Healthcare

Childhood Vaccine Supply Protection Act

United States · United States Congress · 24 July 1986

Childhood Vaccine Supply Protection Act - Amends the Public Health Service Act to limit to $100,000 an award (for non-economic loss) in any action for damages for injuries relating to the administration of a vaccine providing immunization against diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, or rubella. Provides that no punitive damages shall be awarded in such actions. Preempts State laws inconsistent with this Act. Establishes an Advisory Commission on Childhood Vaccines to review: (1) the compensation policies under current law for vaccine-related injuries; (2) the current public and private systems for providing childhood vaccines; (3) research into the improvement of childhood vaccines and the development of new vaccines; (4) the dissemination of information concerning childhood vaccines; and (5) childhood vaccine programs in other countries. Directs the Commission to submit a report on the results of its review to the Secretary of Health and Human Services.

A bill to amend the Public Health Service Act to extend the program of childhood vaccinations and to require the Secretary of Health and Human Services to maintain a 6 months stockpile of vaccines.

United States · United States Congress · 23 July 1986

Amends the Public Health Service Act to extend the program of childhood vaccinations through FY 1989. Authorizes appropriations. Requires the Secretary of Health and Human Services to maintain a six-month stockpile of vaccines.

Health Care Quality Improvement Act of 1986

United States · United States Congress · 22 July 1986

(Report filed by Senate Select Committee on Indian Affairs, S. Rept. 99-485) Health Care Quality Improvement Act of 1986 - Title I: Promotion of Good Faith Professional Review Activities - Provides protection from liability for damages for members of a professional review body who, in good faith and after a reasonable effort to obtain the facts, take actions which adversely affect the clinical privileges or professional society membership of a physician. Applies this Act to State laws for professional review actions occurring on or after July 1, 1989, unless a State elects to: (1) opt-in early; or (2) opt-out. Title II: Reporting of Information - Requires any entity (including insurance companies) making a payment in a medical malpractice action to report certain information to the Secretary of Health and Human Services and to State licensing boards, including: (1) the name of the physician or health care provider; (2) the amount of the payment; (3) the name of any hospital with which the physician or health care provider is associated; and (4) a description of the acts and injuries upon which the claim was based. Imposes civil penalties for the failure to report such information. Requires each Board of Medical Examiners which revokes or suspends a physician's license for reasons relating to the physician's professional competence or conduct to report such information to the Secretary. Requires each health care entity which takes a professional review action that restricts the clinical privileges of a physician to report such information to the Board of Medical Examiners. Requires hospitals to obtain certain information from the Secretary regarding staff physicians (or physicians being considered for staff positions). Directs the Secretary to make such information available to: (1) the physician; (2) State licensing boards; (3) hospitals; and (4) other health care entities. Title III: Definitions - Defines certain terms for the purposes of this Act.

Indian Health Care Amendments of 1986

United States · United States Congress · 22 July 1986

Indian Health Care Amendments of 1986 - Title I: Indian Health Manpower - Amends the Indian Health Care Improvement Act to authorize appropriations for specified Indian health programs for FY 1987 through 1990, including scholarship programs and continuing education allowances. Prohibits the Secretary of Health and Human Services (the Secretary) from denying scholarship assistance solely on the basis of an applicant's scholastic achievement if such applicant has been admitted to, or maintained good standing at, an accredited health professions institution. Directs the Secretary to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. States that the active duty service requirements of the Public Health Service Act can be met by specified services, including: (1) service or employment under a contract pursuant to the Indian Self-Determination and Education Assistance Act; (2) employment in a program under the Indian Health Care Improvement Act; or (3) the private practice of a health professional if such practice is in a health professional shortage area and addresses the health care needs of a substantial number of Indians. Repeals the Indian Health Scholarship Program under the Public Health Service Act. Title II: Health Services - Enumerates the health services for which the Secretary is authorized to expend Indian Health Care Improvement Fund appropriations. Prohibits the use of such funds to offset or limit appropriations made under other Acts. Conditions the allocation of such funds upon the health resource deficiency level of the affected Indian tribes. Allocates such funds: (1) on a service unit basis; and (2) in the case of multi-tribal service units, on the basis of the health resources deficiency level of each separate tribe within such service unit. Requires the Secretary to submit to the Congress a current health services priority system report, including the methodology for determining tribal health resources deficiencies, the funds needed to raise all service units to a zero level deficiency, and an evaluation of the preventive health, health protection, and the health promotion needs of Indians identified in tribal specific health plans. Directs the Secretary to establish a review mechanism for tribal petitions regarding the health resource deficiency level of a tribe. Requires the Secretary to provide a current update of tribal specific health plans. Requires at least one percent of the Indian Health Care Improvement Fund appropriation to be expended for research. Makes programs administered by tribal organizations under the Indian Self-Determination and Education Assistance Act eligible for specified funds on an equal basis with programs administered directly by the Indian Health Service. Directs the President to include with the submission of the budget a separate statement which specifies the amounts obligated to implement enumerated health services. Authorizes appropriations for FY 1988 through 1990 for specified health services. Designates such appropriations the Indian Health Care Improvement Fund. Establishes an Indian Catastrophic Health Emergency Fund to meet extraordinary medical costs for victims of disasters or catastrophic illness. Authorizes appropriations for FY 1988 through 1990. Requires the Secretary to report to the Congress on the operation of such fund. Authorizes the Secretary to waive the competitive procurement requirements for health services upon certification by the responsible Chief Medical Officer that such requirements would compromise the quality, accessibility, or continuity of health services or would not result in any appreciable competition or savings. Requires the Secretary to require each Indian tribe to include within any tribal specific health plan submitted to the Secretary an identification of the preventive health, health protection, and health promotion needs of each such tribe and a comprehensive plan for the provision of such services to such tribe. Title III: Health Facilities - Requires the Secretary to submit to the Congress a health facilities priority system report regarding the construction or renovation needs of the ten top priority inpatient and ten top priority ambulatory care facilities. Requires the Secretary to consult with any Indian tribe that might be affected by an expenditure for health facilities before the Secretary makes a commitment for such an expenditure. Conditions the closure of any health care facility upon the Secretary's submission to the Congress of an impact assessment one year prior to the contemplated closing. Enumerates the data to be included in such assessment. Directs the Secretary to implement a ten-year plan to provide safe water and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress regarding the Indian Health Service's current Indian sanitation facility priority system and the funds needed to raise all communities or tribes to a zero level of deficiency. Authorizes specified appropriations to provide sanitation facilities. Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations for FY 1988 through 1990. Authorizes tribes to expend certain non-Indian Health Service funds for the renovation of Indian health facilities subject to specified conditions. Authorizes the Secretary to exchange certain real property with the Bethel Native Corporation (Alaska). Title IV: Access to Health Services - Authorizes for FY 1988 through 1990 funds for the Secretary to make grants or enter into contracts with tribal organizations to assist such organizations to administer programs on or near Federal Indian reservations and trust areas and in or near Alaska Native villages to assist Indians to receive certain Medicare and Medicaid benefits. Amends title XIX (Medicaid) of the Social Security Act to make certain providers of the Indian Health Service eligible for Medicaid payments. Directs the Secretary to ensure that each service unit of the Indian Health Service receives at least half of the amounts to which its facilities are entitled, if such amounts are necessary to bring the facilities into compliance with this Act. Directs the Secretary to conduct a study in consultation with Indian tribes regarding barriers to Indian participation in Medicaid programs. Title V: Urban Indian Health Services - Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Sets forth specified requirements to be included in such contracts. Details eligibility criteria for the selection of such organizations. Authorizes the Secretary to enter into contracts with urban Indian organizations to determine the health status and unmet health care needs of urban Indians in affected urban areas. Delineates the requirements of such contracts. Requires the Secretary to: (1) develop evaluation procedures for the performance of such contracts; and (2) conduct annual onsite evaluations of each contracting urban Indian organization. Prescribes guidelines for the renewal of health care or referral services contracts. Prohibits renewal of contracts for determination of unmet health needs if their performance has been non-compliant or otherwise unsatisfactory and problems cannot be resolved. Requires certain reports to the Congress. Authorizes appropriations for FY 1987 through 1990 for purposes of carrying out such contracts. Title VI: Organizational Improvement - Establishes in the Public Health Service of the Department of Health and Human Services the Indian Health Service (thus terminating the former Indian Health Service as part of the Health Resources and Services Administration). Requires the Secretary, through the Director of the Indian Health Service, to carry out: (1) all functions which were, before the enactment of this Act, carried out by the Director of the former Indian Health Service; (2) all functions of the Secretary relating to the maintenance and operation of hospital and health facilities and the provision of health services for Indians; and (3) specified health programs. Requires the Secretary to establish an automated management information system for: (1) the Indian Health Service; and (2) all tribes, tribal organizations, and urban Indian organizations providing health services under contracts with the Indian Health Service. Provides that such required systems be established in California by a specified date. Provides for patients' access to their health records. Title VII: Miscellaneous - Authorizes the Secretary to enter into legal agreements with Indian tribes or tribal organizations in order to provide compensation for facility space costs associated with the administration and delivery of health services by the Indian Health Service or tribally operated programs. Directs the Secretary to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools operated by or under the Bureau of Indian Affairs. Directs the Secretary to establish an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to arrange with the National Academy of Sciences, in consultation with the Office of Technology Assessment, to conduct a study of health hazards faced by Indians and Indian miners exposed to nuclear resource developments on or near Indian communities. Directs the Secretary and the Indian Health Service to develop a health care plan which addresses the results of such study. Directs the Secretary to submit to the Congress both the health hazard study and the ensuing health care plan, within certain times. Authorizes appropriations for such study. Extends from FY 1984 to 1989 the time during which Arizona is designated as a contract health service delivery area. Extends eligibility for health services to specified Indians in the State of California through 1988. Establishes eligibility guidelines for such medical benefits. Designates the State of California as a contract health service delivery area. Lists programs eligible for Indian Health Service funds. Provides for certain alternative health arrangements for eligible California Indians who are not members of a tribe. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility operated by or under the Indian Health Service. Authorizes the Secretary under certain circumstances to provide medical care or benefits by the Indian Health Service to otherwise ineligible persons. Limits restrictions on the use of Indian Health Service appropriations. Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant and maternal mortality rates to that of the general population. Requires the Secretary to report to the Congress on the progress of lowering such rates. Directs the Secretary to provide contract health services to the Turtle Mountain Band of Chippewa Indians who reside in the Trenton Service Area of specified counties in the States of North Dakota and Montana. Requires the Secretary to examine the feasibility of sharing medical facilities and services between the Indian Health Service and the Veterans Administration. Requires the Secretary to report to the Congress on such feasibility. Requires the Secretary to make grants to the Navajo tribe to establish a demonstration program in Gallup, New Mexico, to rehabilitate adult Navajo Indians suffering from alcoholism or alcohol abuse. Authorizes appropriations for FY 1988 through 1990. Directs the Secretary to conduct a study of the physical and mental health care needs of Native Hawaiians and other Native American Pacific Islanders, and to report the results of such study to the Congress one year after the enactment of this Act.

