend title XVIII of the Social Security Act with respect to provision of home health services.

United States · United States Congress · 20 July 1983

Amends title XVIII (Medicare) of the Social Security Act to provide that nursing care and home health aid services may be provided on a daily basis as home health services for up to 90 days with monthly physician certification of the need for such services, and after the 90 day period, on a physician certification of exceptional circumstances. Limits to 20 the number of home health service visits covered under Medicare in the case of individuals who were furnished certain home health services but continue to need nursing care or the services of a home health aide.

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