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Bill· SS. 1550 (99th)open
United States · United States Congress · 1 August 1985
Health Care Financing Cost Reduction Amendments of 1985 - Title I: Medicare - Amends title XVIII (Medicare) of the Social Security Act to increase the deductible under part B (Supplementary Medical Insurance) of title XVIII by the percentage increase in the economic index used to determine increases in the prevailing charge for physicians' services. Specifies that Medicare eligibility begins at age 65 and one month. Establishes a coinsurance amount for home health services of one percent of the inpatient hospital deductible for each home health visit after the 20th visit in a year. Revises the formula for computing the supplementary medical insurance premium. Requires, in the case of a covered individual, that payment for health care items and services, to the extent possible, be made by the individual's group health plan before any Medicare payments will be made. Defines the "special enrollment period" of part B as the period beginning with the first day of the first month in which an individual is no longer enrolled in a group health plan by reason of current employment and ending seven months later. Amends the Age Discrimination in Employment Act of 1967 to prohibit an employer from discriminating against an employee over age 65 under the employer's group health plan. Includes within the definition of "inpatient psychiatric hospital services" services furnished to an inpatient of a psychiatric unit not subject to prospective payment provisions. Extends, for another year, the freeze on payments for physicians' services. Reduces the amounts paid to hospitals for the indirect costs of medical education. Provides for the continuation of the current payments for clinical diagnostic laboratory tests through September 1987. Permits the Secretary of Health and Human Services to provide for the continued application of the fee schedules for clinical diagnostic laboratory tests to tests for hospital outpatients. Freezes for one year payment limits for routine service costs of skilled nursing facilities. Authorizes the Secretary, in determining the reasonable cost of services, to separately accumulate and directly apportion on a claims paid or other basis to Medicare the costs of malpractice insurance premiums and self-insurance fund contributions. Authorizes the Secretary, in determining hospital routine inpatient per diem costs, to count as a patient day a day on which a patient is in a labor or delivery room at the census-taking hour. Prohibits, under the prospective payment system, any redetermination of any allowable operating costs of inpatient hospital services from affecting any payment for a cost reporting period that has begun before the date of the redetermination. Makes administrative changes with respect to: (1) the Medicare deductible and coinsurance; and (2) claims of railroad retirement beneficiaries. Title II: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to place limits on the States' entitlement to Federal funding. Directs the Secretary to make grants to the States for the costs of administering Medicaid programs. Authorizes appropriations. Permits States to exclude certain benefits that they are presently required to provide. Revises provisions for determining eligibility for and the extent of benefits. Amends the Unemployment Compensation Amendments of 1976 to provide continued Medicaid eligibility for individuals who cease to be eligible for benefits under title XVI (Supplemental Security Income) of the Act because of cost-of-living increases in benefits under title II (Old Age, Survivors and Disability Insurance) of the Act. Requires that instead of a State's Medicaid plan being in effect Statewide, only required services must be provided to those individuals required to be covered. Limits the applicability of freedom of choice in the selection of a provider to required services for the categorically needy. Permits, with respect to the minimum enrollment period for an individual enrolled with a health maintenance organization (HMO), such period to be available to an individual enrolled: (1) in an HMO under a Medicaid contract; or (2) with a case management system approved under Medicaid. Prohibits charging any enrollment fee, premium, deductible, or like charges for required services provided to groups required to be covered under a State's plan. Permits only nominal coinsurance or similar charges with respect to such services provided to such groups. Permits a State to exempt from deduction, cost sharing, or similar charges services provided: (1) to children and youths; (2) for pregnant women; (3) to inpatients required to spend their income in order to receive services; (4) for emergency services; or (5) to individuals by HMOs. Repeals requirements that a State's plan provide for payment of services provided under the plan which are reasonable and adequate. Requires a State's plan to include a description of the methodology to be used by the State in setting payment rates. Repeals provisions that require: (1) a State agency to enter into cooperative arrangements with State agencies for the administration of the State's plan; and (2) descriptions of the medical personnel used in plan administration. Requires a State's plan to provide for an effective method of verifying whether services billed by providers were furnished. Repeals provisions: (1) which reduce payments to a State for expenditures it would not have made if certain Medicare eligible individuals had been enrolled under part B of Medicare; and (2) relating to requirements for mechanized claims processing and information retrieval systems. Revises requirements with respect to the utilization control penalty applicable for inspections of mental hospitals, skilled nursing facilities, and intermediate care facilities so as to not impose the penalty: (1) (in the case of an institution with more than 50 Medicaid patients) if the lesser of ten such patients or two percent of Medicaid patients were not reviewed; or (2) (in the case of an institution with less than 50 Medicaid patients) one Medicaid patient was not reviewed.
Bill· SS. 1560 (99th)referred
United States · United States Congress · 1 August 1985
Health Planning Block Grant Act of 1986 - 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 1986. Authorizes appropriations for FY 1986-1988. 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.
Resolution· SRESS.Res. 212 (99th)open
United States · United States Congress · 1 August 1985
Expresses the sense of the Senate that it condemns the growing incidence of violence against health care facilities (most of which provide abortion services). Encourages the Bureau of Alcohol, Tobacco, and Firearms and the Department of Justice to intensify their efforts and apprehend and convict the perpetrators of such violence. Urges the Department of Justice to use all applicable Federal criminal statutes against such persons.
Bill· HRH.R. 3192 (99th)referred
United States · United States Congress · 1 August 1985
Revises Federal law concerning the appointment of probationary employees to the Department of Medicine and Surgery of the Veterans Administration to allow review boards appointed under guidelines of the Administrator of Veterans Affairs to review the performance of such employees at any time, and to allow the Chief Medical Director of the Department to take appropriate action.
Bill· HRH.R. 3210 (99th)open
United States · United States Congress · 1 August 1985
Medicare Payment Reform and Health Care Improved Access Act of 1985 - Title I: Improving Access to Health Insurance - Amends the Internal Revenue Code to prohibit the expenses paid or incurred by an employer for a group health plan from being allowed as a deduction unless each qualified beneficiary who would lose coverage because of a qualifying event (loss of work, or death of or divorce from the beneficiary for example) is given the option of electing continued coverage under the plan. Sets forth specifics concerning such elections. Requires: (1) that coverage may not be conditioned upon evidence of insurability and must be identical to the coverage of other plan members; (2) the option for continued coverage for certain family members; (3) specified periods of continued coverage; and (4) the option of enrollment under a conversion health plan otherwise generally available. Provides rules for the: (1) election and payment of premiums; and (2) notice of rights and elections. Prohibits an employer from deducting the expenses of a group health plan unless the plan provides for an open enrollment period for each married employee: (1) covered under the plan; and (2) whose spouse loses or will lose coverage because of the spouses's unemployment. Imposes a tax on an employer of 25 or more employees equal to ten percent of the amount of nonqualified employee health expenses. Defines "nonqualified employee health expenses" as the expenses paid or incurred by the employer for a group health plan to the extent such expenses are allocable: (1) to employment within a State; and (2) to a period during which neither the employer nor any entity through which benefits under the plan are provided, is a member of a qualified pooling association. Amends title XVIII (Medicare) of the Social Security Act to require any hospital with an emergency department to provide for the examination and stabilizing treatment, or transferal (including treatment for active labor) for any individual (whether or not eligible for Medicare) coming to such department under emergency conditions. Provides for the termination of a hospital's Medicare agreement and civil penalties, if the hospital does not comply. Provides for criminal penalties for noncomplying physicians. Directs the Secretary of Health and Human Services to provide for the conduct of studies and demonstration projects on ways to reduce the costs for small employers and self-employed individuals in obtaining health insurance. Requires the Secretary to report to the Congress. Authorizes appropriations. Title II: Reforms in Medicare Payment System - Provides for an additional payment to an urban hospital of 100 or more beds that serves a disproportionate share of low-income patients. Revises the deductible and coinsurance for inpatient hospital services and for post-hospital extended care services. Prohibits including in the reasonable costs of inpatient hospital services the return on equity capital for hospitals. Permits, in other cases, payment for a return on equity capital, provided that such rate of return equals the average of the rates of interest on obligations issued for purchase by the Federal Hospital Insurance Trust Fund. Directs the Secretary, in consultation with the Prospective Payment Assessment Commission, to develop methodologies to provide for area hospital wage adjustments for central cities and rural areas. Increases from 15 to 23 the number of members of the Prospective Payment Assessment Commission. Directs the Chairman of the Commission to provide for two subcommittees of the Commission, one with functions and responsibilities relating primarily to hospital payment issues and the other with functions and responsibilities relating primarily to physician payment issues. Directs the Commission to: (1) annually make recommendations to the Congress regarding adjustments to the reasonable charge levels for physicians' services under part B (Supplementary Medical Insurance) of title XVIII and changes in the methodology for determining the rates of payment, and for making payment for physicians' services; and (2) advise and make recommendations to the Secretary respecting the development of the relative value scale. Directs the Secretary to: (1) develop a relative value scale that establishes a numerical relationship among the various physicians' services for which payment may be made under part B; and (2) report to the Congress concerning such scale. Directs the Secretary, in consultation with the Prospective Payment Assessment Commission, to conduct demonstration projects on the feasibility of making Medicare payments for physicians' services to hospital inpatients on the basis of diagnosis-related groups. Requires reports. Provides: (1) for the transfer of funds from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund to carry out such projects; and (2) for the waiver of Medicare requirements. Directs the Secretary to establish a demonstration program designed to reduce disability and dependency through the provision of preventive health services to Medicare beneficiaries. Sets forth provisions relating to: (1) preventive health services to be made available under the demonstration program; (2) the conduct of the program; (3) evaluation of the program; (4) reports to the Congress; (5) funding; and (6) waiver of Medicare requirements.
Bill· HRH.R. 3172 (99th)open
United States · United States Congress · 1 August 1985
Directs the Administrator of the Environmental Protection Agency to report to the Congress within one year an evaluation on the threat to human health of radon gas and radon daughters forming from naturally occurring deposits of uranium and collecting in residences. Directs the Administrator to conduct a demonstration program testing methods of reducing or eliminating the threat, reporting periodically to the Congress on the results. Authorizes appropriations. Amends the Disaster Relief Act of 1974 to include assistance for releases of radon gas.
Resolution· HRESH.Res. 257 (99th)referred
United States · United States Congress · 1 August 1985
Expresses the sense of the House of Representatives that a South Chicago Community Hospital Kidney Transplant Center should be approved by the Illinois Health Facilities Health Planning Board.
Bill· HRH.R. 3118 (99th)referred
United States · United States Congress · 30 July 1985
Amends the Federal Food, Drug, and Cosmetic Act to regulate the compensation received by investigators testing medical devices.
Bill· SS. 1520 (99th)referred
United States · United States Congress · 29 July 1985
Food, Drug, and Device Amendments of 1985 - Amends the Federal Food, Drug, and Cosmetic Act to merge medical devices from two classes, one requiring general standards, the other requiring individual performance standards, into one class, authorizing the Secretary of Health and Human Services to establish a performance standard where necessary to assure safety or efficacy. Revises procedures for establishing medical device performance standards, reducing the time involved and the formality of the proceedings. Empowers the Secretary to obtain injunctions against the manufacturers and distributors of counterfeit drugs. Repeals the requirement that the Department of Health and Human Services certify batches of antibiotic drugs upon request by the manufacturer. Amends the Public Health Service Act to repeal electronic product radiation report requirements. Repeals the Filled Milk Act.
Resolution· HCONRESH.Con.Res. 178 (99th)referred
United States · United States Congress · 26 July 1985
Expresses the sense of the Congress that: (1) it shall be the national policy for hospitals and emergency centers to provide emergency care to all patients without discriminating on the ground of economic status, color, race, religion, sex, or national origin; and (2) States and local governments have a responsibility to provide adequate funding for such care.
