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151 records in 1977
United States · United States Congress · 5 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to eliminate the requirement that prior hospitalization is necessary before extended care facility benefits are available under the Medicare program.
United States · United States Congress · 5 August 1977
See summary of: H.R. 1311
United States · United States Congress · 5 August 1977
Veterans Health Care Amendments Act - Requires the Administrator of Veterans' Affairs to furnish initial readjustment professional counseling (including a general mental and psychological assessment) for any veteran with readjustment problems who requests such aid within four years after his discharge or release from service, or within two years after enactment of this Act, whichever is later. Requires further mental health services on an outpatient basis if a physician employed by the Veterans' Administration determines on the basis of initial counseling that such services are necessary for the veteran's successful readjustment. Directs the Chief Medical Director to provide for the training of professional, paraprofessional, and lay personnel necessary to carry out such programs. Directs the Administrator to ensure that all potentially eligible veterans are advised of such potential eligibility. Authorizes the Administrator to provide a preventive health care program to ensure the best possible health care for veterans with service-connected disabilities. Directs the Administrator to provide for a health maintenance pilot program to demonstrate the medical advantages and cost-effectiveness of furnishing comprehensive preventive health care services to veterans with varied types and degrees of service-connected disabilities. Requires a comprehensive annual report to Congress on such programs. Requires the Administrator to carry out programs providing inpatient and outpatient treatment and rehabilitation services on a nationwide basis to eligible veterans suffering from alcohol or drug dependence or abuse disabilities. Directs the Administrator to assist the Secretary of Labor in providing veterans receiving such treatment with appropriate job and training opportunities. Requires the Administrator, when an applicant for such treatment has received a less than honorable discharge from the armed services, to advise such applicant of his right to apply for review and correction of such discharge. Requires the provision of such services to eligible veterans who are charged with or convicted of any criminal offense and who are not confined and not required to participate in such a treatment program; and permits provision of such services, under specified conditions, to eligible veterans similarly charged or convicted, if a court does require participation in such a program. Allows a member of the active armed services with alcohol or drug problems to transfer to any Veterans' Administration facility for treatment within the last 30 days of such member's tour of duty. Directs the Secretary of Health, Education and Welfare and the Administrator to coordinate the Professional Standards Review program carried out under part B of title XI (General Provision) of the Social Security Act and the comparable programs carried out by the Department of Medicine and Surgery to assess the quality of patient care in Veterans' Administration health care facilities. Requires the Chief Medical Director, through the Administrator, to report to Congress on the effectiveness of such coordination. Requires the Chief Medical Director to report to Congress, not later than three months after the end of each fiscal year, on all activities in which he or a designee, as a representative of the Veterans' Administration, has participated in an advisory or coordinating capacity with respect to programs carried out by the executive branch.
United States · United States Congress · 5 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to include outpatient services by a community mental health centers for up to 60 visits per year among the benefits provided under such title. Sets forth the conditions and limitations on payments for such services, including criteria for utilization review plans of community mental health centers and transfer agreements between hospitals community mental health centers.
United States · United States Congress · 4 August 1977
Title I: Amendments to Title XVIII of the Social Security Act - Amends Title XVIII (Medicare) of the Social Security Act to permit payment under part A (Hospital Insurance Benefits for the Aged and Disabled) of such Title for home care services furnished an individual up to 100 visits. Removes the 100 visit limitation presently applicable to home care services under the supplementary medical insurance program and provides for payment of home care visits not covered by part A of such Title. Includes among the items and services provided under home health care personal and home support services with respect to personal hygiene and care, preparation of meals, shopping, transportation, and light housekeeping services. Title II: Amendments to Title XIX of the Social Security Act - Amends Title XIX (Medicaid) to require the inclusion of home care services in an approved State plan under such Title.
United States · United States Congress · 4 August 1977
Amends Title XIX (Medicaid) of the Social Security Act to delay until January 1, 1979, the date by which the States must implement procedures for making payments on a cost related basis to skilled nursing and intermediate care facilities for services.
United States · United States Congress · 4 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to expand the coverage of that Title to include ambulance service to a physician's office if such office is the nearest facility equipped to handle the emergency.
United States · United States Congress · 3 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to permit an individual who: (1) has reached age 60 but has not yet reached age 65; (2) is either entitled to monthly benefits under the old age, survivors, and disability insurance program or the Railroad Retirement Act of 1937, is the spouse of an individual so entitled, or is entitled to disability benefits or widow's, widower's, mother's, or parent's benefits on the basis of disability; and (3) is presently enrolled under the supplementary medical insurance program of such Title to enroll in the program of hospital insurance benefits for the aged and disabled established under part A of such Title. Permits an individual who meets such age and entitlement requirements, but who is not presently enrolled in the supplementary medical insurance program, to enroll in such program. Provides that individuals enrolling in the hospital insurance benefit program under this Act pay, during the first year of enrollment, the same monthly premium as present enrollees and that individuals likewise enrolling under the supplementary medical insurance program pay 300 percent of the premium now paid by present enrollees. Directs the Secretary of Health, Education, and Welfare to recompute such premium, after the first year of enrollment, to reflect the actual cost of providing medical care to the individuals, as a group, enrolling under the provisions of this Act.
