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Bill· HRH.R. 10746 (93rd)referred
United States · United States Congress · 4 October 1973
National Cancer Research Act; Title I: Short Title and Declaration of Policy - Declares it to be the purpose of this Act to carry out within five years the goal that cancer research activities of the United States shall be priority oriented and shall be conducted so as to contribute materially to one or more of the following objectives: (1) the expansion of human knowledge of methods in which to detect, prevent, and cure cancer; (2) the development of cancer preventative vaccines, or other preventatives; (3) the improvement of the usefulness and of the dissemination of information from, all cancer-related research activities conducted in the United States; and (4) the development and operation of cancer research facilities, equipment, and supplies, capable of making significant advances in cancer prevention, detection, treatment, and cure. Title II: Coordination of Cancer Research Activities - Estabishes, for five years, in the Executive Office of the President the National Cancer Research Council to be composed of the Vice President, Secretary of State, Secretary of Health, Education, and Welfare, Administrators of the National Cancer Research Administration, and Director of the National Institutes of Health. Directs the Council to develop a comprehensive program of cancer research and to resolve differences among various agencies with respect to cancer research. Establishes, for five years, the National Cancer Research Administration, the administrator of which shall plan, direct, and conduct the cancer research activities of the United States; and disseminate information concerning its activities. Authorizes the Administration to acquire property, enter into contracts, use facilities of federal agencies, and appoint personnel. Requires semiannual reports from the Administration to the Congress. Title III: Miscellaneous - Allows the President to transfer to the Administration for five years any functions of any other department, agency, or officer of the United States which relate primarily to the functions, powers and duties of the Administration. Requires information obtained by the Administration to be available for public inspection. Provides for retention of property rights and patenting by the United States of inventions made in the performance of any work under any contract with the Administration. Allows the administrator to waive all or part of the rights of the United States to an invention if he determines that the interest of mankind and the United States will thereby be served, subject to reservation of an irrevocable, nontransferrable, royalty-free license for the practice of such invention by the United States. Allows the administrator to make a monetary award to any person for any medical, scientific, or technical contribution to the Administration, not exceeding $10,000. Title IV: Funding - Imposes on the income of every individual, estate, trust, and corporation a tax equal to 2 percent of the adjusted tax for the taxable year. Authorizes withholding of such tax according to tables prescribed by the Secretary of the Treasury. Appropriates to such fund, sums as are necessary. Terminates such fund on January 1, 1979.
Bill· HRH.R. 10708 (93rd)referred
United States · United States Congress · 3 October 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· SS. 2513 (93rd)referred
United States · United States Congress · 2 October 1973
Catastrophic Health Insurance and Medical Assistance Reform Act - Title I: Catastrophic Illness Insurance - Establishes a Catastrophic Health Insurance Program under the Social Security Act. Sets forth the eligibility criteria for indviduals. Provides that every individual who: (A) is fully insured or otherwise entitled to monthly insurance benefits under title II of such Act; (B) is the wife, husband, widow, or widower, or dependent child of an individual who is fully insured or otherwise entitled to monthly insurance benefits; and (C) has appropriately applied therefor, shall be entitled to castastrophic health insurance benefits. Delimits the scope of benefits. Includes therein hospital insurance benefits (hospital, post-hospital, home health, outpatient physical therapy and medical and other health services) and medical insurance benefits (medical and other health services and emergency hospital services). Sets forth the terms and conditions for payment, deductibles and coinsurance. Directs that a payment shall be made from the Federal Catastrophic Health Insurance Trust Fund to an eligible individual equal to the reasonable cost of services covered by this Act which are furnished after the 60th day of inpatient hospital services, reduced by a coinsurance amount equal to one-fourth of the inpatient hospital deductible as determined by title XVIII of this Act. Enumerates such reductions as they apply to other types of hospital insurance benefits. Provides for a general deductible from: (a) the reasonable costs of inpatient hospital services past the 60th day; and (b) inpatient hospital benefits of the higher of the following: (1) $2,000, or (2) $2,000 adjusted by the Consumer Price Index to reflect changes in fees for physician services (in $50 increments). Provides for State agreements for coverage of annuitants and members of retirement systems and their dependents and survivors in order to extend the benefits of this Act to such individuals. Creates, in the United States Treasury, a "Federal Catastrophic Health Insurance Trust Fund" to provide a reserve for payment of benefits authorized by this Act. Imposes a tax for catastrophic health insurance protection under the Internal Revenue Code of 1954, on the self-employment income of every individual and other individuals income in the following amounts for the calendar years indicated: (a) 0.30 percent of income for 1974, 1975, and 1976; (b) 0.35 percent of income for 1977 through 1981; and (c) 0.40 percent of income for each year thereafter. Imposes similarly, an excise tax on employers on the amount of wages paid by the employer in the same percentages for the respective years indicated above. Title II: Medical Assistance Plan for Low-Income People - Provides, for low-income individuals and families, assistance toward the costs of necessary hospital, skilled nursing facility, medical, and other health care services. Guarantees free choice by patients of health services from any person, institution, or agency qualified under this Act. Permits individuals the option of obtaining other health insurance protection. Describes the medical assistance plan, what individuals are eligible to receive its health benefits, and the application procedure. Enumerates the scope of benefits under the plan, including: (1) 60 days of inpatient hospital services; (2) skilled nursing facility services; and (3) home health services. Prescribes the co-payment requirements and procedures of persons eligible for benefits. Makes special provisions relating to Medicade eligibles and the circumstances under which such persons are eligible for health benefits under this title. Authorizes the Secretary to require consolidation of facilities of carriers and intermediaries in geographic regions with minimum size populations of persons covered under this title. Creates the Medical Coverage Trust Fund to consist of gifts and bequests and held by a Board of Trustees. Makes provisions for State constitutions to the Fund. Sets forth the definitions of terms used in this title, including the meaning of "income," "health care expenses," and "inpatient hospital services." Prohibits exclusion by employers of specified employees from coverage under group health insurance plans. Title III: Private Basic Health Insurance Certification Program - States that any insurer may provide any health insurance policy to the Secretary for his examination and certification. Sets forth the standards under which the Secretary shall not certify any such insurance policy.
Bill· HRH.R. 10658 (93rd)referred
United States · United States Congress · 2 October 1973
Rural Health Care Delivery Improvement Act - Declares it to be the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare, an Office of Rural Health to be headed by a Director appointed by the Secretary. Enumerates the powers of the Director, including (1) the authority to award grants for projects to examine existing models of rural health care delivery, (2) determination their applicability to other rural areas, and (3) assistance in the planning and demonstration of rural health care delivery models. States that in determining the eligibility of any entity for assistance, the Director will consider specified factors, including (1) identification of the demographic and geographic characteristics which categorize an area as rural; (2) emergency medical care components and systems available to meet the special problems of the rural areas; (3) education programs in rural areas, including health and nutrition education; and (4) development of community planning mechanisms so that the communities can develop health care delivery models appropriate to their needs. Directs the Director to: (1) provide liaison among agencies of the Federal Government for the purpose of coordinating health care programs in rural areas, (2) make a periodic evaluation of other Department of Health, Education, and Welfare programs relating to health care in rural areas, and (3) provide technical assistance for the development of rural health care delivery models. Authorizes to be appropriated for grants and contracts year 1974, $100 million for fiscal year 1975, and $125 million for fiscal year 1976. Specifies the terms and conditions under which the Director may approve an application for assistance under this Act. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund to enable the Secretary to discharge his responsibilities under guarantees issued by him and for direct loans to public entities. Authorizes to be appropriated to the fund from time to time such amounts as may be required for the fund. Provides that the Director may make grants to public and nonprofit private entities, may enter into contracts with public and private entities and individuals, and the Secretary may provide loans to public entities, and may provide loan guarantees to private entities and individuals. Establishes a Rural Health Care Advisory Committee which shall advise the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health and the general administration of the program created under this Act. Sets forth the composition and compensation of Committee members.
Bill· HRH.R. 10633 (93rd)referred
United States · United States Congress · 2 October 1973
Directs the Secretary of Health, Education, and Welfare to take such action as may be necessary to provide for the continued operation of the Public Health Service hospitals which are located in Seattle, Washington, Boston, Massachusetts, San Franciso, California, Galveston, Texas, New Orleans, Louisiana, Baltimore, Maryland, Staten Island, New York, and Norfolk, Virginia.
Bill· HRH.R. 10630 (93rd)referred
United States · United States Congress · 2 October 1973
Provides for the appointment of scientific advisory committees to make recommendations concerning scientific matters raised in any proceeding for the issuance, amendment, or repeal of a regulation relating to certification of antibiotics under the Federal Food, Drug and Cosmetic Act.
