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151 records in 1978

Records

Bill· HRH.R. 12916 (95th)referred

Brown Lung Disease Act

United States · United States Congress · 1 June 1978

Brown Lung Disease Act - Requires that any claim for disability payments due to byssinosis (Brown Lung Disease), other than for those paid by the employer pursuant to this Act, shall be filed pursuant to the applicable State worker's compensation law. Provides that, for periods when such law does not provide adequate coverage, benefits may be claimed under this Act. States that the Secretary of Labor (Secretary) shall publish a list of State worker's compensation laws which provide adequate coverage. Sets forth the standards by which the Secretary shall judge the adequacy of the coverage for byssinosis provided by a State's workers compensation law. Directs each employer to pay benefits for each death or total disability due to byssinosis arising out of employment. Sets forth the amount of such payments. Provides for the reduction of such payments by the amount of State worker's compensation payments received, or in accordance with the amount of Social Security benefits received. Requires the Secretary, in conjunction with the National Institute for Occupational Safety and Health, to establish standards, which shall include appropriate presumptions, for determining whether a worker is totally disabled or in the case of a deceased worker was totally disabled, from byssinosis and whether such byssinosis arose out of the employment. States that each employer shall be liable for the securing of benefits to employees equal to or greater than those provided by this Act. Sets forth the means by which an employer shall secure the payment of benefits for which such employer is liable during any period in which a State worker's compensation law is not included on the list published by the Secretary. States that nothing in this Act shall relieve any employer of the duty to comply with any State worker's compensation law, except insofar as such State law is in conflict with the provisions of this Act and the Secretary, by regulation, so prescribes. Provides that during any period after the date of enactment of this Act in which a State workmen's compensation law is not included on the list published by the Secretary certain provisions of the Longshoremen's and Harbor Workers' Compensation Act shall be applicable. Authorizes the Secretary to enter into contracts with and make grants to public and private agencies and organizations and individuals for the construction, purchase, and operation of fixed site and mobile clinical facilities for the analysis, examination, and treatment of respiratory and pulmonary impairments in active and inactive textile plant workers. Requires the Secretary to initiate research within the National Institute for Occupational Safety and Health. Authorizes the Secretary to make research grants to public and private agencies and organizations and individuals for the purpose of devising a simple and effective test to measure, detect, and treat respiratory and pulmonary impairments in active and inactive workers.

Bill· SS. 3160 (95th)referred

Urban and Rural Para-Medical Act

United States · United States Congress · 26 May 1978

Urban and Rural Para-Medical Act - Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants for: (1) training allied health personnel to meet the special needs of medically underserved areas; (2) training such personnel in conjunction with hospitals and medical schools in medically underserved areas; and (3) establishing allied health medical centers in affiliation with hospital centers. Directs that priority for such training and employment shall be given residents of medically underserved areas and to veterans who have received similar training.

Bill· SS. 3143 (95th)referred

A bill to increase alternatives to institutionalization for senior citizens.

United States · United States Congress · 25 May 1978

Authorizes the Secretary of Health, Education, and Welfare to provide, through demonstration projects, payments to individuals who are receiving, or are eligible to receive, benefits with respect to post-hospital extended care services under Title XVIII (Medicare) of the Social Security Act or intermediate care facility services or skilled nursing facility services under Title XIX (Medicaid) of such Act, who do not require 24-hour nursing care or supervision, and who desire to establish a noninstitutional living arrangement which will meet their medical and other needs. Requires payments received to be used to finance appropriate noninstitutional living arrangements which meet the medical and other needs of the individual. Provides that such payments shall not be includable in gross income under the Internal Revenue Code. Requires the Secretary to design demonstration projects for the purpose of determining: (1) the feasibility of transferring inpatients of skilled nursing and intermediate care facilities to noninstitutional living arrangements; (2) the types and percentage of such inpatients who could live effectively in a noninstitutional living arrangement; and (3) the types and percentages of such inpatients who would benefit economically and qualitatively from transferring to a noninstitutional living arrangement. Directs that funds for such payments be made from the Federal Hospital Insurance Fund established under the Social Security Act and from funds appropriated for Medicaid.

Bill· HRH.R. 12878 (95th)referred

Military Health Care System Reform Act

United States · United States Congress · 25 May 1978

Military Health Care System Reform Act - Directs the Secretary of Defense to appoint regional civilian military health care administrators to coordinate budgeting, planning, and the allocation of health care resources. Provides for the enrollment of active duty personnel, former members of the military, and military dependents in the military health care system for the provision of medical and dental care. States that enrolled persons shall not be denied or limited in the care provided by reason of the capability of the medical or dental staffs of major military helath care facilities. Provides for the supply of identification cards to enrolled persons. Requires major military health care facilities to establish programs to provide services to enrolled persons. Establishes budgeting requirements for such programs. Directs the Secretary of Defense to take steps to maximize training and use of physician assistance, nurse practitioners, and similar practioners at military health care facilities. Authorizes private physicians to provide medical and dental care at such facilities. Prescribes procedures for processing contract claims for services by private physicians. Entitles military medical personnel to a special performance incentive payment if fiscal year facility expenses are below budgeted expenditures. Prescribes performance standards to be used in determining the amount of such special pay. Requires the Secretary to provide for recovery of payments from health care insurers, employers, or other entities contractually or legally obligated to make payment for the provision of such care to enrolled individuals.

Bill· HRH.R. 12875 (95th)referred

A bill to amend title XVIII of the Social Security Act to authorize payment under the supplementary medical insurance program for the cutting and removal of corns, warts, and calluses and the reduction of club nails.

United States · United States Congress · 25 May 1978

Amends Title XVIII (Medicare) of the Social Security Act to authorize payment under the supplementary medical insurance program for foot care involving the cutting and removal of corns, warts, and calluses and the trimming of club nails.

Resolution· SRESS.Res. 465 (95th)referred

A resolution expressing the sense of the Senate with respect to mutual action by the United States and Canada to protect and enhance the quality of air resources along their mutual border so as to promote the public health and welfare.