A bill to amend the Public Health Service Act to direct the Secretary of Health and Human Services to reimburse physicians and medical facilities which give emergency treatment to certain undocumented aliens and alien commuter workers.

United States · United States Congress · 22 July 1986

Amends the Public Health Service Act to require the Secretary of Health and Human Services to reimburse physicians and medical facilities for emergency medical treatment (including any required in the course of labor and childbirth) which: (1) is rendered to an undocumented alien or an alien commuter worker who cannot pay for such service; and (2) is not reimbursable under any other public assistance program or private insurance plan.

Better Health Care Act of 1986

United States · United States Congress · 17 July 1986

Better Health Care Act of 1986 - Title I: Continuing Care Reforms - Amends part A (General Provisions) of title XI of the Social Security Act to direct the Secretary of Health and Human Services to establish a Continuing Care Policy Council composed of members with expertise in geriatrics or rehabilitative practices. Requires the Council to make recommendations to the Secretary concerning the administration of continuing care services under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act and as such services are affected by title I of this Act. Amends part A (Hospital Insurance) of the Medicare program to require the Secretary to establish medical claims standards which are to be applied uniformly and take into account a patient's medical profile, condition, and other practical considerations in determining the medical reasonableness and necessity of claims for continuing care services (defined to include extended care and home health services). Requires the Secretary to annually review and, if necessary, revise the standards. Authorizes a fiscal intermediary which has initially determined that some or all of a continuing care services claim may be denied, but has not yet officially denied the claim, to consult with the service provider, patient, and patient's physician to review the determination and approve a modified claim if the services are appropriate and the patient concurs in the modification. Directs the Secretary, in determining whether payments to home health agencies and skilled nursing facilities should be denied, to continue certain presumptions of compliance with reasonable and necessary services requirements until a system providing for case-by-case determinations of authorizations for continuing care services is implemented. Requires system implementation within 30 months of enactment of this Act. Requires a fiscal intermediary to reimburse a provider of continuing care for services provided to an individual for whom there was reasonable evidence of entitlement if the provider makes a timely request that the intermediary determine whether the individual is entitled to such services. Sets forth deadlines by which fiscal intermediaries must respond to provider inquiries concerning the medical necessity of continuing care services. Requires intermediaries to reimburse providers for medically unnecessary services provided over periods during which the intermediary's response is past due. Indemnifies beneficiaries who pay providers for continuing care services without knowing that they are unqualified for such services or that such services are medically unnecessary. Requires the Secretary to investigate allegations that a skilled nursing facility or home health agency has delayed or restricted acceptance of an individual until its receipt of the intermediary's response to its entitlement or medical necessity inquiries. Entitles individuals whose claim for continuing care services has been denied to a hearing by the Secretary and judicial review of the Secretary's final decision. Authorizes provider appeals on behalf of beneficiaries. Provides that, when a fiscal intermediary denies payment for continuing care services or a provider first furnishes such services, such organizations must inform beneficiaries regarding the individual's rights under this Act to appeal payment determinations. Amends part B (Peer Review) of title XI of the Act to require peer review organizations, in certain situations to be determined by the Secretary, to perform independent medical reviews of fiscal intermediary denials of payment for continuing care services. Requires each peer review organization to annually report to the Secretary regarding such reviews. Directs peer review organizations to authorize payment for services which would not otherwise meet payment conditions where such organization certifies that exceptional circumstances exist to justify the cost-effective provision of the services. Amends part A (Hospital Insurance) of the Medicare program to require the Secretary to establish performance standards for fiscal intermediary medical claims review which: (1) weigh the accuracy and timeliness of such review commensurately with cost savings from such review; (2) specify the qualifications required of review personnel; and (3) require an intensive level of review for new providers and providers with poor performance records. Requires the Secretary to annually inform the Continuing Care Policy Council regarding the intermediaries' performance under these standards. Eliminates the three-day prior hospitalization requirement for extended care services. Defines part-time or intermittent home health care to include one or more daily visits by a nurse or home health aide for up to 60 days, but thereafter requires a physician's certification of need for such daily services. Set limits on Medicare payments for home health services, but requires that such limits be applied on an aggregate rather than a discipline-specific basis for home health agencies. Requires the Secretary of Health and Human Services to take all current cost data into account when computing costs to which payment limits are applied. Requires that Medicare regulations be open to public notice and comment to the same extent to which rulemaking is subject to such procedures by the Administrative Procedure Act. Directs the Secretary to establish a Medicare benefits management demonstration program, including projects which: (1) substitute, for the process of submitting separate claims by providers for an individual beneficiary, a single benefits manager that would identify and track the benefits most appropriate to the beneficiary; and (2) provide additional benefits to Medicare beneficiaries, including noncovered benefits if no additional costs are thereby imposed on beneficiaries or Medicare. Title II: Quality Assurance Reforms - Amends part B (Peer Review) of title XI of the Act to establish a National Council on Quality Assurance. Directs the Director of the Congressional Office of Technology Assessment to provide for the appointment of members of the Council. States that the general functions of the Council shall be to: (1) provide oversight on the operations of the quality assurance system under the Medicare program; and (2) make recommendations annually to the Secretary of Health and Human Services and the Congress for improvements in the system. Sets forth the Council's functions more specifically. Requires the Council to report annually to the Congress on the functioning and progress of the Council. Authorizes appropriations. Requires contracts with peer review organizations to provide that: (1) at least one-half of the organizations' efforts must be on quality assurance activities; (2) quality assurance activities shall be conducted with respect to all the different types of items and services covered by Medicare; and (3) the level of activity for each of the different types of services and items shall reasonably reflect the proportion of Medicare payments made for that type of service or item. Adds to the definition of the term "peer review organization" so as to require such an entity to: (1) include in its composition representatives of other individuals responsible for the provision of services and items for which the organization is responsible for conducting quality assurance activities; and (2) have a consumer advisory board. Defines a "consumer advisory board." Requires any peer review organization to: (1) educate Medicare beneficiaries; (2) provide for a toll-free 24 hour telephone number, which shall be provided to Medicare beneficiaries for the purpose of receiving questions and complaints from Medicare beneficiaries; (3) assist in resolving any such complaints that are legitimate; (4) make available to its consumer advisory boards appropriate information received from the telephone service; and (5) train members of its consumer advisory board. Appropriates funds, in addition to any other amounts appropriated to carry out part B of title XI, from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund for distribution to peer review organizations. Amends part B (Supplementary Medical Insurance) of the Medicare program to require hospitals to implement a discharge planning process which meets guidelines and standards to be established by the Secretary, in conjunction with the Continuing Care Policy Council and Council on Quality Assurance, to: (1) protect against inappropriate early hospital discharges; (2) ensure a timely and smooth transition to the most appropriate type of and setting for post-hospital care; and (3) permit early initiation of the authorization process for continuing care services. Requires peer review organizations to monitor hospitals' compliance with discharge planning process requirements. Sets forth study and reporting requirements.