United States · United States Congress · 3 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to permit payment under such Title for inpatient hospital services furnished in Veterans' Administration hospitals to an individual otherwise entitled to hospital benefits under Title II (Old Age, Survivors, and Disability Insurance) of the Social Security Act if such individual was not entitled to receive such services by a VA hospital free of charge but was admitted by hospital authorities and treated under the reasonable belief that he was so entitled.
United States · United States Congress · 3 August 1977
Amends the Civil Rights Act of 1964 to define sex discrimination for employment purposes to include discrimination on the basis of pregnancy. Prohibits an employer providing benefits under a fringe benefit program which is in violation of this Act from reducing benefits or compensation in order to comply with this Act.
United States · United States Congress · 2 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for one comprehensive physical examination a year, dental care including dentures, eye examinations including eyeglasses, hearing aids including examination, treatment of foot conditions. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical appliance expenditures under the Medicare program by implementing appliance leasing, auditing of medical appliance manufacturers and providers, and by cross-referencing prevailing medical appliance rates. Includes under the term "medical appliance" hearing aids, eyeglasses, dentures, and similar health aids. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection. States that the Secretary of Health, Education, and Welfare should provide increased assistance to encourage the continuing education and training of hearing specialists, clinical audiologists, and physicians to improve the quality of hearing care, and to encourage the provision by State local governments of more and better hearing care for the elderly, including a network of examination and treatment sites.
United States · United States Congress · 2 August 1977
Rural Health Care Delivery Improvement Act - Declares that it is the policy of Congress and 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. Authorizes the Director of such office to award grants, contracts, loans, and loan guarantees for projects to: (1) examine existing models of rural health care delivery; (2) determine such models applicability and transferability to other rural areas; and (3) assist in the study, planning, and development of rural health care delivery models. States that the Director shall: (1) provide liaison among all Federal agencies for the purpose of coordinating health care programs in rural areas; (2) provide technical assistance and advice for the development of rural health care delivery models; and (3) provide for the coordination of programs assisted under this Act with programs of the National Health Service Corps. Establishes in the Treasury a rural health care delivery loan guarantee and loan fund. Stipulates that the Director shall not approve an application for a loan or a loan guarantee under this Act unless he determines that the terms and conditions are sufficient to protect the financial interests of the United States. Establishes a Rural Health Care Advisory Committee composed of 11 members. Directs such committee to make recommendations to the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health. Stipulates that the Director shall not approve an award of any grant, contract, loan, or loan guarantee under this Act unless such award has been approved by the Rural Health Care Advisory Committee and the appropriate State and local medical society. Authorizes the appropriation of such amounts as may be required from time to time for for the rural health care delivery loan guarantee and loan fund.
United States · United States Congress · 2 August 1977
Hospital Cost Containment Act - Title I: Establishment of State Commissions on Hospital Budgets - Requires each State desiring to conduct a hospital cost containment plan to submit such a plan to the Secretary of Health, Education, and Welfare. Directs the Secretary to approve the State plan if it includes: (1) a provision establishing a commission on hospital budgets to supervise the administration of the plan; and (2) a provision establishing an advisory council to review and comment on the operation of the commission and to act on appeals of commission decisions. Directs the Secretary to reimburse a State for 80 percent of the amounts expended for the development and administration of the State's commission on hospital budgets and its advisory council. Declares any State which on July 1, 1977, had in effect a satisfactory plan to control hospital costs ineligible for a start-up grant. Directs each State commission on hospital budgets to file with the Secretary a report of the average reimbursement per admission approved by the commission for the various categories of health care institutions under the State plan. Directs the Secretary to disapprove the plan of any State that is not in compliance with the Federal limits on rate increases. Sets forth the method by which the Secretary shall assist the State to comply with the Federal requirements. Directs the Secretary to monitor and make recommendations for the improvement of State commissions. Title II: Coordination With Health Planning and Peer Review Activities - Directs each State commission on hospital budgets and each State health planning and development agency to file with the Secretary a memorandum of agreement providing for, but not limited to: (1) review and comment by the commission on the health systems plan and annual implementation plans developed by State health systems and health planning agencies; (2) sharing of appropriate data, including hospital budgets, volume, projections, and service area definitions; and (3) development of complementary guidelines and procedures for review of the financial feasibility of proposed facilities. Amends the Social Security Act to extend the scope of review of Professional Standards of Review Organizations to all health care related professional activities. Requires each State commission on hospital budgets and each health care professional standards review organization which is located within such State to file with the Secretary a memorandum of agreement providing for: (1) sharing of appropriate data; (2) joint development of quality assurance plans; and (3) opportunity for review by such organization on commission decisions. Title III: Transitional Hospital Cost Containment Program - States that it is the purpose of the program established by this title to constrain the rate of increases in total acute care hospital inpatient costs. States that the increase in total revenue which a hospital may receive in any accounting year in the form of: (1) reimbursement paid under the Medicare and Medicaid programs, and by cost payers for inpatient services; and (2) charges imposed upon other persons for inpatient services; and (3) charges imposed upon other persons for inpatient services, may not, on a per admission basis, exceed the average inpatient reimbursement due or inpatient charges imposed per inpatient admission in the base period by more than the percentage allowed under this Act. Sets forth formulas by which the limits of the increase in total revenue may be computed. Bases the "inpatient hospital revenue increase limit" on increases in the gross national product deflator and total hospital expenditures nationwide. Authorizes the Secretary to grant exceptions to the revenue increase limit during periods in which the excepted hospitals meet specified criteria. Permits any hospital which is dissatisfied by the decision of the Secretary to grant or not to, if the amount in controversy if $25,000 or more, grant an exception, to obtain a hearing before the Provider Reimbursement Review Board established by the Social Security Act. Directs the Secretary to appoint five additional members to such Board for the purpose of reviewing appeals under this title. Prohibits, under the Social Security Act, the payment of hospital costs in excess of the limits established pursuant to this Act. Prohibits the receipt by any hospital, or payment by any cost payer for inpatient hospital services on a cost basis in excess of applicable limits. Subjects hospitals or cost payers in violation of such prohibitions to: (1) a Federal excise tax established by this Act; and (2) exclusion from participation in any of the programs established under the Medicaid, Medicare or Maternal and Child Health Services programs of the Social Security Act. Allows the Secretary to exclude from cost containment provisions: (1) hospitals engaged in certain experiments or demonstrations authorized by the Social Security Act; and (2) hospitals in States with cost containment programs approved by the Secretary. Requires every hospital to submit semiannually to the appropriate health systems agency, its average semiprivate room rate and the charges for ten other representative services most important for purposes of comparing hospitals. Amends the Internal Revenue Code of 1954 to impose an excise tax on payments received for inpatient hospital services in excess of the the inpatient hospital revenue increase limit. Title IV: Limitation on Hospital Capital Expenditures - Amends the Public Health Service Act to require the Secretary to promulgate: (1) an annual hospital capital expenditure limit; and (2) a National ceiling for the supply of hospital beds. Sets forth the criteria to be considered by State health planning agencies when considering applications for certificates for need submitted by health facilities. Prohibits Federal payments under the Medicaid, Medicare, and Maternal and Child Health Services programs of the Social Security Act, to any State that has not entered into an agreement with the Secretary pursuant to the provisions of this Act. Title V: Surplus Services - Amends the Public Health Service Act to define as surplus any institutional health service found to be unneeded according to the standards applied in determining whether a proposed new service shall be granted a certificate of need. Declares that any such service declared surplus shall be considered as though it had been denied a certificate-of-need. Directs the Secretary to make grants to institutions which have discontinued health services pursuant to a determination that such services were surplus. Limits the amount of such grant to the amount of debt incurred by the institution in developing the service declared surplus which remains outstanding. Title VI: Miscellaneous Provisions - Directs the Secretary to establish a uniform system for the reporting of cost information by all of the health facilities and organizations to which the provisions of this Act apply.
United States · United States Congress · 1 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for the services of optometrists related to the treatment of aphakia under the supplementary medical insurance program.
United States · United States Congress · 1 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to include within the medical and other health services covered by such Title the transportation of patients confined to a stretcher or wheelchair in a vehicle which is not equipped as an ambulance but which is adequately equipped to transport such patients.
United States · United States Congress · 1 August 1977
Amends Title XVIII (Medicare) of the Social Security Act to include within the medical and other health services covered by such Title the transportation of patients confined to a stretcher or wheelchair in a vehicle which is not equipped as an ambulance but which is adequately equipped to transport such patients.