United States · United States Congress · 24 May 1978

Expresses the sense of the Senate that the Secretary of State: (1) make every effort to negotiate an agreement with Canada to preserve our mutual airshed, protect air resources, and maintain air quality; and (2) take whatever diplomatic actions necessary to reduce or eliminate any undesirable impact on both countries resulting from air pollution from any source.

Bill· SS. 3131 (95th)referred

Medicare Mental Illness Non-Discrimination Act

United States · United States Congress · 23 May 1978

Medicare Mental Illness Non-Discrimination Act - Makes findings that mental illness is more prevalent in elderly persons than in younger adults and that the social security coverage for mental illness is not on an equal basis with coverage for other types of illnesses. Amends Title XVIII (Medicare) of the Social Security Act to: (1) eliminate the 190 day lifetime limit for in-patient psychiatric care; and (2) limit the amount which a provider of services may charge a Medicare patient for mental health care services to 20 percent of the amount customarily charged for such services.

Bill· SS. 3116 (95th)open

Formula and Project Grants for Preventive Health Services and Resources for Disease Prevention and Health Promotion Act

United States · United States Congress · 19 May 1978

Formula and Projects Grants for Preventive Health Services and Resources for Disease Prevention and Health Promotion Act - Title I: Formula and Project Grants for Preventive Health Services - Amends the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to make grants to States to assist them in planning for and in meeting the costs of providing preventive health services. States that an application for such a grant shall provide for a detailed plan of a program to reduce, through the prevention of causative conditions, the mortality rates, and, at the option of the applying State, the burden of illness associated with the five leading causes of death in the State. Sets forth specified information to be included in applications for such grants. Requires the Secretary to review annually the activities undertaken by each State pursuant to an approved application. Sets forth a procedure for determining the amount of grants which each State shall receive for planning, providing, and operating preventive health services programs. Requires that all information obtained about any individual under any program that is being carried out with respect to such grants shall not be disclosed without such individual's consent. Authorizes the Secretary to make grants to States, political subdivisions of States, other public entities, or private entities to assist them in meeting the costs of establishing and maintaining: (1) programs for the screening, detection, diagnosis, prevention, referral for treatment, and follow-up on compliance with treatment of hypertension; (2) programs to immunize children against diseases; (3) community and school-based floridation programs; (4) programs designed to prevent illness caused by factors in the immediate living environment of people; (5) programs to prevent diseases borne by rodents; and (6) comprehensive physical fitness programs. Sets forth specified information to be included in applications for such grants. Requires the Secretary to review annually the activities undertaken by each State pursuant to an approved application. Requires that all information obtained about any individual under any program carried out with respect to such grants shall not be disclosed without such individual's consent. Directs the Secretary to establish standards for comprehensive physical fitness programs. Authorizes appropriations through fiscal year 1982 for lead-based paint poisoning prevention programs. Sets forth a new method for determining the total amount of grants received by State health and mental health authorities for comprehensive public health services under the Public Health Service Act. Authorizes appropriations for such grants through fiscal year 1982. Title II: Resources for Disease Prevention and Health Promotion - Directs the Secretary to make grants to meet the costs of planning and developing new centers, and operating existing and new centers, for multidisciplinary health promotion. Directs the Secretary to undertake or support five intensive and comprehensive community based programs to demonstrate and evaluate optimal methods for organizing and delivering comprehensive preventive health services to defined populations. Requires the Secretary, acting through the National Center for Health Statistics or its equivalent, to submit to Congress on January 1, 1981, and on January 1 of every third year thereafter, a national disease prevention data profile in order to provide a data base for the effective implementation of this Act and to increase public awareness of the prevalence, incidence, and any trends in the preventable causes of death and disability in the United States.

Bill· SS. 3118 (95th)referred

Smoking Deterrence Act

United States · United States Congress · 19 May 1978

Smoking Deterence Act - Prohibits smoking in any enclosed area open to the public in any Federal facility or in any stairway, elevator, hallway, conveyance, waiting room, reception room, conference room, or hearing room in any facility. Requires smokers to be effectively separated from nonsmokers in any restaurant, cafeteria, snackbar, or lounge in any Federal facility. Requires each instrumentality of the United States: (1) to use reasonable efforts to effectively separate the workplaces of its employees who do not smoke and who wish to be so separated from the workplaces of its employees who do smoke; and (2) to insure the effective separation of smoking and nonsmoking employees in planning, designing, purchasing, leasing, or otherwise obtaining new facilities. Amends the Internal Revenue Code of 1954 to impose a health protection tax on every cigarette manufactured in or imported into the United States based on the number of toxic units, as defined in the Act, contained in the cigarette. Authorizes the appropriation of those amounts received from such taxes to provide preventive health services under the Public Health Service Act. Amends the Federal Cigarette Labeling and Advertising Act to prohibit the manufacture, importation, or packaging for sale or distribution of any cigarettes: (1) if the package fails to bear the tar and nicotine content stated in milligrams; and (2) if the package fails to bear one of a number of specified statements. Requires the Secretary to establish a comprehensive program to deter smoking among children and adolescents. Directs the Secretary to conduct a study of: (1) the relative risks associated with smoking cigarettes of varying levels of tar and nicotine; and (2) the health risks associated with smoking cigarettes containing any substances commonly added to commercially manufactured cigarettes.