Bill· HRH.R. 3084 (99th)referred
United States · United States Congress · 25 July 1985
Medical Offer and Recovery Act - Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to provide for an alternative liability system for medical malpractice. Prohibits an individual from bringing a civil action against a participating health care provider for a disease or injury arising from health care services provided pursuant to Medicare, Medicaid (title XIX of the Social Security Act), an armed forces' or veterans' health plan, the Federal employees' health benefits program, or any other participating health benefits plan, if such provider provides the individual with a timely written tender to pay compensation benefits in accordance with this Act. Allows the individual to serve the provider with a written request for arbitration if such provider fails to provide the individual with a written tender in a timely manner. States that this Act does not foreclose civil actions for intentionally caused injuries. Permits a health care provider to join an entity which is potentially liable for the injury. Provides that any disagreement between such entities regarding their share of costs shall be submitted to binding arbitration and such share shall be based on comparative fault. Sets forth provisions regarding the subrogation of parties. States that the amount of compensation benefits payable for a personal injury shall be equal to the net economic loss resulting from such injury, plus attorney's fees. Defines "net economic loss." Requires compensation benefits to be paid within 30 days after reasonable proof of the fact and amount of economic loss has been submitted to the initiating compensation obligor. Provides that if reasonable proof is supplied for only a portion of the net economic loss, and that portion totals $100 or more, the compensation for such portion shall be paid without regard to the remainder of the loss. Sets a five year statute of limitations for claims under this Act. Requires a compensation obligor who rejects a claim for compensation benefits to give the claimant prompt notice of the rejection and the reasons therefor. Requires the disclosure of specified information, including: (1) the earnings of the injured individual; and (2) a copy of every written report concerning any medical treatment or examination of the injured individual in regard to the injury in question. Allows the injured individual or compensation obligor to petition a court for an order for discovery, including the right to oral or written depositions. Allows the compensation obligor to petition a court for an order directing the individual to submit to a mental or physical examination by a physician. Allows the injured individual or compensation obligor to apply to a court for a declaration as to the amount of compensation benefits owed. Permits an obligation to pay compensation benefits to be discharged by a settlement or lump sum payment if the net economic loss is less than $5,000. Allows a settlement or lump sum payment where the net economic loss exceeds $5,000 if a court determines that such a settlement is fair to the injured individual. Permits a court to enter a judgment declaring the compensation obligor liable for forseeable future treatment. Permits an agreement or judgment to be modified upon a finding that a material and substantial change of circumstances has occurred. Requires a health care provider to participate in an assigned claims plan meeting the requirements of this Act in order to participate in the alternative liability program described in this Act. Permits entities within a State to organize and maintain an assigned claims plan. Provides that where such a plan is not established within a State, the Secretary of Health and Human Services shall establish and maintain such a plan for that State. Provides that an injured individual entitled to compensation benefits may obtain such benefits through the assigned claims plan if the initiating compensation obligor is financially unable to fulfill its obligation. Directs the assigned claims plan to assign such claim to another member of the plan. Allows such assignee to seek payment from the initiating compensation obligor of 120 percent of the costs and expenses incurred in fulfilling such obligation. Requires participating health care providers to submit written reports to appropriate health care licensing boards where the provider: (1) takes actions which adversely affects the clinical privileges of a health care professional; or (2) terminates or fails to renew a contract with a health care professional. States that such reports shall not be subject to discovery, except upon the request of the health care professional against whom the adverse action is taken. Precludes liability for damages for any entity transmitting such reports unless the information transmitted is false and the entity knows such information is false and acts with malice. Requires physicians participating in the alternative liability program to obtain malpractice insurance. Provides that the preceding provisions of this Act shall not apply to any personal injury occurring: (1) before January 1, 1988; or (2) in a State which has in effect an alternative medical liability law which meets specified requirements.
Bill· SJRESS.J.Res. 167 (99th)referred
United States · United States Congress · 22 July 1985
Directs the Administrator of Veterans Affairs to ensure that the expertise of the Veterans Administration in diagnosing and treating the trauma and stress of political hostage victims and in training health care personnel on such matters is made available to other Federal Government agencies and organizations who provide readjustment services to passengers of Trans World Airlines Flight 847 or any other political hostage victims.
Bill· HRH.R. 3021 (99th)referred
United States · United States Congress · 17 July 1985
Mental Health Act of 1985 - Title I: Mental Health Benefits - Entitles residents and nonresident citizens to mental health benefits under this Act. Enumerates mental health services covered by this Act, stipulating that payments for such services shall be made by the Secretary of Health and Human Services on the recipient's behalf. Sets forth qualifications of psychiatric hospitals for participation in the program under this Act, including the provision of active diagnostic, therapeutic, and rehabilitative services, and accreditation by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary to administer the program with the advice and assistance of a Committee on Mental Health responsible for approval of all providers under this Act and the establishment of relevant guidelines and qualifications. Requires the Secretary to conduct a national mental health insurance feasibility study and to submit the findings to the President and the Congress. Creates a Federal mental health trust fund in the Treasury. Appropriates to the fund specified tax revenues. Creates a Board of Trustees, with the Secretary of the Treasury as the Managing Trustee, to hold the fund, report annually to the Congress on the operation and status of the fund, and review general management policies. Makes it the duty of the Managing Trustee to invest such portions of the trust fund, according to specified instructions, as are not required to meet current withdrawals. Title II: Mental Health Taxes - Amends the Internal Revenue Code to impose a series of mental health taxes on employees' income, employers' income, self-employment income, and unearned income. Sets forth rules applicable to the nondeductibility of mental health taxes from the employee's exempt wages. Excludes from an individual's gross income an employer's payment of such tax.
Bill· HRH.R. 3010 (99th)referred
United States · United States Congress · 16 July 1985
Health Planning Amendments of 1985 - Amends the Public Health Service Act to reduce required Health Systems Agency (HSA) staff from five overall and one per 100,000 residents to three overall and one per 300,000 residents. Directs the HSAs to review applications for certificates of need only to the extent authorized by a review system established by a State health planning and development agency. Removes the 24-month limit on HSA conditional designation. Eliminates the 12-month probationary limit during which a fully designated HSA may be conditionally designated. Authorizes HSA redesignation of any entity (presently a terminated HSA cannot be redesignated). Eliminates the Secretary of Health and Human Services' authority to reduce HSA planning grants. Eliminates the requirement that a conditionally designated State health planning and development agency ("agency") increase its functions in order to receive full designation. Eliminates the 12-month probationary limit during which a fully designated agency may be conditionally designated. Repeals the fund loss penalty for States without a fully designated agency. Makes agency review of institutional health services discretionary. Amends the definition of the term "provider of health care" to exclude individuals engaged in issuing any policy or contract of health insurance or hospital or medical service benefits. Increases the dollar amounts of capital expenditures, annual institutional operating costs, and major medical equipment for purposes of State certificate-of-need program review. Authorizes FY 1986 appropriations for: (1) HSA planning grants; (2) State health planning and development agencies; and (3) health planning centers.
Bill· SS. 1430 (99th)open
United States · United States Congress · 15 July 1985
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to eligible State and local governments to support projects for education and information dissemination concerning Acquired Immune Deficiency Syndrome (AIDS). Specifies eligibility requirements for State and local governments. Sets forth application requirements. Requires State and local governments which receive such grants to submit an annual report to the Secretary. Requires the Secretary to transmit a summary of such reports to the Congress annually. Authorizes appropriations for FY 1986 through 1988. Directs the Secretary to make grants to State and local governments to establish programs to test blood to detect the presence of antibodies to the human T-cell lymphotrophic virus (HTLV-III virus). Allows such grants to be used to: (1) conduct blood tests; (2) purchase materials and kits for such tests; (3) provide training for personnel who will conduct such tests; and (4) process the results of such tests. Sets forth application requirements. Requires State and local governments which receive such grants to submit an annual report to the Secretary. Requires the Secretary to transmit a summary of such reports to the Congress annually. Authorizes appropriation for FY 1986.
Bill· SS. 1411 (99th)referred
United States · United States Congress · 10 July 1985
Amends the Federal Food, Drug, and Cosmetic Act to require all drugs to disclose the name and quantity of each active and inactive ingredient on their labels. Requires the Secretary of Health and Human Services, through the Commissioner of the Food and Drug Administration, to report to the Congress on the use and safety of inactive ingredients in drugs.
Bill· SS. 1407 (99th)referred
United States · United States Congress · 9 July 1985
Grants the United States an independent right to recover the costs of providing medical care and treatment to an individual from a third party who is subject to tort liability with respect to the individual's disease or injury, or from the third party's insurer. Provides that in States that have abolished or limited tort liability as a cause of action and have established a system of compensating an individual for medical expenses through an insurance policy, contract, or medical services agreement, the United States shall be deemed to be a third-party beneficiary of such policy, contract, or agreement and shall be reimbursed for the expenses of the medical care provided as if such expenses were incurred by the individual. Declares that this Act shall apply to all cases in which the United States is authorized or required to furnish medical care and treatment, whether such treatment is furnished before or after enactment.
Record· Aktuelle Stunde10/150open
Germany · German Bundestag · 28 June 1985
Aussprache auf Verlangen der Fraktion DIE GRÜNEN, unabhängig von einer Fragestunde
Bill· SS. 1387 (99th)open
United States · United States Congress · 27 June 1985
Improved Public Health Through Nutrition Monitoring Act of 1985 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to prepare the Comprehensive Health Promotion and Nutrition Monitoring Plan (comprehensive plan) to specify the manner in which the National Health Promotion and Nutrition Monitoring Program (coordinated program) will be implemented. Specifies the requirements of the comprehensive plan. Requires the Secretary to submit a draft of the comprehensive plan to the Congress and publish such plan, with a request for public comment, in the Federal Register within one year of enactment of this Act. Requires the Secretary to submit a final comprehensive plan to the President and the Congress within 60 days after the end of the period for public comment. Requires the Secretary to implement the comprehensive final plan. Grants specified congressional committees oversight responsibilities. Establishes a ten-year National Health Promotion and Nutrition Monitoring Program. States that such program shall include: (1) the assessment, collection, analysis, and reporting of information on health, dietary, and nutritional trends in the U.S.; (2) the assessment, analysis, and reporting of the effects on health status of food assistance programs; (3) sponsoring and conducting research; (4) maintaining, coordinating, implementing, and completing health, nutrition, and dietary surveys; (5) developing and maintaining health, nutrition, and dietary data bases; (6) coordinating Federal, State, local, and private activities; (7) providing scientific and technical assistance; and (8) providing grants to be carried out through the National Science Foundation and the Director of the Centers for Disease Control. Directs the Secretary to: (1) update and integrate into the coordinated program the Joint Implementation Plan for a Comprehensive National Nutrition Monitoring System; (2) provide for and coordinate Federal research; (3) enter into a contract for the interpretation of available data; (4) foster cost recovery management techniques; and (5) prepare annual reports. Authorizes the Secretary to appoint a Coordinator for Health Promotion and Nutrition Monitoring. Establishes the Interagency Health Promotion and Nutrition Monitoring Board to assist the Secretary. Establishes the Advisory Council on Health Promotion and Nutrition Monitoring to: (1) provide scientific and technical advice; (2) evaluate the quality and effectiveness of the implementation of the coordinated program; and (3) evaluate the coordinated program, the comprehensive plan, and the budget. Sets forth budget request procedures. Authorizes appropriations.
Resolution· SRESS.Res. 189 (99th)passed
United States · United States Congress · 27 June 1985
Designates the week of August 18 to August 24, 1985, as Health Care Expo '85 Week.
Bill· HRH.R. 2924 (99th)open
United States · United States Congress · 27 June 1985
Amends the Federal Food, Drug, and Cosmetic Act to authorize the Administrator of the Environmental Protection Agency to issue an order to revoke an exemption from the tolerance requirements for a pesticide chemical in or on a raw agricultural commodity and establish a tolerance for such chemical, or revoke a tolerance if it is determined that such action is necessary to prevent an imminent hazard to the public health. Makes such an order effective upon its issuance and requires its publication in the Federal Register. Sets forth provisions for a public hearing on such order. States that the effective date of any such order shall not be delayed during administrative or judicial review. Prohibits judicial review until completion of a hearing. Declares that Federal rule making procedures shall apply to rules to amend regulations establishing, revoking, or exempting tolerances, except that the Administrator may allow informal hearings on such rules. Sets forth revocation procedures, if it is determined that residues of a pesticide chemical permitted by a tolerance established under such regulations may not be safe. Includes among the factors to be considered in promulgating regulations establishing tolerances: (1) the potential acute and chronic health hazards which may result from exposure to residues of a pesticide chemical; and (2) the synergistic effect upon health of combining certain pesticide residues in or on raw agricultural commodities. Requires the Administrator to establish tolerances at zero level for pesticides determined not to have any residues in or on raw agricultural commodities. Prohibits the Administrator from exempting a pesticide chemical from the necessity of a tolerance on the ground that there is no practical method of detecting its residues or that the pesticide does not leave residues on agricultural commodities. Revises provisions with respect to persons who may petition for the registration of a pesticide to conform to provisions of this Act. Sets forth provisions for the Administrator to revoke a regulation if it is found that false, misleading, or inaccurate information was submitted in connection with its promulgation. Provides that tolerances or exemptions established as a result of postponements shall not remain in effect for more than 180 days. Requires the Administrator, during the four years after enactment of this Act, to conduct a survey of the information available on the aforementioned additional factors for establishing pesticide tolerances to determine: (1) if such information was submitted in connection with a proceeding to establish a tolerance; and (2) if such information was derived from well-conducted studies and is consistent with sound scientific principles. Sets forth revocation procedures for tolerances resulting in unfavorable determinations. Requires the Administrator within 180 days of enactment of this Act, to review the pesticide exemptions in effect to determine: (1) if there is any practical method of detecting such pesticide residues in or on raw agricultural commodities; (2) if such pesticide leaves any residue in or on such commodities; or (3) if such residues are safe. Sets forth revocation procedures. Directs the Secretary of Health and Human Services to conduct random samplings of raw agricultural commodities imported into the United States to determine if the amounts of pesticide residues on such commodities meet Federal standards. Sets forth procedures for the Administrator if the use of a pesticide chemical is cancelled, suspended, or voluntarily withdrawn under the Federal Insecticide, Fungicide, and Rodenticide Act. Transfers the functions of the Secretary of Health and Human Services with respect to pesticide tolerances to the Administrator of the Environmental Protection Agency.