Bill· SS. 2511 (93rd)referred
United States · United States Congress · 1 October 1973
Rural Health Care Delivery Improvement Act - Declares it to be the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare, an Office of Rural Health to be headed by a Director appointed by the Secretary. Enumerates the powers of the Director, including (1) the authority to award grants for projects to examine existing models of rural health care delivery, (2) determination their applicability to other rural areas, and (3) assistance in the planning and demonstration of rural health care delivery models. States that in determining the eligibility of any entity for assistance, the Director will consider specified factors, including (1) identification of the demographic and geographic characteristics which categorize an area as rural; (2) emergency medical care components and systems available to meet the special problems of the rural areas; (3) education programs in rural areas, including health and nutrition education; and (4) development of community planning mechanisms so that the communities can develop health care delivery models appropriate to their needs. Directs the Director to: (1) provide liaison among agencies of the Federal Government for the purpose of coordinating health care programs in rural areas, (2) make a periodic evaluation of other Department of Health, Education, and Welfare programs relating to health care in rural areas, and (3) provide technical assistance for the development of rural health care delivery models. Authorizes, for grants and contracts, to be appropriated $75 million for fiscal year 1974, $100 million for fiscal year 1975, and $125 million for fiscal year 1976. Specifies the terms and conditions under which the Director may approve an application for assistance under this Act. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund to enable the Secretary to discharge his responsibilities under guarantees issued by him and for direct loans to public entities. Authorizes to be appropriated to the fund from time to time such amounts as may be required for the fund. Provides that the Director may make grants to public and nonprofit private entities, may enter into contracts with public and private entities and individuals, and the Secretary may provide loans to public entities, and may provide loan guarantees to private entities and individuals. Establishes a Rural Health Care Advisory Committee which shall advise the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health and the general administration of the program created under this Act. Sets forth the composition and compensation of Committee members.
Bill· HRH.R. 10618 (93rd)referred
United States · United States Congress · 1 October 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10607 (93rd)referred
United States · United States Congress · 1 October 1973
Rural Health Care Delivery Improvement Act - Declares it to be the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare, an Office of Rural Health to be headed by a Director appointed by the Secretary. Enumerates the powers of the Director, including (1) the authority to award grants for projects to examine existing models of rural health care delivery, (2) determination their applicability to other rural areas, and (3) assistance in the planning and demonstration of rural health care delivery models. States that in determining the eligibility of any entity for assistance, the Director will consider specified factors, including (1) identification of the demographic and geographic characteristics which categorize an area as rural; (2) emergency medical care components and systems available to meet the special problems of the rural areas; (3) education programs in rural areas, including health and nutrition education; and (4) development of community planning mechanisms so that the communities can develop health care delivery models appropriate to their needs. Directs the Director to: (1) provide liaison among agencies of the Federal Government for the purpose of coordinating health care programs in rural areas, (2) make a periodic evaluation of other Department of Health, Education, and Welfare programs relating to health care in rural areas, and (3) provide technical assistance for the development of rural health care delivery models. Authorizes to be appropriated for grants and contracts year 1974, $100 million for fiscal year 1975, and $125 million for fiscal year 1976. Specifies the terms and conditions under which the Director may approve an application for assistance under this Act. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund to enable the Secretary to discharge his responsibilities under guarantees issued by him and for direct loans to public entities. Authorizes to be appropriated to the fund from time to time such amounts as may be required for the fund. Provides that the Director may make grants to public and nonprofit private entities, may enter into contracts with public and private entities and individuals, and the Secretary may provide loans to public entities, and may provide loan guarantees to private entities and individuals. Establishes a Rural Health Care Advisory Committee which shall advise the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health and the general administration of the program created under this Act. Sets forth the composition and compensation of Committee members.
Bill· HRH.R. 10598 (93rd)referred
United States · United States Congress · 1 October 1973
Rural Health Care Delivery Improvement Act - Declares it to be the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare, an Office of Rural Health to be headed by a Director appointed by the Secretary. Enumerates the powers of the Director, including (1) the authority to award grants for projects to examine existing models of rural health care delivery, (2) determination their applicability to other rural areas, and (3) assistance in the planning and demonstration of rural health care delivery models. States that in determining the eligibility of any entity for assistance, the Director will consider specified factors, including (1) identification of the demographic and geographic characteristics which categorize an area as rural; (2) emergency medical care components and systems available to meet the special problems of the rural areas; (3) education programs in rural areas, including health and nutrition education; and (4) development of community planning mechanisms so that the communities can develop health care delivery models appropriate to their needs. Directs the Director to: (1) provide liaison among agencies of the Federal Government for the purpose of coordinating health care programs in rural areas, (2) make a periodic evaluation of other Department of Health, Education, and Welfare programs relating to health care in rural areas, and (3) provide technical assistance for the development of rural health care delivery models. Authorizes to be appropriated for grants and contracts year 1974, $100 million for fiscal year 1975, and $125 million for fiscal year 1976. Specifies the terms and conditions under which the Director may approve an application for assistance under this Act. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund to enable the Secretary to discharge his responsibilities under guarantees issued by him and for direct loans to public entities. Authorizes to be appropriated to the fund from time to time such amounts as may be required for the fund. Provides that the Director may make grants to public and nonprofit private entities, may enter into contracts with public and private entities and individuals, and the Secretary may provide loans to public entities, and may provide loan guarantees to private entities and individuals. Establishes a Rural Health Care Advisory Committee which shall advise the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health and the general administration of the program created under this Act. Sets forth the composition and compensation of Committee members.
Bill· HRH.R. 10620 (93rd)referred
United States · United States Congress · 1 October 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project, or in the case of applications which demonstrate an exceptional need for financial assistance, 75 percent of such costs. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10612 (93rd)referred
United States · United States Congress · 1 October 1973
Rural Health Care Delivery Improvement Act - Declares it to be the purpose of this Act to provide assistance to programs for the delivery of health services in order to increase the availability of health care services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare, an Office of Rural Health to be headed by a Director appointed by the Secretary. Enumerates the powers of the Director, including (1) the authority to award grants for projects to examine existing models of rural health care delivery, (2) determination their applicability to other rural areas, and (3) assistance in the planning and demonstration of rural health care delivery models. States that in determining the eligibility of any entity for assistance, the Director will consider specified factors, including (1) identification of the demographic and geographic characteristics which categorize an area as rural; (2) emergency medical care components and systems available to meet the special problems of the rural areas; (3) education programs in rural areas, including health and nutrition education; and (4) development of community planning mechanisms so that the communities can develop health care delivery models appropriate to their needs. Directs the Director to: (1) provide liaison among agencies of the Federal Government for the purpose of coordinating health care programs in rural areas, (2) make a periodic evaluation of other Department of Health, Education, and Welfare programs relating to health care in rural areas, and (3) provide technical assistance for the development of rural health care delivery models. Authorizes to be appropriated for grants and contracts year 1974, $100 million for fiscal year 1975, and $125 million for fiscal year 1976. Specifies the terms and conditions under which the Director may approve an application for assistance under this Act. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund to enable the Secretary to discharge his responsibilities under guarantees issued by him and for direct loans to public entities. Authorizes to be appropriated to the fund from time to time such amounts as may be required for the fund. Provides that the Director may make grants to public and nonprofit private entities, may enter into contracts with public and private entities and individuals, and the Secretary may provide loans to public entities, and may provide loan guarantees to private entities and individuals. Establishes a Rural Health Care Advisory Committee which shall advise the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health and the general administration of the program created under this Act. Sets forth the composition and compensation of Committee members.
Bill· SS. 2496 (93rd)referred
United States · United States Congress · 27 September 1973
Provides, under the Public Health Service Act, for programs which will train nurse practitioners to serve as physicians' assistants in extended care facilities.