Bill· SS. 3115 (95th)referred

Disease Prevention and Health Promotion Act

United States · United States Congress · 19 May 1978

Disease Prevention and Health Promotion Act - Title I: Formula and Project Grants for Preventive Health Services - Amends the Public Health Service Act to direct the Secretary of Health, Education, and Welfare to make grants to States to assist them in planning for and in meeting the costs of providing preventive health services. States that an application for such a grant shall provide for a detailed plan of a program to reduce, through the prevention of causative conditions, the mortality rates, and, at the option of the applying State, the burden of illness associated with the five leading causes of death in the State. Sets forth specified information to be included in applications for such grants. Requires the Secretary to review annually the activities undertaken by each State pursuant to an approved application. Sets forth a procedure for determining the amount of grants which each State shall receive for planning, providing, and operating preventive health services programs. Requires that all information obtained about any individual under any program that is being carried out with respect to such grants shall not be disclosed without such individual's consent. Authorizes the Secretary to make grants to States, political subdivisions of States, other public entities, or private entities to assist them in meeting the costs of establishing and maintaining: (1) programs for the screening, detection, diagnosis, prevention, referral for treatment, and follow-up on compliance with treatment of hypertension; (2) programs to immunize children against diseases; (3) community and school-based fluoridation programs; (4) programs designed to prevent illness caused by factors in the immediate living environment; (5) programs to prevent diseases borne by rodents; and (6) comprehensive physical fitness programs. Sets forth specified information to be included in applications for such grants. Requires the Secretary to review annually the activities undertaken by each State pursuant to an approved application. Requires that all information obtained about any individual under any program carried out with respect to such grants shall not be disclosed without such individual's consent. Directs the Secretary to establish standards for comprehensive physical fitness programs. Authorizes appropriations through fiscal year 1982 for lead-based paint poisoning prevention programs. Sets forth a new method for determining the total amount of grants received by State health and mental health authorities for comprehensive public health services under the Public Health Service Act. Authorizes appropriations for such grants through fiscal year 1982. Title II: Resources for Disease Prevention and Health Promotion - Directs the Secretary to make grants to meet the costs of planning and developing new centers; and operating existing and new centers, for multidisciplinary health promotion. Directs the Secretary to undertake or support five intensive and comprehensive community based programs to demonstrate and evaluate optimal methods for organizing and delivering comprehensive preventive health services to defined populations. Requires the Secretary, acting through the National Center for Health Statistics or its equivalent, to submit to Congress on January 1, 1981, and on January 1 of every third year thereafter, a national disease prevention data profile in order to provide a data base for the effective implementation of this Act and to increase public awareness of the prevalence, incidence, and any trends in the preventable causes of death and disability in the United States. Title III: Amendments to the Food Provisions of the Federal Food, Drug, and Cosmetic Act to Foster Health Promotion - Amends the Federal Food, Drug, and Cosmetic Act to require the publication of additional nutritional information on food package labels. Authorizes exemptions from such guidelines if the Secretary finds that a satisfactory labeling requirement of a State or a political subdivision is required by compelling local conditions. Includes distilled spirits, wines, and malt beverages in the definition of food for purposes of the Act. Directs the Secretary to notify the Federal Trade Commission of the nutritional information required to be on food labels, and to recommend to the Commission which of such information should be required to be included in the advertising of labeled food. Title IV: Programs Designed to Promote Health Trhough Smoking Deterrance - Prohibits smoking in any enclosed area open to the public in any Federal facility or in any stairway, elevator, hallway, conveyance, waiting room, reception room, conference room, or hearing room in any facility. Requires smokers to be effectively separated from nonsmokers in any restaurant, cafeteria, snackbar, or lounge in any Federal facility. Requires each instrumentality of the United States: (1) to use reasonable efforts to effectively separate the workplaces of its employees who do not smoke and who wish to be so separated from the workplaces of its employees who do smoke; and (2) to insure the effective separation of smoking and nonsmoking employees in planning, designing, purchasing, leasing, or otherwise obtaining new facilities. Amends the Internal Revenue Code of 1954 to impose a health protection tax on every cigarette manufactured in or imported into the United States based on the number of toxic units, as defined in the Act, contained in the cigarette. Authorizes the appropriation of those amounts received from such taxes for use in the provision of preventive health services under the Public Health Service Act. Amends the Federal Cigarette Labeling and Advertising Act to prohibit the manufacture, importation, or packaging for sale or distribution of any cigarettes: (1) if the package fails to bear the tax and nicotine content stated in milligrams; and (2) if the package fails to bear one of a number of specified statements. Requires the Secretary to establish a comprehensive program to deter smoking among children and adolescents. Directs the Secretary to conduct a study of: (1) the relative risks associated with smoking cigarettes of varying levels of tar and nicotine; and (2) the health risks associated with smoking cigarettes containing any substances commonly added to commercially manufactured cigarettes.

Bill· HRH.R. 12800 (95th)referred

Health Services and Health Research Amendments

United States · United States Congress · 19 May 1978

Health Services and Health Research Amendments - Title I: Appropriation Authorizations - Amends the Public Health Service Act to extend authorization of appropriations through fiscal year 1979 and for the two succeeding fiscal years for: (1) health statistics and health services research; (2) migrant health programs; (3) community health centers; (4) National Health Service Corps programs; (5) assistance to medical libraries; (6) cancer activities; (7) cardiovascular, lung, and blood activities; (8) National Research Service Awards; (9) population research and family planning services; (10) genetic diseases programs; (11) sudden infant death syndrome programs; (12) hemophilia centers; (13) community mental health centers; (14) rape prevention and control; and (15) home health services and training. Title II: Revisions to Health Services and Health Research Authorities - Authorizes the Surgeon General to provide to public and private entities, for use in research, chemicals and animals that either: (1) are not readily available; or (2) for research purposes need to be produced or maintained on a centralized or standarized basis. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects to demonstrate innovative methods of providing health care to medically underserved populations in nonmetropolitan areas. Authorizes the Secretary to make grants for the costs of operating entities which serve medically underserved populations and would normally be eligible for a grant except for the fact that the entities do not provide all primary health services as defined by the Act or have not established governing boards in accordance with the Act. Stipulates that such entities may receive grants, but only if: (1) an entity has received at least three prior grants; (2) there are unusual circumstances preventing compliance; and (3) the population served is not being served by another eligible entity. Requires the Secretary to provide for the care and treatment without charge of any person suffering from Hansen's disease. Requires the Secretary to make payments to the Board of Health of Hawaii for the care and treatment in its facilities of persons suffering from Hansen's disease. Amends the Community Mental Health Centers Act to provide for the carry-over of unspent community mental health center funds into the following year. Stipulates that funds carried over shall be treated as a part of the subsequent grant, and that subsequent grants shall be reduced. Title III: Preventive Health Activities - Amends the Public Health Service Act to authorize the Secretary to make a grant to each State to assist the State in meeting the costs of preventive health activities. Sets forth assurances which each application for such a grant must contain. Authorizes appropriations through fiscal year 1981 for the screening, detection, diagnosis, prevention, and referral for hypertension.

