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151 records in 1981
United States · United States Congress · 4 June 1981
Saccharin Study and Labeling Act Amendment of 1981 - Amends the Saccharin Study and Labeling Act to extend, until 24 months after the date of enactment of this Act the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug, or cosmetic containing saccharin.
United States · United States Congress · 4 June 1981
Amends the Public Health Service Act to: (1) eliminate age restrictions on appointment and mandatory retirement for the commissioned corps of the Public Health Service; and (2) permit the Surgeon General to be appointed from outside the Regular Corps of the Service.
United States · United States Congress · 4 June 1981
Amends title XVIII (Medicare) of the Social Security Act to establish a voluntary insurance program to provide insurance benefits for aged and disabled individuals and individuals medically determined to have end stage renal disease to be financed from premium payments by enrollees and excise taxes on alcohol and tobacco products. Provides for coverage of the following under the program: (1) routine physical checkups, not exceeding one in any two-year period; (2) routine eye care, including the dispensing of eyeglasses no more than once a year; (3) dental care, including teeth cleaning, extractions, and crowns and bridges (as authorized); (4) hearing care, including examinations and hearing aids; and (5) prescription drugs and biologicals. Directs the Secretary to provide for a program certifying hearing aids. Creates a Trust Fund from which benefits will be paid to enrolled individuals, after payment of an annual $60 deductible. States that the Fund shall consist of gifts and bequests as provided in title II (Old Age, Survivors and Disability Insurance) of the Act and 100 percent of a special tax on alcohol and tobacco established under this Act. Amends the Internal Revenue Code to establish such tax. Creates a Board of Trustees for the Fund and sets forth the reporting requirements. Sets forth provisions detailing the procedure for payment of claims of providers of services and the use of carriers for administration of benefits. Declares that every individual who: (1) is entitled to hospital insurance benefits under part A (Hospital Insurance) of title XVIII; or (2) has attained age 65, is eligible to enroll. Sets forth provisions relating to enrollment and the enrollment period. Provides that the monthly premium shall be equal to the monthly premium under part B (Supplementary Medical Insurance) of title XVIII. Directs the Secretary of Health and Human Services, at the request of a State, to enter into an agreement with a State pursuant to which individuals receiving money payments under the following titles of the Act will be enrolled under the program: (1) individuals receiving money payments under a plan approved under title I (Old Age and Medical Assistance for the Aged) or XVI (Supplemental Security Income); or (2) individuals receiving money payments under all of the State plans approved under titles I, X (Aid to the Blind), XIV (Aid to the Permanently and Totally Disabled), XVI, and IV, part A (Aid to families with Dependent Children). Permits the Secretary to enter into a modification of an agreement with a State under which individuals who are entitled to benefits under title II of the Act or who are eligible under title XIX (Medicaid) of the Act may be included within the coverage group covered under such a State agreement. Directs the Secretary to provide for a project demonstrating the cost-effectiveness of providing services and appliances, as a benefit under the program established by this Act, to assist or compensate for visual impairment in low-vision individuals.
United States · United States Congress · 4 June 1981
Alcohol and Drug Abuse Amendments of 1981 - Title I: Amendments to the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 - Amends the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970 to extend through fiscal year 1985 the authority of the Secretary of Health and Human Services to make grants to States, through the National Institute on Alcohol Abuse and Alcoholism, to implement State plans. Limits: (1) any such grant to 50 percent of the total State costs; and (2) amounts from such grants that may be used for administrative expenses. Requires the Secretary, before making a grant, to review any comments submitted by the State advisory council and local governments regarding the preparation and administration of the State plan. Requires the Institute to complete its review of each State plan within 60 days after receipt. Extends through fiscal year 1985 the Secretary's authority to make project grants and contracts to public and nonprofit private entities for demonstration and evaluation projects relating to prevention, treatment, and rehabilitation services. Prohibits any grants to States or State agencies for such projects. Directs the Secretary to encourage applications for projects dealing especially with women, the elderly, and individuals under age 18. Limits to six the number of grants and contracts for any particular project. Provides for scaled reductions in grant or contract support for any project from 80 percent down to 30 percent over a six year period. Authorizes appropriations through fiscal year 1985 for all such grants and for grants for research and research centers. Title II: Amendments to the Drug Abuse Prevention, Treatment, and Rehabilitation Act - Amends the Drug Abuse Prevention Treatment, and Rehabilitation Act to extend through fiscal year 1985 the authority of the Secretary to make grants to States, through the National Institute on Drug Abuse, to implement State plans. Limits any such grant to 50 percent of the total State costs. Requires the Secretary, before making a grant, to review any comments submitted by the State advisory council and local governments regarding the preparation and administration of the State plan. Revises the formula for the determination of the amounts of such grants. Requires the Institute to complete its review of each plan within 60 days after receipt. Extends through fiscal year 1985 the Secretary's authority to make special project grants and contracts to public and nonprofit private entities for demonstration and evaluation projects relating to prevention, treatment, and rehabilitation services. Prohibits any grants to States or State agencies for such projects. Limits to six the number of grants and contracts for any particular project. Directs the Secretary to encourage applications for projects dealing especially with women, the elderly, and individuals under age 18. Provides for scaled reductions in grant or contract support for any project from 80 percent down to 30 percent over six year period. Authorizes grants and contracts for fiscal years 1982-1985 for research into: (1) the causes of drug abuse in particular area; and (2) improved drug maintenance and detoxification techniques and programs. Title III: Technical Amendments - Repeals certain authorization provisions of the Controlled Substances Act.
United States · United States Congress · 4 June 1981
Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982 through 1984 for: (1) community health centers; and (2) migrant health centers. Authorizes specified appropriations for fiscal year 1982 for primary care research and demonstration projects. Directs the Secretary of Health and Human Services to: (1) prescribe criteria for determining where community health centers are needed; and (2) review the performance of such centers that provide migrant health services and report such findings to Congress. Provides for community health center audits.
United States · United States Congress · 4 June 1981
Amends the Public Health Service Act to authorize specified appropriations through fiscal year 1985 for: (1) family planning services, including training, research, and information and education; and (2) genetic disease testing, counseling, and information and education programs.
United States · United States Congress · 4 June 1981
Maternal and Child Health Services Block Grant Act - Revises title V (Maternal and Child Health and Crippled Children's Services) of the Social Security Act. Authorizes appropriations for fiscal year 1982 to enable each State to: (1) reduce infant mortality; (2) reduce the incidence of preventable diseases and handicapping conditions among low-income children; (3) increase the availability of prenatal, delivery, and postpartum care to low-income women; (4) increase the number of children immunized; (5) increase the number of low-income children receiving health assessments and followup diagnostic and treatment services; and (6) provide medically necessary services to handicapped children, and to enable the Secretary of Health and Human Services to provide for projects and research with respect to maternal and child health and handicapped children, grants to train personnel, and grants relating to hemophilia. Declares that the amount of such appropriations shall equal the sum of the amounts authorized to be appropriated for fiscal year 1982 to carry out the consolidated health programs. Defines consolidated health programs to mean programs relating to: (1) maternal and child health and crippled children's services and supplemental security income for disabled children under the Social Security Act; (2) lead-based paint poisoning prevention, sudden infant death syndrome, and hemophilia under the Public Health Services Act; and (3) adolescent pregnancy of the Health Services and Centers Amendments of 1978. Authorizes appropriations for succeeding fiscal years based upon the 1982 amount. Sets forth provisions revising the formula for allotting appropriated amounts. Directs the Secretary to use 15 percent of such amount for: (1) special projects contributing to the advancement of maternal and child health or services for handicapped children; (2) research projects relating to maternal and child health services or handicapped services; and (3) the continuation of funding of grants to train personnel for health care, multistate regional resource centers, and comprehensive hemophilia diagnostic and treatment centers. Allots the remaining 85 percent of such amount among the States as block grants according to each State's share of the total fiscal year 1980 appropriations to all States under the consolidated health programs; except that any amount exceeding 1980 levels shall be apportioned on the basis of the number of low-income children in each State. Directs the Secretary to fund 50 percent of a State's expenses in carrying out title V. Prohibits a State from using grant money for: (1) cash payments to intended recipients of health services; (2) the purchase or improvement of land or any building, or the purchase of major medical equipment; or (3) satisfying any requirement for the expenditure of non-federal funds as a condition for the receipt of Federal funds. Revises the State plan requirements for receiving allotments. Requires a State, in order to receive an allotment, to: (1) transmit to the Secretary annually a description of the intended use of payments; and (2) transmit to the Secretary assurances that: (a) the State health agency will be responsible for the administration of allotted funds; (b) the State will fairly allocate allotted funds; (c) allotted funds will be used to provide services under the consolidated health programs; (d) of the funds allotted a State, no more than 15 percent will be used for program administration, no more than ten percent will be used for training and technical assistance, at least 85 percent will be used to provide health services, and a reasonable proportion will be used to carry out the purposes of this Act; (e) that if a State imposes any charges for health services assisted by the State under title V, such charges will be adjusted to reflect income and will not be imposed on low-income mothers and children; and (f) the State will identify and apply guidelines for the appropriate frequency and content of health care assessments and services. Requires each State to report to the Secretary on its activities and audit its expenditures under this Act annually. Directs the Secretary to: (1) administer this Act through a unit specializing in maternal and child health; (2) evaluate and report to Congress concerning the performance of States receiving allotments under this Act; and (3) devise another allotment formula which takes into account the number of live births, handicapped children, and low-income mothers and children in a State and the State's financial resources. Sets forth provisions: (1) establishing a criminal penalty for false statements to obtain benefits under this Act; (2) prohibiting discrimination under any program or activity funded under this Act; (3) making conforming amendments; and (4) governing the transition to the program established by this Act.