United States · United States Congress · 1 August 1977
Mental Health Act - Title I: Mental Health Benefits - Entitles United States residents and non-resident citizens to mental health benefits under this Act. Enumerates mental health services covered by this Act, stipulating that payments for such services shall be made by the Secretary of Health, Education, and Welfare on the recipient's behalf. Sets forth qualifications of psychiatric hospitals for participation in the program under this Act, including the provision of active diagnostic, therapeutic, and rehabilitative services, and accreditation by the Joint Commission on the Accreditation of Hospitals. Directs that the program under this Act be administered by the Secretary with the advice and assistance of a Committee on Mental Health responsible for approval of all providers under this Act and the establishment of relevant guidelines and qualifications. Requires the Secretary to conduct a study of the feasibility of establishing a national program of mental health insurance, and to submit a report of the findings to the President and Congress. Creates on the books of the United States Treasury a Federal Mental Health Trust Fund. Appropriates to the fund specified tax revenues. Creates a Board of Trustees of the Trust Fund, with the Secretary of the Treasury as the Managing Trustee, to hold the fund, report annually to Congress on the operation and status of the trust fund, report to Congress when the amount of the fund is unduly small, and review general policies followed in managing the fund. Makes it the duty of the Managing Trustee to invest such portions of the trust fund, according to specified instructions, as are not required to meet current withdrawals. Title II: Mental Health Taxes - Amends the Internal Revenue Code to impose a series of mental health taxes on employees' income, employers, self-employment income, and unearned income. Sets forth rules applicable to the nondeductibility of mental health taxes from the employee's exempt wages. Excludes from an individual's gross income an employer's payment of the mental health tax.
United States · United States Congress · 28 July 1977
State Cost Control Plan for Hospitals Act - Title I: State Hospital Cost Control Plan - Declares that each State desiring to conduct a hospital cost containment plan shall submit such plan to the Secretary of Health, Education, and Welfare for approval. Directs the Secretary to approve a State plan which meets criteria set forth in this Act including: (1) the establishment of a hospital review commission with the authority to supervise the administration of the plan; and (2) the establishment of an advisory council with the duty of reviewing and commenting on the operation of the hospital review commission and acting on appeals of commission decisions. Directs the Secretary to pay to any State which has a qualified hospital cost control plan which went into effect after July 1, 1977, an amount equal to 100 percent of the reasonable amounts expended by the State for the administration of the State's hospital review commission and its advisory council. Requires each State hospital review commission to file annually with the Secretary a report on the level of rates of institutional reimbursement approved under the State plan. Title II: Coordination with Health Planning and Peer Review Activities - Directs each State Hospital review commission to review the expenditures of a health care institution for financing costs and depreciation relating to prior capital expenditures. Requires such a commission to disapprove any such expenditures made for services, equipment, and facilities which required but were denied a certificate-of-need pursuant to the Public Health Service Act and the Social Security Act. Amends Title XI (General Provisions and Professional Standards Review) of the Social Security Act to direct that the expenses of Professional Standards Review Organizations be passed on to the providers whose services are reviewed. Title III: Federal Hospital Cost Containment Program - Directs that the average reimbursement paid to a hospital for inpatient services under Titles V (Maternal and Child Health and Crippled Children's Services), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act, and the average charges imposed by a hospital for inpatient services may not exceed the base inpatient hospital revenue per inpatient admission, as established in this Act, by a specified percentage. Sets forth formulas by which determinations of inpatient care costs shall be calculated for the purposes of this Act. Sets forth conditions under which the Secretary may grant exceptions from the limits established under this Act. Subjects any hospital granted an exception from the cost imposed by this Act to an operational review by the Secretary. Grants any hospital which is adversely affected by a determination of the Secretary in connection with the application or granting of an exception the right to a hearing before the Provider Reimbursement Review Board established under the Medicare program if the amount in controversy is $25,000 or more. Directs the Secretary to appoint five additional members to such Board for the purposes of reviewing appeals under this Title. Subjects hospitals or cost payers which receive reimbursement in excess of levels permitted under this Title to: (1) a Federal excise tax established by this Act; and (2) exclusion from participation in any of the programs established under the Medicaid, Medicare, or Maternal and Child Health and Crippled Children's Services programs of the Social Security Act. Amends the Internal Revenue Code of 1954 to impose an excise tax on payments received for inpatient hospital services in excess of the limits established by this Act. Directs the Secretary, for the purpose of obtaining information on costs which can be used in planning and measuring the efficiency of various types of health services facilities and organizations, to establish, for each such type of organization, a uniform system for the reporting of information. Title IV: Limitation on Hospital Capital Expenditures - Amends Title XI (General Provisions and Professional Standards Review) of the Social Security Act to assure that Federal funds appropriated under Titles V, XVIII, and XIX of such Act are not used to support capital expenditures for inpatient hospital services, and are used only to support expenditures for other health services which are determined to be necessary through the health services and facilities planning activities in the various States. Title V: Revisions of Title XV of the Public Health Service Act - Amends the Public Health Service Act to define as surplus any institutional health service found to be unneeded according to the standards applied in determining whether a proposed new service shall be granted a certificate of need. Declares that any such service declared surplus shall be considered as though it had been denied a certificate-of-need. Directs the Secretary to make grants to institutions which have discontinued health services pursuant to a determination that such services were surplus. Limits the amount of such grant to the amount of debt incurred by the institution in developing the service declared surplus which remains outstanding.