Bill· SS. 3105 (95th)referred

Catastrophic Health Insurance and Medical Assistance Reform Act

United States · United States Congress · 18 May 1978

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 individuals. Provides that every individual who: (1) is a resident of the United States; and (2) is a citizen of, or a lawfully admitted alien in, the United States shall be entitled to catastrophic health insurance benefits provided by this Act in cases where he is not covered by an employer plan. Delimits the scope of benefits, includes therein hospital and related insurance benefits (hospital, post-hospital and home health services) and medical and other health benefits. Provides for a general deductible from: (a) the reasonable costs of inpatient hospital services past 60 days; 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 $100 increments). Permits payments for specified mental health care services. Requires the Secretary of Health, Education, and Welfare to promulgate regulations prescribing standards designed to assure that services consisting of the furnishing of blood or blood products, or the application of procedures or courses of treatment which are experimental or extraordinarily complex, will be provided only when such services are appropriate to the health care needs of the patient. 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. States that individuals covered under approved employer or self-employed plans shall be entitled to those benefits rather than the benefits provided by the catastrophic health insurance plan. Defines the term "employer plan" as meaning an insurance policy, contract, or other arrangement entered into between an employer and a carrier, in consideration of premiums or other periodic payments, undertaken to pay for the costs of health services received by the employer's employees. Requires that the coverage provided under such plans must include a package of benefits which is the same as that provided by the Federal catastrophic health insurance benefits plan established under this Act. Sets forth additional requirements governing employer health plans. Establishes an Actuarial Committee to prepare and recommend annually to the Secretary a Table of Values of Catastrophic Health Insurance Coverage, which shall establish the actuarial value of one year's catastrophic health insurance coverage for employers, carriers, and others involved in the programs. Allows an income tax credit under the Internal Revenue Code for the actuarial value of catastrophic health insurance coverage for the self-employed and for the employees covered under approved employer plans. Title II: Medical Assistance Plan for Low-Income People - Requires assistance for low-income individuals and families, for the costs of necessary hospital, skilled nursing facility, medical, and other health care services are provided. 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 Medicaid recipients and the circumstances under which such persons are eligible for health benefits under this title. Creates the Medical Coverage Trust Fund. Makes provisions for State contributions to the Fund. 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. Title IV: Amendments to the Medicare Program Immunizations - Authorizes payments for immunizations which the Secretary determines are appropriate under title XVIII (Medicare) of the Social Security Act, but only if provided on a scheduled allowance basis, as determined under regulations promulgated by the Secretary. Extends coverage of the renal disease program authorized under such Act to specified individuals not previously covered. Title V: General Provisions Relating to Health Insurance Under Social Security Act - Expresses the policy of Congress to encourage and expand philanthropic support for health care.

Bill· SS. 3099 (95th)referred

Health Services and Health Research Amendments

United States · United States Congress · 18 May 1978

Health Services and Health Research Amendments - Title I: Appropriation Authorizations - Amends the Public Health Service Act to extend authorization of appropriations through fiscal year 1979 and for the two succeeding fiscal years for: (1) health statistics and health services research; (2) migrant health programs; (3) community health centers; (4) National Health Service Corps programs; (5) assistance to medical libraries; (6) cancer activities; (7) cardiovascular, lung, and blood activities; (8) National Research Service Awards; (9) population research and family planning services; (10) genetic diseases programs; (11) sudden infant death syndrome programs; (12) hemophilia centers; (13) community mental health centers; (14) rape prevention and control; and (15) home health services and training. Title II: Revisions to Health Services and Health Research Authorities - Authorizes the Surgeon General to provide to public and private entities, for use in research, chemicals and animals that either: (1) are not readily available; or (2) for research purposes need to be produced or maintained on a centralized or standarized basis. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects to demonstrate innovative methods of providing health care to medically underserved populations in nonmetropolitan areas. Authorizes the Secretary to make grants for the costs of operating entities which serve medically underserved populations and would normally be eligible for a grant except for the fact that the entities do not provide all primary health services as defined by the Act or have not established governing boards in accordance with the Act. Stipulates that such entities may receive grants, but only if: (1) an entity has received at least three prior grants; (2) there are unusual circumstances preventing compliance; and (3) the population served is not being served by another eligible entity. Requires the Secretary to provide for the care and treatment without charge of any person suffering from Hansen's disease. Requires the Secretary to make payments to the Board of Health of Hawaii for the care and treatment in its facilities of persons suffering from Hansen's disease. Amends the Community Mental Health Centers Act to provide for the carry-over of unspent community mental health center funds into the following year. Stipulates that funds carried over shall be treated as a part of the subsequent grant, and that subsequent grants shall be reduced. Title III: Preventive Health Activities - Amends the Public Health Service Act to authorize the Secretary to make a grant to each State to assist the State in meeting the costs of preventive health activities. Sets forth assurances which each application for such a grant must contain. Authorizes appropriations through fiscal year 1981 for the screening, detection, diagnosis, prevention, and referral for treatment of hypertension.

Bill· HRH.R. 12788 (95th)referred

A bill to amend title XVIII of the Social Security Act to remove the special requirements for qualification of for-profit home health agencies under the medicare program.

United States · United States Congress · 18 May 1978

Amends Title XVIII (Medicare) of the Social Security Act to eliminate the requirement that home health agencies providing medical services under such Title have a nonprofit, tax-exempt status or a license granted by the State in which it provides such services.

Bill· HRH.R. 12755 (95th)referred

A bill to permit individuals and their relatives to supplement medicaid payments for skilled nursing facility services and intermediate care facility services provided under title XIX of the Social Security Act.

United States · United States Congress · 17 May 1978

Permits individuals or their relatives to make supplementary payments for medical services provided by a skilled nursing facility or an intermediate care facility without losing payments for such services under the Medicaid Program of Title XIX of the Social Security Act.

Bill· HRH.R. 12729 (95th)referred

A bill to amend title XIX of the Social Security Act to permit one or more county governments in a State to provide for additional medical assistance under the State's medicaid plan.