Bill· HRH.R. 10586 (93rd)referred
United States · United States Congress · 27 September 1973
Provides that the Secretary of Defense, after consulting with the Secretary of Health, Education, and Welfare, may contract with health maintenance organizations as identified by the Secretary of Health, Education, and Welfare. States that the provisions of such a contract may deviate from the cost-sharing arrangements prescribed and the types of health care authorized under title 10 of the United States Code when the Secretary of Defense determines that such a deviation would serve the purpose of that title. Provides that such a contract, however, may not provide for annual payments per beneficiary, by the Government and a beneficiary, of any amount greater than the estimated average annual cost for comparable amounts of care of similar quality provided under the cost-sharing arrangements prescribed in that title. (Adds 10 U.S.C. 1809)
Bill· HRH.R. 10573 (93rd)referred
United States · United States Congress · 26 September 1973
National Human Experimentation Standards Board Act - Creates a five member National Human Experimentation Standards Board. Grants the Board various administrative powers. Declares it to be the function of the Board to develop guidelines and to issue regulations, in accordance with the provisions of the Administrative Procedures Act, for the conduct of biomedical and behavioral research involving human subjects. Directs the Board to adopt specific and detailed guidelines to insure that: (1) true informed consent is obtained from the subject of each experiment; (2) each experiment shall make provisions for the compensation of victims of experiments that do not comply with the guidelines and regulations issued by the Board; and (3) any research project may be terminated, upon notice and hearing, for a violation of the guidelines and regulations of the Board. Requires the Board to make a full and complete study of the practice of psychosurgery to determine its medical reliability, and under what, if any, conditions it should be permitted to be performed. Requires the Board to transmit a report of such study to Congress within two years of the passage date of this Act. Authorizes the Board to institute for or in the name of the United States a civil action or other proceeding for preventive relief, including an application for an injunction, restraining order, or any other order, against any person for any violation of this Act or any regulation issued pursuant thereto. States that no institution shall receive Federal grants or contracts to conduct biomedical or behavioral research involving human subjects unless such institution has established an Institutional Review Committee certified by the National Board. Requires each Institutional Review Committee to establish two subcommittees as follows: (1) a Protocol Review Subcommittee, which shall be responsible for approving, disapproving, or offering suggestions for modifications of protocols for experimental procedures; (2) a Subject Advisory Subcommittee, which shall be primarily concerned with the protection of the rights of subjects of biomedical and behavioral research, and shall assure that human subjects are as well informed about the nature of the research as is reasonably possible, and which shall be responsible for insuring that the written information is kept on file as required by this Act. Declares it to be the duty of the Institutional Review Committee to: (1) oversee all experimentation conducted on human beings in that institution by way of establishing local policies for the review of research sponsored in whole or in part by the Federal Government, consistent with the national guidelines promulgated under this Act; (2) report immediately to the National Board the plan of any experiment involving psychosurger; (3) assume full responsibility to insure that biomedical and behavioral research involving human subjects is carried out under the safest possible conditions with the fully informed consent of the subject (or his family) in a manner fully consistent with the ethical principles developed by the National Board; (4) seek the consultative services of the National Board on any decision, or for the provision of information needed to arrive at a decision; (5) initiate, if appropriate, the referral of particular decisions to the National Board in accordance with regulations promulgated by the National Board; and (6) submit, at least four times a fiscal year, a report to the National Board detailing in full the activities of that institution, and enumerating present and planned experiments, (upon such reports the National Board shall recommend funding for the institution on a yearly basis. Provides that every biomedical and behavioral research program involving human subjects which is funded in whole or in part by the Federal Government shall establish and maintain such records, make such reports, and provide such information as the National Board may reasonably require to enable it to determine whether such program is being conducted in compliance with the provisions of this Act and standards prescribed pursuant to this title and shall, upon request of an officer or employee designated by the National Board, permit such officer or employee to inspect, verify, and copy appropriate books, records, and documents relevant to determining whether such program is being conducted in compliance with standards prescribed pursuant to this Act.
Bill· HRH.R. 10546 (93rd)referred
United States · United States Congress · 26 September 1973
Community Mental Health Centers Extension Act - Declares the finding of Congress that community care is the most effective and humane form of care for the majority of mentally ill and retarded individuals. States that it is the Federal Government's responsibility to insure the expansion of the community mental health center concept. Authorizes appropriations for grants for facilities of public and nonprofit community mental health centers. Provides for grants for specified portions of the costs of operation of such centers, under the Community Mental Health Centers Act. States that where an application for a grant is made, the applicant must provide specified assurances, including that specialized services will be provided for the mental health of children and of the elderly. Sets forth requirements for an applicant providing programs for alcoholism and drug abuse. Limits the amount of appropriations which may be used for the evaluation of programs under this Act. Distinguishes, for purposes of granting assistance, between community mental health centers serving poverty areas and those not serving poverty areas. Provides for grants to community mental health centers for consultation and education services. Authorizes appropriations of such sums as may be necessary for funding such grants . States that no individual, especially alcoholics, narcotic addicts and other persons with drug dependence problems, shall be made the subject of any research carried out with funds provided by specified portions of this Act unless such individual explicitly agrees to become a subject of such research. Repeals specified provisions of the Community Mental Health Centers Act.
Bill· HRH.R. 10507 (93rd)referred
United States · United States Congress · 25 September 1973
Authorizes grants for projects to develop or demonstrate programs designed to rehabilitate elderly patients of long-term health care facilities or to assist such patients in attaining self-care. Authorizes to be appropriated $5,000,000 for fiscal year 1974 and $10,000,000 for fiscal years 1975, 1976, and 1977 to carry out the provisions of this Act.
Bill· HRH.R. 10490 (93rd)referred
United States · United States Congress · 25 September 1973
Authorizes the Secretary of Health, Education and Welfare to make grants to or enter into contracts with public or private nonprofit institutions to pay the Federal share of the cost of research, designed to identify the causes and to develop preventive measures to eliminate sudden infant death syndrome. Sets forth the activities for which a payment may be made under this Act. Provides that payment in any fiscal year to any single institution under this Act may not exceed $50,000. States that the Federal share of the cost of any activities for which application is made under this Act shall be 50 percent. Authorizes to be appropriated $2,000,000 for the fiscal year ending June 30, 1974, to carry out the provisions of this Act.
Bill· HRH.R. 10486 (93rd)referred
United States · United States Congress · 25 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. Requires that in making grants or contracts for research relating to the delivery of emergency medical services, the Secretary shall give special consideration to applications for such grants or contracts relating to such delivery in rural areas. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976, of which 17 1/2 percent shall be for emergency medical systems for rural areas. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentristry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10483 (93rd)referred
United States · United States Congress · 25 September 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 10467 (93rd)referred
United States · United States Congress · 24 September 1973
Directs the Secretary of Health, Education, and Welfare to take such action as may be necessary to provide for the continued operation of the Public Health Service hospitals which are located in Seattle, Washington, Boston, Massachusetts, San Franciso, California, Galveston, Texas, New Orleans, Louisiana, Baltimore, Maryland, Staten Island, New York, and Norfolk, Virginia.
Bill· HRH.R. 10472 (93rd)referred
United States · United States Congress · 24 September 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· SS. 2466 (93rd)open
United States · United States Congress · 21 September 1973
Provides, with enumerated exceptions, for the continued operation of the Public Health Service hospitals located in Seattle, Washington; Boston, Massachusetts; San Francisco, California, Galveston, Texas; New Orleans, Louisiana; Baltimore, Maryland; Staten Island, New York; and Norfolk, Virginia. Authorizes the Secretary of Health, Education, and Welfare to close or reduce the level of health care in such hospitals if Congress by law specifically authorizes such action.
Bill· HRH.R. 10431 (93rd)referred
United States · United States Congress · 20 September 1973
Permits the inclusion of treatment centers and programs set up by States in the grants authorized by the Community Mental Health Centers Act for the treatment of drug abuse and drug problems. Sets forth requirements for a State before approval of such grants by the Secretary of Health, Education, and Welfare.
Bill· HRH.R. 10423 (93rd)referred
United States · United States Congress · 20 September 1973
Hemophilia Act - Provides that any individual suffering from hemophilia may file a claim for benefits under this part with the Secretary of Health, Education and Welfare in such form and containing such information as he may reasonably require. States that benefits under this part shall be paid to, or on behalf of a claimant, in an amount equal to 100 percent of the actual cost of providing blood, blood products, and services associated with the treatment of hemophilia, less: (1) amounts payable by third parties (including governmental agencies), and (2) amounts determined by the Secretary (in accordance with this Act) to be payable by the individual suffering from hemophilia. Authorizes to be appropriated for the fiscal years beginning July 1, 1973, and ending June 30, 1976, such sums as may be necessary to carry out the purpose of this Act. Directs the Secretary to provide for the establishment of no less than fifteen new centers for the diagnosis and treatment of individuals suffering from hempophilia. Authorizes to be appropriated to carry out the purposes of this section $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976. Provides the Secretary shall establish a program within the Public Health Service to provide for diagnosis, treatment, and counseling of individuals suffering from hemophilia. States that such program shall be made available through the facilities of the Public Health Service to any individual requesting diagnosis, treatment, or counseling for hemophilia. Permits the Secretary to make grants to public and nonprofit private entities, and to enter into contracts with public and private entities and individuals to establish blood fractionation centers, for the purpose of fractionating and making available for distribution blood and blood products, in accordance with regulations prescribed by the Secretary to hemophilia treatment and diagnostic centers. Authorizes to be appropriated $5,000,000 for the fiscal year ending June 30, 1974, $10,000,000 for the fiscal year ending June 30, 1975, and $15,000,000 for the fiscal year ending June 30, 1976 for this purpose. Establishes in the National Institutes of Health a National Hemophilia Advisory Board to be composed of twenty members. States that it shall be the function of the Board to: (1) establish guidelines for the diagnosis and treatment of persons suffering from hemophilia; and (2) submit a report to the President for transmittal to the Congress not later than January 31 of each year on the scope of actions conducted under this Act.