United States · United States Congress · 4 June 1981
Amends part A (Hospital Insurance) of title XVIII (Medicare) of the Social Security Act to provide that the inpatient hospital deductible may not be increased without the approval of both Houses of Congress.
United States · United States Congress · 2 June 1981
Medicaid Assistance Reform Amendments of 1981 - Amends title XIX (Medicaid) of the Social Security Act to provide a cap on Medicaid expenditures beginning with fiscal year 1982. Authorizes appropriations for the Medicaid program for fiscal year 1982 in a specified amount. Authorizes such appropriations for fiscal year 1983 and thereafter in amounts increased or decreased according to a specified formula. Authorizes appropriations for such sums as are necessary to make payments to States to operate Medicaid Fraud and abuse units. Authorizes appropriations for mechanized claims processing and information retrieval systems in a specified amount for fiscal year 1982 and in necessary amounts for succeeding fiscal years. Allocates such funds to States according to a specified formula. Directs the Secretary of Health and Human Services to determine a Federal Medicaid allotment ratio for each State in accordance with specified guidelines. Provides 90 percent matching funds for the design, development, or installation of mechanized eligibility systems. Provides 75 percent matching funds for the operation of such systems.
United States · United States Congress · 2 June 1981
Includes the services of a dentist as part of the coverage provided under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act. Eliminates the exclusion of dentures. Includes inpatient hospital services provided in connection with the provision of any service rendered by a dentist among the services covered under part A (Hospital Insurance) of title XVIII, if an individual requires hospitalization in connection with the provision of such services.
United States · United States Congress · 2 June 1981
Amends the Public Health Service Act to direct the Secretary of Health and Human Services to close or transfer all Public Health Service hospitals and other stations by September 30, 1982. Establishes an administrative unit within the Office of the Assistant Secretary for Health to oversee such activities.
United States · United States Congress · 2 June 1981
Requests the President to designate the week of April 4 through April 10, 1982, as National Medic Alert Week.
United States · United States Congress · 2 June 1981
Requests the President to designate June 30, 1981, as "National Drug Standards Day."
United States · United States Congress · 1 June 1981
Health Care Financing Amendments of 1981 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to set a limit on the authorization of appropriations for Medicaid for fiscal year 1981 and succeeding fiscal years (presently, a sum sufficient to carry out the program is authorized), except for funding to eliminate fraud and funding to pay States' claims for Medicaid expenditures prior to October 1, 1981. Apportions funds to States according to the ratio of each State's estimated Medicaid expenditures compared to the estimated expenditures of all States for fiscal year 1981. Authorizes separate funding for mechanized claims processing and information retrieval systems. Prohibits payment for any fiscal year 1980 State expenditure unless a claim is filed by October 1, 1981, except in exceptional circumstances. Makes various waivers and modifications of Medicaid program requirements. Eliminates all requirements with respect to eligibility and benefits of the medically needy, and all requirements (other than mandatory services for the categorically needy) to provide equal benefits to all medically needy and categorically needy (mainly individuals receiving cash assistance under the Social Security Act). Maintains the requirement of a State to provide all mandatory services to the categorically needy, but permits a State to use reasonable criteria in determining benefits and eligibility for other needy individuals. Replaces the present requirement that Medicaid beneficiaries be afforded the freedom to choose a provider with a requirement to provide standards reasonably expected to give recipients adequate quality care. Repeals certain requirements with respect to: (1) utilization review and control; and (2) the amount and method of provider reimbursement. Revises requirements for Medicaid management information systems. Permits the waiver of certain State plan requirements if a State demonstrates that it has established alternative methods which can be expected to achieve the same goal. Provides personal care services to individuals who, without them, would require institutionalization. Increases Federal funding for automated eligibility assessment systems. Provides that disputed overpayments to a State which were disallowed by the Secretary of Health and Human Services will be recovered by the Secretary rather than retained by the State pending final determination. Permits a State to attribute to an alien the income and resources of the alien's sponsor for purposes of determining the alien's eligibility for Medicaid, if such alien seeks Medicaid within three years of entry into the United States. Title II: Medicare - Amends title XVIII (Medicare) of the Act to provide that contracts for the administration of benefits can be entered into with any public or private entity. Permits payments to providers on other than a reasonable cost or reasonable charge basis. Permits competitive bidding on contracts for the administration of benefits. Eliminates the requirement for a Railroad Retirement Board carrier contract. Repeals the 12-month statutory limitation on agreements with skilled nursing facilities. Prohibits payment for general routine care, including nursing care, of inpatients in hospitals and skilled nursing facilities above a certain amount (determined according to formula) unless it is demonstrated that the cost of caring for Medicare patients is more costly than caring for other patients. Permits the Secretary to withhold payments under Medicare to any Medicaid provider from which Medicaid overpayments cannot be recovered or from which information necessary to determine overpayments cannot be collected. Limits home health services to 100 visits annually under part A (Hospital Insurance) and 100 visits annually under part B (Supplementary Medical Insurance) of title XVIII. Eliminates the need for occupational therapy as a basis for entitlement to home health services. Eliminates part A coverage of alcohol detoxification facility services. Eliminates part B coverage of comprehensive outpatient rehabilitation services. Reduces from $500 to $100 the annual limit for outpatient physical therapy services. Eliminates coverage for hospitalization required solely because of the severity of a dental procedure. Restricts enrollment under part B to the first quarter of each calendar year. Provides, under part B, that with respect to State agreements for coverage of eligible individuals who are receiving money payments under a public assistance program, coverage extended to additional groups of individuals under an agreement requested by a State during 1981 shall not extend to items and services furnished under part B after the second month of enactment. Repeals the requirement for end-stage renal disease networks. Eliminates the temporary delay for the last 21 days of fiscal year 1981 in periodic interim payments to hospitals. Repeals utilization review requirements. Eliminates Medicare coverage for pneumococcal vaccine. Title III: Other Provisions - Amends part A (General Provisions) of title XI of the Act to set forth civil penalties for Medicare and Medicaid fraud. Sets forth the procedures for appealing the Secretary's determination of fraud. Permits the Secretary to deny further participation in Medicare or Medicaid to any individual against whom a final determination of fraud has been reached. Repeals the requirement under part A (Aid to Families with Dependent Children) of title IV of the Act that a State notify AFDC families of the availability of child health screening and treatment services under Medicaid. Amends part B (Professional Standards Review) of title XI of the Act to permit the Secretary to enter into an agreement with a Professional Standards Review Organization (PSRO) for less than 12 months. Prohibits judicial review of the termination of an agreement by the Secretary. Eliminates the requirement that the Secretary provide a formal hearing to terminate a PSRO agreement. Permits the Secretary to terminate an agreement upon giving 90 days notice. Abolishes the Statewide Professional Standards Review Councils. Changes the authority of the Secretary with respect to funding PSRO's from mandatory to discretionary. Permits a State to withdraw its Medicaid program from participation in the professional standards review program. Repeals requirements that the Secretary carry out specified studies and demonstration projects. Amends titles I (Old Age Assistance), IV (Part A), X (Aid to Blind), XIV (Aid to the Permanently and Totally Disabled), and XVI (Supplemental Security Income) of the Act to repeal obsolete authority to provide medical assistance, such authority having been replaced by Medicaid.