United States · United States Congress · 15 May 1978

Amends Title XIX (Medicaid) of the Social Security Act to permit county governments to provide to their residents through the State's Medicaid plan a level of medical assistance which is greater in amount, duration, or scope than that available under the plan to other State residents. Requires county governments to show that their plans for providing additional benefits do not result in excessive administrative costs or otherwise conflict with the administration of the State Medicaid plan.

Bill· SS. 3038 (95th)referred

A bill to amend title XVIII of the Social Security Act to provide coverage, under the supplementary medical insurance program, of certain lenses and illumination aids for individuals suffering from severe limitation of central visual acuity and of the services of an optometrist in prescribing such lenses and aids.

United States · United States Congress · 4 May 1978

Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the Supplementary Medical Insurance program for lenses prescribed by a physician to improve the eyesight of individuals with severely limited central visual acuity.

Bill· HRH.R. 12584 (95th)passed

Health Services Research, Health Statistics, and Health Care Technology Act

United States · United States Congress · 4 May 1978

Health Services Research, Health Statistics, and Health Care Technology Act - Amends the Public Health Service Act to extend authorizations of appropriations through fiscal year 1981 for health service research, evaluation, and demonstration activities, and health statistical activities. Requires the Secretary of Health, Education, and Welfare, acting through the National Center for Health Statistics, to establish standardized means for the collection of health information and statistics under laws administered by the Secretary. Establishes the Cooperative Health Statistical System, for the purpose of producing comparable and uniform health information and statistics. Requires the Secretary, acting through the Center, to: (1) coordinate the activities of Federal agencies in the design and implementation of the System; and (2) make grants to State and local health agencies to assist them in meeting the cost of data collection carried out under the System. Requires the Secretary, acting through the Center, to establish guidelines for the collection, compilation, analysis, publication, and distribution of statistics and information necessary for determining the effects and conditions of employment and indoor and outdoor environmental conditions on the public health. Requires the Secretary to conduct an ongoing study of the present and projected future costs of diseases and conditions which are environmentally related. Requires the Directors of the National Center for Health Statistics and the Center for Disease Control to serve as members of the Task Force on Environmental Cancer and Heart and Lung Disease. Requires the Task Force to conduct a study to identify the need for and recommend guidelines for the collection, compilation, analysis, publication, and distribution of statistics and information necessary for determining: (1) the extent to which conditions of employment and indoor and outdoor environmental conditions may cause cancer or heart or lung diseases; and (2) the other effects on the public health which may reasonably be anticipated to result from such conditions. Establishes in the Department of Health, Education, and Welfare the National Center for Health Care Technology. Requires the Secretary, acting through the Center, to undertake and support comprehensive assessments of health care technology. Requires the Secretary, acting through the Center, to undertake and support by grant or contract, research in, and demonstrations and evaluations of: (1) the factors that affect the use of health care technologies in the United States; and (2) methods for disseminating information on health care technologies to health professionals. Establishes the Health Care Technology Advisory Committee to advise the Secretary and the Director of the Center with respect to the performance of the National Center for Health Care Technology. Requires the United States Committee on Vital and Health Statistics to conduct a study of the issues respecting and the recommendations for establishing a Federal system: (1) to facilitate studies of the effects of hazardous substances on humans; and (2) to locate individuals who have been or may have been exposed to hazardous substances to determine the effect on their health of such exposure and to assist them in obtaining appropriate medical care and treatment. Authorizes the Secretary, acting through the National Eye Institute, to carry out a program of grants for vision research facilities. Authorizes the Secretary to waive the requirements for capitation grants for dental schools if the Secretary determines that compliance with such requirements will prevent a school from maintaining its accreditation.

Bill· HRH.R. 12548 (95th)referred

A bill to amend section 330 of the Public Health Service Act to provide grants for developmental and demonstration projects relating to the provision of health services to medically underserved populations.

United States · United States Congress · 3 May 1978

Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to carry out developmental and demonstration projects for providing, improving, or expanding accessibility, acceptability, or quality of health services provided to medically underserved populations.

Bill· HRH.R. 12460 (95th)passed

Health Centers Amendments

United States · United States Congress · 1 May 1978

Health Centers Amendments - Title I - Public Health Service Act Amendments : Amends the Public Health Service Act to remove preventive dental services from the category of primary health services provided by migrant health centers and to designate such services as supplemental health services. Adds pharmaceutical services to the category of primary health services provided by such centers. Removes public health services from the supplemental health services provided by such centers and adds social services. Provides guidelines for the Secretary of Health, Education, and Welfare to use in determining the amount of grants made to migrant health centers. Authorizes appropriations through fiscal year 1981 for migrant health centers. Removes preventive dental services from the primary health services provided by community health centers and adds pharmaceutical services. Includes preventive dental services in the supplemental health services provided by community health centers. Provides guidelines for the Secretary to follow in determining the amount of grants made to community health centers. Authorizes appropriations through fiscal year 1981 for community health centers. Authorizes the Secretary of Health, Education, and Welfare to make grants to provide technical assistance for the planning, developing, or operation of migrant health centers, community health centers, or any other centers for the delivery of primary health care. Authorizes the Secretary to make grants for demonstration projects related to health services in rural medically underserved areas. Extends the authority of the Secretary to guarantee to non-Federal lenders payment of the principal of and interest on loans made to health maintenance organizations for planning projects through September 30, 1979. Authorizes appropriations through fiscal year 1980 for health maintenance organizations. Title II: Mental Health Programs - Community Mental Health Centers Amendments - Sets forth a schedule under which a community mental health center will provide, within three years of its establishment, the full range of mental health services required to be provided by such a center under the Community Mental Health Centers Act. Amends the Public Health Service Act to add to the list of subjects deserving priority consideration in the formulation of national health planning goals: (1) the elimination of inappropriate placement in institutions of persons with mental health problems and the improvement of the quality of care provided in institutions providing mental health services; and (2) the assurance of access to community mental health centers and other mental health care providers for needed mental health services, and the emphasis on outpatient care as a preferable alternative to inpatient mental health services. Requires the health systems plan of each health systems agency established under the Public Health Service Act to include goals for the delivery of mental health services. States that such goals shall be developed with the assistance of persons knowledgeable and experienced in the delivery of such services. Authorizes State Health Coordinating Councils, in advising State health planning and development agencies, to use the assistance of persons knowledgeable in the delivery of mental health services. Requires that State plans under the Comprehensive Mental Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 and the Drug Abuse and Treatment Act of 1972 be consistent with the State health plans in effect under the Public Health Service Act as amended by this Title. Authorizes the Secretary to make annual supplemental support grants to community mental health centers to assist such centers in meeting the costs of providing specified consultation and education services. Repeals the program of financial distress grants for community mental health centers effective October 1, 1980. Authorizes appropriations through fiscal year 1981 for consultation and education services provided by community mental health centers. Repeals such services effective October 1, 1981. Authorizes appropriations through fiscal year 1980 for conversion grants for community mental health centers. Repeals such grants effective October 1, 1980. Extends the authorization of appropriations through fiscal year 1981 for: (1) grants to plan community health center programs; (2) grants for initial operation of community health centers; (3) programs of the National Center for the Prevention and Control of Rape. Authorizes community mental health centers to carryover unobligated funds to the next succeeding year to be used for the same purposes for which such grant was made but only if the center is eligible to receive a grant for such succeeding year. Stipulates that the amount of a grant for such a center for any year shall be reduced by the amount of unobligated funds carried over. Requires the State mental health authority to: (1) establish minimum standards for the maintenance and operation of community mental health centers; (2) establish a program for community mental health centers within the State; and (3) designate a State advisory council to consult with it in carrying out its functions under this Act and the Public Health Service Act. Requires the Secretary to make grants to State mental health authorities to assist them in meeting the costs of carrying out State mental health programs. Requires each State, in order to receive such grants, to submit an application containing specified assurances. Authorizes appropriations through fiscal year 1981 for such grants.