Question· Kleine Anfrage10/3583open
Germany · German Bundestag · 27 June 1985
Betroffene aktive Beamte und Ruhestandsbeamte vor allem in den Bundesministerien für Jugend, Familie und Gesundheit, Arbeit und Sozialordnung, Ernährung, Landwirtschaft und Forsten, Wirtschaft und beim Bundesgesundheitsamt, Form und Höhe der Zuwendungen, Prüfung der Frage einer Einflußnahme auf das Arzneimittelrecht, disziplinarrechtliche Maßnahmen, Schutz der betroffenen Beamten bei Unzutreffen der Vorwürfe
Bill· SS. 1367 (99th)referred
United States · United States Congress · 26 June 1985
Health Care Systems Clearinghouse Act of 1985 - Directs the Secretary of Health and Human Services to make grants for the establishment and operation of a clearinghouse on aggregate health care data and analytic programs. Sets forth the functions of the clearinghouse which includes: (1) identifying individuals and organizations that have experience with the collection of aggregate health care data; (2) collecting information on methods for collecting, analyzing, interpreting, and disseminating such information; and (3) providing technical assistance in the use of such data. Prohibits funding for the operation of a clearinghouse after the end of the five-fiscal-year period beginning with FY 1986, unless extended by the Congress. Directs the Secretary to conduct studies on: (1) making aggregate health care data on the medicare program and the Federal Employees Health Benefits program more widely available; (2) applying existing analytic programs to the analysis of such data; (3) proposed changes in the aggregate health care data collected in the process of implementing Federal health care programs; and (4) proposed changes in the analytic program used to analyze such data. Requires the Secretary to transmit to the Congress a report on each study within six months of enactment of this Act.
Bill· HRH.R. 2882 (99th)referred
United States · United States Congress · 26 June 1985
Health Care Data Systems Clearinghouse Act of 1985 - Directs the Secretary of Health and Human Services to make grants for the establishment and operation of a clearinghouse on aggregate health care data and analytic programs. Sets forth the functions of the clearinghouse which includes: (1) identifying individuals and organizations that have experience with the collection of aggregate health care data; (2) collecting information on methods for collecting, analyzing, interpreting, and disseminating such information; and (3) providing technical assistance in the use of such data. Prohibits funding for the operation of a clearinghouse after the end of the five-fiscal-year period beginning with FY 1986, unless extended by the Congress. Directs the Secretary to conduct studies on: (1) making aggregate health care data on the Medicare program more widely available; (2) applying existing analytic programs to the analysis of such data; (3) proposed changes in the aggregate health care data collected in the process of implementing Federal health care programs; and (4) proposed changes in the analytic programs used to analyze such data. Requires the Secretary to transmit to the Congress a report on each study within six months of enactment of this Act.
Bill· HRH.R. 2855 (99th)referred
United States · United States Congress · 25 June 1985
Amends the District of Columbia Code to require eight members of the District of Columbia Commission on Mental Health to be health care professionals (psychiatrists, Ph. D. psychologists, M.S.W. social workers, or psychiatric nurses) practicing in the District, each of whom has not less than five years' experience in the treatment of mental illnesses. (Current law requires the eight to be physicians who have been practicing medicine in the District.) Provides that such members shall serve on a part-time basis and may practice their profession during their tenure of office. States that such members may not participate in the disposition of a case in which they rendered professional service or advice.
Bill· SS. 1346 (99th)open
United States · United States Congress · 24 June 1985
Medicare Solvency and Health Care Financing Reform Act of 1985 - Adds a new title XXI to the Public Health Service Act entitled "Programs for Reforming the Health Care Financing System." Sets forth part A of such title entitled "State Health Care Programs." Provides that if a State transmits to the Secretary of Health and Human Services, within one year of the enactment of this Act, a statement that the State intends to submit a health care plan (described below), for purposes of making payments to the State under title XIX (Medicaid) of the Social Security Act the Federal medical assistance percentage shall be 102 percent of such percentage as otherwise determined under Medicaid for such State for up to one year. Directs the Secretary to exempt hospitals in a State from the prospective payment limits established under this Act for certain time periods occurring during the first year of the transition period (defined in part C of title XXI as the 24-month period beginning January 1986) if: (1) the State requests such treatment; (2) the State indicates an intention to have implemented a State plan under title XXI which will provide for a recoupment of any revenues received in excess of the amounts permitted under part A; and (3) the State has agreed, with respect to such hospitals, that if a State plan under this Act is not implemented by the end of the first year of the transition period, then the Secretary shall provide for such adjustment in the prospective payment limits under part I of part B as will provide for recoupment in the subsequent year of any revenues received in excess of amounts permitted. Authorizes a State to apply to the Secretary for the approval of a health care plan for the State for an initial period of up to three years, subject to disapproval. Authorizes extensions of such initial period for up to two additional years. Provides that, for any one-year period, in the case of any State with an approved plan: (1) the transitional period provisions of subpart I of part B of title XXI shall not apply; (2) requirements for reimbursement (other than those relating to beneficiary cost sharing) under title XVIII (Medicare) of the Social Security Act shall be waived; and (3) for purposes of making payments to a State under Medicaid the Federal medical assistance percentage shall, for the year the plan is in effect, be 103 percent (or 104 percent in the case of an unrestricted Medicaid plan) of the amount of the Federal medical assistance percentage otherwise determined under Medicaid and 102 percent (or 103 percent in the case of an unrestricted Medicaid plan) for any subsequent year (except for any extension period) of the amount of the Federal medical assistance percentage otherwise determined. Defines "unrestricted Medicaid plan" as a State Medicaid plan which does not impose any limitation on the scope or duration of inpatient hospital services other than requiring that such services be medically necessary. Directs the Secretary to annually review each approved plan. Requires the continued approval, for a certain time, of a plan not in compliance, if the State certifies that it will comply within a stated time period. Permits a further extension of approval if there is a trend towards compliance. Provides for the establishment of a Federal program with respect to hospitals for a State which cannot comply. Requires a State plan, in order to be approved, to meet the general requirements set forth below and, if applicable, certain requirements relating to rate setting plans. Permits a plan, in meeting the general requirements, to be designed in a manner that meets such requirements through a rate setting system, a voluntary system, or through the use of competitive mechanisms. Requires a plan to be designed in a manner so as to provide, to the satisfaction of the Secretary, that: (1) the amount of the total revenues per discharge for all hospitals in the State for each year beginning before 1987 in which the plan is in effect may not exceed the base general hospital revenues per discharge increased by the sum of the compounded sum of the percentage limits for a year and the previous years for which the State plan was in effect, and the population-discharge factor; and (2) the amount of the total revenues per discharge for all services furnished to hospital inpatients for all hospitals in the State for each year beginning after 1986 in which the plan is in effect may not exceed the sum of the base general hospital revenues per discharge increased by the sum of the compounded sum of the percentage limits for a year and the previous years for which the State plan was in effect, and the population-discharge factor, plus the base physician-related hospital revenues per discharge increased by the sum of the compounded sum of the percentage limits for a year and the previous years for which the plan is in effect and provided for a limitation under this clause (2), and the population-discharge factor. Authorizes a State, at its option, to apply the test specified in clause (2) instead of the test specified in clause (1) with respect to years prior to 1986. Permits a plan, instead of meeting the above requirements, to meet such other alternative test of constraint of health care costs as the Secretary determines will not result in a greater expenditure of funds under title XVIII (Medicare) of the Social Security Act and by private payers than would have been made if the plan met the above requirements. Requires a plan to be designed so as to provide that the amount of revenues for inpatient hospital services and physicians' services to hospital inpatients and individuals entitled to benefits under parts A (Hospital Insurance) and B (Supplementary Medical Insurance) of title XVIII of the Social Security Act may not exceed the amount which would otherwise be payable (including copayments and deductibles) for such services under title XVIII. Permits a plan (other than a plan providing for the establishment of rates of hospital reimbursement for hospital inpatient services) to provide that payment under title XVIII for inpatient hospital services and for other services furnished to hospital inpatients shall continue to be made in the amounts and in the manner otherwise provided under Medicare. Requires that the unreimbursed costs incurred by hospitals in providing services to low-income, uninsured or underinsured patients (other than Medicare or Medicaid patients) be paid pursuant to a plan in an amount which must, in the aggregate, be the same proportion of total revenues as such unreimbursed costs are of total costs of patients who are neither Medicare nor Medicaid patients. Provides that such unreimbursed costs shall be paid through distribution of funds pooled at the statewide level, through a higher payment rate, or through another method approved by the Secretary. Requires a plan to have a mechanism for providing fair hearings for hospitals and any other entities aggrieved by determinations made under the plan. Requires a State to provide for the appointment of a panel, consisting of members with expertise in health care economics and service delivery, to advise in the development and implementation of its plan, periodically review and propose modifications to the plan, and establish the methodology for establishing the percentage limit used to compute hospital revenues. Requires such methodology to include the use of appropriate external price indicators, the use of data from major collective-bargaining agreements for nonsupervisory hospital employees, and other appropriate indicators of wage costs. Requires the methodology to be approved by the Secretary. Requires a plan, to the extent that it provides for meeting plan requirements through a system which provides for the establishment of rates for hospital reimbursement for hospital inpatient services by an entity other than the hospital, to meet the following additional requirements: (1) except as provided in clause (2), the plan must provide equitable treatment of all entities that pay for health services covered under the plan, of hospital employees, and of patients; (2) if the plan is established under State law, the plan must take into account the proportion of costs associated with, and services covered by, the different payors, including Medicare and Medicaid, and may not permit undue shifting of proportions of costs among the different payors; (3) the plan may not make available any discount in price to any purchaser unless the discount accurately reflects economic benefits to a hospital resulting from a service arrangement with a purchaser and the discount is made available to all other purchasers who can satisfy such service; and (4) the plan must provide a procedure whereby, upon the request of a hospital, an adjustment can be considered to the rate limitation applicable under the plan to that hospital to reflect a significant change in the inpatient hospital services, increased costs for the compensation of employees, funds necessary to provide for the efficient operation of a hospital which the State has determined should remain in operation, and higher expenses associated with a regional tertiary care institution, teaching hospital, or children's hospital. Directs the Secretary, in reviewing a plan which provides for control of hospital inpatient costs through a competitive mechanism, to take into account the degree to which the plan provides for the following or other measures to improve price competition among providers: (1) the plan provides for open enrollment periods; (2) the plan provides for the dissemination of information concerning different health benefits plans; (3) the plan encourages innovation and public incentives to new forms of health care delivery and financing; (4) there are negotiated prices and risk-sharing between insurers and health care providers; and (5) the laws of the State do not impose legal barriers to competition in negotiated and other arrangements among insurers and health care providers. Sets forth part B of title XXI entitled "Residual Federal Program, subpart I, Transition Period." Provides that, subject to the provisions of subpart I, for any accounting period of a hospital subject to subpart I, the total revenues for inpatient hospital services may not exceed the total of such revenues that are permitted on the basis of prospective payment limits established under subpart I for the hospital's discharges as classified by diagnosis-related groups. Requires each hospital subject to a limitation on revenues under subpart I to provide for the publication of a price list which establishes the price per discharge which any payor may pay for inpatient hospital services. Requires a hospital to submit its price list to the Secretary. Directs the Secretary to determine (for each accounting period) a prospective payment limit for inpatient hospital services for discharges classified by diagnosis-related groups. Sets forth the method for determining and adjusting the limit for each hospital for discharges. Authorizes the Secretary, at the request of a hospital, to increase the allowable revenues for an accounting period or provide for an increase in the base number of discharges otherwise permitted under subpart I to allow for higher revenues than would otherwise be permitted if: (1) a major renovation or replacement of physical plant or significant change in the capacity of the hospital has occurred; (2) the hospital is a sole community provider or provides a disproportionate percentage of its services to low-income or Medicare patients, the hospital would otherwise be insolvent, and the State has determined that the hospital should remain open; (3) a larger revenue increase is needed because the hospital is a regional tertiary care institution, teaching hospital, or children's hospital; and (4) there has been a significant change in the characteristics of the hospital's mix of patients. Subjects a hospital which has total inpatient revenues for an accounting period in excess of its applicable limit to a civil penalty, unless the excess is deposited in an escrow account. Permits withdrawals from the account upon the Secretary's certification that the total inpatient revenues of a hospital for an accounting period fall below the applicable limit for that period. Establishes a civil penalty for a physician or other person or entity (other than a hospital) who has charged any person or entity for services which are required by law to be billed to a hospital. Sets forth provisions relating to notice, opportunity for a hearing, and appeal of such penalties. Prohibits a hospital from engaging in an admission practice that results in: (1) a refusal to admit a patient who is unable to pay for inpatient hospital services; (2) the refusal to admit a patient who would be expected to require unusually costly or prolonged treatment; or (3) the refusal to provide emergency services to any person in need of such services. Sets forth penalties, including exclusion from Medicare or Medicaid participation, for hospitals committing such admissions violations. Sets forth subpart II of Part B entitled "Post-Transition Period." Provides that in the case of a State not having a plan approved under part A and in effect for any period beginning after the transition period, the Secretary shall establish and implement a health care plan for such State for such period which meets the requirements of part A, with specified differences. Sets forth definitions under part C of title XXI. Establishes an Advisory Committee on Health Care Technologies and Procedures. Directs the Advisory Committee to examine the appropriateness of the various interventions and the conditions under which they are needed, the safety and efficacy of alternative therapeutic and preventive regimens, and the standards for availability and utilization of various technologies, and to publicly report on whether or not payments should be made for such services and, if so, under what conditions and frequency of service. Exempts individuals enrolled in health maintenance organizations and competitive medical plans from the limits established under title XXI on revenues and discharge of a hospital if: (1) the organization elects such treatment; or (2) the organization annually pays for more than 20 percent of the number of bed-days of care with respect to that hospital. Amends provisions of the Public Health Service Act relating to employees' health benefits plans to provide that if an employer makes a contribution with respect to the costs of a health benefits plan of an employee and the employer offers the option of membership in a health maintenance organization or a competitive medical plan, which membership provides benefits at least actuarially equivalent to those provided under the other health benefits plan, the employer shall: (1) contribute at least as much towards the membership as the maximum amount of the employer's contribution to the other plan; (2) provide for a cash rebate if the contribution with respect to any other health benefits plan exceeds the cost of membership with the organization; and (3) provide information to employees that reasonably compares the benefits and costs of different plans. Exempts from the provisions of the previous sentence employees of an employer represented by a collective bargaining representative or other employee representative selected under any law. Amends title XVIII (Medicare) of the Social Security Act, with respect to health maintenance organizations and competitive medical plans, to provide that the annual per capita rate of payment for each class of members shall be 100 percent in the case of individuals enrolled with an eligible organization in an area where at least 30 percent of the individuals eligible to enroll with an organization are enrolled. Amends title XIX (Medicaid) of the Social Security Act to exempt a health maintenance organization which is a public entity from the requirement that at least 75 percent of its membership be Medicaid eligible or insured under part B (Supplementary Medical Insurance) of title XVIII or under both parts A (Hospital Insurance) and B of title XVIII. Directs the Secretary, under the prospective payment provisions of title XVIII of the Social Security Act, to provide that in the case of a State health care plan approved under Part A of title XXI of the Public Health Service Act payments with respect to services covered under title XXI: (1) may, at the State's option, be made in accordance with title XXI rather than Medicare; or (2) shall be made in accordance with title XXI rather than Medicare in the case of a plan which provides for the control of hospital costs through a title XXI rate setting mechanism. Provides for increased Medicare payments to a hospital for its operating costs if the number of admissions for an accounting period exceeds the hospital's admissions during a specified base period. Directs the Secretary to determine a regionally adjusted capital-related prospective payment rate for each inpatient hospital discharge in accordance with a specified formula. Directs the Secretary, for each diagnosis-related group, to estimate the average per discharge amount of charges recognized under part B of title XVIII attributable to items and services furnished to inpatients within such group during 1983. Provides that, subject to the part B deductible and subject to other provisions of the Medicare prospective payment rate provisions, with respect to each individual entitled to benefits under part A and enrolled under part B of title XVIII who is a hospital inpatient and whose discharge is classified within a diagnosis-related group, the Secretary shall provide for payment to the hospital of an amount equal to 80 percent of a specified rate in lieu of payments otherwise made under part B for inpatient services. Requires that: (1) payments for health care services furnished to inpatients be made to or through a hospital as a condition of the hospital's participation in the Medicare payment; and (2) the Secretary provide for notice to the public and to individuals enrolled under part B of title XVIII of the Social Security Act of such requirement. Permits the Federal Hospital Insurance Trust Fund to borrow at any time from other social security trust funds if it can repay the loan within ten years. Provides for the periodic transfer to the Federal Hospital Insurance Trust Fund from the Federal Supplementary Medical Insurance Trust Fund of amounts which the Secretary determines to be equal to a specified fraction of the total revenues of the Federal Supplementary Medical Insurance Trust Fund for each fiscal year. Directs the Secretary to conduct and report to the Congress on seven studies relating to: (1) health care costs, quality, delivery, and services; and (2) the effects of this Act.