Bill· HRH.R. 10401 (93rd)referred
United States · United States Congress · 19 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10403 (93rd)referred
United States · United States Congress · 19 September 1973
Protection of Human Subjects Act - Establishes, within the Department of Health, Education and Welfare, the National Commission for the Protection of Human Subjects of Biomedical and Behavorial Research. Sets forth the membership composition of such Commission and their rates of compensation. Directs the Commission to: (1) undertake a comprehensive investigation and study to identify the basic ethical principles and develop guidelines which should underlie the conduct of biomedical and behavioral research and guarantee that such research is carried out in accordance with the ethical principles identified by the Commission in order to assure the full protection of the rights of the subject of such research; (2) develop and recommend to the Congress a mechanism for the compensation of individuals and their families for injuries or death proximately caused by the participation of such individuals in a biomedical or behavioral research program. Sets forth the subjects the Commission shall consider in carrying out these duties. Directs the Commission to conduct a study and investigation of the employment of psychosurgery. States that no individual shall be required to perform or assist in the performance of any portion of a health service program or research activity for which the provisions of this title are applicable, funded in whole or in part by the Department of Health, Education, and Welfare if such performance or assistance would be contrary to his religious beliefs or moral convictions; and that no entity shall be required to make its facilities available for the performance of any health service program or research activity funded in whole or in part by the Department of Health, Education, and Welfare if such performance is prohibted by the entity on the basis of religious belief or moral convictions. Provides that until such time after certification of Institutional Review Boards has been established and the Commission develops policies with regard to the conduct of research on the living fetus or infants, the Secretary may not conduct or support research or experimentation in the United States or abroad on a living human fetus or infant, whether before or after induced abortion, unless such research or experimentation is done for the purpose of insuring the survival of that fetus or infant. Provides that no institution may receive assistance from the Department of Health, Education and Welfare to conduct biomedical or behavorial research involving human subjects unless such institution has established an Institutional Review Board certified by the Commission. Requires that until certification of such Boards has been established, each institution shall protect the welfare of subjects involved in research and attain, by adequate methods, their informed consent. Defines the term "informed consent." Stipulates that no exculpatory language of the agreement shall waive the subject's legal rights or release the institution or its agents from liability for negligence. Prescribes the duties of the Institutional Review Boards. Provides for inspection of facilities involved in biomedical and behavorial research programs involving human subjects. Sets forth recordkeeping requirements to be met by every biomedical research program under the Commission's jurisdiction. Authorizes appropriation of $3,000,000 for fiscal 1974 and 1975 to carry out the provisions of this act. Provides that the Secretary, after consultation with the Director of the National Institutes of Health and, where appropriate, with the Director of the National Institute of Mental Health, shall, by regulation, provide for the proper scientific peer review by assembled groups of qualified independent scientific experts of the review of grants and for research and development contracts administered by the National Institutes of Health or the National Institute of Mental Health. Requires a study to be made of the ethical, social, and legal implications of advances in biomedical and behavioral research and technology.
Bill· HRH.R. 10385 (93rd)referred
United States · United States Congress · 19 September 1973
National Diabetes Act - States that it is the purpose of this Act to expand the authority of the National Institute of Arthritis, Metabolism, and Digestive Diseases in order to advance the national attack on diabetes. Authorizes the Director to the National Institute of Arthritis, Metabolism, and Digestive Diseases, with the advice of the National Advisory Council of the Institute, to develop a plan for a national diabetes program. Sets forth general guidelines for such program and provides that the program shall be coordinated with the other programs conducted or administered by the research institutes of the National Institure of Health. Provides that the plan required to be developed by this Act shall be developed within two hundred seventy days after the effective date of this Act. Requires the Director of the Institute at the end of each calender year, to prepare and submit to the President for transmittal to the Congress a report on the activities, progress and accomplishments under the progrom during the preceding year and a plan for the program for the succeding five-year period. to establish programs as necessary in cooperation with other Federal health agencies, state, local and regional public health agencies, and nonprofit private health agencies, in the prevention, control diagnosis and treatment of diabetes, appropriately emphasizing the prevention, control, diagnosis and treatment of such diseases in children. Authorizes to be appropriated $25,000,000 for the fiscal year ending June 30, 1974, $35,000,000 for fiscal year ending June 30, 1975, and $45,000,000 for the fiscal year ending June 30, 1976, for the purpose of establishing such programs. States that the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases may provide for the development of not less that fifteen centers for basic and clinical research into, training in, and demonstration of advanced diagnostic, prevention and treatment methods for diabetes prevention. States that support of such a center may be for a period of not to exceed five years and may be extended by the Director of the National Institute of Arthritis, Metabolism, and Digestive Diseases for additional periods of not more than five years each, after review of the operations of the centers by a scientific review group established by the Director. Establishes an Interagency Technical Committee on Diabetes which shall be responsible for coordinating those aspects of all Federal Health Programs and activities relating to diabetes.
Bill· HRH.R. 10348 (93rd)referred
United States · United States Congress · 18 September 1973
Provides for the continued operation of Public Health Service hospitals in Seattle, Washington; Boston, Massachusetts; San Francisco, California; Galveston, Texas; New Orleans, Louisiana; Baltimore, Maryland; Staten Islands, New York; and Norfolk, Virginia.
Resolution· HCONRESH.Con.Res. 302 (93rd)referred
United States · United States Congress · 18 September 1973
Makes it the sense of Congress that: (1) equally rigorous economics shall be applied by congressional review to military, foreign assistance, space programs, and unwarranted tax preferences; and (2) Congress shall set as a target for action by the relevant committees with respect to the proposed Federal budget for fiscal 1974: (a) the realization of savings of $5,000,000,000 to $7,000,000,000 by paring unneeded weapons development, by reducing excessive forces in the military, and by economizing in foreign assistance and space programs, and (b) the elimination of unwarranted tax preferences in the Internal Revenue Code, to produce additional revenues of $5,000,000,000 to $7,000,000,000. Declares that these budgetary resources shall be redirected to promote full employment, quality education and health care for citizens, environmental protection, safe and improved living conditions in urban and rural areas, and equal opportunities for all Americans.
Law· SS. 2410 (93rd)open
United States · United States Congress · 13 September 1973
Emergency Medical Services Systems Act - Provides, under the Public Health Service Act, that the Secretary of Health, Education, and Welfare may make grants to and enter into contracts with eligible entities for projects which include both: (1) studying the feasibility of establishing and operating an emergency medical services system, and (2) planning the establishment and operation of such a system. Sets forth the qualifications and application such a grant must meet. Authorizes the Secretary to make grants for: (1) the establishment and initial operation of emergency medical services systems: (2) projects for the expansion and improvement of emergency medical services systems; and (3) support of research in emergency medical techniques, methods, devices and delivery. Defines "eligible entity" as a State, a unit of general local government, a public entity administering a compact or other regional arrangement or consorium, or any other public entity and any nonprofit private entity. Requires that an emergency medical services system shall: (1) include an adequate number of health professions, allied health professions, and other health personnel with appropriate training and experience; (2) provide for its personnel appropriate training and continuing education programs; (3) join the personnel, facilities, and equipment of the system by a central communications system; (4) include an adequate number of necessary ground, air, and water vehicles and other transportation facilities to meet the individual characteristics of the system's service area; and (5) provide other enumerated criteria services. Authorizes, for the purpose of making payments pursuant to specified grants and contracts, to be appropriated $30,000,000 for fiscal year 1974; $60,000,000 for fiscal year 1975; and $70,000,000 for fiscal year 1976. Directs the Secretary to administer the program of grants and contracts through an identifiable administrative unit within the Department of Health, Education, and Welfare. Provides that the Secretary shall establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy of all Federal activities which relate to emergency medical services. Provides for the appointment of Committee members. Provides, under the Public Health Service Act, that the Secretary may make grants to an enter into contracts with schools of medicine, dentistry, osteopathy, nursing, and training centers for allied health professions to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Directs the Secretary of Health, Education, and Welfare to conduct a study on the legal barriers to the effective delivery of medical care under emergency conditions and to report the results of such study to the Congress.