United States · United States Congress · 28 May 1981
Health Care Financing Amendments of 1981 - Title I: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to set a limit on the authorization of appropriations for Medicaid for fiscal year 1981 and succeeding fiscal years (presently, a sum sufficient to carry out the program is authorized), except for funding to eliminate fraud and funding to pay States' claims for Medicaid expenditures prior to October 1, 1981. Apportions funds to States according to the ratio of each State's estimated Medicaid expenditures compared to the estimated expenditures of all States for fiscal year 1981. Authorizes separate funding for mechanized claims processing and information retrieval systems. Prohibits payment for any fiscal year 1980 State expenditure unless a claim is filed by October 1, 1981, except in exceptional circumstances. Makes various waivers and modifications of Medicaid program requirements. Eliminates all requirements with respect to eligibility and benefits of the medically needy, and all requirements (other than mandatory services for the categorically needy) to provide equal benefits to all medically needy and categorically needy (mainly individuals receiving cash assistance under the Social Security Act). Maintains the requirement of a State to provide all mandatory services to the categorically needy, but permits a State to use reasonable criteria in determining benefits and eligibility for other needy individuals. Replaces the present requirement that Medicaid beneficiaries be afforded the freedom to choose a provider with a requirement to provide standards reasonably expected to give recipients adequate quality care. Repeals certain requirements with respect to: (1) utilization review and control; and (2) the amount and method of provider reimbursement. Revises requirements for Medicaid management information systems. Permits the waiver of certain State plan requirements if a State demonstrates that it has established alternative methods which can be expected to achieve the same goal. Provides personal care services to individuals who, without them, would require institutionalization. Increases Federal funding for automated eligibility assessment systems. Provides that disputed overpayments to a State which were disallowed by the Secretary of Health and Human Services will be recovered by the Secretary rather than retained by the State pending final determination. Permits a State to attribute to an alien the income and resources of the alien's sponsor for purposes of determining the alien's eligibility for Medicaid, if such alien seeks Medicaid within three years of entry into the United States. Title II: Medicare - Amends title XVIII (Medicare) of the Act to provide that contracts for the administration of benefits could be entered into with any public or private entity. Permits payments to providers on other than a reasonable cost or reasonable charge basis. Permits competitive bidding on contracts for the administration of benefits. Eliminates the requirement for a Railroad Retirement Board carrier contract. Repeals the 12-month statutory limitation on agreements with skilled nursing facilities. Prohibits payment for general routine care, including nursing care, of inpatients in hospitals and skilled nursing facilities above a certain amount (determined according to formula) unless it is demonstrated that the cost of caring for Medicare patients is more costly than caring for other patients. Permits the Secretary to withhold payments under Medicare to any Medicaid provider from which Medicaid overpayments cannot be recovered or from which information necessary to determine overpayments cannot be collected. Limits home health services to 100 visits annually under part A (Hospital Insurance) and 100 visits annually under part B (Supplementary Medical Insurance) of title XVIII. Eliminates the need for occupational therapy as a basis for entitlement to home health services. Eliminates part A coverage of alcohol detoxification facility services. Eliminates part B coverage of comprehensive outpatient rehabilitation services. Reduces from $500 to $100 the annual limit for outpatient physical therapy services. Eliminates coverage for hospitalization required solely because of the severity of a dental procedure. Restricts enrollment under part B to the first quarter of each calendar year. Provides, under part B, that with respect to State agreements for coverage of eligible individuals who are receiving money payments under a public assistance program, coverage extended to additional groups of individuals under an agreement requested by a State during 1981 shall not extend to items and services furnished under part B after the second month of enactment. Repeals the requirement for end-stage renal disease networks. Eliminates the temporary delay for the last 21 days of fiscal year 1981 in periodic interim payments to hospitals. Repeals utilization review requirements. Eliminates Medicare coverage for pneumococcal vaccine. Title III: Other Provisions - Amends part A (General Provisions) of title XI of the Act to set forth civil penalties for Medicare and Medicaid fraud. Sets forth the procedures for appealing the Secretary's determination of fraud. Permits the Secretary to deny further participation in Medicare or Medicaid to any individual against whom a final determination of fraud has been reached. Repeals the requirement under part A (Aid to Families with Dependent Children) of title IV of the Act that a State notify AFDC families of the availability of child health screening and treatment services under Medicaid. Amends part B (Professional Standards Review) of title XI of the Act to permit the Secretary to enter into an agreement with a Professional Standards Review Organization (PSRO) for less than 12 months. Prohibits judicial review of the termination of an agreement by the Secretary. Eliminates the requirement that the Secretary provide a formal hearing to terminate a PSRO agreement. Permits the Secretary to terminate an agreement upon giving 90 days notice. Abolishes the Statewide Professional Standards Review Councils. Changes the authority of the Secretary with respect to funding PSRO's from mandatory to discretionary. Permits a State to withdraw its Medicaid program from participation in the professional standards review program. Repeals requirements that the Secretary carry out specified studies and demonstration projects. Amends titles I (Old Age Assistance), IV (Part A), X (Aid to Blind), XIV (Aid to the Permanently and Totally Disabled), and XVI (Supplemental Security Income) of the Act to repeal obsolete authority to provide medical assistance, such authority having been replaced by Medicaid.
United States · United States Congress · 28 May 1981
Health Professions Personnel Amendments of 1981 - Amends the Public Health Service Act to eliminate authorities for: (1) capitation and construction grants for health professions facilities; and (2) start-up assistance. Eliminates the enrollment maintenance requirement for facilities already receiving assistance. Makes such requirement discretionary for nursing facilities. Authorizes appropriations for fiscal years 1982-1984 for financial distress assistance. Consolidates such assistance authority. Limits a grant to 75 percent of last year's amount. Prohibits a school from receiving more than three grants after fiscal year 1981. Authorizes appropriations for fiscal years 1982-1984 for the Health Education Assistance Loans Program. Makes nursing students eligible for them. Increases the annual and aggregate loan limits available to other health professions students. Permits the Secretary of Health and Human Services to repay part of a loan for a person practicing in a health manpower shortage area. Repeals the 50 percent limit on loan recipients in a given class. Permits (rather than requires) the Secretary to make loan repayments for service in health manpower shortage areas. Authorizes the Secretary to collect defaulted loans. Eliminates certain restrictions on loan amounts, interest, and penalties. Authorizes appropriations for fiscal years 1982-1984 for the National Health Service Corps (NHSC). Authorizes the payment of certain travel expenses. Authorizes appropriations for fiscal years 1982-1984 for NHSC scholarships. Authorizes appropriations through fiscal year 1987 for students already receiving scholarships. Permits service obligations to be fulfilled under the Departments of Health and Human Services or Defense, the Veterans' Administration, or State or local entities. Eliminates the freshman priority. Permits the Secretary to release persons from NHSC service if they agree to pay back from one to three times the amount of scholarship money they received. Allows the private practice option to be used in any health manpower shortage area specified by the Secretary. Authorizes special grants to encourage private practice in health manpower shortage areas. Requires a two-year minimum commitment. Gives priority to NHSC obligees. Limits grants to a maximum of $25,000. Authorizes appropriations for fiscal years 1982-1984 for: (1) public health and health administration training; (2) family medicine; (3) Area Health Education Centers; (4) physician assistant training; (5) primary care training; (6) disadvantage student assistance; (7) nurse training; (8) preventive medicine; (9) remote site training; (10) allied health disease prevention and health promotion; (11) veterinary medicine; (12) continuing education; and (13) podiatry. Consolidates the National Advisory Councils on Health Professions Education, Nurse Training, and the National Health Service Corps. Eliminates advisory council review of health professions personnel grants and contracts. Authorizes the use of health professions funds for technical assistance. Amends the Immigration and Nationality Act to permit a foreign exchange visitor in a graduate medical course or training program to stay for the time normally required to complete such work (currently two years with a one year extension). Eliminates specified regulations requirements.