Bill· SS. 1323 (99th)open
United States · United States Congress · 19 June 1985
Health Care Financing Fraud and Abuse Amendments of 1985 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to consolidate provisions providing criminal penalties for acts involving Medicare and Medicaid abuses. Amends part A (General Provisions) of title XI of such Act to direct the Secretary of Health and Human Services to exclude from participation in Medicare and to direct States to exclude from participation in Medicaid, any individual or entity convicted of a criminal offense related to such individual's or entity's participation in the delivery of items or services under Medicare, Medicaid, or title V (Maternal and Child Health Services Block Grant) of such Act. Authorizes the Secretary to exclude from Medicare participation and to direct State agencies to exclude from Medicaid participation any individual or entity: (1) convicted of any financial abuse or abuse of patients in connection with the delivery of health care items or services in any publicly operated or financed program; (2) convicted of unlawful manufacture or distribution of a controlled substance; (3) who has had his or her health care license revoked or suspended; (4) excluded under any Federal or State program involving the provision of health care; (5) committing certain acts prohibited under title XI; (6) owned or controlled by an individual convicted of health care related crimes, fined for health care abuses, or excluded from Medicare, Medicaid, or title V; (7) failing to supply certain information; (8) submitting claims, under Medicare or Medicaid, for excessive charges or unnecessary services; (9) failing to take corrective action recommended by a peer review organization; or (10) in default on Federal health education loan or scholarship obligations. Directs the Secretary to notify each appropriate State agency of the facts and circumstances of each exclusion. Authorizes the Secretary, for good cause, to waive an exclusion. Entitles an excluded individual or entity to a hearing. Revises title XI provisions providing for civil monetary penalties. Authorizes the Attorney General, at the Secretary's request, whenever the Secretary believes that a person may be subject to such a civil penalty to bring an action in the appropriate U.S. district court to enjoin such activity or to seek other appropriate relief. Requires, under title XI, the disclosure of certain information from any owner with an interest of five percent or more in a health care facility's mortgage. Provides, under title XI, for application to Medicaid of standards which are presently applicable to Medicare with respect to the obligations of providers to provide quality services economically. Prohibits Medicare or Medicaid payments for any item or service ordered by an excluded physician, unless it is an emergency item or service. Authorizes a provider to terminate an agreement upon notice to the Secretary. Authorizes the Secretary to refuse to enter into an agreement with or to terminate an agreement with a provider failing to comply substantially with applicable requirements. Permits the Secretary, under Medicare, in cases where a provider, individual, or entity no longer substantially complies with participation requirements but does not jeopardize the health and safety of its patients, in lieu of terminating an agreement or approval with provider, individual, or entity to notify the provider, individual, or entity of the deficiencies and the time within which such deficiences must be corrected. Permits a State, for good cause, to exclude an individual or entity under Medicare or Medicaid. Permits a State to allow a provider a certain time period within which to correct deficiencies, if the provider's deficiencies do not jeopardize the health and safety of its patients. Prohibits Medicaid payments to any individual or entity failing to supply to the Secretary required information. Permits the Secretary, under Medicaid, in cases where a skilled nursing facility or intermediate care facility no longer substantially meets applicable participation requirements but does not jeopardize the health and safety of its patients, in lieu of canceling certification of the facility, to notify the facility of the deficiencies and the time within which such deficiencies must be corrected. Requires a State's Medicaid plan to have in effect a system of reporting to the Secretary: (1) any final adverse action by any State authority against any provider; and (2) any loss or voluntary surrender of a provider's license during a formal proceeding by a State. Amends the Deficit Reduction Act of 1984 to repeal provisions which provide for an 18 month moratorium in the case of a State Medicaid plan which uses less restrictive income or resource standards than would otherwise be required for noncash Medicaid recipients.
Bill· HRH.R. 2808 (99th)referred
United States · United States Congress · 19 June 1985
Extends protection from certain malpractice suits to health care personnel of the Department of Medicine and Surgery of the Veterans Administration.
Bill· SS. 1309 (99th)open
United States · United States Congress · 17 June 1985
Health Research Extension Act of 1985 - Amends title IV of the Public Health Service Act (National Research Institutes) to establish as an agency of the Public Health Service the National Institutes of Health (NIH) (abolished as a statutory entity by Reorganization Plan No. 3 of 1966) consisting of the following 12 categorical institutes: (1) the National Cancer Institute; (2) the National Heart, Lung, and Blood Institute; (3) the National Institute of Diabetes and Digestive and Kidney Diseases; (4) the National Institute of Arthritis and Musculoskeletal and Skin Diseases; (5) the National Institute on Aging; (6) the National Institute of Allergy and Infectious Diseases; (7) the National Institute of Child Health and Human Development; (8) the National Institute of Dental Research; (9) the National Eye Institute; (10) the National Institute of Neurological and Communicative Disorders and Stroke; (11) the National Institute of General Medical Sciences; and (12) the National Institute of Environmental Health Sciences. Establishes as agencies within NIH: (1) the National Library of Medicine; (2) the Division of Research Resources; and (3) the John E. Fogarty International Center for Advanced Study in the Health Sciences. Permits the Secretary of Health and Human Services to establish additional research institutes. Permits the Secretary to reorganize the functions of any national research institute and abolish any such institute if it is no longer required. Provides that the NIH shall be headed by a Director, who shall be appointed by the President by and with the advice and consent of the Senate. Requires the Secretary to transmit a biennial report, prepared by the Director, to the President and the Congress. Provides that the Director of the National Cancer Institute shall be appointed by the President, and the Directors of the other national research institutes shall be appointed by the Secretary. Sets forth the general duties of the Secretary (acting through the Director of each national research institute). Authorizes the Secretary to enter into contracts and make grants for research, training, and demonstrations. Directs the Secretary to appoint an advisory council for each institute. Sets forth the duties of such advisory councils. Requires the Director of each institute to prepare a biennial report. Authorizes appropriations through FY 1988. States the general purpose and defines the scope of the National Cancer Institute. Requires the Director to establish an information and education center to collect and disseminate information on cancer. Authorizes the Director to: (1) establish and support the production and distribution of specialized biological materials and therapeutic substances for cancer research, and set safety standards for the use of such materials; (2) support cancer research by foreign nationals outside the United States, encourage collaborative research involving American and foreign participants, and train American scientists abroad and foreign nationals in the United States; (3) support education and training programs; (4) coordinate cancer research by industrial concerns; (5) hire experts and consultants; (6) acquire, repair, and construct facilities; (7) appoint advisory committees; (8) enter into contracts, leases, or other transactions; (9) maintain and operate the International Cancer Research Data Bank; and (10) submit an annual budget estimate to the President. Authorizes the Director to provide for the establishment of cancer research and demonstration centers. Extends the period of support for such centers to five years (with additional extensions of not more than five years). Establishes membership requirements for the President's Cancer Panel. Establishes an Assistant Director for Prevention in the National Cancer Institute. States the general purpose and defines the scope of the National Heart, Lung, and Blood Institute. Lists the goals of the National Heart, Blood Vessel, Lung and Blood Diseases and Blood Resources Program. Allows the Director of the Institute to: (1) hire experts and consultants; (2) acquire, repair, and construct facilities; and (3) make grants to public and nonprofit private entities to assist in meeting the cost of patient care. Provides for the development of centers for research, training, and demonstrations of specified diagnostic, prevention, and treatment methods, including: (1) ten for heart and blood vessel diseases; (2) ten for lung diseases; (3) ten for blood diseases; and (4) ten for sickle cell anemia. Directs the Secretary to establish an Interagency Technical Committee on Heart, Blood Vessel, Lung and Blood Diseases and Blood Resources. Establishes an Assistant Director for Prevention in the National Heart, Lung, and Blood Institute. States the general purpose of the National Institute of Diabetes and Digestive and Kidney Diseases. Requires the Director to establish: (1) the National Diabetes Data System; (2) the National Diabetes Information Clearinghouse; (3) the National Digestive Diseases Data System; (4) the National Digestive Diseases Information Clearinghouse; (5) the National Kidney and Urologic Data System; (6) the National Kidney and Urologic Diseases Information Clearinghouse. Establishes positions of Division Director for: (1) Diabetes, Endocrinology, and Metabolic Diseases; (2) Digestive Diseases and Nutrition; and (3) Kidney, Urologic, and Hematologic Diseases. Requires the Secretary to establish: (1) a Diabetes Mellitus Interagency Coordinating Committee; (2) a Digestive Diseases Interagency Coordinating Committee; and (3) a Kidney, Urologic, and Hematologic Diseases Coordinating Committee. Requires such committees to prepare annual reports for the Director of NIH, the Secretary, and the Advisory Board established under this Act for the related disease. Directs the Secretary to establish: (1) the National Diabetes Advisory Board; (2) the National Digestive Diseases Advisory Board; and (3) the National Kidney and Urologic Diseases Advisory Board. Provides for the composition, purposes, and duties of such Advisory Boards. Requires each Advisory Board to prepare an annual report for the Secretary. Provides for the expiration of each Advisory Board on September 30, 1988. Terminates the now existing National Diabetes Advisory Board and National Digestive Diseases Advisory Board upon the appointment of a successor Board. Provides for the development or substantial expansion of centers for research and training in: (1) diabetes mellitus and related endocrine and metabolic diseases; (2) digestive diseases and related functional, congenital, metabolic disorders, and normal development of the digestive tract; and (3) kidney and urologic diseases. States that support for such centers shall be for a period of up to five years (with additional extensions of up to five years). States the general purpose of the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Requires the Director of the Institute to prepare a plan for a national arthritis and musculoskeletal diseases program. Establishes the National Arthritis and Musculoskeletal and Skin Diseases Data System, and the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse. Establishes the Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee, and the Skin Diseases Interagency Coordinating Committee. Requires each such committee to prepare annual reports. Authorizes the Director to make grants to public and private nonprofit entities to establish arthritis and musculoskeletal demonstration projects. Provides for the development, modernization, and operation of new and existing centers for arthritis and musculoskeletal diseases. States that support for such centers shall be for a period of up to five years (with additional extensions of up to five years). Establishes the National Arthritis Advisory Board. Provides for the composition, purposes and duties of such Board. Requires such Board to prepare an annual report for the Secretary. Terminates the now existing National Arthritis Advisory Board upon the appointment of the successor Board. Sets forth the general purpose of the National Institute on Aging. Requires the Director of the Institute to make grants to public and nonprofit private institutions to conduct research relating to Alzheimer's Disease. Sets forth the general purposes of the National Institute of Allergy and Infectious Diseases. States the general purpose of the National Institute of Child Health and Human Development. Requires the Director to conduct and support research relating to sudden infant death syndrome. Requires the Director to make grants for research into the causes, prevention, and treatment of mental retardation. Establishes the position of Assistant Director for Prevention in the National Institute of Child Health and Human Development. States the general purpose of the National Institute of Dental Research and the National Eye Institute. Sets forth the general purpose of the National Institute of Neurological and Communicative Disorders and Stroke. Requires the Director to: (1) conduct and support research into spinal cord regeneration; and (2) make grants or enter into contracts for research on the means to overcome paralysis of the extremities through electrical stimulation and the use of computers. States the general purpose of the National Institute of General Medical Sciences, and the National Institute of Environmental Health Sciences. Sets forth the general purpose and functions of the National Library of Medicine. Authorizes appropriations for library facilities. Establishes the National Medical Libraries Assistance Advisory Board. Directs the Secretary to make grants for: (1) training in medical library sciences; (2) special scientific projects and research in medical library sciences; (3) establishing and expanding the resources of medical libraries; (4) the establishment of regional medical libraries; and (5) financial support of biomedical scientific publications. Sets forth the purposes of: (1) the Division of Research Resources; and (2) the John E. Fogarty International Center for Advanced Study in the Health Sciences. Authorizes appropriations for National Research Service Awards through FY 1986. Directs the Secretary to make Visiting Scientist Awards. Directs the Secretary to study the need for and training of biomedical and behavioral research personnel. Directs the Secretary to request the National Academy of Sciences to conduct such study. Requires that a report on the results of such study be transmitted to specified congressional committees biennially. Requires grant or contract recipients to establish a board to review research involving human subjects. Requires the Secretary to establish procedures for periodic, technical, and scientific peer review of NIH research. Requires grant or contract recipients to establish an administrative process to review reports of scientific fraud. Provides for expedited grant procedures in cases