National Childhood Vaccine Injury Act of 1986

United States · United States Congress · 17 July 1986

National Childhood Vaccine Injury Act of 1986 - Title I: Vaccines - Subtitle 1: National Vaccine Program - Amends the Public Health Service Act to establish in the Department of Health and Human Services a National Vaccine Program to: (1) direct vaccine research and development within the Federal Government; (2) ensure the production and procurement of vaccines; (3) direct the distribution and use of vaccines; and (4) coordinate governmental and nongovernmental activities. Requires the Director of the Program to report to specified congressional committees. Establishes an Interagency Committee on Vaccines to advise the Director of the Program. Establishes the National Vaccine Advisory Committee to recommend: (1) ways to encourage the availability of an adequate supply of vaccines; and (2) research priorities. Authorizes appropriations for FY 1987 through 1991. Subtitle 2: National Vaccine Injury Compensation Program - Part A: Program Requirements - Establishes the National Vaccine Injury Compensation Program as an alternative remedy to judicial action for specified vaccine-related injuries. Prescribes the contents of any petition for compensation. Grants U.S. district courts authority to determine eligibility and compensation. Prohibits intervention by third parties. Requires the district court in which the petition is filed to designate a special master to serve as an adjunct to the court. Sets forth the responsibilities of the court. Lists factors to be considered when determining the amount of a compensation award. Sets forth a table of injuries deemed vaccine-related for compensation purposes. Permits the Secretary of Health and Human Services to promulgate regulations to revise such table. Provides that compensation awarded under the Program shall be paid out of the National Vaccine Injury Compensation Trust Fund. Limits awards for actual and projected pain and suffering and emotional distress to $250,000. Prohibits awards for punitive damages. Establishes the Advisory Commission on Childhood Vaccines to: (1) advise the Secretary on the implementation of the Program; (2) recommend changes to the Vaccine Injury Table; and (3) recommend research priorities. Part B: Additional Remedies - Sets forth procedures under which the person who filed a petition for compensation under the program may elect to file a civil action for damages. Provides that no vaccine manufacturer shall be liable in a civil action for damages arising from a vaccine-related injury or death: (1) resulting from unavoidable side effects; or (2) solely due to the manufacturer's failure to provide direct warnings. Provides that such manufacturer may be held liable where: (1) the vaccine did not conform to an express warranty issued by the manufacturer; or (2) the vaccine deviated in a material way from the design specifications or performance standards. Permits punitive damages in such civil actions under certain circumstances. Part C: Assuring a Safer Childhood Vaccination Program in the United States - Requires each health care provider who administers a vaccine listed in the Vaccine Injury Table to record certain information with respect to each such vaccine. Requires each health care provider and vaccine manufacturer to report certain information, as required by the Secretary, to the Centers for Disease Control. Requires the Secretary to develop certain vaccine information materials for distribution to the legal representatives of any child receiving a vaccine listed in the Vaccine Injury Table. Directs the Secretary to promote the development of safer childhood vaccines. Sets forth recordkeeping and reporting requirements for vaccine manufacturers. Imposes civil and criminal penalties for destroying, altering, or concealing any such report or record. Part D: General Provisions - Allows any person to commence a civil action against the Secretary where the Secretary allegedly has failed to perform a duty under this Act. Provides for judicial review of the Secretary's regulatory actions in a court of appeals of the United States. Requires the Secretary to conduct studies on pertussis, rubella, and radiculoneuritis vaccines and publish the results of such studies. Directs the Secretary to study the risks to children associated with each vaccine listed in the Vaccine Injury Table and establish guidelines respecting the administration of such vaccines. Directs the Secretary to periodically review and revise such guidelines. Directs the Secretary to review the warnings, use instructions, and precautionary information presently used by manufacturers of vaccines listed in the Vaccine Injury Table. Directs the Secretary to require manufacturers to revise and reissue any warning, instruction, or information found inadequate. Grants the Secretary recall authority with respect to any licensed virus, serum, toxin, antitoxin, vaccine, blood, blood component or derivative, allergenic product, or other licensed product which presents a danger to public health. Establishes civil penalties for recall violations. Title II: Amendments of the Internal Revenue Code of 1954 - Part 1: National Vaccine Injury Compensation Trust Fund - Amends the Internal Revenue Code to establish in the Treasury the National Vaccine Injury Compensation Trust Fund. Provides that amounts in the Trust Fund shall be available only for purposes of making expenditures relating to the national vaccine injury compensation program. Transfers certain funds to the Trust Fund. Grants the Trust Fund authority to borrow necessary funds. Provides that any claim filed against the Trust Fund may be paid only out of such Fund. Appropriates initial funding for the Trust Fund. Part II: Revenue Sources for National Vaccine Injury Compensation Trust Fund - Imposes a tax on any childhood vaccine sold by the manufacturer, producer, or importer thereof. States that certain exemptions from manufacturers excise taxes are not applicable to the childhood vaccine tax. Provides that vaccine sales to the United States are not exempt from such tax. Title III: Miscellaneous - Provides that certain Federal provisions designed to reduce paperwork shall not apply to information required to carry out this Act.

Medicaid Maternal and Infant Health Care Enhancement Act of 1986

United States · United States Congress · 16 July 1986

Medicaid Maternal and Infant Health Care Enhancement Act of 1986 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to require States to cover comprehensive services provided to women with high risk pregnancies. Defines such a woman as one who is eligible for Medicaid benefits and meets at least two of the following conditions: (1) she is under age 18 or over age 35; (2) she left school prior to high school graduation; (3) she is dependent upon cigarettes, alcohol, or drugs; (4) her family income is below the Federal poverty level; or (5) she has had a previous poor birth outcome. Lists the comprehensive services to be provided to such women. Directs the Secretary of Health and Human Services to appoint an Advisory Group on High-Risk Pregnancies to advise the Secretary regarding other items and services meriting inclusion on such list. Requires States to cover pregnancy-related services provided to eligible women without limiting the amount, duration, or scope of such services. Requires that the determination regarding an individual's eligibility for pregnancy-related services be made within ten days of her application for such services. Provides full Medicaid reimbursement to title V (Maternal and Child Health of the Act) health clinics for outpatient services furnished to Medicaid-eligible pregnant women. Title II: Maternal and Child Health Services Block Grant - Amends title V of the Act to require States to submit annual reports to the Secretary relating to: (1) women and children in the State, including information regarding the availability of pregnancy-related and pediatric services; and (2) children with special health care needs in the State and the services provided to such children.

Children's Health Care Act of 1986

United States · United States Congress · 16 July 1986

Children's Health Care Act of 1986 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to give States the option of providing Medicaid coverage to children from age one to 18 whose family income does not exceed the higher of the income eligibility threshold under part A (Aid to Families with Dependent Children) of title IV of the Act or the Federal poverty level. Authorizes States to extend Medicaid eligibility to the parents of children rendered eligible pursuant to this Act. Prohibits States which provide coverage pursuant to this Act from establishing more stringent AFDC eligibility tests or reducing AFDC payment levels after enactment of this Act. Requires States which opt to provide such coverage to maintain their income test for AFDC eligibility at no less than 50 percent of the Federal poverty level and provide Medicaid coverage for women and infants in accordance with the Medicaid Maternal and Infant Amendments of 1986. Directs States to refer any individual under age 18 who becomes ineligible for Medicaid to a low or no-cost provider of medical services. Requires States to submit annual reports to the Secretary of Health and Human Services regarding the percentage of Medicaid beneficiaries under age 21 who receive periodic screening, diagnostic, and treatment services. Requires that such services be provided in accordance with recommendations of the American Academy of Pediatrics. Title II: Maternal and Child Health Services Block Grant - Directs the Secretary to establish demonstration projects testing the effectiveness of using integrated case management services in providing services under title V (Maternal and Infant Welfare) of the Act to children with special health care needs. Authorizes appropriations for FY 1987 through 1989.