United States · United States Congress · 28 May 1981
Maternal and Child Health Services Block Grant Act - Revises title V (Maternal and Child Health and Crippled Children's Services) of the Social Security Act. Renames such title, Maternal and Child Health Services Block Grant Act. States that the purposes of such title shall be to enable each State to: (1) reduce infant mortality; (2) reduce the incidence of preventable diseases and handicapping conditions among low-income children; (3) increase the availability of prenatal, delivery, and postpartum care to low-income women; (4) increase the number of children immunized; (5) increase the number of low-income children receiving health assessments and followup diagnostic and treatment services; and (6) provide medically necessary services to handicapped children, and to enable the Secretary of Health and Human Services to provide for projects and research with respect to maternal and child health and handicapped children, grants to train personnel, and grants relating to hemophilia. Authorizes appropriations for fiscal year 1982 of an amount equal to the sum of the amounts authorized to be appropriated for fiscal year 1982 to carry out the consolidated health programs. Defines consolidated health programs to mean programs of: (1) title V; (2) supplemental security income for disabled children (title XVI of the Act); (3) lead-based paint poisoning prevention, sudden infant death syndrome, and hemophilia under the Public Health Services Act; and (4) adolescent pregnancy of the Health Services and Centers Amendments of 1978. Authorizes appropriations for succeeding fiscal years based upon the 1982 amount. Sets forth provisions providing for the allotment of amounts appropriated. Directs the Secretary to use ten percent of such amount for: (1) special projects contributing to the advancement of maternal and child health or services for handicapped children; (2) research projects relating to maternal and child health services or handicapped services; and (3) the continuation of funding of grants to train personnel for health care, and comprehensive hemophilia diagnostic and treatment centers. Directs the Secretary to fund 50 percent of a State's expenses in carrying out title V. Prohibits a State from using grant money for: (1) cash payments to intended recipients of health services; (2) the purchase or improvement of land or any building or the purchase of major medical equipment; or (3) satisfying any requirement for the expenditure of non-federal funds as a condition for the receipt of Federal funds. Requires a State, in order to receive an allotment, to: (1) transmit to the Secretary annually a description of the intended use of payments; and (2) transmit to the Secretary assurances that: (a) the State health agency will be responsible for the administration of allotted funds; (b) the State will fairly allocate allotted funds; (c) use allotted funds to provide services under the consolidated health programs; (d) provide that of the funds allotted a State: (i) no more than ten percent will be used for program administration; (ii) no more than ten percent will be used for training and technical assistance; (iii) at least 80 percent will be used to provide health services; and (iv) a reasonable proportion will be used to carry out the purposes of this Act; (e) provide that if a State imposes any charges for health services assisted by the State under title V, such charges will be adjusted to reflect income and will not be imposed on low-income mothers and children; and (f) identify and apply guidelines for the appropriate frequency and content of health care assessments and services. Requires each State to annually: (1) report to the Secretary on its activities under this title; and (2) audit its expenditures under this title. Sets forth provisions relative to this title concerning: (1) criminal penalties for false statements; (2) nondiscrimination; (3) administration; (4) repeals and conforming amendments; and (5) effective date and transitions.
United States · United States Congress · 28 May 1981
Health Amendments of 1981 - Amends the Public Health Service Act to eliminate the National Center for Health Care Technology and the National Council on Health Care Technology. Transfers certain health care technology activities to the renamed National Center for Health Care Technology and Health Services Research. Authorizes the Secretary of Health and Human Services to participate in international health care technology activities. Authorizes (rather than requires) the Secretary to carry out health technology activities and fund health services research centers. Authorizes appropriations for fiscal years 1982-1984 for health research and technology and health statistics. Permits approval without peer review of research and technology grants of $50,000 or less (currently $35,000 or less). Repeals: (1) the authority establishing the Cooperative Health Statistics System; and (2) the requirement that the Secretary, acting through the National Center for Health Statistics, develop executive guidelines concerning the effect of employment conditions and the environment on public health. Makes discretionary (currently mandatory) the Secretary's authority to train persons in the areas of health statistics, research and technology. Limits the release of health statistics, research, or technology information. Authorizes appropriations for National Research Service Awards for fiscal years 1982-1984. Directs that special consideration be given to physicians who agree to do at least two years of biomedical research. Exempts the first 12 months of service from the payback provision. States that such Awards cover tuition and fees. Permits a recipient to meet his or her service obligation by working for a Federal agency or State or local entity if authorized by the Secretary. Eliminates the service obligation for undergraduate recipients. Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to: (1) eliminate the provision establishing the Agency for Toxic Substances and Disease Registry; (2) require the Secretary to provide technical assistance and advice to the Environmental Protection Agency relating to toxic substances. Amends the Public Health Service Act to broaden the Secretary's authority to engage in cooperative health endeavors. Increases from 45 days to six months the maximum time period for aiding States or localities during health emergencies. Requires the Secretary to consider State, local, or private resource sources in determining the amount of such assistance. Authorizes appropriations for fiscal years 1982-1984 for: (1) immunization programs; and (2) medical libraries. Makes discretionary (currently mandatory) the Secretary's authority to make grants for special scientific projects and for research and development in medical library science. Makes additional special pay for Public Health Service Commissioned Corps physicians discretionary. Revises language regarding Hansen's disease (leprosy). Permits treatment in non-Public Health Service facilities. Eliminates or reduces specified health reporting requirements.
United States · United States Congress · 21 May 1981
Professional Standards Review Amendments of 1981 - Amends part B (Professional Standards Review) of title XI of the Social Security Act to direct the Secretary of Health and Human Services to undertake a consolidation of Professional Standards Review Organization (PSRO) areas. Directs the Secretary in carrying out the consolidation to take into account certain criteria including that each State should generally be designated as a single statewide PSRO area. Directs the Secretary to establish a Professional Standards Review Organization Advisory Group to assist the Secretary in developing criteria for consolidation, advise the Secretary in the selection of organizations to serve as PSRO's, and advise the Secretary with respect to terminating agreements with a PSRO. Prohibits a PSRO termination determination by the Secretary from being subject to judicial review. Requires each PSRO to focus its review activity on those cases, physicians, providers, procedures, and tests with respect to which inappropriate utilization is more likely to occur. States that no claimant shall be determined to be without fault in a particular claim if the PSRO has notified a claimant that a pattern of inappropriate utilization has occurred and the claimant has had a reasonable time to correct the inappropriate utilization. Authorizes the Secretary, upon request by a State, to exempt a State from the review requirements with respect to professional activities for which payment is made under Medicaid (title XIX of the Act), if the State chooses to use the PSROs designated to implement a State review plan in effect in such State, or the State has in effect any other review plan under its Medicaid plan.
United States · United States Congress · 21 May 1981
Health Amendments of 1981 - Amends the Public Health Service Act to eliminate the National Center for Health Care Technology and the National Council on Health Care Technology. Transfers certain health care technology activities to the renamed National Center for Health Care Technology and Health Services Research. Authorizes: (1) the Secretary to participate in international health care technology activities; (2) rather than requires, the Secretary to carry out health technology activities and fund health services research centers; and (3) appropriations for fiscal years 1982 through 1984 for health research and technology, and for health statistics. Permits approval without peer review of research and technology grants of $50,000 or less (currently $35,000 or less). Repeals: (1) the authority establishing the Cooperative Health Statistics System; and (2) the requirement that the Secretary, acting through the National Center for Health Statistics, develop executive guidelines concerning the effect of employment conditions and the environment on public health. Makes discretionary (currently mandatory) the Secretary's authority to train persons in the areas of health statistics, research, and technology. Limits the release of health statistics, research, or technology information. Authorizes appropriations for National Research Service Awards for fiscal years 1982 through 1984. Directs that special consideration be given to physicians who agree to do at least two years of biomedical research. Exempts the first 12 months of service from the payback provision. States that such Awards cover tuition and fees. Permits a recipient to meet his or her service obligation by working for a Federal agency or State or local entity if authorized by the Secretary. Eliminates the service obligation for undergraduate recipients. Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to: (1) eliminate the provision establishing the Agency for Toxic Substances and Disease Registry; and (2) require the Secretary to provide technical assistance and advice to the Environmental Protection Agency relating to toxic substances. Amends the Public Health Service Act to broaden the Secretary's authority to engage in cooperative health endeavors. Increases from 45 days to six months the maximum time period for aiding States or localities during health emergencies. Requires the Secretary to consider State, local, or private resource sources in determining the amount of such assistance. Authorizes appropriations for fiscal years 1982 through 1984 for: (1) immunization programs; and (2) medical libraries. Makes discretionary (currently mandatory) the Secretary's authority to make grants for special scientific projects and for research and development in medical library science. Makes additional special pay for Public Health Service Commissioned Corps physicians discretionary. Revises language regarding Hansen's disease (leprosy). Permits treatment in non-Public Health Service facilities. Eliminates or reduces specified health reporting requirements.