Bill· HRH.R. 10290 (93rd)referred
United States · United States Congress · 13 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10262 (93rd)referred
United States · United States Congress · 13 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10245 (93rd)referred
United States · United States Congress · 13 September 1973
National Healthcare Act - Title I: Findings and Declaration of Purpose - Declares the purpose of this Act to be to improve the organization, delivery, and financing of health care for all Americans by increasing health personnel, promoting ambulatory care, strengthening health planning, establishing national standards of health care benefits, including coverage for medical catastrophes, encouraging provisions of such benefits through comprehensive health care insurance, and by assisting persons of low income or in poor health to secure that insurance. Title II: Provisions to Increase the Supply and Improve the Distribution of Health Care Personnel - Allows a medical student to borrow the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies, and other related costs, or $5,000. Authorizes $100 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Grants loans to student nurses covering the lesser of the sum of the full cost of tuition, fees, and reasonable amounts for room, board, books, supplies and other related costs, or $3,500. Authorizes $75 million a year for fiscal years 1975, 1976, and 1977 for this purpose. Provides that scholarship grants may, in accordance with regulations of the Secretary of Health, Education, and Welfare, be awarded, according to the needs of the individual, up to the full cost of his tuition, fees, books, equipment and living expenses. Authorizes for this purpose $50 million a year for fiscal years 1975, 1976, and 1977. Allows loans for students in the allied health professions covering the full cost of tuition fees, and reasonable amounts for room, board, books, supplies, and other related costs. Provides that up to half of the loan may be forgiven at the rate of 20 percent a year for service in a public or nonprofit private institution or agency and that up to 100 percent of the loan may be forgiven at the rate of 33 1/3 percent a year for appropriate service in an area designated as having a substantial shortage of allied health professionals. Authorizes $40 million for fiscal year 1975, $60 million for fiscal year 1976, and $75 million for fiscal year 1977 for this purpose. Includes junior colleges, colleges and universities which offer training in health care center administration or curriculums providing the allied health-professionals needed to operate comprehensive ambulatory health care centers within the training grant provisions of the Public Health Service Act. Establishes a new program of special project grants to help education institutions meet the cost of developing curriculums and training programs to develop the skills needed to administer and staff comprehensive ambulatory health care centers. Authorizes $40 million for fiscal year 1975, and $50 million a year for fiscal years 1976 and 1977 for this purpose. Establishes a program of Federal grants to medical personnel in return for service in urban and rural areas of critical need to alleviate the distribution of health care personnel. Authorizes the Secretary of Health, Education, and Welfare to contract with individual health professionals, nurses, or allied health professionals who agree to provide health care services for a period of at least two years in an area designated by the Secretary as having a critical need for those services. Provides that the amount of the grant is that amount which, when added to the recipient's income from providing health care services for each contract year, provides a total income equal to 110 percent of the national annual median income for persons of comparable education and training, or 110 percent of his earnings from providing health care services in the previous year, whichever is greater. Provides that in determining the precise amount of the grant the Secretary may consider such factors as he deems relevant, including: (1) the national median annual income for the applicant's profession; (2) the cost of living in the area of need; (3) the background, training, and education of the applicant; (4) the amount of income the applicant can reasonably expect to receive from service in the area; (5) the number of persons of applicant's profession needed in the area; and (6) where appropriate, cost of equipment, supplies, and facilities. Title III: Provisions to Encourage Comprehensive Ambulatory Health Care Centers - Provides grants to comprehensive ambulatory health care centers. Sets up a special category of grants to comprehensive ambulatory health care centers. Revises the declaration of purpose of title VI of the Public Health Service Act to recognize specifically the concept of a comprehensive ambulatory health care center. Provides that for fiscal years commencing after June 30, 1973 there is authorized an additional $200 million in grant authority to be used for the construction of comprehensive ambulatory health care facilities. Provides this sum through a new allotment category which is separate from existing allotment categories for construction and modernization of hospitals and other medical facilities. Provides that a portion of the funds available for grants hereunder be used to assist nearly-constructed facilities to pay initial start-up and operation expenses during the first three years of operation of such centers. Directs that funds available for the construction and modernization of comprehensive ambulatory health care centers will be allotted to the several States on the same basis as allotments now made for construction of hospitals and other medical facilities. Provides that transfers from allotments for the construction and modernization of comprehensive ambulatory health care facilities to allotments for the construction of other types of facilities are not authorized. Permits carryovers of unused allotments from one fiscal year to the other. Requires that priorities for awarding grants to comprehensive ambulatory health care centers be given to proposed facilities in densely populated areas now lacking such facilities. Provides that, in its evaluation of the health needs of its citizens, the State health planning agency would be required to determine as part of its planning process the number of comprehensive ambulatory health care centers needed in the State and a plan for distribution of such centers. Requires the adoption of a program providing for construction of those comprehensive ambulatory health care centers identified as needed in its State plan, or for modernizing such existing facilities. Adds comprehensive ambulatory health care centers to the list of types of health facilities from which recovery of Federal funds may be made by the Federal Government from facilities which no longer qualify. Adds comprehensive ambulatory health care centers to the list of types of facilities which qualify for Public Health Service Act loans, guarantees and interest subsidies for construction or modernization of health facilities. Defines comprehensive ambulatory health care centers to encompass only facilities which provide a wide range of preventive, diagnostic and treatment services for ambulatory patients. Title IV: Provisions to Strengthen Health Care Planning - Provides that the President shall make a health report to the Congress no later than July 1 of each year on the status of the nation's health needs and health care system with a program for meeting those needs. Creates a three-man Council of Health Policy Advisers in the Executive Office of the President, its members appointed by the President with the advice and consent of the Senate. Authorizes the Council to hire officers, employees and such experts and consultants as may be needed. Requires the Council to make an annual health report to the President not later than April 1 of each year to be transmitted to the Congress as a supplement to the next Health Report of the President to the Congress. Provides that in its first report to the President the Council shall specifically review and advise the President on health programs. Requires the Council to develop and recommend goals for a national health policy to promote efficiency, eliminate waste and duplication in the utilization of health facilities and resources, and to recommend specific programs to streamline and consolidate health manpower programs. Directs the Council to consult with the National Advisory Health Council, and other advisory councils or committees as well as such representatives of the private sector as it deems advisable and to utilize the services, facilities and information of other public and private organizations to the fullest extent to avoid unnecessary overlapping or duplication of effort. Provides that the Chairman shall be compensated at the rate of Level II and the other members at the rate of Level IV of the Executive Schedule Pay Rates. Authorizes such sums as are needed to enable the Council to function, not to exceed $1 million in any fiscal year. Requires every agency of the Federal Government to include, to the fullest extent possible, in each report on proposals for legislation or other major Federal action significantly affecting health or the health care system, the impact of the proposal on the nation's health care system, adverse effects, alternatives, the relative priority established by the Council of Health Policy Advisers, and any irreversible or irretrievable commitments of resources involved. Provides that in order to qualify for the comprehensive health planning grants that a State plan for comprehensive State health planning must, in addition to existing requirements, provide for the project certification procedures established by this Act. Increases the funds authorized for project grants for areawide health planning to $100 million for fiscal year 1975. Directs that to be eligible for the grants the agency must be prepared to function as the "appropriate comprehensive health planning agency" for the area or region. Requires the agency to be prepared to play a strengthened role in coordinating areawide health affairs, including the determination of health needs, capital expenditures programs, cooperative use of facilities, optimum use of available manpower and improved management techniques. Requires the agency to provide for consultation with the areawide health planning council and other groups, for the representation of health care facilities and physicians for enlisting public support, and for educating the public concerning the proper use of facilities and services available. Provides that, in the case of applications for Federal grants, loans, or other financial aid involving more than $100,000 which require certification by the appropriate comprehensive health planning agency, the application may be approved by the Secretary only after he is satisfied that the review provisions of this title have been met. Requires that the agency have reasonable opportunity to review and comment on the application and has certified to its essential need and high priority. Provides that if the "appropriate comprehensive health planning agency" is a metropolitan or other local planning agency, that agency, after reviewing the application, must have communicated its comments to both the applicant and the State agency. Directs the State planning agency to make its own determination that the application fits in with the State's overall needs and priorities as expressed in the State plan. Requires that