Bericht der Bundesregierung über die gegenwärtige Situation des Mißbrauchs von Alkohol, illegalen Drogen und Medikamenten in der Bundesrepublik Deutschland und die Ausführung des Aktionsprogramms des Bundes und der Länder zur Eindämmung und Verhütung des Alkoholmißbrauchs (G-SIG: 10004460)

Germany · German Bundestag · 16 July 1986

Schätzzahlen 1986: etwa 1,5 Mill. behandlungsbedürftige Alkoholkranke in der Bundesrepublik Deutschland, Rückgang des Alkoholkonsums bei Jugendlichen (14-17 Jahre) im Zeitraum 1973-1982 von 40 auf 25 v.H.; illegaler Drogenkonsum wesentlich niedriger, steigende Tendenz beim Mißbrauch von Psychopharmaka; gesundheitliche Aufklärung und Prävention, Suchtkrankentherapie, Kostenprobleme, Mißbrauchsformen: Alkohol im Betrieb, in der Bundeswehr und im Straßenverkehr; Konsum illegaler Drogen wie LSD, Amphetamin, Haschisch, Marihuana, Cannabis, Heroin, Kodein, Methadon; Mißbrauch chemischer Lösungsmittel; Tabakmißbrauch

Federal Health Care Auditing and Quality Control Improvement Act of 1986

United States · United States Congress · 26 June 1986

Federal Health Care Auditing and Quality Control Improvement Act of 1986 - Amends the Social Security Amendments of 1967 to authorize the Secretary of Health and Human Services to test and measure the cost effectiveness of having audits and medical reviews under title XVIII (Medicare) of the Social Security Act performed by contractors other than the fiscal intermediaries and carriers which process claims under the Medicare program. Requires the Secretary, within one year of this Act's enactment, to recommend to the Congress the optimum level and type of Medicare audit expenditures. Directs the Secretary to review the quality control program under title XIX (Medicaid) of the Act and, within one year of this Act's enactment, develop procedures and guidelines for such program which require States to implement corrective action plans and management information systems to prevent errors in the provision of services.

Health Care Quality Improvement Act of 1986

United States · United States Congress · 26 June 1986

Health Care Quality Improvement Act of 1986 - Title I: Promotion of Good Faith Professional Review Activities - Provides protection from liability under Federal and State law for members of a professional review body who, in good faith and after a reasonable effort to obtain the facts, take actions which adversely affect the clinical privileges or professional society membership of a physician. Applies this Act to State laws for professional review actions occurring on or after July 1, 1989, unless a State elects to: (1) opt-in early; or (2) opt-out. Title II: Reporting of Information - Requires any entity (including insurance companies) making a payment in a medical malpractice action to report certain information to the Secretary of Health and Human Services and to State licensing boards, including: (1) the name of the physician or health care provider; (2) the amount of the payment; (3) the name of any hospital with which the physician or health care provider is associated; and (4) a description of the acts and injuries upon which the claim was based. Imposes civil penalties for the failure to report such information. Requires each Board of Medical Examiners which revokes or suspends a physician's license for reasons relating to the physician's professional competence or conduct to report such information to the Secretary. Requires each health care entity which takes a professional review action that restricts the clinical privileges of a physician to report such information to the Board of Medical Examiners. Requires hospitals to obtain certain information from the Secretary regarding staff physicians (or physicians being considered for staff positions). Directs the Secretary to make such information available to: (1) the physician; (2) State licensing boards; (3) hospitals; and (4) other health care entities. Title III: Definitions - Defines certain terms for the purposes of this Act.

A bill to provide immunosuppressive drugs to organ transplant centers.

United States · United States Congress · 26 June 1986

Directs the Secretary of Health and Human Services to make immunosuppressive drugs available, upon request and without cost, to organ transplant centers. Requires such a center to furnish such drugs, without charge, to outpatients who have received an organ transplant there. Directs the Comptroller General of the United States to report to the Congress on the allocation of immunosuppressive drugs to transplant centers and the methods used to distribute such drugs to patients. Authorizes appropriations.

Federal Health Care Auditing and Quality Control Improvement Act of 1986

United States · United States Congress · 26 June 1986

Federal Health Care Auditing and Quality Control Improvement Act of 1986 - Amends the Social Security Amendments of 1967 to authorize the Secretary of Health and Human Services to test and measure the cost effectiveness of having audits and medical reviews under title XVIII (Medicare) of the Social Security Act performed by contractors other than the fiscal intermediaries and carriers which process claims under the Medicare program. Requires the Secretary, within one year of this Act's enactment, to recommend to the Congress the optimum level and type of Medicare audit expenditures. Directs the Secretary to review the quality control program under title XIX (Medicaid) of the Act and, within one year of this Act's enactment, develop procedures and guidelines for such program which require States to implement corrective action plans and management information systems to prevent errors in the provision of services.

Health Care for the Homeless Act of 1986

United States · United States Congress · 26 June 1986

Health Care for the Homeless Act of 1986 - Directs the Secretary of Health and Human Services to make grants to qualified applicant public or private nonprofit entities to enable them to deliver outpatient health care and mental health, case management, and advocacy services to homeless families and individuals. Requires such entities to be qualified recipients of State Medicaid payments under the Social Security Act. Assigns preference to grant applicants with experience in delivering health care or mental health services to medically underserved populations or to chronically mentally ill individuals. Requires services under such a grant to be provided 24 hours a day. Sets forth other grant requirements. Sets general limitations on charges for such services, except that any services must be provided regardless of the recipient's ability to pay. Sets forth restrictions on the use of grant funds. Limits any such grant to 75 percent of the cost of services. Outlines application requirements and procedures. Authorizes appropriations for FY 1987.

Alcohol, Drug Abuse, and Mental Health Amendments of 1986

United States · United States Congress · 24 June 1986

Alcohol, Drug Abuse, and Mental Health Amendments of 1986 - Amends the Public Health Service Act to redesignate the Alcohol, Drug Abuse, and Mental Health Administration as the National Institutes on Alcohol, Drugs, and Mental Health (National Institutes), to be headed by an Administrator appointed by the President by and with the advice and consent of the Senate. Makes the following national research institutes agencies of the National Institutes: (1) the National Institute on Alcohol Abuse and Alcoholism; (2) the National Institute on Drug Abuse; and (3) the National Institute of Mental Health. Requires the Secretary of Health and Human Services to supervise the functions of such agencies. Establishes the position of Associate Administrator for Prevention to promote the prevention research programs of the national research institutes. Requires the Administrator to transmit triennial prevention reports to the Congress. Directs the Secretary to make grants to schools of health professions and social work to support training in the identification and treatment of alcohol and drug abuse. Establishes the Alcohol, Drug Abuse, and Mental Health Advisory Board to: (1) assess the national needs for alcoholism, alcohol abuse, drug abuse, and mental health services; and (2) advise the Secretary and Administrator. Requires the Board to report annually to specified congressional committees. Directs the Secretary to appoint an advisory council for the National Institute on Alcohol Abuse and Alcoholism, for the National Institute on Drug Abuse, and for the National Institute of Mental Health. Terminates the following advisory councils: (1) the National Advisory Health Council; (2) the National Advisory Mental Health Council; (3) the National Advisory Council on Alcohol Abuse and Alcoholism; and (4) the National Advisory Dental Research Council. Allows the Secretary to exercise certain powers during public health emergencies. Authorizes appropriations through FY 1991 for the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse. Provides an exception to the confidentiality requirement regarding alcohol and drug abuse records for incidents of suspected child abuse and neglect. Requires the Secretary to transmit triennial reports to the Congress on the causes and means of preventing teenage suicide. Directs the Secretary to establish guidelines for the proper care and treatment of animals used in research conducted by and through the agencies of the National Institutes. Directs the Secretary to prepare public service announcements on the dangers resulting from cigarette smoking by women. Authorizes appropriations through FY 1989. Amends the Federal Alcohol Administration Act to require: (1) alcohol content labeling of malt beverages; and (2) specified warning labels on alcoholic beverages. Exempts from such warning labels alcoholic beverages: (1) exported from the United States; and (2) intended for consumption outside of the United States. Requires the Director of the National Institute on Alcohol Abuse and Alcoholism to transmit an annual report to the Congress concerning the health effects resulting from the consumption of alcoholic beverages.

Kostenübernahme für ein Blutzucker-Meßgerät für Diabetiker; Auswirkung auf die Kostenentwicklung in der Krankenversicherung (G-SIG: 10055066)

Germany · German Bundestag · 20 June 1986

Nachteile durch das Erziehungsgeld für berufstätige Frauen; Regelung für die Krankenversicherung der Erziehungsgeldberechtigten (G-SIG: 10055135)

Germany · German Bundestag · 20 June 1986

Generic Animal Drug and Patent Term Restoration Act

United States · United States Congress · 19 June 1986

Generic Animal Drug and Patent Term Restoration Act - Title I: New Animal Drug Applications - Amends the Federal Food, Drug, and Cosmetic Act to authorize abbreviated applications for the approval of a new animal drug. Requires such application to show that permitted uses, ingredients, dosages, labeling, and other factors are the same as or bioequivalent to a new animal drug already approved. Requires such application to contain a certification relating to patents covering the approved drug. Requires an applicant who makes such a certification to state in the application that a specified notice has been given to each owner of the patent (or owner-representative) and the holder (or holder-representative) of the approved application for the drug or drug use claimed by the patent. Requires the permission of the Secretary of Health and Human Services before an abbreviated application may be submitted for a new drug whose route of administration, dosage form, or strength differ from that of an approved new animal drug. Requires the Secretary to publish and update a list of the official and proprietary name of each new animal drug which has been approved and continues to be approved for safety and effectiveness, including patent information as it comes in. Directs the Secretary to approve an application for a drug unless the Secretary makes specified findings, such as faulty manufacture or insufficient information. Sets forth a formula for determining when an approved application becomes effective, based upon the nature of the certification relating to patents. Prohibits an abbreviated application for a new animal drug based upon a nonabbreviated application approved after this Act's enactment until five years after the nonabbreviated application is approved, except as specified. Requires a three-year wait for abbreviated applications based upon nonabbreviated applications approved after this Act's enactment which contain essential new investigations of an ingredient already approved. Requires the applicant to file with the application (or amend it when the information becomes available) the patent number and the expiration date of any patent which claims the drug or a method of using it and with respect to which a claim of patent infringement could reasonably be asserted if a nonlicensee engaged in the drug's manufacture, use, or sale. Requires the Secretary to disapprove the application if it does not contain certain patent information, or to withdraw approval if the patent information was not filed within a specified time after notification. Requires that safety and effectiveness data be made available to the public, except as specified. Provides for the promulgation of regulations to administer the amendments made by this title. Title II: Patent Terms - Amends the patent laws to include animal drugs under the patent extension provisions applicable to human drugs which compensate for regulatory delays.