United States · United States Congress · 21 May 1981
Health Professions Personnel Amendments of 1981 - Amends the Public Health Service Act to eliminate authorities for: (1) capitation and construction grants for health professions facilities; and (2) start-up assistance. Eliminates the enrollment maintenance requirement for facilities already receiving assistance. Makes such requirement discretionary for nursing facilities. Authorizes appropriations for fiscal years 1982-1984 for financial distress assistance. Consolidates such assistance authority. Limits a grant to 75 percent of last year's amount. Prohibits a school from receiving more than three grants after fiscal year 1981. Authorizes appropriations for fiscal years 1982-1984 for the Health Education Assistance Loans Program. Makes nursing students eligible for them. Increases the annual and aggregate loan limits available to other health professions students. Permits the Secretary of Health and Human Services to repay part of a loan for a person practicing in a health manpower shortage area. Repeals the 50 percent limit on loan recipients in a given class. Permits (rather than requires) the Secretary to make loan repayments for service in health manpower shortage areas. Authorizes the Secretary to collect defaulted loans. Eliminates certain restrictions on loan amounts, interest, and penalties. Authorizes appropriations for fiscal years 1982-1984 for the National Health Service Corps (NHSC). Authorizes the payment of certain travel expenses. Authorizes appropriations for fiscal years 1982-1984 for NHSC scholarships. Authorizes appropriations through fiscal year 1987 for students already receiving scholarships. Permits service obligations to be fulfilled under the Departments of Health and Human Services or Defense, the Veterans' Administration, or State or local entities. Eliminates the freshman priority. Permits the Secretary to release persons from NHSC service if they agree to pay back from one to three times the amount of scholarship money they received. Allows the private practice option to be used in any health manpower shortage area specified by the Secretary. Authorizes special grants to encourage private practice in health manpower shortage areas. Requires a two-year minimum commitment. Gives priority to NHSC obligees. Limits grants to a maximum of $25,000. Authorizes appropriations for fiscal years 1982-1984 for: (1) public health and health administration training; (2) family medicine; (3) Area Health Education Centers; (4) physician assistant training; (5) primary care training; (6) disadvantage student assistance; (7) nurse training; (8) preventive medicine; (9) remote site training; (10) allied health disease prevention and health promotion; (11) veterinary medicine; (12) continuing education; and (13) podiatry. Consolidates the National Advisory Councils on Health Professions Education, Nurse Training, and the National Health Service Corps. Eliminates advisory council review of health professions personnel grants and contracts. Authorizes the use of health professions funds for technical assistance. Amends the Immigration and Nationality Act to permit a foreign exchange visitor in a graduate medical course or training program to stay for the time normally required to complete such work (currently two years with a one year extension). Eliminates specified regulations' requirements.
United States · United States Congress · 21 May 1981
Saccharin Study and Labeling Act Amendment of 1981 - Amends the Saccharin Study and Labeling Act to extend until 24 months after the date of enactment of this Act, the period during which the Secretary of Health and Human Services may not take certain actions to restrict the continued use of saccharin or of any food, drug, or cosmetic containing saccharin.
United States · United States Congress · 21 May 1981
Merchant Seamen Health Services Repeal Act - Amends the Public Health Service Act to eliminate the entitlement to health services for merchant seamen. Repeals provisions of the Department of Defense Appropriation Authorization Act, 1974, which provide for the operation of certain Public Health Service hospitals.
United States · United States Congress · 21 May 1981
Preventive Health Block Grant Act - Amends title III (General Powers and Duties of the Public Health Service) of the Public Health Service Act to replace the current grant programs for health planning and public health services, preventive health services, paint poisoning, and venereal disease with a Preventive Health Block Grant program. Authorizes specified appropriations for fiscal years 1982-1985. Sets forth the allotment formula. Authorizes the Secretary of Health and Human Services to provide technical assistance to the States. Prohibits the use of funds for: (1) cash payments to health services recipients; (2) construction or land purchase; and (3) satisfying non-Federal funding requirements. Authorizes any State to transfer up to ten percent of block grant funds for use under other Federal law providing for health or social services or for meeting home energy and emergency assistance needs. Requires States to: (1) report and to prepare an audit at least every two years on activities under this Act; and (2) report publicly on their intended use of funds for each year. Repeals various Federal laws authorizing categorical grants and other assistance in related fields.
United States · United States Congress · 21 May 1981
Health Services Block Grant Act - Amends the Public Health Service Act to establish a block grant program for States for the provision of health services and related activities for migratory and seasonal agricultural workers, medically underserved populations, mothers and children, coal miners, and individuals at home, and related to sudden infant death syndrome, hemophilia, medical emergencies, mental health, and alcohol and drug abuse. Repeals various Federal laws authorizing categorical grants and other assistance in such areas. Prohibits the block grants from being used for inpatient services, cash payments, improvement of land or facilities, or as satisfaction for any non-Federal match. Authorizes any State to transfer up to ten percent of block grant funds for use under other Federal law providing for health promotion and disease prevention or social services, or for meeting home energy and emergency assistance needs. Sets forth reporting requirements. Authorizes $1,137,600,000 for each of fiscal years 1982 through 1985 to carry out this Act.
United States · United States Congress · 21 May 1981
Repeals title XV (National Health Planning and Development) and title XVI (Health Resources Development) of the Public Health Service Act. Stipulates that such repeals shall not affect outstanding loan obligations. Establishes Federal recovery rights on facilities receiving title XVI construction grants for 20 years.
United States · United States Congress · 21 May 1981
Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982 through 1983 for community health centers. Provides that not more than two percent of such appropriations may be used for planning and development and not more than five percent may be used for operations. Directs the Secretary of Health and Human Services to prescribe criteria for determining areas and population groups in need of community health centers. Requires an applicant to demonstrate, based upon such criteria, how a center will provide maximum services. Requires a health center grant recipient to: (1) provide for an annual audit; (2) file a report of such audit with the Secretary; and (3) maintain records as the Secretary requires. Directs the Secretary to review migrant health services provided by such centers and to report to Congress within six months of enactment of this Act. Authorizes specified appropriations for migrant health centers for fiscal years 1982 through 1983. Provides that not more than two percent of such appropriations may be used for planning and development, five percent for operations, and ten percent for environmental health and sanitation contracts. Authorizes specified appropriations for fiscal year 1982 for primary and dental care projects in nonurban areas.
United States · United States Congress · 21 May 1981
Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982 through 1984 for State public health services. Includes hypertension, rodent control, fluoridation, and lead paint poisoning programs within such services. Authorizes specified appropriations for fiscal years 1982 through 1984 for programs of: (1) child immunization; (2) tuberculosis prevention; and (3) venereal disease control.
United States · United States Congress · 21 May 1981
Amends the Public Health Service Act to authorize specified authorizations for fiscal years 1982-1984 for: (1) research and demonstration activities; (2) statistical and epidemiological activities; and (3) the National Center for Health Care Technology. Authorizes (currently the Secretary is required) the Secretary to support certain research, evaluation, and demonstration programs, including (as of fiscal year 1982) the role of market forces in the health care system. Eliminates new projects involving the use of computers in health services and information systems but continues funding for existing projects through fiscal year 1982. Revises specified pollution and environmental reporting requirements to require: (1) such reports every three (currently every two) years; and (2) their submission to the House Committee on Energy and Commerce (currently to the Committee on Interstate and Foreign Commerce). Reduces from three to two the number of required national special emphasis centers and eliminates the special designation of Health Care Management Center. Expands the scope of authorized international cooperative projects. Requires specified grants for health technology, operations, and research and demonstrations with direct costs in excess of $50,000 (currently $35,000) to be reviewed for scientific merit before being made. Authorizes specified appropriations for fiscal year 1982 for: (1) medical libraries; and (2) National Research Service Awards. Requires reciprocal service by recipients of National Research Service Awards of at least 12 months (currently at least three months) duration.