if two or more States are involved, each State agency must make a separate certification as to the need and priority of the project in its State. Provides that in the case of a project affecting an entire State, the appropriate comprehensive health planning agency is the agency designated in the State plan. Provides that in the case of a project affecting a region, metropolitan area, or other local area, the appropriate comprehensive health planning agency is the areawide comprehensive health planning agency or such other public or nonprofit private agency determined in accordance with regulations to be performing the required health planning functions. Title V provisions to make comprehensive health care insurance available to all requires that benefits paying for not less than the health care required under the minimum standards must be included in private or State established health care plans as a condition of eligibility for the Federal tax or other public financial assistance accorded under this bill. Permits additional benefits and allows a qualified private health care plan to provide for a covered individual's payment of medical expenses exceeding established deductible and co-payment standards. Permits qualifying health care plans to include various other optional provisions. Assures that the minimum standards of health care required to be provided to needy and uninsurable individuals will be no less than those required for others. Assigns one of three "priority designations" to each of the benefits covered and requires benefits in the several priority categories to be phased-in in accordance with a schedule prescribed in the law. Authorizes the President, under restricted conditions stated in the law, to defer the scheduled time for phase-in benefits under this title. Specifies the initial minimum standard healthcare benefits for individuals covered under qualified private plans and those for individuals covered under qualified public plans. Revises the Internal Revenue Code to restrict the Federal income tax deduction otherwise allowable to an employer for any amount paid or incurred by the employer for medical care of any employee or his dependents. Restricts this deduction to 50 percent of the described expense for the medical care of the employee if the amount is incurred in 1975, 75 percent if the amount is incurred in 1976, and 100 percent thereafter. Provides that if the employer establishes and maintains a qualified employee healthcare plan the restriction will not apply, and 100 percent of the described expense is deductible. Applies such provision to taxable years after December 31, 1974, except that, in the case of any employer plan providing medical care for employees which was established pursuant to a collectively-bargained agreement, the restrictions on the deduction will not apply until the expiration of the agreement, or December 31, 1977, whichever occurs first. Requires that each qualified employee healthcare plan provide at least the minimum standard healthcare benefits described in this Act and be in writing, adopted by the employer, and communicated to his employees. Requires that a coordination of benefits provision be included in a qualified plan to avoid costly duplication of coverage and the plan must permit eligible employees to seek coverage instead from any approved health maintenance organization in cases where specified conditions are satisfied. Allows 100 percent of medical care insurance premiums as an income tax deduction, if such expenses are paid by an individual who is covered by a qualified individual healthcare plan, a qualified employee healthcare plan, or a qualified state healthcare plan. Requires that each qualified individual healthcare plan provide at least the minimum standard healthcare benefits described in this Act. Requires that a qualified individual insurance contract contain provisions which obligate the insurer to renew the policy, and allows covered dependents to continue their coverage under the policy after the death of the insured as if he were still alive. Adds a new title XX to the Social Security Act to provide for the establishment of publicly subsidized health care insurance plans on a State by State basis. Provides that each State will have a health insurance pool, which all private entities in that State (both profit and non-profit) which currently indemnify the cost of health care would be required to underwrite. Directs that one or more private insurance carriers will be designated by the State to administer the State plan on a retention accounting basis. Provides that these State plans will guarantee that minimum standard healthcare benefits are made available to individuals and families who previously were unable to purchase health care insurance, either because of their low income or their extremely poor health. Provides that, in order to encourage a State to establish a plan, Federal appropriations otherwise payable to the State pursuant to titles V and XIX of the Social Security Act are conditioned on the State having in operation a Qualified State Healthcare Plan. Provides that individuals or families who are eligible to receive public cash assistance under a program financed in whole or in part by Federal funds will be enrolled in the State plan automatically, and without cost. Permits those individuals who are financially capable of procuring health insurance, but who are uninsurable because of poor health, to enroll in the State plan at their own expense; however, these individuals may not be charged more than the established rate for other individuals enrolled in that State plan. Provides that enrollment of other individuals and families who had low incomes the previous year (less than $4,000 for single individuals, less than $6,000 for a family of two, and less than $8,000 for a family of three or more) is voluntary. Allows such individuals and families to elect to be enrolled once each year and requires them to make contributions toward the cost of insuring their own health care, depending on the size of their family and the amount of their income. Provides that the premiums to be charged for each policy year under a State plan will be actuarially determined in each State, and for each family size risk category. Directs that if the established premiums are found to be unjustified within a particular State, the Secretary of Health, Education, and Welfare may direct a reduction in the Federal appropriation for that State's premium cost. States that each State has the primary obligation to provide the uncontributed premium cost for its plan; but if the State implements and utilizes controls which are designed to promote the delivery of lower-cost, higher-quality institutional health care services, if it exempts qualified state healthcare plan transactions from State taxation, and if it eliminates discriminatory State tax treatment of health care insurers, then the State will receive Federal appropriations reimbursing it for a percentage of its total uncontributed premium cost. Provides that the base figure may be between 70 and 90 percent, depending on the State's per capita income, but further adjustments to this percentage may be made if institutional rates charged in any particular State for health care services are unjustifiably high in comparison with other States. Gives States the authority to review in advance the rates to be charged by health care institutions for their services, and to refuse to approve these rates for payment under the State plan. Provides that a professional service, otherwise covered by these State plans, shall be reimbursed only if it falls within professionally established utilization guidelines or is found to be necessary health care by a qualified peer review committee. Asserts that no charge for a necessary service shall be reimbursed to the extent that it exceeds the prevailing charge in a locality for similar services. Provides that if the premiums collected and other monies received under the State plan are not sufficient to pay the claims incurred and the other costs of operating the State plan, the private underwriters of the plan shall bear the losses to the extent of 3 percent of the premiums collected for that year. Directs the State to bear the excess losses equal to the base Federal percentage for that State's premium costs. Provides that enrollment is not available to those individuals or families covered under a qualified employee healthcare plan. Provides that applicants for enrollment in the State plan must provide and certify all information required to make an eligibility determination. States that any Federal or State agency may be required to furnish information deemed by the administering carrier to be necessary to verify eligibility. Revises title V of the Social Security Act (Maternal and Child Health and Crippled Children's Services) to avoid unnecessary and costly duplication of federally subsidized health care programs. Excludes payment for items and services now covered under title V of the Social Security Act if they also would be covered under a qualified state healthcare plan. Provides that title V will continue to pay for items and services which are not covered by qualified state healthcare plans. Revises title XVIII of the Social Security Act to remove existing limitations on Medicare Part B enrollment which prevent otherwise eligible State plan enrollees from qualifying for qualified State healthcare plan to pay the premium for supplementary medical insurance benefits under Part B of title XVIII of the Social Security Act for individuals and families who are eligible to enroll in the Part B program and who are also eligible to receive public cash assistance under a federally financed program. Revises title XVIII to allow a State to enter into an agreement with the Secretary of Health, Education, and Welfare pursuant to which all of these indigent State plan enrollees will be enrolled under the program established by Part B of title XVIII. Revises title XIX of the Social Security Act (Grants to States for Medical Assistance Programs) to avoid unnecessary and costly duplication of federally subsidized health care programs. Provides that on July 1, 1975, or upon a State's establishment of a qualified State healthcare plan, whichever occurs first, payment for items and services now covered under title XIX would be excluded if they would be covered under a qualified state healthcare plan. Directs that title XIX will continue to pay for items and services which are not covered by qualified State healthcare plans. Establishes standards for the quality and cost to enrollees for health care service provided by physicians or other medical practitioners and for health care services rendered to State plan enrollees in health care institutions. Provides that these standards shall apply to determine "reasonable cost" under the existing federally subsidized health care programs established by title V, XVIII, and XIX of the Social Security Act. Requires that the premiums and other monies received pursuant to the operation of a qualified State healthcare plan will, to the extent feasible, be invested by the administering carrier in interest-bearing obligations and other income-yielding securities. Exempts this interest or other income from Federal income taxation. Requires insurance carriers to pool their efforts and resources to insure that all individuals and families will receive higher-quality, lower-cost health care benefits. Provides that these carriers will not be subject to Federal or State antitrust legislation solely as a result of their efforts to comply with the provisions of this Act.