A joint resolution to require that alkyl nitrites and their isomers be treated as a drug for purposes of the Federal Food, Drug, and Cosmetic Act.

United States · United States Congress · 18 June 1986

States that alkyl nitrites and their isomers should be treated as a drug for purposes of the Federal Food, Drug, and Cosmetic Act.

Fair Funding Distribution Act of 1986

United States · United States Congress · 11 June 1986

Fair Funding Distribution Act of 1986 - Amends Part B (Alcohol and Drug Abuse) of title XIX (Block Grants) of the Public Health Service Act to specify the method of determining State allotments following the sequestration of funds under part C of the the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act).

Immunosuppressive Drug Therapy Act of 1986

United States · United States Congress · 10 June 1986

Immunosuppressive Drug Therapy Act of 1986 - Amends title XIX (Block Grants) of the Public Health Service Act to establish an Immunosuppressive Drug Therapy Block Grant program to provide drugs to patients for the prevention of rejection of transplanted organs and tissues. Authorizes appropriations for FY 1987 through 1989. Provides formulae for the allotment of appropriated funds to the States. Establishes a minimum allotment of $50,000 for each State. Enumerates the purposes for which the States may use such allotments. 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 Secretary to report to the Congress on the impact of this Act. Amends title XIX (Medicaid) of the Social Security Act to authorize States to provide immunosuppressive drugs to individuals who have received organ transplants.

A bill to provide immunosuppressive drugs to organ transplant centers.

United States · United States Congress · 10 June 1986

Directs the Secretary of Health and Human Services to make immunosuppressive drugs available, upon request and without cost, to organ transplant centers. Requires such a center to furnish such drugs, without charge, to outpatients who have received an organ transplant there. Directs the Comptroller General of the United States to report to the Congress on the allocation of immunosuppressive drugs to transplant centers and the methods used to distribute such drugs to patients. Directs the Secretary to submit recommendations to the Congress regarding authorizing reimbursements under title XVIII (Medicare) of the Social Security Act for immunosuppressive drugs. Authorizes appropriations.

National Organ and Tissue Donor Act

United States · United States Congress · 5 June 1986

National Organ and Tissue Donor Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to encourage and assist States in enacting and implementing State laws requiring hospitals to establish protocols for identifying and assisting human organ and tissue donors. Directs the Secretary to report to the Congress within one year on such activities.

Kostensenkung im Gesundheitswesen durch verstärkte Verschreibung von Generika (G-SIG: 10055006)

Germany · German Bundestag · 30 May 1986

A bill to amend the Public Health Service Act to authorize assistance for research and other activities respecting the acquired immune deficiency syndrome in foreign countries.

United States · United States Congress · 22 May 1986

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to enter into cooperative agreements with the World Health Organization and other international health groups for research on acquired immune deficiency syndrome (AIDS) in foreign countries. Authorizes appropriations for FY 1987 through 1989.

Medicare Home Health Care Improvement Act of 1986

United States · United States Congress · 21 May 1986

Medicare Home Health Care Improvement Act of 1986 - Amends title XVIII (Medicare) of the Social Security Act to set limits on Medicare payments for home health services, but requires that such limits be applied on an aggregate rather than a discipline-specific basis for home health agencies. Requires the Secretary of Health and Human Services to take all current cost data into account when computing costs to which payment limits are applied. Requires that Medicare regulations be open to public notice and comment to the same extent to which rulemaking is subject to such procedures by the Administrative Procedure Act. Directs hospitals to implement a discharge planning process which meets guidelines and standards, to be established by the Secretary, ensuring patients a timely and smooth transition to the most appropriate type of, and setting for, post-hospital or rehabilitative care.

Health Care Innovation Act of 1986

United States · United States Congress · 20 May 1986

Health Care Innovation Act of 1986 - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary of Health and Human Services to pay hospitals for their use of a new medical device or procedure which causes hospital operating costs to exceed 110 percent of the price of the diagnosis-related group (DRG) to which the device or procedure is applied. Funds 60 percent of the amount by which the cost of the innovative treatment exceeds 110 percent of the DRG price. Terminates such funding when the decision is made to incorporate or exclude the treatment from the DRG price, but not later than two years after the provision of such funding. Requires that new devices have premarket approval by the Food and Drug Administration and new procedures be suitable for inclusion in the DRG system before such funding is provided. Directs hospitals which receive funds pursuant to this Act to supply the financial and clinical data the Secretary needs to assess the usefulness of the treatment and establish an appropriate DRG rate for the innovative treatment. Sets forth a formula based, in part, on the percentage of total Medicare hospital payments a hospital receives, limiting payments a hospital may receive for the application of innovative treatments. Limits the aggregate payments made pursuant to this Act to one percent of the total Medicare payments made for the operating costs of inpatient hospital services. Directs the Secretary to report to the Congress within one year of enactment of this Act on methods of paying health maintenance organizations and competitive medical plans for their application of innovative treatments. Requires the annual adjustment of DRG classifications and weighting factors. (Currently, adjustments are made every four years.)

A bill entitled the National Organ and Tissue Donor Act.

United States · United States Congress · 15 May 1986

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to encourage and assist States in enacting and implementing State laws requiring hospitals to establish protocols for identifying and assisting potential human organ and tissue donors. Directs the Secretary to report to the Congress within one year on such activities.

Prescription Drug Marketing Act of 1986

United States · United States Congress · 14 May 1986

Prescription Drug Marketing Act of 1986 - Amends the Federal Food, Drug, and Cosmetic Act to permit only the U.S. manufacturer of a drug to reimport such drug into the United States. Prohibits the sale of prescription drug samples. Permits the distribution of samples only to practitioners licensed to prescribe such drugs. Requires such practitioners to return a receipt for such drug samples to the manufacturers to be kept and made available to Federal and State officials. Requires drug wholesalers to provide drug purchasers with a statement identifying the manufacturer and each sale of the drug. Directs the Secretary of Health and Human Services to issue licensing standards for drug wholesalers.

A bill to amend chapter 89 of title 5, United States Code, to provide authority for the direct payment or reimbursement of certain additional types of health care professionals; to clarify certain provisions of such chapter with respect to coordination with State and local law; and for other purposes.

United States · United States Congress · 14 May 1986

Amends provisions relating to Federal employee health benefits to authorize direct payment or reimbursement for services performed by a: (1) chiropractor; (2) qualified clinical social worker; (3) marriage and family therapist; and (4) nurse midwife, nurse practitioner, and any other nurse. Declares that this Act does not supersede or preempt any State or local law which relates to licensing or certification of health practitioners.

Veterans' Health Care Programs Improvements Act of 1986

United States · United States Congress · 13 May 1986

Veterans' Health Care Programs Improvements Act of 1986 - Amends Federal veterans' benefits provisions to authorize the Administrator of Veterans Affairs to furnish respite care to eligible veterans. Defines "respite care." Directs the Administrator, no later than 180 days after the enactment of this Act, to report to the Senate and House Veterans' Affairs Committees concerning the provision of such respite care. Authorizes the Administrator to contract to furnish hospital-based home care to a veteran, when medically appropriate, in lieu of furnishing hospital care or nursing home care to such veteran. Authorizes the Administrator to contract to provide certain described services to veterans unable to perform a necessary act of daily living, but who do not require continual nursing home care as determined by the Administrator. Outlines a priority order for the furnishing of such services to veterans. Limits the total amount to be paid for such services to 60 percent of the cost of providing such veterans with nursing home care. Authorizes the Administrator to contract for care and treatment and rehabilitative services in halfway houses, therapeutic communities, psychiatric residential treatment centers, and other community-based treatment facilities for the care of eligible veterans suffering from chronic mental illness disabilities. Requires the Administrator to approve the quality and effectiveness of such program before entering into a contract for such care. Requires the Administrator to designate a Veterans Administration (VA) employee to provide case management services for each veteran provided care and services under this provision. Authorizes the Administrator to contract to provide in-kind assistance under this provision. Requires the VA to receive full reimbursement from the contract facility for any such in-kind assistance provided. Directs the Administrator, no later than one year after the enactment of this Act, to report to the Senate and House Veterans' Affairs Committees concerning the provision of such services. Provides the authority to waive a specified licensing requirement for certain VA psychologists. Provides for the inclusion of beds for domiciliary care in the determination of the total number of beds required by the VA for the care of veterans. Requires the Administrator to determine the priority in the making of grants to States for State veterans' homes construction projects. Directs the Administrator, within 180 days after the enactment of this Act, to: (1) develop criteria for determining such priority; and (2) report on such priority and its implementation to the Senate and House Veterans' Affairs Committees. Requires the Administrator to establish and maintain a record to be known as the Ionizing Radiation Registry containing hospital histories and medical data of each veteran exposed to ionizing radiation. Requires the Administrator to establish the Registry not later than 180 days after the enactment of this Act. Requires certain other follow-up reports concerning such Registry.