United States · United States Congress · 21 May 1981
Medicare Reform Act of 1981 - Amends title XVIII (Medicare) of the Social Security Act to eliminate prior hospitalization as a condition of eligibility for home health care services under part A (Hospital Insurance) of such title. Eliminates confinement to home as a requirement for receiving home health care services under part B (Supplementary Medical Insurance) of such title. Includes "periodic chore services" as a home health service. Eliminates the deductible under part B. Provides coverage under part A for community mental health center services of up to: (1) ten outpatient visits annually; and (2) 60 partial hospitalization visits annually, if an individual has not exceeded the inpatient psychiatric hospital services limitations. Defines such services and sets forth conditions of any limitation on such services. Authorizes payment under the Medicare program for: (1) the cutting and removal of corns, warts, calluses, and trimming of club nails; (2) eyeglasses, hearing aids, and dentures, and examinations for the purpose of prescribing such articles; (3) immunizations; (4) to the extent and in the manner prescribed by the Secretary of Health and Human Services, drugs and biologicals on a doctor's prescription; (5) an annual routine physical; and (6) orthopedic shoes or devices. Provides for a semiannual update of the customary and prevailing charges used to determine the reasonable charges for medical services.
United States · United States Congress · 20 May 1981
Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide for a limited waiver of ERISA's general preemption of State laws relating to employee benefit plans in the case of the Hawaiian Prepaid Health Care Law. Directs the Secretary of Labor to conduct a study and report to Congress within two years on the feasibility of extending such exemption to include other State laws which establish health care plans.
United States · United States Congress · 20 May 1981
Amends title XVIII (Medicare) of the Social Security Act to require each hospital to submit semiannually to the Secretary of Health and Human Services, and to each health systems agency for a health service area in which the hospital provides inpatient services, information relating to the rate of mortality and the rate of morbidity associated with patients provided inpatient services. Authorizes the Secretary, if certain conditions prevail, to require other information from each such hospital relating to: (1) charges for services; (2) mortality or morbidity rates associated with surgery; and (3) other information which will enable patients to compare the risks of being provided the same services in different hospitals. Directs the Secretary and each health systems agency receiving information under this Act to make such information available to the public.
United States · United States Congress · 20 May 1981
Requests the President to designate May 6, 1982, as "National Recognition Day for Nurses."
United States · United States Congress · 19 May 1981
Permits a State under its Medicaid program (title XIX of the Social Security Act) to treat a nonresident mentally retarded individual who is receiving services in a nonprofit intermediate care facility as a resident for the purpose of providing medical assistance to such individual. Permits a State providing such services to such an individual to: (1) limit treatment to those individuals whose parents or guardian are residents of an adjoining State; and (2) require the parents or guardian to pay some or all of the State share.
United States · United States Congress · 13 May 1981
Amends titles II (Old Age, Survivors and Disability Insurance), V (Maternal and Child Health), XVI (Supplemental Security Income), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act, and the Public Health Service Act as pertains to health maintenance organizations, to permit an individual who is eligible to receive visual or foot care services the choice of selecting a doctor of medicine, osteopathy, optometry, or podiatry.
United States · United States Congress · 12 May 1981
Medicare Mental Illness Non-Discrimination Act - Amends title XVIII (Medicare) of the Social Security Act to eliminate restrictions with respect to inpatient psychiatric care and the treatment of mental, psychoneurotic, and personality disorders of an individual who is not an inpatient.
United States · United States Congress · 12 May 1981
Requests the President to designate the week beginning September 20, 1981, as "Positive Mental Attitude Week."
United States · United States Congress · 8 May 1981
Physical Fitness and Sports Medicine Amendments of 1981 - Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982-1984 for the Office of Health Information, Health Promotion and Physical Fitness and Sports Medicine, and for related grant programs.
United States · United States Congress · 7 May 1981
Veterans' Administration and Department of Defense Medical Sharing Act - Requires the Administrator of Veterans' Affairs and the Secretary of Defense to direct the Chief Medical Director of the Veterans' Administration and the Assistant Secretary of Defense for Health Affairs to form an interagency committee to oversee opportunities for sharing the medical resources of the Veterans' Administration and the Department of Defense. Directs the Administrator and the Secretary to jointly establish guidelines for the sharing of medical resources by health care facilities of the Administration and the Department. Requires such guidelines to include provisions for cooperative sharing agreements with such health care facilities explicitly defining the care to be provided on a reimbursable basis. Directs the Administration and the Secretary to submit an annual joint report to Congress setting forth the guidelines prescribed, the opportunities for interagency sharing agreements, and the progress of interagency activities to share medical resources. Permits the Administrator of Veterans' Affairs, upon authorization by the President, to give a higher priority to the furnishing of medical care and services to members of the armed forces on active duty during a period of war or national emergency than to all veterans but those with service-connected disabilities. Permits the Administrator to contract with private facilities for the provision of priority care. Requires the Department of Defense to reimburse the Veterans Administration for the provision of such care. Directs the Administrator, whenever priority care is authorized, to submit to the Senate and House Committees on Veterans' Affairs a report of the plan for the allocation of facilities and personnel to provide such care. Directs the Administrator to enter into an agreement with the Secretary of Defense to pursue planning activities and establish procedures and guidelines for the sharing of Veterans' Administration and armed forces facilities.
United States · United States Congress · 7 May 1981
Veterans' Health Care Act of 1981 - Extends from December 31, 1981, to September 30, 1982, the authority of the Administrator of Veterans' Affairs to contract for hospital care or medical services in Puerto Rico and the Virgin Islands without reference to patient loads or incidence of provision of medical services for veterans treated by the Veterans' Administration in the contiguous 48 states. Authorizes the Administrator to furnish hospital care or nursing home care to a veteran of the Vietnam-era determined to be in need of such care for the treatment of a condition that may be associated with exposure to Agent Orange. Extends through September 30, 1984 (three additional years) the period during which Vietnam-era veterans may initially request psychological readjustment counseling. Permits the Administrator to provide medical care for survivors and dependents of certain veterans in Veterans' Administration medical facilities not being utilized for the care of eligible veterans. Extends through September 30, 1986 the period during which, the President may authorize the Administrator to provide for payments for hospital care and medical services in the Veterans' Memorial Medical Center, Philippines for eligible U.S. veterans. Authorizes appropriations for fiscal years 1982 through 1986 to make grants to such Center for the replacement and upgrading of equipment and the rehabilitation of the facilities. Entitles the United States to recover the costs of certain medical care and services furnished to a veteran for a non-service connected disability when such disability is covered by another form of insurance or compensation. Sets forth the formula and procedure for the United States' recovery against the insurer or other entity. Subrogates the United States to the rights of such veteran. Reduces the minimum number of hospital and nursing home beds the Administrator must establish in medical facilities of the Veterans' Administration. Requires the Administrator to maintain a contingency capacity to assist the Department of Defense in time of war or national emergency. Requires the Chief Medical Director to analyze annually, rather than periodically, agencywide admissions policies and the records of eligible veterans who apply for care but are rejected or not given immediate attention. Requires the Director to review the adequacy and geographic distribution of operating beds and the demographic characteristics of the veteran population. Directs the Administrator to report annually to the appropriate Congressional committees. Amends the Veterans Health Programs Extension and Improvement Act of 1979 to permit the expansion of the scope of the epidemiological study of the health effects of agent orange to include an evaluation of the long term adverse health effects in humans serving in the armed forces of the United States in Vietnam during the Vietnamese conflict or other factors involved in such service, including exposure to other herbicides, chemicals, medications, or environmental hazards or conditions. Permits the Administrator of Veterans' Affairs to expand the scope of the literature analysis and review to include an analysis and review of the literature covering other studies relating to the effects of such factors.