United States · United States Congress · 28 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
United States · United States Congress · 28 July 1977
National Catastrophic Health Insurance Program Act - Establishes Title XXI (National Catastrophic Health Insurance Program) of the Social Security Act to provide catastrophic illness insurance benefits to all individuals, their spouses and dependents whose combined resources are less than $50,000 for their most recent previous tax year. Establishes the Federal Catastrophic Health Insurance Trust Fund to finance payments for health care services under this Act and provides for a board of trustees to manage the fund. Amends the Internal Revenue Code of 1954 to impose a tax upon individuals who remove natural resources from the Federal lands of ten percent of such resources removed and provides that 100 percent of the revenues collected from such tax shall be deposited into the Federal Catastrophic Health Insurance Trust Fund.
United States · United States Congress · 28 July 1977
Requests the Secretary of Health, Education, and Welfare to hasten the assembly of data and expedite the reviews and consideration precedent to the introduction of sodium valproate for the treatment of epilepsy in the United States.
United States · United States Congress · 28 July 1977
Requests the Secretary of Health, Education, and Welfare to hasten the assembly of data and expedite the reviews and consideration precedent to the introduction of sodium valproate for the treatment of epilepsy in the United States.
United States · United States Congress · 27 July 1977
Comprehensive Health Care Insurance Act - Requires every employer to offer each of his employees and their families qualified health care insurance. States that such coverage shall be optional with the employee. Requires an employer to contribute to the cost of such coverage for the benefit of an electing employee and his family at least 65 percent of the premium, with the employee contributing the balance. Establishes, for low-income employees, a program of certificates of entitlement or income tax credit in the amount by which the portion of the premium payable by such an employee exceeds the premium for which he would be liable under the program of health insurance for the unemployed or self-employed as established by this Act. Authorizes the Attorney General to bring suit to compel an employer to comply with the provisions of this Act. Stipulates that employers experiencing substantial increases in payroll cost due to the provisions of this Act will be entitled to a cash payment by the Secretary of Health, Education, and Welfare or a credit against income tax. States that premiums for employee groups of one to 100 persons and self-employed persons shall not exceed 125 percent of the estimated average in the State of the annual premium for employee groups of more than 100 persons. Sets forth a plan of health insurance providing hospital, medical, dental, and other health care services for non-employed and self-employed individuals and their families. Establishes, as a means of implementing such plan, a program of certificates of entitlement issued by the Secretary and credits against income tax for the premium for qualified health care insurance. States that the amount of Federal participation shall be related to the income of the individual or family, the Government to pay the full premium for those whose annual incomes are insufficient to create income tax liability, and to pay a gradually smaller proportion of the premium for others in relation to increasing amounts of income tax liability. Provides qualified health care insurance for an individual or family with no tax liability for the base year. Stipulates that the premium rate to be charged for a qualified health care insurance policy offered under such plan for any year shall in no case exceed 125 percent of the estimated average of premiums paid in the State for qualified health care insurance for groups of employees with more than 100 members. Excludes from qualified health care insurance coverage payment for stipulated items, including: (1) personal comfort items; (2) eyeglasses, hearing aids, or orthopedic shoes; and (3) private room inpatient hospital accommodations. Limits the aggregate amount of expenditures for catastrophic illness expenses. Sets forth requirements which must be met by qualified health care insurance plans. Establishes the Federal Health Insurance Redemption Fund. Authorizes appropriations to the fund of amounts equal to the aggregate amount of premiums paid under this Act. Requires carriers offering qualified health care insurance policies to participate in an assigned-risk pool which may be established in such State by the State insurance department or by such agency as may be authorized by the State. Establishes a Health Insurance Advisory Board to: (1) prescribe such regulations as may be necessary to carry out the purposes and provisions of this Act; (2) establish minimum Federal standards for the use of State insurance departments in determining whether an insurance company and plan are qualified under this Act; (3) in consultation with carriers, providers of services, and consumers, plan, review, and develop, where necessary, programs whose purposes are to provide for maintaining the quality of medical care; and (4) review the effectiveness of the program established by this Act. Stipulates that individuals collecting unemployment compensation are eligible for coverage under this Act, unless covered through an employed member of his family. Permits an income tax credit for premiums paid for qualified insurance plans under this Act.
United States · United States Congress · 26 July 1977
Requests the Secretary of Health, Education, and Welfare to hasten the assembly of data and expedite the reviews and consideration precedent to the introduction of sodium valproate for the treatment of epilepsy in the United States.
United States · United States Congress · 25 July 1977
Amends Title XIX (Medicaid) of the Social Security Act to prohibit States which do not automatically extend Medicaid benefits to Supplement Security Income recipients from considering, in determining the eligibility of an individual for, or the amount of medical assistance benefits to which an individual is entitled, the income or resources of the individual which would not be taken into account in determining such individual's eligibility for Supplemental Security Income benefits or for Medicaid benefits under specified circumstances.