Alcohol, Drug Abuse and Mental Health Amendments Act of 1986

United States · United States Congress · 13 May 1986

Alcohol, Drug Abuse, and Mental Health Amendments of 1986 - Amends the Public Health Service Act to redesignate the Alcohol, Drug Abuse, and Mental Health Administration as the National Institutes on Alcohol, Drugs, and Mental Health (National Institutes), to be headed by an Administrator appointed by the President by and with the advice and consent of the Senate. Makes the following national research institutes agencies of the National Institutes: (1) the National Institute on Alcohol Abuse and Alcoholism; (2) the National Institute on Drug Abuse; and (3) the National Institute of Mental Health. Requires the Secretary of Health and Human Services to supervise the functions of such agencies. Establishes the position of Associate Administrator for Prevention to promote the prevention research programs of the national research institutes. Requires the Administrator to transmit triennial prevention reports to the Congress. Directs the Secretary to make grants to schools of health professions and social work to support training in the identification and treatment of alcohol and drug abuse. Establishes the Alcohol, Drug Abuse, and Mental Health Advisory Board to: (1) assess the national needs for alcoholism, alcohol abuse, drug abuse, and mental health services; and (2) advise the Secretary and Administrator. Requires the Board to report annually to specified congressional committees. Directs the Secretary to appoint an advisory council for the National Institute on Alcohol Abuse and Alcoholism, for the National Institute on Drug Abuse, and for the National Institute of Mental Health. Terminates the following advisory councils: (1) the National Advisory Health Council; (2) the National Advisory Mental Health Council; (3) the National Advisory Council on Alcohol Abuse and Alcoholism; and (4) the National Advisory Dental Research Council. Allows the Secretary to exercise certain powers during public health emergencies. Authorizes appropriations through FY 1991 for the National Institute on Alcohol Abuse and Alcoholism and the National Institute on Drug Abuse. Provides an exception to the confidentiality requirement regarding alcohol and drug abuse records for incidents of suspected child abuse and neglect. Requires the Secretary to transmit triennial reports to the Congress on the causes and means of preventing teenage suicide. Directs the Secretary to establish guidelines for the proper care and treatment of animals used in research conducted by and through the agencies of the National Institutes. Directs the Secretary to prepare public service announcements on the dangers resulting from cigarette smoking by women. Authorizes appropriations through FY 1989. Amends the Federal Alcohol Administration Act to require alcohol content labeling of malt beverages and permit advertising of such content.

Cigarette Smoking Public Service Announcements Act of 1986

United States · United States Congress · 12 May 1986

Cigarette Smoking Public Service Announcements Act of 1986 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to prepare public service announcements for television concerning the dangers resulting from cigarette smoking by women.

Mißbräuchliche Nutzung der studentischen Krankenversicherung (G-SIG: 10044217)

Germany · German Bundestag · 9 May 1986

Rural Health Care Improvement Act of 1986

United States · United States Congress · 8 May 1986

Rural Health Care Improvement Act of 1986 - Amends part A (General Provisions) of title XI of the Social Security Act to require that whenever the Secretary of Health and Human Services proposes a regulation or promulgates a final version of a regulation under titles XVIII (Medicare), XIX (Medicaid), or part B (Peer Review) of title XI of the Act which will have a substantial impact on small rural hospitals, the Secretary make a regulatory impact analysis available to the public. Amends the Medicare program to continue, beyond FY 1986, current law regarding Medicare payment to sole community hospitals for capital-related costs, treating such costs as distinct from operating costs of inpatient hospital services. Provides certain small sole community and rural hospitals with payment for extremely high cost cases (outlier payments) which represent five or six percent of the total payments made to such hospitals. Sets aside ten percent of amounts expended by the Secretary on certain experiments and demonstration projects for projects relating exclusively to rural health issues. Requires fiscal intermediaries to pay certain small rural hospitals for Medicare claims, at the latest, 30 days after receiving the request for such payment. Amends title VII (Administration) of the Act to establish an Office of Rural Health Policy in the Office of the Administrator of the Health Care Financing Administration to: (1) advise the Administrator regarding the effects of changes in the Medicare and Medicaid programs on rural health; and (2) oversee compliance with provisions of this Act requiring regulatory impact analysis and rural health demonstration projects.

Informed Consent Act

United States · United States Congress · 7 May 1986

Informed Consent Act - Prohibits any individual who is employed in a health facility owned or operated by the Federal Government, in a health facility which receives Federal financial assistance, or who receives any Federal financial assistance, from performing an abortion on a pregnant woman unless such individual obtained informed consent from such woman. Excepts medical emergencies from such prohibition. Sets forth enforcement provisions for agencies which provide financial assistance under this Act. Authorizes individuals aggrieved by the failure of compliance with this Act to seek appropriate relief in the U.S. district courts.

Childhood Vaccine Supply Protection Act

United States · United States Congress · 7 May 1986

Childhood Vaccine Supply Protection Act - Amends the Public Health Service Act to limit to $100,000 an award (for non-economic loss) in any action for damages for injuries relating to the administration of a vaccine providing immunization against diphtheria, pertussis, tetanus, poliomyelitis, measles, mumps, or rubella. Provides that no punitive damages shall be awarded in such actions. Preempts State laws inconsistent with this Act. Establishes an Advisory Commission on Childhood Vaccines to review: (1) the compensation policies under current law for vaccine-related injuries; (2) the current public and private systems for providing childhood vaccines; (3) research into the improvement of childhood vaccines and the development of new vaccines; (4) the dissemination of information concerning childhood vaccines; and (5) childhood vaccine programs in other countries. Directs the Commission to submit a report on the results of its review to the Secretary of Health and Human Services.

Animal Drug Amendments and Patent Term Restoration Act of 1986

United States · United States Congress · 6 May 1986

Animal Drug Amendments and Patent Term Restoration Act of 1986 - Title I: Animal Drug Amendments - Amends the Federal Food, Drug, and Cosmetic Act to authorize abbreviated applications for the approval of a new animal drug. Requires such application to show that permitted uses and ingredients, labeling, and other factors are the same as or bioequivalent to a drug already approved. Requires such application to contain a certification relating to patents covering such listed drug. Requires an applicant who makes such a certification to state in the application that a specified notice has been given to each owner of the patent (or owner-representative) and the holder (or holder-representative) of the approved application for the drug or drug use claimed by the patent. Sets forth information to be included in such notice. Requires the permission of the Secretary of Health and Human Services before an abbreviated application may be submitted for a new drug which has a different active ingredient or whose route of administration, dosage form, or strength differ from that of an approved animal drug. Directs the Secretary to approve an application for a drug unless specified findings are made. Requires the Secretary to approve or disapprove an application within a specified time. Requires the applicant to file with the application (or amend it when the information becomes available) the patent number and the expiration date of any patent which covers the drug or a method of using it and with respect to which a claim of patent infringement could reasonably be asserted if a non-licensee engaged in the drug's manufacture, use, or sale. Sets forth a formula for determining when an approved application becomes effective based upon the nature of the certification relating to patents. Prohibits an abbreviated application for a new animal drug based upon a non-abbreviated application approved after this Act's enactment until five years after the non-abbreviated application is approved, except as specified. Requires a three year wait for abbreviated applications based upon non-abbreviated applications approved after this Act's enactment which contain essential new investigations of an ingredient already approved. Requires the Secretary to disapprove the application if it does not contain certain patent information, or to withdraw approval if the patent information was not filed within a specified time after notification. Requires disapproval if substantial evidence of scientific particulars is missing or inadequate. Requires the approval of a drug to be withdrawn or suspended if the application for approval was abbreviated and it refers to a drug the approval of which was withdrawn or suspended for specific reasons. Requires the publication of the reasons for such action. Provides for the promulgation of regulations to administer the amendments made by this title. Title II: Patent Extension - Amends the patent laws to include animal drugs under the patent extension provisions applicable to human drugs which compensate for regulatory delays.