Bill· HRH.R. 10296 (93rd)referred
United States · United States Congress · 13 September 1973
Extends the coverage of the National Labor Relations Act to include employees of nonprofit hospitals. States that when a collective bargaining agreement is in effect between a health care institution and a labor organization representative the agreement shall continue in full force and effect, without recourse to strikes, picketing or lockouts, except as expressly permitted by this Act. Prescribes the procedure to be followed in negotiations for renewal of any such agreements. Provides that when a health care institution and a labor organization which is the bargaining representative of its employees enter into negotiations for an initial collective bargaining agreement, such negotiations shall be conducted in accordance with specified procedures without recourse to strikes, picketing or lockouts, except as expressly permitted. Describes the conduct which constitutes unfair labor practices. Provides for not more than four bargaining units in health care institutions (in addition to security guards): (1) professional employees, (2) technical employees, (3) clerical employees, and (4) service and maintenance employees. Gives unfair labor practice charges involving strikes and picketing at health care institutions priority over other cases in NLRB regional offices. Provides a course of action for private persons for injury due to unlawful strikes or lockouts.
Bill· HRH.R. 10268 (93rd)referred
United States · United States Congress · 13 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10233 (93rd)referred
United States · United States Congress · 12 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10234 (93rd)referred
United States · United States Congress · 12 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10235 (93rd)referred
United States · United States Congress · 12 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10199 (93rd)referred
United States · United States Congress · 12 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to an enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000 unless the application therefor has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing, and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10174 (93rd)referred
United States · United States Congress · 11 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10175 (93rd)referred
United States · United States Congress · 11 September 1973
Emergency Medical Services Systems Act - Directs the Secretary of Health, Education, and Welfare to make grants to and enter into contracts with eligible entities for projects which include both studying the feasibility of establishing and operating an emergency medical services system, and planning the establishment and operation of such a system. Requires that the reports of the results of any study and planning project assisted under this Act shall be submitted to the Secretary and the Interagency Committee on Emergency Medical Services. Authorizes the Secretary to make grants to and enter into contracts with eligible entities for the establishment and initial operation of emergency medical services systems. Sets forth the standards for such grants and contracts. States that, in considering applications which demonstrate exceptional need for financial assistance, the Secretary shall give special consideration to applications submitted for emergency medical services systems for rural areas. Directs the Secretary to make grants to and enter into contracts with eligible entities for projects for the expansion and improvement of emergency medical services systems, including the acquisition of equipment and facilities, the modernization of facilities, and other projects to expand and improve such systems. States that the amount of any grant or contract under this section for a project shall not exceed 50 percent of the cost of that project. Stipulates that the Secretary may make grants to public or private nonprofit entities, and enter into contracts with private entities and individuals, for the support of research in emergency medical techniques, methods, devices, and delivery. States that no grant may be made or contract entered into under this section for amounts in excess of $35,000, unless the application therefore has been recommended for approval by an appropriate peer review panel designated or established by the Secretary. Sets forth general provisions with respect to grants and contracts authorized under this Act. Establishes specified requirements for emergency medical services systems. Authorizes to be appropriated specified amounts for grants and contracts made pursuant to this Act for the fiscal years 1974, 1975, and 1976. Directs the Secretary to establish an Interagency Committee on Emergency Medical Services to evaluate the adequacy and technical soundness of all Federal programs and activities which relate to emergency medical services. Directs the Committee to make recommendations to the Secretary respecting the administration of contracts under this Act. Requires the Secretary to prepare and submit annually to the Congress a report on the administration of this Act. Directs the Secretary to make grants to and enter into contracts with schools of medicine, dentistry, osteopathy, and nursing and training centers for allied health professions, and other appropriate educational entities to assist in meeting the cost of training programs in the techniques and methods of providing emergency medical services. Authorizes to be appropriated $10,000,000 for the fiscal year 1974 for the purpose of making payments pursuant to grants and contracts under this section.
Bill· HRH.R. 10154 (93rd)referred
United States · United States Congress · 11 September 1973
Expands, under the Mental Retardation Facilities and Community Mental Health Centers Construction Act, the definition of "developmental disability" to include autism. (Amends 42 U.S.C. 2691)
Bill· HRH.R. 10145 (93rd)referred
United States · United States Congress · 11 September 1973
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· HRH.R. 10163 (93rd)referred
United States · United States Congress · 11 September 1973
Bill of Rights for the Mentally Retarded - States that the purpose of this Act is to establish standards which assure the humane care, treatment, habilitation, and protection of the mentally retarded in residential facilities, and to improve the system for the provision of services to the mentally retarded through the encouragement of and support for the planning and development of strategies to implement such standards, minimize inappropriate admissions to residential facilities and stimulate the development of regional and community programs integrating such residential facilities which conform to such standards. Provides for a new title to the Public Health Service Act: Title XI: Support of Residential Facilities for the Mentally Retarded - Authorizes the Secretary of Health, Education, and Welfare to make grants to States to aid them with the cost of bringing existing residential facilities into compliance with the standards established under this Act, and to improve existing residential facilities for the mentally retarded. Authorizes to be appropriated $30,000,000 ($15,000,000 for each program) for fiscal year 1973, and for each of the next two succeeding fiscal years, for such grants. Authorizes to be appropriated such sums as may be necessary to enable the Secretary to make grants to States for the purpose of assisting States in meeting the expenses for bringing publicly operated facilities and publicly assisted facilities into conformity with the standards established by this Act. Stipulates that any State desiring to receive such a grant shall submit a plan to the Secretary setting forth a schedule for compliance with such standards. Provides that the total of the grants with respect to any such project bringing facilities into conformity with the standards imposed by this Act may not exceed 75 percent of the necessary cost thereof as determined by the Secretary. Requires, within five years after the date of enactment of this Act, that no residential facility for the mentally retarded shall be eligible to receive payments either directly or indirectly under any Federal law, unless such facility meets the standards promulgated under this Act. Authorizes the Secretary to make grants to any public or private non-profit agency, organization or institution to meet the costs of development, improvement, extension, or expansion of community resources and community living situations for the mentally retarded other than live-in-residential facilities for the mentally retarded. Establishes a National Advisory Council on Standards for Residential Facilities for the Mentally Retarded to: (1) advise the Secretary with respect to any regulations promulgated or proposed in the implementation of the standards established under this Act; (2) study and evaluate such standards authorized by this Act; and (3) recommend to the Secretary any changes, revisions, modifications, or improvements in the standards established under this Act. Provides that the ultimate aim of the residential facility shall be to foster those behaviors that maximize the human qualities of the resident, increase the complexity of his behavior, and enhance his ability to cope with his environment. Requires such facilities to be located within, and conveniently accessible to, the population served, so as to have access to necessary generic community services. Provides that the facility and the surrounding community should be encouraged to share their services and resources on a reciprocal basis. Provides that residents of the facility should be integrated to the greatest possible extent with the general population. Provides that the facility shall have a written outline of the philosophy, objectives, and goals it is striving to achieve. Requires such outline to be available for distribution to staff, consumer representatives, and the interested public. Provides that the governing body of the facility shall exercise general direction and shall establish policies concerning the operation of the individuals served. Provides that the administration of the facility shall provide for effective staff and resident participation and communication. Requires the facility to designate a percentage of its operating budget for self-renewal purposes. Provides that the facility shall have a description of services for residents that is available to the public. Provides that the facility shall provide for meaningful and extensive consumer-representative and public participation. Provides that a public education and information program should be established that utilizes all communication media, and all service, religious and civil groups, to develop attitudes of understanding and acceptance of mentally retarded persons in all aspects of community living. Provides that admission and release procedures shall: (1) encourage voluntary admission; (2) give equal priority to persons of comparable need; (3) facilitate emergency, partial, and short-term residential care; and (4) utilize the maximum feasible amount of voluntariness in each individual case. Authorizes the residential facility to admit only residents who have had a comprehensive evaluation. Provides that all admissions to the residential facility shall be considered temporary. Provides that there shall be a regular, at least annual, joint review of the status of each resident by all relevant personnel. Provides that at the time of permanent release or transfer there shall be recorded a summary of findings, progress, and plans for protective supervision and other followup services in the resident's new environment. Provides that the performance of each employee of the facility shall be evaluated at least annually. Provides that staffing shall be sufficient so that the facility is not dependent upon the use of residents or volunteers for productive services. Provides that food services shall recognize and provide for the physiological, emotional, and cultural needs of each resident, through provision of a planned, nutritionally adequate diet. Provides that each resident shall have an adequate allowance of neat, clean, fashionable, and seasonable clothing. Provides that residents shall be trained to exercise maximum independence in health, hygiene, and grooming practices. Provides that living unit components or groupings shall be small enough to insure the development