of public health emergencies. Requires an annual report to appropriate congressional committees regarding such actions. Directs the Secretary to establish animal research standards, including the formation of animal care committees. Requires grant and contract recipients to meet such standards. Prohibits the conduct or support of research or experimentation on a living human fetus ex utero unless such research or experimentation: (1) may enhance the well-being of the fetus; or (2) will pose no additional risk of suffering, injury, or death and such knowledge cannot be obtained by other means. Requires the Biomedical Ethics Board to report to appropriate congressional committees on the implications of any waiver of the risk standard for protection of human research subjects as applied to fetal research. Requires the Director of NIH to establish a plan for research into methods of biomedical research and experimentation which: (1) does not require the use of animals; (2) reduces the number of animals used; or (3) produces less pain and distress to such animals. Establishes the Lupus Erythematosus Coordinating Committee to plan, develop, coordinate, and implement research on Lupus Erythematosus. Requires the Committee to report to the Congress within 18 months after the effective date of this Act. Provides for the termination of such Committee. Directs the Secretary to conduct a study of the National Research Service Award and report the results of such study to appropriate congressional committees. Establishes the Interagency Committee on Spinal Cord Injury. Requires the Committee to report to the Congress within 18 months after the effective date of this Act. Provides for the termination of such Committee. Directs the Secretary to conduct a study on the adequacy and availability of personnel to meet the needs of the elderly. Requires the Secretary to report the findings of such study to the appropriate congressional committees by March 1, 1986. Establishes the Interagency Committee on Learning Disabilities. Requires the Committee to report to the Congress within 18 months after the effective date of this Act. Provides for the termination of such Committee. Directs the Secretary to review the disease research programs of the National Institute of Diabetes and Digestive and Kidney Diseases to determine whether such research could be more effectively done by other institutes. Establishes the Biomedical Ethics Board to report to the Congress on the ethical issues arising from the delivery of health care and biomedical research. Authorizes appropriations.
Law· SS. 1282 (99th)enacted
United States · United States Congress · 12 June 1985
Primary Care Amendments of 1985 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to prescribe criteria for determining the specific shortages of personal health services of an area or population group. Permits designation of underserved populations not meeting such criteria if recommended by appropriate State or local officials based on unusual local conditions. Prohibits the Secretary from designating a medically underserved population in a State, or terminating an existing designation, without prior consultation with appropriate State officials or organizations. Authorizes the Secretary to enter into memoranda of agreement with States to permit them to: (1) analyze the need for primary health services for medically underserved populations; (2) assist in planning and developing new community health centers (CHCs); (3) review CHC program plans and budgets; (4) assist CHCs in developing clinical practices and fiscal and administrative systems; and (5) share relevant information. Authorizes CHC appropriations for FY 1986 through 1988. Limits expenditures for prepaid CHC services and "non-criteria" medically underserved populations. Replaces the existing primary care block authority with a program of State grants for primary care research, demonstration, and services. Authorizes FY 1986 through 1988 appropriations for: (1) improving access to and delivery of primary health services for medically underserved populations; and (2) reducing costly inpatient and long-term care services, and reducing the incidence of preventable illnesses and premature death. Allocates funds on the basis of the ratio of low-income people residing in a State to the total number of low-income people in all States. Sets forth minimum State and territorial allotments. Provides for direct allotments to Indian tribes or tribal organizations. Permits the carryover of unobligated funds not in excess of 20 percent of a State's total allocation. Authorizes grants to be used for: (1) providing medically underserved populations with primary health services; and (2) research and evaluations of alternative reimbursement systems, new methods of providing services and retaining health professionals, and medical cost reductions. Requires at least 80 percent of allocated funds to be used to provide primary health services. Permits the carryover of unobligated funds not in excess of 20 percent of a State's total allocation. Sets forth application provisions. Authorizes FY 1986 through 1988 appropriations for migrant health centers.
Bill· SS. 1285 (99th)passed
United States · United States Congress · 12 June 1985
National Health Service Corps Amendments of 1985 - Amends the Public Health Service Act to authorize FY 1986 through 1988 appropriations for the National Health Service Corps Program. Authorizes appropriations through FY 1991 for new and continuing National Health Service Corps scholarships. Imposes a $15,000 per student limit for such scholarships during FY 1986. Provides a method for determining the limit for subsequent fiscal years. Prohibits the Secretary of Health and Human Services from removing an area from those determined to be health manpower shortage areas under such Act until interested groups and persons are afforded the opportunity to provide data and information. Provides, with regard to scholarship-obligated service deferrals for advanced clinical training, that the Secretary: (1) shall grant deferrals upon requests for contracts entered into before October 1, 1985; (2) may grant such deferrals for contracts entered into after such date; and (3) shall not count such periods of advanced training toward satisfying the service obligation. Revises special private practice assistance provisions to: (1) limit such assistance to loans (presently grants and loans); (2) extend the minimum obligated service period from one to two years; and (3) apply such provisions to obligated- and unobligated-service National Health Service Corps members. Requires the Secretary to submit to specified congressional committees by October 1, 1986, a plan for the recruitment, employment, and retention of personnel for the National Health Service Corps. Authorizes the Secretary to assist States in collecting data related to the designation of health manpower shortage areas. Authorizes appropriations for such purposes through FY 1988.
Bill· HRH.R. 2696 (99th)referred
United States · United States Congress · 6 June 1985
Comprehensive Health Care Improvement Act of 1985 - Title I: Qualified Health Insurance Plans - Part A: Definitions and Standards for Qualified Plans - Sets forth definitions used in this title. Defines a "plan of health coverage" as any plan or combination of plans, including combinations of self-insurance, individual accident and health insurance policies, group accident and health insurance policies, coverage under a nonprofit health service plan, or coverage under a health maintenance organization (HMO) subscriber contract. Directs the Secretary of Health and Human Services to establish standards for qualified plans and procedures for the review and certification of plans of health coverage as qualified plans. Provides that a plan shall be certified as an "A" qualified plan if it meets any applicable State requirements with respect to accident and health insurance plans or nonprofit health service plans, and meets or exceeds the following minimum standards: (1) the minimum benefits for a covered individual are equal to at least 80 percent of the covered expenses in excess of an annual deductible not exceeding $150.00 per person; (2) the coverage includes a limitation of $3,000 per person on total annual out-of-pocket expenses for covered expenses; (3) the coverage is subject to a maximum life-time benefit of not less than $250,000 for covered expenses; and (4) the $3,000 limitation (above) and the $250,000 benefit limit (above) are not subject to change or substitution by use of an actuarially equivalent benefit. States that covered expenses are the usual and customary charges of a physician or chiropractor. Defines covered services as the following services and articles: (1) hospital services; (2) professional services for the diagnosis or treatment of injuries, illnesses, or conditions (other than outpatient mental or dental care) which are rendered by a physician or at a physician's direction; (3) drugs requiring a physician's prescription; (4) services of a nursing home for not more than 120 days a year if the services would qualify as reimbursable services under title XVIII (Medicare) of the Social Security Act; (5) services of a home health agency if the services would qualify as reimbursable services under title XVIII of the Social Security Act; (6) use of radium or other radioactive materials; (7) oxygen; (8) anesthetics; (9) prostheses, other than dental; (10) rental or purchase, as appropriate, of durable medical equipment, but not including eyeglasses and hearing aids; (11) diagnostic X-rays and laboratory tests; (12) oral surgery for partially or completely unerupted impacted teeth, for a tooth root without the extraction of the entire tooth, or for the gums and tissues of the mouth when not performed in connection with the extraction or repair of teeth; (13) services of a physical therapist; (14) transportation provided by a licensed ambulance service to the nearest facility qualified to treat the condition; (15) well baby care; (16) physicians' services for routine checkups and annual physicals when prescribed by a physician; (17) multiphasic screening and other diagnostic testing, within such reasonable limits on the reimbursement required for such services as the Secretary shall prescribe; (18) a second opinion from a physician on all surgical procedures expected to cost a total of $500 or more in physician, laboratory, and hospital fees, but the coverage need not include the repetition of any diagnostic tests for such an opinion; and (19) professional services of a chiropractor. Excludes from coverage: (1) any charge for which benefits are payable under any other type of insurance or compensation; (2) cosmetic surgery; (3) custodial or domiciliary care not qualifying under Medicare; (4) private rooms, except if medically necessary; (5) any part of any charge exceeding the locally prevailing charge; and (6) charges for services rendered by an individual or institution which are not within the individual's or institution's authorized scope of practice. Deems HMOs to be providing an "A" qualified plan. Certifies as a "B" qualified plan a plan which meets the requirements of an "A" plan, except that the annual deductible does not exceed $500 per person. Certifies a plan as a "C" plan if it meets the requirements of an "A" plan, except that the annual deductible does not exceed $1,000 per person. Provides that a plan which provides benefits to persons over age 65 shall be certified as a qualified Medicare supplement plan if it limits annual out-of-pocket expenses to a maximum of $1,000 per person, is designed to complement or supplement Medicare, and provide coverage: (1) of 50 percent of the required Medicare deductibles and copayments; (2) of 80 percent of charges for covered services of an "A" qualified plan not paid under Medicare; and (3) which is not subject to a maximum lifetime benefit of less than $100,000. Directs the Secretary, to the extent feasible, to provide for the review and certification by the insurance commissioner of each State of qualified plans to be offered in the State if the Secretary is provided assurances that such review and certification will comply with the requirements of this Act. States that the sale of plans are in and affect interstate commerce and that in order to properly regulate such sales, it is necessary to regulate such sales in intrastate, as well as interstate, commerce. Requires every plan of health coverage sold to be labelled as "qualified" or "nonqualified" on the front of the policy. Part B: Required Offering of Certain Qualified Plans - Requires each employer employing an average of ten or more employees annually to make available a plan or combination of plans of health coverage which: (1) has been certified as an "A," "B," or supplemental plan; (2) is a qualified convertible plan; and (3) permits coverage of an employee's spouse and children. Defines a "qualified convertible plan" as a plan of health coverage which: (1) permits each enrolled individual to convert the plan to an individual qualified plan without the addition of underwriting restrictions if, for any reason, the individual leaves the group; and (2) permits, in the case of the death of the individual in whose name the contract was issued, other individuals covered under the plan to continue coverage without the addition of underwriting restrictions. Sets forth civil penalties for noncompliance with this part. Excludes from the term "employer," for purposes of this part, a State or any political subdivision of a State. Part C: Offering of Comprehensive Health Insurance and Qualified Medicare Supplement Plans by States - Sets forth definitions used in this part. Amends title XIX (Medicaid) of the Social Security Act to require the establishment and operation of a comprehensive health association in each State and a comprehensive health plan in each State, in accordance with this part of this Act. Defines a "comprehensive health insurance plan" to mean policies of insurance and a contracts of HMO coverage offered by an association through the writing carrier in the State. Defines the "writing carrier" as the insurers and HMOs approved to administer the comprehensive health insurance plan. Provides that each State commission of insurance, consistent with any regulations the Secretary may promulgate: (1) may formulate general policies to advance the purposes of this title; (2) shall supervise the creation of the State comprehensive health association; (3) shall approve the selection of the writing carrier by the association in the State and approve the association's contract with the writing carrier, including the State plan coverage and premiums to be charged; (4) may appoint advisory committees with respect to implementation of this part; (5) shall conduct periodic audits to assure the general accuracy of the financial data submitted by the writing carrier and the association in the State; (6) shall contract with the Federal Government and may contract with any other unit of government to ensure coordination of the State plan of the association with other governmental assistance programs; (7) may undertake, directly or through contracts with other persons, studies or demonstration programs to develop awareness of the benefits provided under this Act, so that residents of the State may best avail themselves of the health care benefits provided hereunder; (8) may contract with insurers and others for administrative services; and (9) may adopt, amend, suspend, and repeal rules as reasonably necessary to carry out and make effective the provisions and purposes of this part. Requires each State to provide for the establishment of a comprehensive health association with membership consisting of all insurers, self-insurers, fraternal beneficiary associations, and HMOs authorized or licensed to do business in the State. Exempts each association from State taxation. Provides for a board of directors of each association. Requires that all members of an association: (1) maintain their membership in the association as a