Bill· HRH.R. 12468 (95th)referred

A bill to provide for a comparison study of the costs and other factors associated with the establishment of reimbursement guidelines for respiratory therapy.

United States · United States Congress · 1 May 1978

Directs the Secretary of Health, Education, and Welfare to conduct a study assessing the cost effectiveness of reimbursing providers of respiratory therapy according to an hourly salary equivalency system and the effect of such a proposed system upon the quality of respiratory therapy services.

Bill· HRH.R. 12424 (95th)referred

A bill to amend Title XIX of the Social Security Act to permit States to provide home health care service and other services to individuals who would otherwise be eligible to receive medical assistance if they were institutionalized.

United States · United States Congress · 27 April 1978

Amends Title XIX (Medicaid) of the Social Security Act to permit States to provide home health care and other services to individuals who would otherwise be eligible to receive medical assistance if they were institutionalized.

Bill· HRH.R. 12401 (95th)referred

Rural Health Needs Planning Act

United States · United States Congress · 26 April 1978

Rural Health Needs Planning Act - Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to have the national guideline for health planning reflect the unique circumstances and needs of the medically underserved populations including isolated rural communities. Requires to be included on the National Council of Health Planning and Development not fewer than seven persons who are not providers of health services including individuals who are members of urban and rural medically underserved populations. Authorizes the Secretary to make grants to health systems agencies on the basis of square mileage served by the agency, for the development and operation of subarea councils and requires health systems agencies to consider the views of such councils. Changes the formula by which the size of grants to health systems agencies shall be determined. Requires that members of the Statewide Health Coordinating Council who are consumers of health or mental health care and who are not providers of health or mental health care must include individuals who are members of rural and urban underserved populations, if such populations exist in the State.

Bill· HRH.R. 12378 (95th)referred

A bill to amend title XVIII (Medicare) of the Social Security Act to provide for a more equitable assignment of a fee profile by the Secretary to physicians establishing a new practice in an area.

United States · United States Congress · 26 April 1978

Permits payment of charges for services of a physician without regard to the fee profile requirement under the Supplementary Medical Insurance program of Title XVIII (Medicare) of the Social Security Act if such physician (1) has not had computed a fee profile on the basis of past charges over a 12 month period; (2) has established a regular practice in an area; (3) has not charged more for a service than he customarily charges or more than other physicians in the area charge for the same service.

Bill· HRH.R. 12347 (95th)passed

Biomedical Research and Research Training Amendments

United States · United States Congress · 25 April 1978

Biomedical Research and Research Training Amendments - Title I: Libraries of Medicine - Amends the Public Health Service Act to extend through fiscal year 1981 authorizations for assistance to medical libraries. Title II: Programs of the National Heart, Lung, and Blood Institute - Extends the authorization of appropriations through fiscal year 1981 to carry out programs for the prevention and treatment of heart, lung, and blood diseases. Title III: Programs of the National Cancer Institute - Extends the authorization of appropriations through 1981 for programs for the diagnosis, prevention, and treatment of cancer. Provides for the appointment of the director of the National Cancer Institute by the Secretary of Health, Education, and Welfare instead of by the President as is currently required. Requires the Director of the National Cancer Institute in carrying out the National Cancer Program: (1) to implement an expanded and intensified research program for the prevention of cancer caused by occupational or environmental exposure to carcinogens; and (2) to publish an annual report listing all known or suspected carcinogens to which a significant number of persons in the United States are exposed evaluating the existing regulatory standards designed to reduce or eliminate exposure to carcinogens. Requires the Director of the National Cancer Institute to establish and support programs for the detection, diagnosis, prevention, and treatment of cancer and for rehabilitation and counseling respecting cancer. Requires such programs to include: (1) locally initiated education and demonstration programs to disseminate information respecting the detection, diagnosis, prevention, and treatment of cancer and rehabilitation and counseling respecting cancer to health professionals providing care to individuals with cancer; (2) the demonstration of and the education of health professionals in methods for early detection of cancer and the identification of individuals with a high risk of developing cancer; and (3) the demonstration of new methods for the dissemination of information to the public concerning the early detection and treatment of cancer and information concerning unapproved and ineffective methods for the control of cancer. Requires the Secretary of Health, Education, and Welfare, through the National Cancer Institute and in cooperation with the National Cancer Advisory Board, to carry out cancer research and investigation programs. Authorizes the Secretary, in carrying out such programs: (1) to purchase radium; and (2) to provide facilities for training and instruction in the diagnosis and treatment of cancer. Requires the National Cancer Program to consist of: (1) an expanded cancer research program including a research program for the prevention of cancer caused by occupational or environmental exposure to carcinogens; and (2) other activities of the Institute. Sets forth the duties and functions of the Director of the Institute in carrying out the National Cancer Program. Authorizes the Director of the Institute to make grants under this Act for cancer research or training. Stipulates that 18 members of the National Cancer Advisory Board shall be appointed by the Secretary. Sets forth procedures and regulations affecting the Board. Establishes the President's Cancer Panel. Requires the Panel to monitor the development and execution of the National Cancer Program. Authorizes appropriations through fiscal year 1981 for the National Cancer Institute and the President's Cancer Panel. Title IV: National Research Service Awards - Extends authorization of appropriations through fiscal year 1981 for National Research Service Awards. Title V: Miscellaneous - Authorizes the Secretary to make available for biomedical and behavioral research, substances and living organisms when such action would promote the ends of such research. Transfers authority from the Surgeon General to the Secretary to conduct, in the Public Health Service, research and investigation on the physical and mental impairments of man. Requires the Secretary to conduct and support studies and testing of substances for carcinogenicity, teratogenicity, mutagenicity, and other harmful biological effects. Requires the Secretary to establish a comprehensive program of research into the biological effects of low-level ionizing radiation.