of meaningful interpersonal relationships among residents and between residents and staff. Requires dental services to be provided all residents in order to maximize their general health by maintaining an optimal level of daily oral health, through preventive measures and correcting existing oral diseases. Provides that educational services, defined as deliberate attempts to facilitate the intellectual, sensorimotor, and affective development of the individual, shall be available to all residents, regardless of chronological age, degree of retardation, or accompanying disabilities or handicaps. Provides that food and nutrition services shall be provided in order to: (1) insure optimal nutritional status of each resident, thereby enhancing his physical, emotional, and social well-being; and (2) provide a nutritionally adequate diet, in a form consistent with developmental level, to meet the dietary needs of each resident. Makes library services, which include the location, acquisition, organization, utilization, retrieval, and delivery of materials in a variety of media, available to the facility, in order to support and strengthen its total habilitation program by providing complete and integrated multimedia information services to both staff and residents. Provides that medical services shall be provided in order to: (1) achieve and maintain an optimal level of general health for each resident; (2) maximize normal function and prevent disability; and (3) facilitate the optimal development of each resident. Provides that residents shall be provided with nursing services, in accordance with their needs, in order to: (1) develop and maintain an environment that will meet their total health needs; (2) foster optimal health; (3) encourage maximum self-care and independence; and (4) provide skilled nursing care. Provides that, where appropriate to the facility, there shall be a pharmacy and therapeutics committee, that includes one or more pharmacists, to develop policy on drug usage in the facility, and to develop and maintain a current formulary. Provides that physical and occupational therapy services shall be provided in order to: (1) prevent abnormal development and further disability; (2) facilitate the optimal development of each resident; and (3) enable the resident to be a contributing and participating member of the community in which he resides. Requires psychological services be provided in order to facilitate, through the application of psychological principles, techniques, and skills, the optimal development of each resident. Provides that recreation services should provide each resident with a program of activities that: (1) promotes physical and mental health; (2) promotes optimal sensorimotor, cognitive, affective, and social development; (3) encourages movement from dependent to independent and interdependent functioning; and (4) provides for the enjoyable use of leisure time. Make religious services available to residents, in accorance with their basic right to freedom of religion. Provides that all social services shall be available to all residents and their families in order to foster and facilitate: (1) maximum personal and social development of the resident; (2) positive family functioning; and (3) effective and satisfying social and community relationships. Provides that speech pathology and audiology services shall be available, in order to: (1) maximize the communications skills of all residents; and (2) provide for the evaluation, counseling, treatment, and rehabilitation of those residents with speech, hearing and/or language handicaps. Requires each facility to provide all its residents with rehabilitation services, which include the establishment, maintenance, and implementation of those programs that will ensure the optimal development or restoration of each resident physically, psychologically, socially and vocationally. Provides that volunteer services shall be provided in order to enhance opportunities for the fullest realization of the potential of each resident by: (1) increasing the amount, and improving the quality, of services and programs; and (2) facilitating positive relationships between the facility and the community which it serves. Provides that a record shall be maintained for each resident that is adequate for: (1) planning and continuous evaluating of the resident's habitation program; (2) providing a means of communication among all persons contributing to the resident's habilitation program; (3) furnishing documentary evidence of the resident's progress and of his response to his habilitation program; (4) serving as a basis for review, study, and evaluation of the overall programs provided by the facility for its residents; (5) protecting the legal rights of the residents, facility, and staff; and (6) providing data for use in research and education. Provides that the administration of the facility shall make provision for the design and conduct, or the supervision, of research that will objectively evaluate the effectiveness of program components and contribute to informed decisionmaking in the facility. Provides that the requirements of the Secretary shall be met, with specific reference to the following: (1) provision of adequate and alternate exits and doors; (2) provision of exit ramps, with nonskid surface and slope not exceeding one foot in twelve; and (3) provision for handrails on stairways. Provides that there shall be records that document strict compliance with the sanitation, health, and environmental safety codes of the State or local authorities having primary jurisdiction over the facility. Provides that adequate, modern administrative support shall be provided to efficiently meet the needs of, and contribute to, program services for residents, and to facilitate attainment of the goals and objectives of the facility. Provides that funds shall be budgeted and spent in accordance with the principles and procedures of program budgeting. Provides that there shall be written purchasing policies regarding authority and approvals for supplies, services, and equipment.
Resolution· HRESH.Res. 541 (93rd)passed
United States · United States Congress · 11 September 1973
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 7974) to amend the Public Health Service Act to provide assistance and encouragement for the establishment and expansion of health maintenance organizations, and for other purposes. Provides that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Makes it in order to consider the amendment in the nature of a substitute recommended by the Committee on Interstate and Foreign Commerce now printed in the bill as an original bill for the purpose of amendment under the five-minute rule. Provides that, at the conclusion of such consideration, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and any Member may demand a separate vote in the House on any amendment adopted in the Committee of the Whole to the bill or to the committee amendment in the nature of a substitute. Requires that the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit with or without instructions. States that, after the passage of H.R. 7974, the Committee on Interstate and Foreign Commerce shall be discharged from the further consideration of the bill S. 14, and it shall then be in order in the House to move to strike out all after the enacting clause of the said Senate bill and insert in lieu thereof the provisions contained in H.R. 7974 as passed by the House.
Bill· HRH.R. 10124 (93rd)referred
United States · United States Congress · 10 September 1973
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.
Bill· HRH.R. 10086 (93rd)referred
United States · United States Congress · 6 September 1973
Extends the coverage of the National Labor Relations Act to include employees of nonprofit hospitals. States that when a collective bargaining agreement is in effect between a health care institution and a labor organization representative the agreement shall continue in full force and effect, without recourse to strikes, picketing or lockouts, except as expressly permitted by this Act. Prescribes the procedure to be followed in negotiations for renewal of any such agreements. Provides that when a health care institution and a labor organization which is the bargaining representative of its employees enter into negotiations for an initial collective bargaining agreement, such negotiations shall be conducted in accordance with specified procedures without recourse to strikes, picketing or lockouts, except as expressly permitted. Describes conduct which constitutes unfair labor practices. Provides for not more than four bargaining units in health care institutions (in addition to security guards): (1) professional employees, (2) technical employees, (3) clerical employees, and (4) service and maintenance employees. Gives unfair labor practice charges involving strikes and picketing at health care institutions priority over other cases in NLRB regional offices. Provides a course of action for private persons for injury due to unlawful strikes or lockouts.
Bill· HRH.R. 10061 (93rd)referred
United States · United States Congress · 5 September 1973
Medical Devices Safety Act - Title I: The National Medical Devices Commission - Establishes the National Medical Devices Commission to determine the manner and extent to which there should be Federal regulation of manufacturing of medical devices. Directs the Commission to submit to the President and the Congress such interim and final reports as it deems appropriate. Requires the Secretary of Health, Education, and Welfare to submit to the President and the Congress his views on the Commission's report. States that the Commission shall terminate not later than two years from the effective date of this Act or thirty days after it has submitted its final report, whichever occurs earlier. Sets forth the powers of the Commission. States that the Commission shall, to the extent practicable, utilize the services of the Department of Health, Education, and Welfare. Title II: Amendments to the Federal Food, Drug, and Cosmetic Act - States that a device shall be deemed to be adulterated for the purposes of the Federal Food, Drug, and Cosmetic Act, if the methods used in, or the facilities or control used for, its manufacturing, processing, packing, holding, or installation do not conform to, or are not operated or administered in conformity with, current food manufacturing practice. States that every person engaged in manufacturing, processing, or distributing, or who uses in a professional manner, a device that is subject to this Act shall establish and maintain records, and make written reports to the Secretary, of data relating to clinical experience obtained by that person with respect to the device and bearing on the safety, reliability, or effectiveness of the device. Establishes standards under which the Secretary may, after due notice and opportunity for hearing to the manufacturer, issue an order to remove a device from being sold on the market. Authorizes the device manufacturer to appeal an order by the Secretary removing the device from sale on the market by filing in the United States court of appeals for the circuit in which the manufacturer resides or at his principal place of business. Directs the Secretary to promulgate regulations for exempting from this Act devices intended solely for investigational use by experts qualified by scientific training and experience to investigate the safety and effectiveness of devices. Title III: Miscellaneous - Establishes the National Medical Devices Information Center to establish workshops, clinics, and other educational programs to train and educate doctors, hospital personnel, technicians, and other possible operators of medical devices in the use and testing of such devices. States that this Act shall take effect on the first day of the thirteenth calendar month following the month in which this Act is enacted.
Bill· HRH.R. 10033 (93rd)referred
United States · United States Congress · 5 September 1973
National Tay-Sachs Disease Screening and Counseling Act - Provides that it is the purpose of this Act to establish a national program under the Public Health Service Act, for voluntary Tay-Sachs disease screening and counseling. Authorizes appropriations of $2,500,000 for fiscal year 1974 for making grants to public and nonprofit entities to establish and operate such screening programs. Sets forth the procedure for applications for and administration of such grants.