United States · United States Congress · 5 May 1981
Health Maintenance Organization Amendments of 1981 - Amends the Public Health Service Act to eliminate specified health maintenance organization (HMO) funding provisions including: (1) feasibility studies; (2) planning and initial development; (3) ambulatory health facility construction; (4) program evaluation; and (5) annual reports. Eliminates HMO grant or contract authority (continues current loan authority). Makes HMO application requirements applicable to the National Health Maintenance Organization Intern Program. Extends loan and loan guarantees for initial operating costs through fiscal year 1983. Permits interest rates to be adjusted for HMO loans. Authorizes specified appropriations for fiscal years 1982-1984. Authorizes specified appropriations for training (including the National Health Maintenance Organization Intern Program) and technical assistance for fiscal years 1982-1984. Eliminates certain mental health and alcohol and drug abuse services from the definition of "basic health services" and includes them in the definition of "supplemental health services" for HMO related purposes. Repeals specified policymaking body membership requirements. Permits nonmetropolitan HMOs to provide certain basic health services outside their service areas if such services are not otherwise available. Removes certain restrictions on contracting with individual physicians. Revises HMO dual choice provisions. Repeals community rating requirements.
United States · United States Congress · 4 May 1981
Brown Lung Disease Benefits Act of 1981 - Provides brown lung benefits to individuals who are totally disabled and surviving dependents of such individuals when existing State worker's compensation laws are inadequate (as determined by the Secretary of Labor). Sets forth a benefits entitlement schedule. Requires claims under this Act to be filed within three years of a medical determination of brown lung disability. States that an employer shall be liable for the securing of employee benefits equal to or greater than those provided by this Act, including acquiring insurance or qualifying as a self-insurer under specified conditions. Makes an employer liable to the United States for nonpayment of benefits paid on his/her behalf by the Secretary (as required by this Act). Requires the Secretary to report annually to the Congress. Authorizes the Secretary to make grants and enter into contracts for employment-related respiratory and pulmonary research. Authorizes necessary appropriations.
United States · United States Congress · 4 May 1981
Health Programs Amendments of 1981 - Title I: Community and Migrant Health Centers - Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982 through 1983 for community health centers. Directs that not more than: (1) two percent of such appropriations may be used for planning and development; nor (2) more than five percent for operations. Directs the Secretary of Health and Human Services to prescribe criteria for determining areas and population groups in need of community health centers. Requires an applicant to demonstrate, based upon such criteria, how a center will provide maximum services. Requires a health center grant recipient to: (1) provide for an annual audit; (2) file a report of such audit with the Secretary; and (3) maintain records as the Secretary requires. Directs the Secretary to review migrant health services provided by such centers and to report to Congress within six months of enactment of this Act. Authorizes specified appropriations for migrant health centers for fiscal years 1982 through 1983. Directs that not more than: (1) two percent of such appropriations may be used for planning and development; (2) five percent for operations; nor (3) more than ten percent for environmental health and sanitation contracts. Title II: Immunization of Children - Authorizes specified appropriations for fiscal years 1982 through 1984 for child immunization programs. Title III: Adolescent Pregnancy - Amends the Health Services and Centers Amendments of 1978 to authorize specified appropriations for fiscal years 1982 through 1984 for adolescent pregnancy programs. Title IV: Family Planning - Amends the Public Health Service Act to authorize specified appropriations for fiscal years 1982 through 1984 for family planning programs of: (1) family planning services; (2) training; (3) research; and (4) information and education. Title V: Hypertension - Directs the Secretary of Health and Human Services to establish within the Office of the Assistant Secretary for Health an Office of Hypertension Coordination and Information. Requires such Office to report annually to Congress. Sets forth reporting requirements. Title VI: Health Services Block Grant - Consolidates current programs for sudden infant death syndrome, genetic screening, hemophilia, emergency medical systems, home health, venereal disease, hypertension, rat control, fluoridation, and lead paint poisoning prevention into a single block grant to the States. Requires: (1) the Secretary to recommend an allotment formula by October 1, 1982; and (2) relative population, per capita income, financial need, and State and local health expenditures to be considered in such formula. Prohibits more than ten percent of allotments to be used for salaries and expenses not directly involved in the delivery of health services. Requires: (1) each participating State to report annually to the Secretary describing how it will use such funds to meet health needs; and (2) the Secretary to transmit a program evaluation to Congress by October 1, 1983. Authorizes specified appropriations for fiscal years 1982 through 1984. Title VII: Health Maintenance Organization - Authorizes specified appropriations for fiscal years 1982 through 1984 for health maintenance organization (HMO) grants and loans. Directs that development grants will be given only to those entities already receiving such funds. Authorizes $40,000,000 or more if necessary for the HMO Treasury fund. Requires such fund to maintain an annual balance of at least $5,000,000. Extends the loan guarantee programs for planning and for initial development through fiscal year 1984. Authorizes the Secretary to make grants and enter into contracts for demonstration projects to evaluate the need for future Federal HMO assistance. Requires a report to Congress by January 1, 1984. Authorizes specified appropriations for fiscal years 1982 through 1984. Modifies current HMO requirements to eliminate certain physician contracting provisions. Redefines "community rating system" to permit class-based rating on the basis of age, sex, marital status or family size. Increases the annual and aggregate amounts available for initial operating cost loans and loan guarantees. Extends such programs through fiscal year 1986. Eliminates the requirement that a specified percent of such funds as well as feasibility survey funds and planning funds be used in nonmetropolitan areas.
United States · United States Congress · 1 May 1981
Amends title XVIII (Medicare) of the Social Security Act to revise provisions relating to payments to and contractual arrangements with health maintenance organizations (HMO) on behalf of individuals eligible for Medicare. Directs the Secretary of Health and Human Services to determine annually a per capita rate of payment for each class of individuals: (1) enrolled with an HMO pursuant to this Act and who are entitled to benefits under part A (Hospital Insurance) of title XVIII and enrolled under part B (Supplementary Medical Insurance) of title XVIII; and (2) enrolled with an HMO and enrolled under part B only. Provides a rate for each class equal to 95 percent of the adjusted average per capita cost for that class. Defines the term "adjusted average per capita cost" to mean the average per capita amount that the Secretary estimates would be payable for services furnished under the Medicare program, if the services were to be furnished by other than an HMO. Directs the Secretary in establishing classes of individuals to take in consideration such factors as age, sex, institutional status, disability status and place of residence. Redefines an HMO. Requires an HMO to meet certain requirements, including limits on premiums, deductibles, coinsurance, and copayments. Provides that individuals enrolled in the Medicare program shall be eligible under this Act with any HMO with which the Secretary has contracted. Prohibits premiums, deductibles, coinsurance, and copayments of an HMO for services in addition to those available to Medicare enrollees from exceeding, for such individuals, the adjusted community rate for such services. Defines the adjusted community rate. Authorizes the Secretary to reimburse an HMO on the basis of reasonable cost if the Secretary is satisfied that the HMO is able to perform its contractual obligations effectively and efficiently and if: (1) the Secretary is not satisfied that an HMO has the capacity to bear the risk of potential losses under a risk-sharing contract under this Act; or (2) the HMO so elects. Amends part A (General Provisions) of title XI of the Social Security Act to prohibit a capital expenditure made by or on behalf of a health care facility from being subject to review pursuant to the limitation on Federal participation for capital expenditures of part A if the obligation of the capital expenditure by the facility would not be reviewed under the Public Health Service Act. Directs the Secretary to conduct a study and report to Congress concerning additional benefits selected by HMO's. Amends title XIX (Medicaid) of the Act to revise the definition of an HMO. Requires an HMO meet the requirements of an HMO as defined in title XVIII, and to meet certain additional requirements. Directs the Secretary to conduct a study and report to Congress concerning the extent of, and reasons for, the termination by Medicare and Medicaid beneficiaries of their membership in HMO's.