Rural Health Care Improvement Act of 1986

United States · United States Congress · 6 May 1986

Rural Health Care Improvement Act of 1986 - Amends part A (General Provisions) of title XI of the Social Security Act to require that whenever the Secretary of Health and Human Services proposes a regulation or promulgates a final version of a regulation under titles XVIII (Medicare), XIX (Medicaid), or part B (Peer Review) of title XI of the Act which will have a substantial impact on small rural hospitals, the Secretary make a regulatory impact analysis available to the public. Amends the Medicare program to continue, beyond FY 1986, current law regarding Medicare payment to sole community hospitals for capital-related costs, treating such costs as distinct from operating costs of inpatient hospital services. Provides certain small sole community and rural hospitals with payment for extremely high cost cases (outlier payments) which represent five or six percent of the total payments made to such hospitals. Sets aside ten percent of amounts expended by the Secretary on certain experiments and demonstration projects for projects relating exclusively to rural health issues. Requires fiscal intermediaries to pay certain small rural hospitals for Medicare claims, at the latest, 30 days after receiving the request for such payment. Amends title VII (Administration) of the Act to establish an Office of Rural Health Policy in the Office of the Administrator of the Health Care Financing Administration to: (1) advise the Administrator regarding the effects of changes in the Medicare and Medicaid programs on rural health; and (2) oversee compliance with provisions of this Act requiring regulatory impact analysis and rural health demonstration projects.

Access to Health Care Act of 1986

United States · United States Congress · 1 May 1986

Access to Health Care Act of 1986 - Amends the Internal Revenue Code to impose an excise tax on large employers equal to ten percent of the expenses paid for employee health benefits if the employer does not participate in a State established qualified health insurance pooling association. Defines a "large employer" as an employer who has employed 20 or more individuals on each of 20 days during the taxable year. Defines a "qualified pooling association" as a State chartered nonprofit corporation which offers individuals and their dependents health insurance which: (1) has a limit of annual out-of-pocket expenses for covered services of $1,500 for individual coverage and $3,000 for family coverage; (2) has a lifetime benefit limit for any individual of not less than $500,000; (3) has deductibles which do not exceed $1,000; (4) denies services for preexisting conditions for no more than six months; (5) has a pool premium rate which does not exceed 150 percent of the average premium rates for comparable health insurance coverage; and (6) assesses losses of the pool equitably among all participating members. Amends title XIX (Medicaid) of the Social Security Act to require States to develop programs of health care assistance for the uninsured and the underinsured. Requires that such program must provide for payment for the unreimbursed costs incurred by each hospital in the State in furnishing medically necessary inpatient and outpatient services. Requires States to implement such a program by January 1, 1988, or on the first January 1st following State legislative sessions which do not occur before January 1, 1988, in order to continue to qualify for Federal matching funds for Medicaid administrative expenses. Denies an income tax deduction for employer contributions made to group health plans unless: (1) the employer allows terminated employees the option of continuing health insurance for a period of up to 22 months after termination (extended from 18 months); (2) the employer continues premium payments for health benefits for a period of four months after an employee has been involuntarily terminated; and (3) the employer provides an open-enrollment period when an employee's spouse has lost employment. Allows an income tax deduction for certain group health plan contributions for the benefit of self-employed individuals. Requires the Secretary of Health and Human Services to conduct studies and demonstration projects on ways to reduce the cost for small employers and self-employed individuals in obtaining health insurance. Requires the Secretary to report to the Congress on the results of such studies and demonstration projects not later than January 1, 1988.

A bill to amend title XVIII of the Social Security Act to provide for coverage of an annual preventive health care checkup under part B of such title, and for other purposes.

United States · United States Congress · 1 May 1986

Amends title XVIII (Medicare) of the Social Security Act to cover, under part B (Supplementary Medical Insurance), 100 percent of the reasonable charges for an annual preventive health care checkup. Provides that no deductible shall be applied for such checkup.

Access to Health Care Act of 1986

United States · United States Congress · 1 May 1986

Access to Health Care Act of 1986 - Amends the Public Health Service Act to require each large employer (employing 20 or more individuals) that offers a health benefits plan to be a member of a qualified pooling association in its State. Subjects non-complying large employers to a civil penalty. Requires each State to: (1) have in effect a qualified State plan of assistance for the uninsured and underinsured; or (2) provide health care coverage for such individuals. Expands title XXII (Requirements for Certain Group Health Plans) of the Public Health Service Act to cover private, as well as public, employers. Extends the maximum period of continuation coverage from 18 to 22 months. Requires employers to continue to pay the premiums of certain terminated or reduced hours employees for up to four months. Requires such group health plans to provide for an open enrollment period for each married employee who is, or would be, covered under the plan and whose spouse loses or will lose coverage due to a qualifying event. Directs the Secretary of Health and Human Services to provide for studies and demonstration projects on ways to reduce the costs for small employers and self-employed individuals in obtaining health insurance.

Health Care Improved Access Act of 1986

United States · United States Congress · 1 May 1986

Health Care Improved Access Act of 1986 - Amends the Internal Revenue Code to impose an excise tax on large employers equal to ten percent of the expenses paid for employee health benefits if the employer does not participate in a State established qualified health insurance pooling association. Defines a "large employer" as an employer who has employed 20 or more individuals on each of 20 days during the taxable year. Defines a "qualified pooling association" as a State chartered nonprofit corporation which offers individuals and their dependents health insurance which: (1) has a limit of annual out-of-pocket expenses for covered services of $1,500 for individual coverage and $3,000 for family coverage; (2) has a lifetime benefit limit for any individual of not less than $500,000; (3) has deductibles which do not exceed $1,000; (4) denies services for preexisting conditions for no more than six months; (5) has a pool premium rate which does not exceed 150 percent of the average premium rates for comparable health insurance coverage; and (6) assesses losses of the pool equitably among all participating members. Amends title XVIII (Medicare) of the Social Security Act to require States to develop programs of health care assistance for the uninsured and the underinsured. Requires that such program must provide for payment for the unreimbursed costs incurred by each hospital in the State in furnishing medically necessary inpatient and outpatient services. Requires States to implement such a program by January 1, 1988, or on the first January 1st following State legislative sessions which do not occur before January 1, 1988, in order to continue to qualify for Federal matching funds for Medicare administrative expenses. Denies an income tax deduction for employer contributions made to group health plans unless: (1) the employer allows terminated employees the option of continuing health insurance for a period of up to 22 months after termination (extended from 18 months); (2) the employer continues premium payments for health benefits for a period of four months after an employee has been involuntarily terminated; and (3) the employer provides an open-enrollment period when an employee's spouse has lost employment. Allows an income tax deduction for certain group health plan contributions for the benefit of self-employed individuals. Requires the Secretary of Health and Human Services to conduct 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 on the results of such studies and demonstration projects not later than January 1, 1988.

President's Council on Health Promotion and Disease Prevention Act of 1986

United States · United States Congress · 30 April 1986

President's Council on Health Promotion and Disease Prevention Act of 1986 - Establishes the President's Council on Health Promotion and Disease Prevention. Includes among the Council's responsibilities an assessment of available but under-used health promotion and disease prevention resources. Directs the Council to advise the President on how such resources can be better utilized. Requires the Council to prepare and transmit a report to the President and to the Congress within 18 months. Terminates the Council within 18 months after enactment of this Act.

A bill to amend the Public Health Service Act to encourage and assist States in requiring hospitals to establish protocols for identifying potential organ and tissue donors.

United States · United States Congress · 29 April 1986

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to encourage and assist States in enacting and implementing State laws requiring hospitals to establish protocols for identifying and assisting potential human organ and tissue donors.

A bill to require the Administrator of Veterans' Affairs to contract for health care for veterans in certain areas in which medical facilities of the Veterans' Administration are geographically inaccessible.

United States · United States Congress · 22 April 1986

Requires the Administrator of Veterans Affairs to contract with non-Veterans Administration (VA) health-care facilities for the furnishing of health care for veterans in areas determined to be substantial growth areas which are geographically inaccessible to present VA facilities. Defines "substantial growth area."

Acquired Immune Deficiency Syndrome Counseling, Education, and Services Act of 1986

United States · United States Congress · 21 April 1986

Acquired Immune Deficiency Syndrome Counseling, Education, and Services Act of 1986 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants for the establishment of networks of comprehensive outpatient services for individuals who have acquired immune deficiency syndrome (AIDS) or acquired immune deficiency syndrome-related complex, including: (1) comprehensive ambulatory care services; (2) home health care services; (3) long-term care and hospice services; (4) mental health, counseling, and psychosocial support services; and (5) case management services. Requires each entity applying for such grants to establish a network advisory committee. Directs the Secretary to make grants for the development, establishment, or expansion of programs to: (1) provide education and disseminate information concerning AIDS; and (2) provide counseling to individuals who have tested positively for the presence of antibodies to the human T-cell lymphotrophic virus III. Authorizes appropriations for FY 1987 through 1989. Establishes an Acquired Immune Deficiency Syndrome Research Coordinating Committee within the National Institutes of Health to: (1) advise the Directors of the national research institutes with respect to AIDS research; (2) identify the needs for AIDS research; and (3) make recommendations to the Secretary.