condition of doing accident and health insurance, self-insurance, or HMO business in the State; and (2) enter into a reinsurance contract with the association as required by this part. Exempts members of an association, in the performance of their duties as members, from Federal and State antitrust laws. Authorizes each association to provide for the reinsuring of risks incurred as a result of issuing qualified plans by members of the association. Requires each member which elects to reinsure its risks to determine the categories of coverage it elects to reinsure in the association. Provides that the categories consist of: (1) individual qualified plans, excluding group conversions; (2) group conversions; (3) group qualified plans with fewer than 50 employees or members; and (4) major medical coverage. Requires each association through its comprehensive health insurance plan to offer: (1) policies which provide the benefits of an "A," "B," and "C" qualified plans and of a qualified Medicare supplement plan; and (2) HMO contracts in those areas of the State where an HMO has agreed to make the coverage available and has been selected as a writing carrier. Requires the comprehensive health insurance plan for a State to be open for enrollment by individuals residing in the State, who can enroll by submitting a certificate of eligibility to the writing carrier which certifies the applicant's name, address, age, length of residence, dependents to be insured, and type of coverage desired. Provides that upon certification the individual can enroll in a State's comprehensive health insurance plan by payment of the State plan premium to the writing carrier. Requires each member of an association to share the claims expenses for approved plans and the operating and administrative expenses incurred by the association, pursuant to the terms of the individual reinsurance contracts executed by the association with each member. Sets forth a method to determine each member's share of expenses. Authorizes any member of an association in a State to submit for approval to the State commissioner the policies of accident and health insurance or the HMO contracts which are being proposed to serve in the comprehensive health insurance plan. Authorizes the association to select approved policies and a contract to be the comprehensive health insurance plan based upon the member's proven ability to handle large group accident and health insurance cases, claims paying capacity, and estimate of total charges for plan administration. Requires each writing carrier to: (1) perform all required administrative and claims payment functions; and (2) report monthly to the association and State commissioner. Exempts premiums received by a writing carrier for the comprehensive health insurance plan from State taxation. Requires each association in a State to disseminate information to State residents regarding the existence of the comprehensive health insurance plan and the means of enrollment. Requires each writing carrier to pay an agent's referral fee, in an amount to be determined by the association, to each insurance agent referring an applicant to the State comprehensive health insurance plan, if the application is accepted. Title II: Program of Assistance to States for Assisting Low-Income Individuals to Purchase Comprehensive Health Insurance - Comprehensive Health Insurance Assistance Act of 1983 - Adds a new title XXI to the Social Security Act entitled "Grants to States for Assistance to Low-Income Individuals in the Purchase of Comprehensive Health Insurance." Authorizes appropriations under title XXI to enable each State to provide assistance to low-income individuals in the purchase of comprehensive health insurance under title XXI. Specifies the amount authorized for each fiscal year. Requires the sums made available under this title to be used to make payments to States which have submitted, and had approved by the Secretary, State plans for comprehensive health insurance assistance to low-income individuals. Directs the Secretary to pay each State with an approved plan, from the sums appropriated, an amount equal to 50 percent of the sums expended which are attributable either to assistance under the plan to low-income individuals or to plan administration. Prohibits such amount, during any quarter, from exceeding the product of $1.25 and the State's population. Requires a State plan for comprehensive health insurance assistance to low-income individuals, in order to be approved by the Secretary, to: (1) be in effect in all political subdivisions of the State; (2) provide for financial participation by the State equal to at least 40 percent of the non-Federal share of the expenditures under the plan with respect to which payments that are authorized by title XXI, and provide for financial participation by the State equal to all of such non-Federal share or provide for distribution of funds from Federal or State sources, for carrying out the State plan on an equalization or other basis which will assure that the lack of adequate funds from local sources will not result in a lowering of assistance; (3) provide for the designation of an appropriate State agency to administer the plan; (4) prevent the disclosure of information for purposes not connected with the plan; (5) provide for reports to the Secretary; (6) make assistance available to low-income individuals to purchase plans; (7) establish reasonable standards for determining eligibility for and the extent of assistance; (8) make available the opportunity to apply for assistance to any individual; and (9) grant an opportunity for a fair hearing before a State agency to any individual whose claim for assistance under the plan is denied or not acted upon with reasonable promptness. Prohibits payments to a State if, after notice and opportunity for a hearing, the Secretary finds that a State's plan is not in compliance with the provisions of this Act. Sets forth civil and criminal penalties for false statements, misrepresentations, concealments, and conversions made in connection with the application for, sale of, or receipt of benefits under a plan. Authorizes the Secretary to approve a State's Medicaid plan which provides that, in determining the income and resources of a married couple where one spouse is in a skilled nursing or intermediate care facility, there may be disregarded from income and resources such portion thereof as the State determines. Title III: Program of Assistance to States for Assisting Individuals Who Incur Catastrophic Expenses for Health Care - Catastrophic Health Care Expenses Assistance Act of 1985 - Amends the Social Security Act to add a new title XXII entitled "Grants to States for Assistance to Individuals Incurring Catastrophic Expenses for Health Care." Authorizes appropriations for each fiscal year to enable each State to furnish medical assistance for catastrophic illness. Requires a State to have submitted and have approved by the Secretary a plan for medical assistance for catastrophic illness. Directs the Secretary to pay each State with an approved plan, from the sums appropriated, an amount equal to 50 percent of the sums expended which are attributable either to payments made under the plan to eligible individuals or to plan administration. Prohibits such amount, during any quarter, from exceeding the product of $0.25 and the States' population. Prohibits payment with respect to expenses: (1) if the charges on which the expenses are based are not reasonable; (2) for inpatient hospital services if the charge exceeds the hospital's customary charge; (3) for health services which were not medically necessary; (4) for services provided by a provider not in compliance with appropriate regulations; (5) for services provided by a hospital or skilled nursing facility if the appropriate utilization review plan is not in effect; or (6) for which a private insurer would be obligated but for a provision in its contract which limits its obligation if an individual is covered under this title. Declares that a State plan for medical assistance for catastrophic illness, in order to be approved by the Secretary, shall: (1) be in effect in all political subdivisions of the State; (2) provide for financial participation by the State equal to at least 40 percent of the non-Federal share of the expenditures under the plan with respect to authorized payments under title XXII, and provide for financial participation by the State equal to all of such non-Federal share or provide for distribution of funds from Federal or State sources, for carrying out the State plan on an equalization or other basis which will assure that the lack of adequate funds from local sources will not result in a lowering of assistance; (3) provide for the designation of an appropriate State agency to administer the plan; (4) prevent the disclosure of information for purposes not connected with the plan; (5) provide for reports to the Secretary; (6) provide for paying at least 90 percent of all qualified expenses annually of an eligible individual and the individual's dependents in excess of the greater of $2,500 (or a lower amount which the State may establish) or the sum of 30 percent of household income under $15,000, plus 40 percent of household income between $15,000 and $25,000, plus 50 percent of household income in excess of $25,000 (or such lower respective percentages, or such higher incomes, as the State may establish); (7) provide for paying 100 percent of all qualified nursing home expenses of an eligible individual and the individual's dependents in excess of 20 percent of household income (or such lower percentage as the State may establish); (8) prohibit charging any premiums, copayments, or deductibles, except as provided above; (9) provide safeguards against excessive charges and the unnecessary utilization of services; (10) establish reasonable standards for determining eligibility for and the extent of assistance; (11) make available the opportunity to apply for assistance to any individual; (12) grant an opportunity to apply before a State agency to any individual whose claim for assistance under the plan is denied or not acted upon with reasonable promptness; (13) seek reimbursement from any legally liable third party; and (14) provide that payment for services shall be made only to providers and beneficiaries. Prohibits payments to a State if, after notice and opportunity for a hearing, the Secretary finds that a State's plan is not in compliance with the provisions of this Act. Sets forth definitions used in this title. Defines an "eligible individual" as an individual who incurs an obligation to pay in a consecutive 12-month period: (1) expenses (including dependent's expenses) exceeding the greater of $2,500 (or such lower amount as the State may establish) or 30 percent of household income up to $15,000, plus 40 percent of household income between $15,000 and $25,000, plus 50 percent of household income in excess of $25,000 (or such lower respective percentages of such incomes, or of such higher incomes as the State may establish); or (2) nursing home expenses exceeding 20 percent (or such lower percentage as the State may establish) of household income. Sets forth civil and criminal penalties for false statements, misrepresentations, concealments, and conversions made in connection with the application for or right to the assistance provided under this title.
Bill· HRH.R. 2695 (99th)referred
United States · United States Congress · 6 June 1985
Catastrophic Health Care Expenses Assistance Act of 1985 - Adds a new title to the Social Security Act, "Title XXI: Grants to States for Assistance to Individuals Incurring Catastrophic Expenses for Health Care." Authorizes appropriations to enable States to furnish medical assistance for catastrophic illness under such title. Requires a State plan to: (1) be in effect in all State political subdivisions; and (2) provide for financial participation by the State equal to not less than 40 percent of the non-Federal share of expenditures under the plan with respect to which payments are authorized, and provide for financial participation by the State equal to all of such non-Federal share or provide for distribution of funds from Federal or State sources, for carrying out the State plan, on an equalization basis which will assure that the lack of adequate funds from local sources will not result in lowering the assistance available under the Act. Requires a State plan to provide for paying: (1) at least 90 percent of all qualified expenses of an eligible individual and the eligible individual's dependents in excess of the greater of $2,500 or the sum of 30 percent of household income under $15,000, plus 40 percent of household income between $15,000 and $25,000, plus 50 percent of household income in excess of $25,000 (or such lower respective percentages of such incomes, or of such higher incomes, as the State may establish); and (2) 100 percent of all qualified nursing home expenses in excess of 20 percent (or such lower percentage as the State may establish of household income). Prohibits a State plan from charging any premium, copayments, or deductibles, except as provided in the previous sentence. Requires a plan to provide such methods and procedures relating to the use of, and the payment for, services for which assistance is available under the plan as may be necessary to safeguard against unnecessary use of such services and to assure that payments are not in excess of reasonable charges consistent with efficiency, economy, and quality of care. Directs the Secretary of Health and Human Services to pay to a State with an approved plan 75 percent of such sums as are attributable either to payments made to eligible individuals or expenses found by the Secretary to be necessary for the administration of the plan. Prohibits amounts paid to a State from exceeding the product of two dollars and the State's population. Prohibits payments to a State for expenses if: (1) the charges on which the expenses are based are not reasonable; (2) the expenses exceed the hospital's customary charges; (3) incurred for services not medically necessary; (4) the expenses are for services provided by a provider excluded from Medicare or Medicaid participation (titles XVIII and XIX of the Social Security Act); (5) the expenses are for services provided by a hospital or skilled nursing facility not having a utilization review plan meeting the requirements of title XVIII; or (6) the expenses are for services for which a private insurer would have been obligated but for a provision in its contract excluding payment because an individual is eligible under this Act. Prohibits payments to a State not in compliance with the provisions of this Act. Defines an "eligible individual" as any resident of a State who has incurred in any consecutive twelve month period: (1) qualified expenses exceeding the greater of $2,500 or 30 percent of household income up to $15,000, plus 40 percent of household income between $15,000 and $25,000, plus 50 percent of household income in excess of $25,000 (or such lower respective percentages of such incomes, or of such higher incomes, as the State may establish); or (2) qualified nursing home expenses exceeding 20 percent (or such lower percentage as the State may establish) of household income. Defines a "qualified expense" as a charge which is a covered expense and for which no third party is liable. Lists 19 "covered services" which include: hospital services, physicians' services (including routine check-ups and an annual physical), chiropractic services, prescription drugs, physical therapy, ambulance service, well baby care, certain dental care, and certain diagnostic tests. Excludes from coverage: (1) cosmetic surgery; (2) custodial care not qualifying under title XVIII; and (3) private hospital rooms. Defines "dependents," "household income," and "qualified nursing home expense." Sets forth penalties for misrepresentations, fraud, false statements, and concealments made in connection with the provision of services under this Act.