Bill· HRH.R. 12370 (95th)passed

Health Services Amendments

United States · United States Congress · 25 April 1978

Health Services Amendments - Amends the Public Health Service Act to extend authorization of appropriations through fiscal year 1979 for grants to States for comprehensive State health planning. Directs the Secretary of Health, Education and Welfare under the Act, to make grants to State health authorities to assist in meeting the costs of providing comprehensive public health services. Directs that funds received should be used to supplement non-Federal funds for comprehensive public health services and not to supplant such funds. Provides guidelines by which each State and local public health entity shall compute the amount of such funds it shall receive. Requires the Secretary to review annually the activities undertaken by each State public health authority to determine if such authority complied with the assurances provided with the application for funds. Authorizes the Secretary to withhold payment from authorities which have failed to meet such assurances. Provides that the total amount of grants received by a public health authority shall be determined by the Secretary and provides guidelines by which such a determination is to be made. Extends the authorization of appropriations through fiscal year 1981 for: (1) disease control programs to immunize children against immunizable diseases; (2) rodent control programs; (3) other specified disease control programs under the Act; (4) projects and programs for the prevention and control of venereal disease; (5) project grants and contracts for family planning services; (6) training grants and contracts for personnel to carry out family planning service programs; (7) research in family planning; (8) assistance in developing and making available family planning and population growth information; (9) genetic disease programs; (10) sudden infant death syndrome programs; (11) hemophilia programs; (12) establishing, operating, and training personnel for home health services as defined in the Social Security Act; and (13) lead-based paint poisoning prevention programs. Requires the Secretary to conduct epidemiological assessments and surveillance of genetic diseases to define the scope and extent of such diseases and the need for programs to control such diseases. Authorizes the Secretary to make grants to State health authorities to assist them in meeting the costs of providing programs for screening for, and the detection, diagnosis, prevention, and control of hypertension. Authorizes the Secretary to make grants for lead-based paint poisoning prevention programs. Defines "lead-based paint poisoning prevention program. Requires the Secretary to study the long-term effect on child development of various levels of lead in blood. Repeals provisions of the Act which require that grants for the establishment and operation or improvement of an emergency medical services systems facility be made for project costs in the year in which the grant is made. Requires the Secretary to establish, within the Office of the Secretary, a Select Panel for the Promotion of Child Health. Requires the Panel to: (1) formulate specific goals with respect to the promotion of the health status of children and expectant mothers; and (2) develop a comprehensive national plan for achieving such goals.

Bill· HRH.R. 12363 (95th)referred

A bill to amend title 42, to provide for appropriate reimbursement for certain services provided by non-profit rehabilitation clinics to crippled and aged persons covered by the medicare program.

United States · United States Congress · 25 April 1978

Defines "public provider" for purposes of reimbursement to nonprofit rehabilitation clinics which provide medical services to aged and disabled individuals covered by the Supplementary Medical Insurance program of Title XVIII (Medicare) of the Social Security Act.

Bill· HRH.R. 12358 (95th)referred

A bill to amend the Public Health Service Act to provide for the development of standards for provision of hospice care, to provide for studies and demonstration projects in the provision of hospice care, and for other purposes.

United States · United States Congress · 25 April 1978

Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make a grant to a nonprofit private entity to develop standards for the accreditation of organizations providing hospice care. Authorizes the Secretary to make grants to study and demonstrate, and to directly conduct such programs as will study and demonstrate: (1) methods for the provision of hospice care; (2) methods for financing hospice care; and (3) the costs and benefits of hospice care. Requires the Secretary to report to Congress on the results of such studies and demonstrations. Defines "hospice care" as such home care, outpatient services, and backup inpatient services as may be required for terminally ill patients and such support services as members of such patients' families may require as a result of such patients' terminal illnesses. Defines "terminally ill patient" as an individual with a prognosis of survival of six months or less.

Bill· HRH.R. 12303 (95th)passed

Nurse Training Amendments

United States · United States Congress · 24 April 1978

Nurse Training Amendments - Title I: Nurse Training - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training. Authorizes the Secretary of Health, Education, and Welfare to make grants to cover the costs of traineeships for the training of licensed registered nurses to be nurse anesthetists. Requires the Secretary to arrange for a study to determine the need to continue a specific program of Federal financial support for nursing education. Title II: Other Health Professions Programs - Increases authorization of appropriations for fiscal year 1979 for National Health Service Corps programs. Authorizes the Secretary to increase the limits on Federal loan insurance and insured loans to students enrolled in a school of medicine, osteopathy, and dentistry.

Bill· HRH.R. 12292 (95th)referred

A bill to amend section 330 of the Public Health Service Act to provide grants for developmental and demonstration projects relating to the provision of health services to medically underserved populations.

United States · United States Congress · 24 April 1978

Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to carry out developmental and demonstration projects for providing, improving, or expanding accessibility, acceptability, or quality of health services provided to medically underserved populations.