United States · United States Congress · 25 July 1977
Veterans Health Care Amendments Act - Requires the Administrator of Veterans' Affairs to furnish initial readjustment professional counseling (including a general mental and psychological assessment) for any veteran with readjustment problems who requests such aid within four years after his discharge or release from service, or within two years after enactment of this Act, whichever is later. Requires further mental health services on an outpatient basis if a physician employed by the Veterans' Administration determines on the basis of initial counseling that such services are necessary for the veteran's successful readjustment. Directs the Chief Medical Director to provide for the training of professional, paraprofessional, and lay personnel necessary to carry out such programs. Directs the Administrator to ensure that all potentially eligible veterans are advised of such potential eligibility. Authorizes the Administrator to provide a preventive health care program to ensure the best possible health care for veterans with service-connected disabilities. Directs the Administrator to provide for a health maintenance pilot program to demonstrate the medical advantages and cost-effectiveness of furnishing comprehensive preventive health care services to veterans with varied types and degrees of service-connected disabilities. Requires a comprehensive annual report to Congress on such programs. Requires the Administrator to carry out programs providing inpatient and outpatient treatment and rehabilitation services on a nationwide basis to eligible veterans suffering from alcohol or drug dependence or abuse disabilities. Directs the Administrator to assist the Secretary of Labor in providing veterans receiving such treatment with appropriate job and training opportunities. Requires the Administrator, when an applicant for such treatment has received a less than honorable discharge from the armed services, to advise such applicant of his right to apply for review and correction of such discharge. Requires the provision of such services to eligible veterans who are charged with or convicted of any criminal offense and who are not confined and not required to participate in such a treatment program; and permits provision of such services, under specified conditions, to eligible veterans similarly charged or convicted, if a court does require participation in such a program. Allows a member of the active armed services with alcohol or drug problems to transfer to any Veterans' Administration facility for treatment within the last 30 days of such member's tour of duty. Directs the Secretary of Health, Education and Welfare and the Administrator to coordinate the Professional Standards Review program carried out under part B of title XI (General Provision) of the Social Security Act and the comparable programs carried out by the Department of Medicine and Surgery to assess the quality of patient care in Veterans' Administration health care facilities. Requires the Chief Medical Director, through the Administrator, to report to Congress on the effectiveness of such coordination. Requires the Chief Medical Director to report to Congress, not later than three months after the end of each fiscal year, on all activities in which he or a designee, as a representative of the Veterans' Administration, has participated in an advisory or coordinating capacity with respect to programs carried out by the executive branch.
United States · United States Congress · 25 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide for the creation of an alternative reimbursement formula which will allow participating hospitals with less than 100 beds and less than 60 percent average occupancy located in areas where there is a demonstrated shortage of nursing home beds, to provide long-term care without applying proportional allocation of overhead costs to all patients in such facilities.
United States · United States Congress · 25 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for rural health clinic services pursuant to the program of Supplementary Medical Insurance Benefits for the Aged and Disabled of such title.
United States · United States Congress · 25 July 1977
Amends the Medicare and Medicaid programs of the Social Security Act to include rural health facilities of 100 beds or fewer within the definition of the term "hospital."
United States · United States Congress · 25 July 1977
Amends the Public Health Service Act to require that the application of a medical school for a capitation grant to be made in fiscal year 1978 be supported by assurances satisfactory to the Secretary of Health, Education, and Welfare that the school will increase the enrollment of full-time, third-year students in the 1978-1979 school year by the greater of: (1)five percent; or (2) ten students over the number of such students enrolled in school year 1977-1978 or 1976-1977 whichever is greater. Directs the Secretary to assist schools of medicine to meet such requirement by identifying citizens of the United States: (1) who before 1976 were students in a school of medicine not in a State; (2) who have completed at least two years in a school of medicine; and (3) who have successfully completed part I of the National Board of Medical Examiners' examination. Permits the Secretary to waive the increase requirement upon a finding that an increase in the enrollment of third-year students will present the school from providing high quality clinical training for its third-year students because of the inadequate size of the population served by the facility.
United States · United States Congress · 21 July 1977
Directs the Secretary of Defense to maintain a list of all persons currently eligible for medical or dental care under the Civilian Health and Medical Plan of the Uniformed Services (CHAMPUS) other than members of the uniformed services serving on active duty. Authorizes the Secretary to contract with health maintenance organizations to provide health care services under such plan.
United States · United States Congress · 21 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for optometric and medical vision care under the supplementary medical insurance program.