Bill· HRH.R. 2691 (99th)referred
United States · United States Congress · 6 June 1985
Reproductive Health Equity Act - Amends title XIX (Medicaid) of the Social Security Act, the Indian Health Care Improvement Act, the Peace Corps Act, the District of Columbia Self-Government and Governmental Reorganization Act, and other Federal laws covering armed forces personnel and dependents and Federal employees' health benefits to provide that services related to abortion be made available in the same manner as are other pregnancy-related services under federally funded programs.
Bill· HRH.R. 2685 (99th)referred
United States · United States Congress · 6 June 1985
Obstetric Care Information Act - Amends title V (Maternal and Child Health Services Block Grant) of the Social Security Act to require a State plan under such title to insure that a pregnant woman: (1) has the opportunity, upon her request, to inspect, copy, and have explained any medical records relating to her condition or treatment; (2) is informed, beforehand, of the side effects, risks, contraindications, and effectiveness of the procedures, drugs, or devices, and of alternative methods of treatment; and (3) consents to treatment. Amends the Federal Food, Drug, and Cosmetic Act to direct the Secretary of Health and Human Services to establish guidelines with respect to the explanation of the side effects, risks, contraindications, and effectiveness of drugs and devices intended for use by pregnant women. Deems misbranded any drug or device offered for sale to a woman for use during pregnancy or parturition which does not meet such guidelines.
Bill· SS. 1209 (99th)referred
United States · United States Congress · 23 May 1985
National Commission to Prevent Infant Mortality - Establishes the National Commission to Prevent Infant Mortality (Commission). States the duties of the Commission, which include: (1) identifying and examining Federal, State, local, and private resources which affect infant mortality; (2) identifying barriers to the health care needed to prevent high infant mortality; and (3) reviewing and carrying forward appropriate recommendations that promote the health status of childbearing women and their infants. Directs the Commission to: (1) recommend a national policy designed to improve the current approach to preventing infant mortality; (2) recommend specific changes needed in Federal laws and programs; and (3) present such recommendations to the President, the Speaker of the House, and the majority leader of the Senate within one year of enactment of this Act. Sets forth the powers of the Commission. States that the provisions of the Federal Advisory Committee Act shall not apply to the Commission. Provides for the termination of the Commission. Authorizes appropriations.
Bill· SS. 1210 (99th)open
United States · United States Congress · 23 May 1985
Public Health Service Act Medical Education Amendments of 1985 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to establish a registry of teaching hospitals. Requires such hospitals to enter into a cooperative agreement with: (1) a school of medicine accredited by the Liaison Committee for Medical Education; or (2) a school of osteopathy accredited by the Bureau of Professional Education of the American Osteopathic Association. Provides that the cooperative agreement shall include provisions requiring such hospitals to comply with regulations establishing a minimum percentage of graduate medical education positions in primary care specialties. Directs the Council on Graduate Medical Education (established by this Act) to recommend to the Secretary such minimum percentage for a four-fiscal-year period. Requires the Secretary to establish by regulation the minimum percentage recommended by the Council. Requires the establishment of such minimum percentages every four years. Specifies the types of positions which are considered primary care specialties (in internal medicine, pediatrics, family medicine, and obstetrics/gynecology). Excludes specified positions. Requires that at least 75 percent of all graduate medical education positions in each specialty area of a registered hospital be held by graduates of: (1) schools of medicine accredited by the Liaison Committee on Medical Education; or (2) schools of osteopathy accredited by the Bureau of Professional Education of the American Osteopathic Association. Sets conditions for positions for U.S. or alien graduates of foreign medical schools. States that hospitals which do not register with the Secretary and comply with the provisions of this Act shall not be eligible to receive Federal financial assistance to support graduate medical education programs for such fiscal year. Establishes a Council on Graduate Medical Education to advise the Secretary on current and future needs for physicians to practice in primary care specialties.
Bill· SS. 1181 (99th)open
United States · United States Congress · 21 May 1985
Home and Community Based Services for the Elderly Act of 1985 - Amends title XIX (Block Grants) of the Public Health Service Act to authorize a block grant program for home and community based services for the elderly. Authorizes appropriations for FY 1986 through 1988. Allots State funding based on a State's elderly population as compared with the elderly population of the United States. Makes Indian tribes and tribal organizations eligible grant recipients. States that grants may be used to: (1) identify elderly individuals who are eligible for services; (2) plan and manage services to be provided; (3) educate the public and medical and social professionals concerning the availability of services; (4) encourage the participation of families and voluntary organizations; (5) train personnel; and (6) coordinate long-term care services. Permits States to provide services for the elderly through grants to eligible organizations. Prohibits the use of funds for: (1) inpatient services; (2) cash payments to intended recipients; (3) land purchase or construction; (4) purchases of major medical equipment; or (5) satisfying any requirement for the expenditure of non-Federal funds. Set forth State application provisions.
Law· SS. 1147 (99th)enacted
United States · United States Congress · 15 May 1985
Orphan Drug Amendments of 1985 - Amends the Federal Food, Drug, and Cosmetic Act to repeal the requirement that exclusive marketing rights may only be granted to an orphan drug (a drug used in the treatment of a rare disease or condition) if the drug is not patentable. Establishes a National Commission on Orphan Diseases. Requires the Commission to assess the activities of the National Institutes of Health, the Alcohol, Drug Abuse, and Mental Health Administration, the Food and Drug Administration, other public agencies, and private entities in connection with: (1) basic research relating to rare diseases; (2) the use in research on rare diseases of knowledge developed in other research; (3) applied and clinical research relating to the prevention, diagnosis, and treatment of rare diseases; and (4) the dissemination of knowledge developed in research relating to rare diseases. Requires the Commission to submit a report by September 30, 1987, to the Secretary of Health and Human Services and to each House of the Congress containing the Commission's findings, conclusions, and recommendations. Makes funds available to the Commission. Terminates the Commission 90 days after the date of such report. Amends the Orphan Drug Act to allow Federal grants and contracts for preclinical and human clinical testing of orphan drugs. Authorizes appropriations for such grants and contracts for FY 1986 through 1988. Makes technical corrections to the Departments of Labor, Health and Human Services, Education and Related Appropriation Act, 1985 in order to allow the expenditure of funds for personnel training under the Education of the Handicapped Act until September 30, 1985.
Bill· HRH.R. 2486 (99th)referred
United States · United States Congress · 14 May 1985
Amends the Public Health Service Act to authorize appropriations through FY 1988 for adolescent family life demonstration projects.
Bill· SS. 1104 (99th)referred
United States · United States Congress · 8 May 1985
Health Planning and Resource Allocation Act of 1985 - Amends title XV (National Health Planning and Development) of the Public Health Service Act to replace the existing local planning agencies with a single State health services and resource allocation agency, designated by the State Governor. Directs such agency to: (1) develop and administer the State health services and resource allocation plan; (2) develop and administer the State administrative program; (3) administer the certificate of need program; and (4) prepare the annual report. Requires a State agency to review a certificate of need application according to procedures and criteria developed by such agency in accordance with the Secretary of Health and Human Services' regulations. Requires the Governor of each State to appoint a health planning State Advisory Board. Requires two-thirds of each Board's membership to be major purchasers of health care services. Requires each State agency to report annually to the Governor, who shall transmit such report to the Secretary. Authorizes State grants (based on population) for health planning and resource allocation. Sets minimum grant amounts. Requires the Governor to submit a grant application. Permits the Governor to use such funds for entities within the State providing health planning services or support services for the State agency. States that the Federal share shall be 75 percent. Authorizes appropriations beginning with FY 1986. Authorizes grants to local planning agencies to: (1) assist in health planning and resource allocation; and (2) encourage the development of cost-effective alternatives to current health care financing and delivery systems. States that the Federal grant share shall be 95 percent in FY 1986, 85 percent in FY 1987, and 75 percent in FY 1988 and each succeeding fiscal year. Authorizes appropriations beginning in FY 1986. Directs the Secretary, by grant or contract, to assist in the operation of three health planning centers, with priority given to centers in existence as of September 30, 1985. Sets forth assistance requirements. Authorizes appropriations beginning with FY 1986. Establishes a 15 member National Health Planning and Resource Control Council to: (1) review the annual reports required by this Act; and (2) advise the Secretary regarding health planning, congressional reporting requirements, and resource allocation. Requires the Secretary to report to the Congress by March 1, of each year regarding health planning, resource allocation, and cost containment.
Bill· HRH.R. 2418 (99th)open
United States · United States Congress · 8 May 1985
Health Services Amendments Act of 1985 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to prescribe criteria for determining the specific shortages of personal health services of an area or population group. Prohibits the Secretary from designating a medically underserved population or removing such designation unless the following are given notice and provided an opportunity for comment: (1) the chief executive officer of the State; (2) the local officials in the State; and (3) the State organization which represents a majority of community health centers in the State. Permits the Secretary to enter into a memorandum of agreement with a State. Provides that such memorandum may include provisions permitting the State to: (1) analyze the need for primary health services for medically underserved populations; (2) assist in the planning and development of new community health centers; (3) review and comment upon annual program plans and budgets of community health centers; (4) assist community health centers in the development of clinical practices and fiscal and administrative systems; and (5) share information and data. Authorizes appropriations through FY 1988 for such purposes. Limits the expenditure of such appropriations. Repeals the primary care block grant program. Authorizes appropriations for FY 1986 through 1988 for migrant health centers.
Bill· HRH.R. 2417 (99th)open
United States · United States Congress · 8 May 1985
Health Maintenance Organization Amendments of 1985 - Amends title XIII (Health Maintenance Organizations) of the Public Health Service Act to repeal provisions authorizing assistance for feasibility surveys, planning, and initial development of health maintenance organizations (HMOs). Limits initial operating loan assistance to entities with existing loan eligibility as of October 1, 1985. Eliminates loans and loan guarantees for the acquisition and construction of ambulatory care facilities. Limits the authority of the Secretary of Health and Human Services to borrow through the loan guarantee fund to obligations made before October 1, 1985. Repeals the requirements for: (1) health system agency review; (2) periodic demonstration of compliance; and (3) certain financial reports. Requires updates of the digest of State HMO laws to be made annually (presently required quarterly). Authorizes appropriations for FY 1986 through 1989 to meet the obligations of the loan fund. Includes organ transplants as part of the basic coverage if such transplants were required to be included in the basic health services on April 15, 1985.
Bill· SS. 1091 (99th)referred
United States · United States Congress · 7 May 1985
Amends the Public Health Services Act to direct the Secretary of Health and Human Services to conduct or to contract with the public and nonprofit private entities for the conduct of: (1) research into the development of new or improved contraceptive devices, drugs, and techniques; and (2) evaluations of the acceptance, convenience, safety, efficacy, and cost of contraceptive devices, drugs, and techniques. Authorizes appropriations for FY 1986 through 1990.