Cancer Research Act of 1986

United States · United States Congress · 15 April 1986

Cancer Research Act of 1986 - Amends title IV (National Research Institutes) of the Public Health Service Act to require the Director of the National Cancer Institute to make grants to, and enter into contracts with, 12 of the National Cancer Research and Demonstration Centers to support research on adoptive immunotherapy for cancer. Authorizes appropriations for FY 1987 through 1989.

Indian Health Care Amendments of 1986

United States · United States Congress · 15 April 1986

Indian Health Care Amendments of 1986 - Title I: Indian Health Manpower - Amends the Indian Health Care Improvement Act to authorize appropriations for specified Indian health programs for FY 1987 through 1989, including scholarship programs and continuing education allowances. Prohibits the Secretary of Health and Human Services (the Secretary) from denying scholarship assistance solely on the basis of an applicant's scholastic achievement if such applicant has been admitted to, or maintained good standing at, an accredited health professions institution. Directs the Secretary to grant Indian Health Scholarships to Indians enrolled full-time in certain schools for health professionals. States that the active duty service requirements of the Public Health Service Act can be met by specified services, including: (1) service or employment under a contract pursuant to the Indian Self-Determination and Education Assistance Act; (2) employment in a program under the Indian Health Care Improvement Act; or (3) the private practice of a health professional if such practice is in a health professional shortage area and addresses the health care needs of a substantial number of Indians. Repeals the Indian Health Scholarship Program under the Public Health Service Act. Title II: Health Services - Enumerates the health services for which the Secretary is authorized to expend Indian Health Care Improvement Fund appropriations. Prohibits the use of such funds to offset or limit appropriations made under other Acts. Conditions the allocation of such funds upon the health resource deficiency level of the affected Indian tribes. Allocates such funds: (1) on a service unit basis; and (2) in the case of multi-tribal service units, on the basis of the health resources deficiency level of each separate tribe within such service unit. Requires the Secretary to submit to the Congress a current health services priority system report, including the methodology for determining tribal health resources deficiencies, the funds needed to raise all service units to a zero level deficiency, and an evaluation of the preventive health, health protection, and the health promotion needs of Indians identified in tribal specific health plans. Directs the Secretary to establish a review mechanism for tribal petitions regarding the health resource deficiency level of a tribe. Requires the Secretary to provide a current update of tribal specific health plans. Requires at least one percent of the Indian Health Care Improvement Fund appropriation to be expended for research. Makes programs administered by tribal organizations under the Indian Self-Determination and Education Assistance Act eligible for specified funds on an equal basis with programs administered directly by the Indian Health Service. Directs the President to include with the submission of the budget a separate statement which specifies the amounts obligated to implement enumerated health services. Authorizes appropriations for FY 1988 and 1989 for specified health services. Designates such appropriations the Indian Health Care Improvement Fund. Establishes an Indian Catastrophic Health Emergency Fund to meet extraordinary medical costs for victims of disasters or catastrophic illness. Authorizes appropriations for FY 1988 and 1989. Requires the Secretary to report to the Congress on the operation of such fund. Authorizes the Secretary to waive the competitive procurement requirements for health services upon certification by the responsible Chief Medical Officer that such requirements would compromise the quality, accessibility, or continuity of health services or would not result in any appreciable competition or savings. Requires the Secretary to require each Indian tribe to include within any tribal specific health plan submitted to the Secretary an identification of the preventive health, health protection, and health promotion needs of each tribe and a comprehensive plan for the provision of such services to such tribe. Title III: Health Facilities - Requires the Secretary to submit to the Congress a health facilities priority system report regarding the construction or renovation needs of the ten top priority inpatient and ten top priority ambulatory care facilities. Requires the Secretary to consult with any Indian tribe that might be affected by an expenditure for health facilities before the Secretary makes a commitment for such an expenditure. Conditions the closure of any health care facility upon the Secretary's submission to the Congress of an impact assessment one year prior to the contemplated closing. Enumerates the data to be included in such assessment. Directs the Secretary to implement a ten-year plan to provide safe water and sanitary sewage and solid waste disposal facilities to Indian homes and communities. Requires the Secretary to report to the Congress regarding the Indian Health Service's current Indian sanitation facility priority system and the funds needed to raise all communities or tribes to a zero level of deficiency. Authorizes specified appropriations to provide sanitation facilities. Authorizes the Secretary to provide financial and technical assistance for the operation and maintenance of sanitation facilities, utility organizations, and emergency repairs of sanitation facilities. Authorizes appropriations for FY 1988 and 1989. Authorizes tribes to expend certain non-Indian Health Service funds for the renovation of Indian health facilities subject to specified conditions. Authorizes the Secretary to exchange certain real property with the Bethel Native Corporation (Alaska). Title IV: Access to Health Services - Amends title XIX (Medicaid) of the Social Security Act to make certain providers of the Indian Health Service eligible for Medicaid payments. Directs the Secretary to ensure that each service unit of the Indian Health Service receives at least half of the amounts to which its facilities are entitled, if such amounts are necessary to bring the facilities into compliance with this Act. Directs the Secretary to conduct a study in consultation with Indian tribes regarding barriers to Indian participation in Medicaid programs. Title V: Urban Indian Health Services - Directs the Secretary to contract with urban Indian organizations to administer health services programs in urban areas. Sets forth specified requirements to be included in such contracts. Details eligibility criteria for the selection of such organizations. Authorizes the Secretary to enter into contracts with urban Indian organizations to determine the health status and unmet health care needs of urban Indians in affected urban areas. Delineates the requirements of such contracts. Requires the Secretary to: (1) develop evaluation procedures for the performance of such contracts; and (2) conduct annual onsite evaluations of each contracting urban Indian organization. Prescribes guidelines for the renewal of health care or referral services contracts. Prohibits renewal of contracts for determination of unmet health needs if their performance has been non-compliant or otherwise unsatisfactory and problems cannot be resolved. Requires certain reports to the Congress. Authorizes appropriations for FY 1987 through 1989 for purposes of carrying out such contracts. Title VI: Organizational Improvements - Establishes in the Office of the Secretary of Health and Human Services the Office of Indian Health Service to administer all Indian health programs and authorities assigned to the Secretary or the Surgeon General, including such programs and authorities under this Act and other specified Acts. Places the Office of Indian Health Service under the direction of an Assistant Secretary for Indian Health who shall be responsible for the conduct and operation of Indian health matters. Transfers the Indian Health Service to the Office of Indian Health Service (thus terminating the Indian Health Service as part of the Health Resources and Services Administration). Requires the Secretary to establish an automated management information system for: (1) the Indian Health Service; and (2) all tribes, tribal organizations, and urban Indian organizations providing health services under contracts with the Indian Health Service. Provides that such required systems be established in California by a specified date. Provides for patients' access to their health records. Title VII: Miscellaneous - Authorizes the Secretary to enter into legal agreements with Indian tribes or tribal organizations in order to provide compensation for facility space costs associated with the administration and delivery of health services by the Indian Health Service or tribally operated programs. Directs the Secretary to coordinate efforts with the Secretary of the Interior and the Secretary of Education to develop programs to combat alcohol and drug abuse among Indian juveniles, including preventive education programs in schools operated by or under the Bureau of Indian Affairs. Directs the Secretary to establish an Office of Alcohol and Drug Abuse within the Indian Health Service. Authorizes appropriations for FY 1987 and 1988. Extends from FY 1984 to 1989 the time during which Arizona is designated as a contract health service delivery area. Extends eligibility for health services to specified Indians in the State of California through 1988. Establishes eligibility guidelines for such medical benefits. Designates the State of California as a contract health service delivery area. Lists programs eligible for Indian Health Service funds. Provides for certain alternative health arrangements for eligible California Indians who are not members of a tribe. Restricts circumstances under which the Secretary may remove a member of the National Health Service Corps who is performing obligated service in a health facility operated by or under the Indian Health Service. Authorizes the Secretary under certain circumstances to provide medical care or benefits by the Indian Health Service to otherwise ineligible persons. Limits restrictions on the use of Indian Health Service appropriations. Sets a deadline by which the Secretary must develop and implement a plan to reduce Indian infant and maternal mortality rates to that of the general population. Requires the Secretary to report to the Congress on the progress of lowering such rates. Directs the Secretary to provide contract health services to the Turtle Mountain Band of Chippewa Indians who reside in the Trenton Service Area of specified counties in the States of North Dakota and Montana. Requires the Secretary to examine the feasibility of sharing medical facilities and services between the Indian Health Service and the Veterans Administration. Requires the Secretary to report to the Congress on such feasibility. Requires the Secretary to make grants to the Navajo tribe to establish a demonstration program in Gallup, New Mexico, to rehabilitate adult Navajo Indians suffering from alcoholism or alcohol abuse. Authorizes appropriations for FY 1988 and 1989. Directs the Secretary to conduct a study of the physical and mental health care needs of Native Hawaiians and other Native American Pacific Islanders, and to report the results of such study to the Congress one year after the enactment of this Act.