Bill· HRH.R. 12277 (95th)referred

A bill to amend title XIX of the Social Security Act to permit States to provide home health care service and other services to individuals who would otherwise be eligible to receive medical assistance if they were institutionalized.

United States · United States Congress · 20 April 1978

Amends Title XIX (Medicaid) of the Social Security Act to permit States to provide home health care and other services to individuals who would otherwise be eligible to receive medical assistance if they were institutionalized.

Bill· HRH.R. 12244 (95th)referred

A bill to amend the Social Security Act to require physicians to accept assignment under part B of the medicare program with respect to services they furnish in medicare-participating hospitals.

United States · United States Congress · 19 April 1978

Amends Title XVIII (Medicare) of the Social Security Act to require physicians to accept payment by assignment from the provider of services for services which such physicians furnish in Medicare-participating hospitals under the Supplementary Medical Insurance program.

Bill· HRH.R. 12231 (95th)referred

Nurse Training Amendments

United States · United States Congress · 19 April 1978

Nurse Training Amendments - Amends Title VIII (Nurse Training) of the Public Health Service Act to extend for two fiscal years, through fiscal year 1980, the program of financial assistance for nurse training.

Bill· SS. 2932 (95th)referred

A bill to amend Title XVIII of the Social Security Act to permit the recognition and use of relative value studies.

United States · United States Congress · 18 April 1978

Permits the Secretary of Health, Education, and Welfare to recognize and use relative value studies in determining reasonable charges for physicians' services under the Medicare program. Provides that the development or publication of any relative value study by a National or State private nonprofit medical organization or the use of such study by an individual or business shall not be deemed a violation of any Federal law.

Bill· HRH.R. 12185 (95th)referred

A bill to provide for unbiased consideration of applicants to medical schools.

United States · United States Congress · 18 April 1978

Amends the Health Programs Extension Act of 1973 to prohibit any entity which receives financial aid from, or enters into any contract with, the Secretary of Health, Education, and Welfare from questioning any applicant for admission as a student about the views of the applicant regarding abortion or sterilization. Prohibits such entity from discriminating against any applicant for study because of the refusal of the applicant to participate in the performance of an abortion or other medical services contrary to the religious beliefs or moral convictions of the applicant.

Bill· HRH.R. 12166 (95th)referred

A bill to amend the Public Health Service Act to establish within the National Institutes of Health the Center for the Evaluation of Medical Practice.

United States · United States Congress · 17 April 1978

Amends the Public Health Service Act to establish, within the National Institutes of Health, the Center for the Evaluation of Medical Practice. Directs the Secretary of Health, Education, and Welfare to use the Center to conduct and support research on the evaluation of the effectiveness of medical practice; including (1) diagnostic and casefinding techniques; (2) therapeutic procedures; and (3) the appropriate use of facilities, equipment and technology. Establishes an advisory council to advise the Secretary with respect to the administration of this Act.

Bill· SS. 2908 (95th)referred

Venereal Disease Amendments

United States · United States Congress · 13 April 1978

Venereal Disease Amendments - Amends the Public Health Service Act to authorize appropriations through fiscal year 1981 for projects and programs for the prevention and control of venereal disease. Requires the Secretary of Health, Education, and Welfare to establish and maintain a corps of not less than 850 noncommissioned officers and employees of the United States to advise and otherwise engage in the conduct of programs and projects for the prevention and control of venereal disease.

Bill· HRH.R. 12118 (95th)referred

A bill to provide for a comparison study of the costs and other factors associated with the establishment of reimbursement guidelines for respiratory therapy.

United States · United States Congress · 13 April 1978

Directs the Secretary of Health, Education, and Welfare to conduct a study assessing the cost effectiveness of reimbursing providers of respiratory therapy according to an hourly salary equivalency system and the effect of such a proposed system upon the quality of respiratory therapy services.

Bill· HRH.R. 12127 (95th)referred

A bill to amend title XVIII of the Social Security Act to authorize payment under the supplementary medical insurance program for the cutting and removal of corns, warts and calluses and the reduction of club nails.

United States · United States Congress · 13 April 1978

Amends Title XVIII (Medicare) of the Social Security Act to authorize payment under the supplementary medical insurance program for foot care involving the cutting and removal of corns, warts, and calluses and the trimming of club nails.

Bill· HRH.R. 12093 (95th)referred

A bill to amend title XIX of the Social Security Act to provide that certain handicapped individuals shall be eligible for medical assistance.

United States · United States Congress · 12 April 1978

Amends Title XIX (Medicaid) of the Social Security Act to extend medical assistance under such Title to individuals who are unable to care for their personal needs due to a physical or mental handicap which may result in death or which has lasted or may last continuously for at least one year.

Bill· HRH.R. 12102 (95th)referred

Minority Mental Health Support and Development Program Act

United States · United States Congress · 12 April 1978

Minority Mental Health Support and Development Program Act - Directs the Secretary of Health, Education, and Welfare to designate the Center for Minority Group Mental Health Programs of the National Institute of Mental Health as a division of the Institute to be known as the Division for Minority Health. Enumerates duties for the Secretary acting through the Division including: (1) the development of systems to assist minority populations in adopting and coping with racism; and (2) the development of special training programs aimed at the elimination of institutional racism.

Bill· HRH.R. 12065 (95th)referred

Medicare Amendment

United States · United States Congress · 12 April 1978

Medicare Amendment - 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.

Bill· HRH.R. 12075 (95th)referred

Research on Aging Act

United States · United States Congress · 12 April 1978

Research on Aging Act - Limits the mission of the National Institute on Aging, established under the Public Health Service Act, to the conduct and support of biomedical research and training related to the biological process of aging. Eliminates the support of research and training related to the social and behavioral aspects of aging from such mission. Amends the Public Health Service Act: (1) to eliminate the authority of the Secretary of Health, Education, and Welfare to include on the National Advisory Council on Aging such ex officio members deemed necessary; and (2) to require the Director of the National Institutes of Health, in lieu of the Secretary, to determine the area in and extent to which activities in support of the mission of the Institute will be carried out. Removes the requirement that studies be conducted into specified social, psychological, educational, and economic aspects of the aging process.

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