Law· HRH.R. 2409 (99th)enacted
United States · United States Congress · 7 May 1985
Health Research Extension Act of 1985 - Amends title IV of the Public Health Service Act (National Research Institutes) to establish as an agency of the Public Health Service the National Institutes of Health (NIH) (abolished as a statutory entity by Reorganization Plan No. 3 of 1966) consisting of the following 13 categorical institutes: (1) the National Cancer Institute; (2) the National Heart, Lung, and Blood Institute; (3) the National Institute of Diabetes and Digestive and Kidney Diseases; (4) the National Institute of Arthritis and Musculoskeletal and Skin Diseases; (5) the National Institute on Aging; (6) the National Institute of Allergy and Infectious Diseases; (7) the National Institute of Child Health and Human Development; (8) the National Institute of Dental Research; (9) the National Eye Institute; (10) the National Institute of Neurological and Communicative Disorders and Stroke; (11) the National Institute of General Medical Sciences; (12) the National Institute of Environmental Health Sciences; and (13) the National Institute of Nursing. Establishes as agencies within NIH: (1) the National Library of Medicine; (2) the Division of Research Resources; and (3) the John E. Fogarty International Center for Advanced Study in the Health Sciences. Permits the Secretary of Health and Human Services to establish additional research institutes. Permits the Secretary to reorganize the functions of any national research institute and abolish any such institute if it is no longer required. Provides that the NIH shall be headed by a Director, who shall be appointed by the President and with the advice and consent of the Senate. Requires the Secretary to transmit a biennial report, prepared by the Director, to the President and the Congress. Provides that the Director of the National Cancer Institute shall be appointed by the President, and the Directors of the other national research institutes shall be appointed by the Secretary. Sets forth the general duties of the Secretary (acting through the Director of each national research institute). Authorizes the Secretary to enter into contracts and make grants for research, training, and demonstrations. Directs the Secretary to appoint an advisory council for each institute. Sets forth the duties of such advisory councils. Requires the Director of each institute to prepare a biennial report. Authorizes appropriations for FY 1986. States the general purpose and defines the scope of the National Cancer Institute. Requires the Director to establish an information and education center to collect and disseminate information on cancer. Authorizes the Director to: (1) establish and support the production and distribution of specialized biological materials and therapeutic substances for cancer research, and set safety standards for the use of such materials; (2) support cancer research by foreign nationals outside the United States, encourage collaborative research involving American and foreign participants, and train American scientists abroad and foreign nationals in the United States; (3) support education and training programs; (4) coordinate cancer research by industrial concerns; (5) hire experts and consultants; (6) acquire, repair, and construct facilities; (7) appoint advisory committees; (8) enter into contracts, leases, or other transactions; (9) maintain and operate the International Cancer Research Data Bank; and (10) submit an annual budget estimate to the President. Allows the Director to enter into cooperative agreements and make grants to establish cancer research and demonstration centers. Extends the period of support for such centers to five years (with additional extensions of not more than five years). Establishes membership requirements for the President's Cancer Panel. Establishes an Assistant Director for Prevention in the National Cancer Institute. States the general purpose and defines the scope of the National Heart, Lung, and Blood Institute. Lists the goals of the National Heart, Blood Vessel, Lung and Blood Diseases and Blood Resources Program. Allows the Director of the Institute to: (1) hire experts and consultants; (2) acquire, repair, and construct facilities; and (3) make grants to the public and nonprofit private entities to assist in meeting the cost of patient care. Provides for the development of centers for research, training, and demonstrations of specified diagnostic, prevention, and treatment methods, including: (1) ten for heart and blood vessel diseases; (2) ten for lung diseases; (3) ten for blood diseases; and (4) ten for sickle cell anemia. Directs the Secretary to establish an Interagency Technical Committee on Heart, Blood Vessel, Lung and Blood Diseases and Blood Resources. Establishes an Assistant Director for Prevention in the National Heart, Lung, and Blood Institute. States the general purpose of the National Institute of Diabetes and Digestive and Kidney Diseases. Requires the Director to establish: (1) the National Diabetes Data System; (2) the National Diabetes Information Clearinghouse; (3) the National Digestive Diseases Data System; (4) the National Digestive Diseases Information Clearinghouse; (5) the National Kidney and Urologic Data System; and (6) the National Kidney and Urologic Diseases Information Clearinghouse. Establishes positions of Division Director for: (1) Diabetes, Endocrinology, and Metabolic Diseases; (2) Digestive Diseases and Nutrition; and (3) Kidney, Urologic, and Hematologic Diseases. Requires the Secretary to establish: (1) a Diabetes Mellitus Interagency Coordinating Committee; (2) a Digestive Diseases Interagency Coordinating Committee; and (3) a Kidney, Urologic, and Hematologic Diseases Coordinating Committee. Requires such committees to prepare annual reports for the Director of NIH, the Secretary, and the Advisory Board established under this Act for the related disease. Directs the Secretary to establish: (1) the National Diabetes Advisory Board; (2) the National Digestive Diseases Advisory Board; and (3) the National Kidney and Urologic Diseases Advisory Board. Provides for the composition, purposes, and duties of such advisory boards. Requires each advisory board to prepare an annual report for the Secretary. Provides for the expiration of each advisory board on September 30, 1986. Terminates the existing National Diabetes Advisory Board and National Digestive Diseases Advisory Board upon the appointment of a successor board. Provides for the development or substantial expansion of centers for research and training in: (1) diabetes mellitus and related endocrine and metabolic diseases; (2) digestive diseases and related functional, congenital, metabolic disorders, and normal development of the digestive tract; and (3) kidney and urologic diseases. States that support for such centers shall be for a period of up to five years (with additional extensions of up to five years). States the general purpose of the National Institute of Arthritis and Musculoskeletal and Skin Diseases. Requires the Director of the Institute to prepare a plan for a national arthritis and musculoskeletal diseases program. Establishes the National Arthritis and Musculoskeletal and Skin Diseases Data System, and the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse. Establishes the Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee, and the Skin Diseases Interagency Coordinating Committee. Requires each such committee to prepare annual reports. Authorizes the Director to make grants to public and private nonprofit entities to establish arthritis and musculoskeletal demonstration projects. Provides for the development, modernization, and operation of new and existing centers for arthritis and musculoskeletal diseases. States that support for such centers shall be for a period of up to five years (with additional extensions of up to five years). Establishes the National Arthritis Advisory Board. Provides for the composition, purposes and duties of such Board. Requires such Board to prepare an annual report for the Secretary. Terminates the existing National Arthritis Advisory Board upon the appointment of the successor board. Sets forth the general purpose of the National Institute on Aging. Requires the Director of the Institute to make grants to public and nonprofit private institutions to conduct research relating to Alzheimer's disease. Sets forth the general purposes of the National Institute of Allergy and Infectious Diseases. States the general purpose of the National Institute of Child Health and Human Development. Requires the Director to conduct and support research relating to sudden infant death syndrome. Requires the Director to make grants for research into the causes, prevention, and treatment of mental retardation. Establishes the position of Assistant Director for Prevention in the National Institute of Child Health and Human Development. States the general purpose of the National Institute of Dental Research and the National Eye Institute. Sets forth the general purpose of the National Institute of Neurological and Communicative Disorders and Stroke. Requires the Director to: (1) conduct and support research into spinal cord regeneration; and (2) make grants or enter into contracts for research on the means to overcome paralysis of the extremities through electrical stimulation and the use of computers. States the general purpose of the National Institute of General Medical Sciences and the National Institute of Environmental Health Sciences. Sets forth the general purpose of the National Institute of Nursing. Authorizes the Director to provide research traineeships and fellowships in the study and investigation of the prevention of disease, health promotion, and nursing care. Sets forth the general purpose and functions of the National Library of Medicine. Authorizes appropriations for library facilities. Establishes the National Medical Libraries Assistance Advisory Board. Directs the Secretary to make grants for: (1) training in medical library sciences; (2) special scientific projects and research in medical library sciences; (3) establishing and expanding the resources of medical libraries; (4) the establishment of regional medical libraries; and (5) financial support of biomedical scientific publications. Sets forth the purposes of: (1) the Division of Research Resources; and (2) the John E. Fogarty International Center for Advanced Study in the Health Sciences. Authorizes appropriations for National Research Service Awards through FY 1986. Directs the Secretary to make Visiting Scientist Awards. Directs the Secretary to study the need for and training of biomedical and behavioral research personnel. Directs the Secretary to request the National Academy of Sciences to conduct such study. Requires that a report on the results of such study be transmitted to specified congressional committees biennially. Requires grant or contract recipients to establish a board to review research involving human subjects. Requires the Secretary to establish procedures for periodic, technical, and scientific peer review of NIH research. Requires grant or contract recipients to establish an administrative process to review reports of scientific fraud. Provides for expedited grant procedures in cases of public health emergencies. Requires an annual report to appropriate congressional committees regarding such actions. Directs the Secretary to establish animal research standards, including the formation of animal care committees. Requires grant and contract recipients to meet such standards. Prohibits the conduct or support of research or experimentation on a living human fetus ex utero unless such research or experimentation: (1) may enhance the well-being of the fetus; or (2) will pose no additional risk of suffering, injury, or death and such knowledge cannot be obtained by other means. Requires the Biomedical Ethics Board to report to appropriate congressional committees on the implications of any waiver of the risk standard for protection of human research subjects as applied to fetal research. Requires the Director of NIH to establish a plan for research into methods of biomedical research and experimentation which: (1) does not require the use of animals; (2) reduces the number of animals used; or (3) produces less pain and distress to such animals. Establishes the Lupus Erythematosus Coordinating Committee to plan, develop, coordinate, and implement research on lupus erythematosus. Requires the Committee to report to the Congress within 18 months after the effective date of this Act. Provides for the termination of such Committee. Directs the Secretary to conduct a study of the National Research Service Award and report the results of such study to appropriate congressional committees. Establishes the Interagency Committee on Spinal Cord Injury. Requires the Committee to report to the Congress within 18 months after the effective date of this Act. Provides for the termination of such Committee. Directs the Secretary to conduct a study on the adequacy and availability of personnel to meet the needs of the elderly. Requires the Secretary to report the findings of such study to the appropriate congressional committees by March 1, 1986. Establishes the Interagency Committee on Learning Disabilities. Requires the Committee to report to the Congress within 18 months after the effective date of this Act. Provides for the termination of such Committee. Establishes the National Commission on Orphan Diseases to assess public and private rare disease activities. Requires the Commission to report to the Congress by September 30, 1988. Terminates such Committee 90 days after submitting such report. Directs the Secretary to review the disease research programs of the National Institute of Diabetes and Digestive and Kidney Diseases to determine whether such research could be more effectively done by other institutes. Establishes the Biomedical Ethics Board to report to the Congress on the ethical issues arising from the delivery of health care and biomedical research. Authorizes appropriations.
Bill· HRH.R. 2369 (99th)failed
United States · United States Congress · 6 May 1985
Amends title X (Population Research and Voluntary Family Planning Programs) of the Public Health Service Act to authorize appropriations for FY 1986 through 1988 for family planning services. Authorizes appropriations for FY 1986 through 1988 for personnel training. States that such training shall include clinical training for obstetric-gynecologic nurse practitioners and training for educators and counsellors. Repeals existing formula grant provisions. Authorizes the Secretary of Health and Human Services to conduct and make grants and contracts for contraceptive development and evaluation. Authorizes appropriations. States that research grants and contracts may be made to improve the clinical management and direct delivery of family planning services. Declares that informational and educational grants and contracts may be made for projects regarding pregnancy, human sexuality, and parenthood. Authorizes appropriations for FY 1986 through 1988 for such purposes. Directs the Secretary to collect data annually on: (1) the numbers and age, sex, race, and family income of persons who receive family planning services; (2) the types of services chosen; (3) the number of low-income individuals and teenagers at risk of unintended pregnancies; and (4) the sources of funding for subsidized family planning services in the United States. Authorizes the Secretary to make grants or contracts for such data collection. Requires such information to be made available to the public.
Bill· HRH.R. 2358 (99th)open
United States · United States Congress · 6 May 1985
Health Services Amendments of 1985 - Amends the Public Health Service Act to provide care and treatment without charge to any person suffering from Hansen's disease (leprosy). Repeals the authority for medical examinations of seamen and longshoremen. Authorizes appropriations through FY 1988 for: (1) the National Health Service Corps; (2) primary care block grants; and (3) adolescent family life demonstration projects. Eliminates the limit on fees for clinical laboratory licenses. Repeals specified health planning provisions. Expands the scope of primary care block grants to include migrant health, family planning, and health services for miners. Requires that States provide a specified minimum share in FY 1986 and 1987 for: (1) voluntary family planning services and the training of family planning personnel; and (2) health services for migratory and seasonal workers and their families. Revises certain application and reporting provisions for States receiving primary care block grants. Eliminates existing Federal programs for: (1) family planning services; (2) primary health care programs; (3) migrant health centers; and (4) community health centers. Amends the Federal Mine Safety and Health Act of 1977 to repeal the authorization for clinical facilities for the analysis, examination, and treatment of respiratory and pulmonary impairments in coal miners. Amends the Omnibus Budget Reconciliation Act of 1981 to eliminate the authorization for family planning programs. Amends the Family Planning Services and Population Research Act of 1970 to eliminate the Office of Population Affairs and the position of Assistant Secretary for Population Affairs. Permits the use of fiscal agents on behalf of the Public Health Service beneficiaries. Eliminates the expenditure time limitation under the Maternal and Child Health Services block grant. Limits the applicability of Public Health Service physician additional pay provisions. Provides cash awards for commissioned officers of the Public Health Service for suggestions, inventions, and scientific achievements. Provides health insurance conversion coverage for certain involuntarily separated commissioned officers and their dependents. Amends the Narcotic Addict Rehabilitation Act of 1966 to repeal specified provisions regarding the civil commitment of addicts and narcotics outpatient services. Eliminates specified advisory body provisions. Permits "for-profit" entities to receive grants under specified programs. Modifies and eliminates specified reporting provisions.
Bill· HRH.R. 2368 (99th)referred
United States · United States Congress · 6 May 1985
Directs the Secretary of Health and Human Services to establish preventive health services demonstration programs for Medicare beneficiaries in at least five sites. Requires a preliminary report within three years and a final report within five years to the appropriate congressional committees. Provides that expenditures made for such programs shall be made from the Federal Supplementary Medical Insurance Trust Fund.
Bill· SS. 1059 (99th)referred
United States · United States Congress · 2 May 1985
Requires the appointment of health care professionals to the positions of Assistant Secretary of Defense for Health Affairs, the Surgeon General of the Army, the Surgeon General of the Navy, and the Surgeon General of the Air Force.
Bill· HRH.R. 2295 (99th)referred
United States · United States Congress · 1 May 1985
Parkinsons Disease Amelioration Act - Establishes the Commission for the Amelioration of Parkinsonism Disease which shall: (1) conduct a study of the medical and social management of parkinsonism; (2) determine whether there is an appropriate balance between basic brain research and clinical research on parkinsonism and other ailments; (3) investigate and make recommendations concerning the proper roles of Federal, State, and local governments and public and private agencies in the research, prevention, and identification of Parkinson's disease and the treatment and rehabilitation of persons with Parkinson's disease; and (4) develop a national plan for the control of parkinsonism. Sets forth operating and related provisions. Requires the Commission to make a final report to the President and each House of Congress within six months. Terminates the Commission 30 days after submission of the final report.