United States · United States Congress · 21 July 1977
Amends Title XIX (Medicare) of the Social Security Act to require State plans for medical assistance to include comprehensive routine maternity services provided by nurse-midwives. Requires States to establish a single prospectively determined rate for all care and services provided in the course of a normal pregnancy and to reimburse health facilities for such care and services in an amount equal to the proportion of all such services provided multiplied by the established rate.
United States · United States Congress · 20 July 1977
National School-Age Mother and Child Health Act - Amends the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to make grants to designated State agencies to meet part of the cost of planning and coordinating services for school age girls and their children. Sets forth requirements which the State plans must meet before receiving such grants, including: comprehensive health care to school-age girls (associated with the continuation of pregnancy) and to their children, family planning and counseling, infant and child day care and a coordinated program of social services. Prohibits the collection by, or submission to, the Federal or State Government of identifying information of persons receiving services under this program. Establishes a unit within the Maternal and Child Health Service of the Department of Health, Education, and Welfare to administer and coordinate the program established by this Act.
United States · United States Congress · 19 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for rural health clinic services under the supplementary medical insurance program. Directs the Secretary of Health, Education, and Welfare to provide through demonstration projects, reimbursement on a cost basis for services provided by physician-directed clinics in urban medically underserved areas for which payment may be made under Medicare, and for services provided by physician extenders employed by such clinics. Directs the Secretary to carry out demonstration projects to provide reimbursement under the Medicare program for services provided in organized centers offering comprehensive outpatient mental health services.
United States · United States Congress · 19 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for dental care, eye care, and hearing aids under the supplementary medical insurance program.
United States · United States Congress · 18 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for rural health clinic services pursuant to program of Supplementary Medical Insurance Benefits for the Aged and Disabled of such Title.
United States · United States Congress · 18 July 1977
Amends Title XIX (Medicaid) of the Social Security Act to require payment to States of 90 percent of the total amount expended under State plans for early and periodic screening and diagnosis, (EPSDT) and 100 percent of the total amount for treatment of defects and conditions discovered through such screening and diagnosis. Institutes a program for distribution of coupons to individuals entitled to medical assistance EPSOT which identify services to which an eligible individual is entitled. Requires an annual compilation of providers and institutions which will provide services under EPSDT and further requires such institutions to provide to the maximum extent feasible all authorized services to individuals so entitled.
United States · United States Congress · 18 July 1977
National Tay-Sachs Disease Control Act - Amends the Public Health Service Act to establish a national program for voluntary Tay-Sachs disease screening and counseling. Authorizes the Secretary of Health, Education, and Welfare to make grants and enter into contracts for research in the diagnosis, treatment, and prevention of Tay-Sachs disease. Authorizes the appropriation of $2,500,000 for fiscal year 1977 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.
United States · United States Congress · 18 July 1977
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for hearing aids and dentures under the supplementary medical insurance program.
United States · United States Congress · 15 July 1977
Amends Title XIX (Medicaid) of the Social Security Act to qualify an individual who, although employable, is unable to care for his or her personal needs without assistance as a disabled person eligible for the services of a home health aide.
United States · United States Congress · 14 July 1977
Hospital Cost Containment Act - Title I: Transitional Hospital Cost Constraint Provisions - States that it is the purpose of the program established by this title to constrain the rate of increases in total acute care hospital inpatient costs. States that a hospital's average reimbursement per admission for inpatient services and a hospital's average inpatient charges per admission, in the next four accounting years, shall not exceed the hospital's base reimbursement per admission for inpatient services, or the hospital's base inpatient charges per admission by more than the percentage allowed under this Act for each year. Sets forth formulas to be used in increasing or reducing such costs limitations to reflect changes in the cost of care and the number of admissions to a hospital in an accounting year. Permits the Secretary of Health, Education, and Welfare to grant an exemption from the limits established by this Act to a hospital: (1) which has increased its coverage of inpatient services; (2) which will receive less reimbursement in a particular year than that received in its base year; or (3) which has changed its capacity or the types or character of inpatient services available. Prohibits, under the Social Security Act, the payment of hospital costs in excess of the limits established pursuant to this Act. Prohibits the receipt by any hospital, or payment by any cost payer for inpatient hospital services on a cost basis in excess of applicable limits. Subjects hospitals or cost payers in violation of these prohibitions to: (1) a Federal excise tax established by this Act; and (2) exclusion from participation in any of the programs established under the Medicaid, Medicare on Maternal and Child Health Services programs of the Social Security Act. Allows the Secretary to exclude from cost containment provisions: (1) hospitals which meet specified criteria, at the request of the Governor of such States; and (2) hospitals engaged in certain experiments on demonstrations authorized by the Social Security Act. Requires every hospital to submit semiannually to the appropriate health systems agency, its average semiprivate room rate and the charges for the ten other representative services most important for purposes of comparing hospitals. Amends the Internal Revenue Code of 1954 to impose an excise tax on payments received for inpatient hospital services in excess of the inpatient hospital reimbursement increase limit.
United States · United States Congress · 14 July 1977
Extends the coverage for dental services provided under title XVIII (Medicare) of the Social Security Act to include any services which may be performed by a doctor of dental surgery or of dental medicine and to authorize payment under the Medicare program for all inpatient hospital services furnished in connection with dental procedures requiring hospitalization.
United States · United States Congress · 14 July 1977
Volunteer Ambulance, First Aid, and Rescue Squad Personnel Benefits Act - Amends the Omnibus Crime Control and Safe Streets Act of 1968 to extend public safety officer death benefits to members of volunteer ambulance, first aid, or rescue squads. Makes coverage under the Public Safety Officers Benefits Act retroactive so as to apply to death occurring after 1971.
United States · United States Congress · 13 July 1977
National Home Health Care Act - Broadens the coverage of home health services under Title XVIII (Medicare) of the Social Security Act and removes the 100-visit limitation presently applicable to the home health service program. Extends the coverage of posthospital home health services to include payment for items and services which the individual could otherwise obtain in a skilled nursing facility. Amends Title XIX (Medicaid) of the Social Security Act to require the inclusion of home health services in a State's Medicaid program and permit the payment of rent under such program for elderly and handicapped persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low-income housing program. Establishes, in the Department of Health, Education, and Welfare, a Home Health Patient Ombudsman, who shall be appointed and provided with adequate staff and facilities by the Secretary. Makes it the duty and responsibility of the ombudsman to monitor specified programs under the Social Security and the various medical assistance programs under the State plans approved pursuant to such Act, and to maintain such oversight of those programs and their operation and administration as may be necessary to: (1) assure that home health patients under such programs are receiving the care to which they are entitled: (2) provide safeguards against over-charging for home health services; (3) identify abuses against home health patients; (4) receive, handle, and expedite complaints by home health patients; (5) recommend to the Secretary any changes in the regulations affecting home health services which may appear necessary or desirable; and (6) take appropriate action (including the transmission of findings to the Attorney General) with respect to abuses and violations of law affecting the provision or receipt of home health services under such programs. Requires the Secretary of Health, Education, and Welfare to conduct a study and report to the Congress on the feasibility of extending to the Medicare program the prospective cost-related method of computing payments to nursing homes and home health agencies which is currently provided under the Medicaid program.
United States · United States Congress · 13 July 1977
Amends Title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act to provide Medicare benefits for individuals who require total parenteral nutrition (TPN) as a result of intestinal surgery.
United States · United States Congress · 13 July 1977
Transitional Health Care Cost Containment Act - Directs the President and the Secretary of Health, Education, and Welfare to consult with people in the fields of medicine, hospital management and finance, and representatives of patients, labor, and management and to submit to the Congress before October 1, 1978, a report of recommendations for reforms in the structure, delivery, and financing of health care. Title I: Moratorium on Increases in Hospital Labor Intensity - Prohibits any hospital from increasing the number of full-time employees of the hospital between October 1, 1977, and September 30, 1979. Subjects any hospital which violates the provisions of this Act to a civil penalty. Title II: Moratorium on Acquisition of New Health Care Equipment and Facilities - Prohibits, in the 24-month period beginning October 1, 1977, any person engaged in the provision of health care from acquiring or using any health care equipment or facility if the equipment or facility has not been previously used. Sets forth exceptions to such prohibition. Establishes a civil penalty for violation of the prohibition. Title III: Preservation of Depreciation - Prohibits the Secretary from taking any action which will affect the entitlement of any health care provider to reimbursement for depreciation allowable under the Social Security Act. Title IV: Modifications to the National Health Planning and Resources Development Act - Prohibits health systems agencies and State health planning and development agencies from reviewing the need for new institutional health services during the 24-month period beginning on October 1, 1977.
United States · United States Congress · 13 July 1977
Occupational Alcoholism Prevention and Treatment Act - Authorizes the Secretary of Health, Education, and Welfare, acting through the National Institute on Alcohol Abuse and Alcoholism, to make grants to employers, labor organizations, consortiums of employees or labor organizations, and to public or private nonprofit agencies and organizations to pay no more than 50 percent of the cost of establishing, and operating occupational alcoholism programs. Authorizes the appropriation of a specified percentage of Federal taxes collected on alcohol to finance such assistance. Allots such fund among the States. Requires any individual or organization desiring to receive funds to submit an annual application for approval by the Secretary. Makes applicants approved by the Secretary eligible to receive grants from the State allotment.
United States · United States Congress · 13 July 1977
Amends Title II (Old-Age, Survivors, and Disability Insurance) of the Social Security Act to provide Medicare benefits for individuals who require total parenteral nutrition (TPN) as a result of intestinal surgery.
Germany · German Bundestag · 13 July 1977
Beschluß Nr. 78/168/EWG