United States · United States Congress · 1 May 1981
Health Maintenance Organization Amendments of 1981 - Amends the Public Health Service Act to authorize appropriations for fiscal years 1982-1984 for health maintenance organization (HMO) planning and initial development. Limits eligibility to HMOs receiving specified funds during fiscal year 1981. Authorizes specified appropriations for fiscal years 1982-1984 for: (1) technical assistance and training (including the National Health Maintenance Organization Intern Program); and (2) the loan fund. Extends loan guarantees for planning and initial development through fiscal year 1984. Revises HMO requirements to: (1) eliminate the prohibition on direct service contracts with private physicians; (2) permit nonmetropolitan HMOs to provide certain basic health services outside their service areas if such services are not otherwise available; (3) eliminate open enrollment periods and certain policymaking body membership and advisory body requirements. Eliminates certain mental health, alcohol, and drug abuse services from the definition of "basic health services". Requires an HMO to provide such services in its plan if so requested by the employer. Revises the definition of "supplemental health services". Permits pay rates to be alternatively determined on a per-class basis under the "community rating system" definition. Makes private HMOs that are not nonprofit eligible for initial operation cost loans and loan guarantees. Increases the aggregate and 12-month amounts of such loans and guarantees and extends their availability through fiscal year 1986. Repeals the provision prohibiting cumulative loan guarantees to a private HMO to exceed fund obligations in any fiscal year. Revises current loan authority for ambulatory care facility construction and acquisition. Requires an HMO to have: (1) revenues which exceed its costs; and (2) independent loan sources if necessary. Permits interest rates to be adjusted for HMO loans. Requires an employer subject to this Act who includes certain commercial insurance or nonprofit carrier-owned HMOs in his employee health benefits plan to include an additional HMO (if one exists) which has at least 25 employees (of such employer) residing in its service area. Eliminates loan and grant priorities for nonmetropolitan areas and medically underserved populations. Modifies certain financial disclosure requirements. Repeals the provision requiring certain evaluation reports from the Comptroller General. Eliminates State certificate of need requirements for all HMOs providing institutional health services (currently required of HMOs with less than 50,000 members).
United States · United States Congress · 1 May 1981
Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to include coverage for the services of a mental health specialist. Defines mental health specialist to mean a: (1) clinical psychologist; (2) clinical social worker; (3) psychiatric nurse specialist; or (4) psychiatrist.
United States · United States Congress · 30 April 1981
Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to provide grants to support services and research relating to adolescent pregnancy and parenthood. Includes within such services: (1) pregnancy testing and maternity counseling; (2) adoption counseling; (3) health services including prenatal and pediatric care; (4) education and family planning; and (5) other related health, referral, and educational services. Requires projects to: (1) give priority to unmarried adolescents (17 years old or younger) who are pregnant or who are parents; and (2) use methods to strengthen the capacity of families to deal with adolescent pregnancy or parenthood. Limits the use of funds under this program to: (1) provide services to eligible persons; and (2) coordinate and plan necessary services. Prohibits the use of funds for family planning services (other than counseling and referral) unless not otherwise available. Requires grantees to charge income-based fees for such services. Sets forth grantee priorities. Prohibits grants for more than five years duration. Establishes a decreasing maximum Federal financial participation, which the Secretary may waive. Sets forth application requirements. Requires a grantee to make periodic project reports to the Secretary. Directs the Secretary to coordinate Federal policies and programs relating to the prevention of adolescent pregnancies, including assistance to State and local entities receiving Federal aid. Authorizes the Secretary to make grants and enter into contracts for research projects. Limits such projects to a maximum of five years and an annual amount of $60,000. Requires: (1) the Secretary to establish a panel to review such grant and contract applications; and (2) recipients to transmit project reports to the Secretary. Directs that between one and three percent of appropriated funds under this Act be used for program evaluation. Authorizes specified appropriations for fiscal years 1982-1984. Prohibits funds under this Act from being used for abortion related purposes, except for research concerning the negative consequences of abortion. Repeals title VI (adolescent pregnancy program) of the Health Services and Centers Amendments of 1978.
United States · United States Congress · 30 April 1981
Noninstitutional Long-Term Care Services for the Elderly and Disabled Act - Amends the Social Security Act by adding a new title, title XXI (Noninstitutional Acute and Long-Term Care Services for the Elderly and the Disabled), to provide a comprehensive system of noninstitutional health, developmental, and social services for individuals with chronic disabilities. Entitles an eligible individual to the following benefits: (1) home health services; (2) homemaker-home health aide services; (3) adult day services; (4) respite care services for up to 14 days, or 336 hours, in any year; (5) service coordination; (6) home help services; and (7) other services, provided on a demonstration basis, which the Secretary of Health and Human Services determines may be of value. Sets forth definitions of such benefits. Provides benefits to every individual who: (1) has attained age 65; (2) is disabled and eligible for benefits under titles II (Old-Age, Survivors and Disability Insurance), XVI (Supplemental Security Income), XVIII (Medicare), and XIX (Medicaid) of the Act; (3) was eligible for such benefits and ceased to be so eligible, but only if loss of benefits would seriously jeopardize such individual's ability to continue to live in a noninstitutional community residence and such individual's income is not sufficient to allow such individual to provide a reasonable equivalent of the services available under this Act; or (4) has been certified as eligible by the Secretary of Health and Human Services. States that no eligible individual shall be eligible to receive any benefits under title XXI or any long-term care benefits under titles XVIII, XIX, or XX (Grants to States for Services) of the Act unless such individual has a plan of care, as specified in this Act, and has been screened and assessed by a preadmission assessment and screening team (PAT) in order to determine the types and frequency of services required by such individual and in order to assure the maximum level of independence for such individual. Requires the Governor of each State to designate the State agency or agencies which shall administer or supervise the administration of the States' PAT program. Directs such agency or agencies to designate the PAT. Directs the Secretary to reimburse any PAT, and any State, for the reasonable costs incurred under this Act. Requires beneficiaries under title XXI to make copayments. Sets limits based on income for such copayments. Exempts those below the poverty line from copayments. Directs the Secretary to pay amounts for benefits incurred by an eligible individual in accordance with specified guidelines. Creates the Federal Long-Term Care Trust Fund into which specified funds will be deposited in order to make the payments required by this Act. Coordinates the provisions of this Act with titles XVIII, XIX, and XX of the Act by providing that no payment shall be made under such titles to or on behalf of an individual who is eligible under title XXI for services available under title XXI, unless the individual seeking coverage first undergoes a preadmission screening and assessment as provided in title XXI. States that this Act shall be effective between January 1, 1982, and December 31, 1987. Directs the Secretary to monitor the effects of this Act and report to Congress. Directs the Comptroller General to conduct an ongoing evaluation of the effects of this Act and to report to Congress.
United States · United States Congress · 29 April 1981
Health Maintenance Organizations Amendments of 1981 - Amends title XIII (Health Maintenance Organizations) of the Public Health Service Act regarding health maintenance organizations (HMOs) requirements to: (1) eliminate community rating-based premiums; (2) eliminate open enrollment; (3) permit individual physicians to contract for basic health services provided they agree not to hold HMO members personally liable for any defaulted payments; (4) permit an HMO to be part of another corporate entity if such entity provides necessary financial assurances; (5) protect the members of an HMO from any hospital fees incurred by such organization; and (6) eliminate certain policymaking board membership requirements. Includes drug and alcohol treatment under "supplemental health benefits" rather than under "basic health services" as currently provided. Eliminates: (1) grants for feasibility surveys and for initial development; (2) grants, loans, and loan guarantees for planning projects and for ambulatory health care and facilities; and (3) priorities for nonmetropolitan areas and medically underserved populations. Extends loan guarantees for initial development and operations for those entities receiving funds as of September 30, 1981. Places aggregate and cumulative ceilings on such loan guarantees. Revises: (1) application requirements, including reconsideration of a denial of federally qualified status; and (2) administration provisions. Authorizes specified appropriations for training and technical assistance (including a national health maintenance organization intern program) for fiscal years 1982-1984. Extends authorizations for the Treasury loan fund to assist those HMOs receiving assistance before October 1, 1981. Permits the Secretary to delegate specified HMO regulatory responsibility to a State. Eliminates: (1) required HMO evaluations by the Comptroller General; and (2) annual congressional reporting requirements imposed on the Secretary. Makes this Act effective as of October 1, 1981.
United States · United States Congress · 29 April 1981
Health Services Block Grant Act of 1981 - Amends title III (General Powers and Duties of the Public Health Service) of the Public Health Service Act to replace the current Primary Health Centers grants with a Health Services Block Grant program. Authorizes specified appropriations for fiscal years 1982-1985. Sets forth the allotment formula and application requirements. Authorizes the use of such funds for health services and related activities (including technical assistance) for migratory and seasonal workers, medically underserved populations, coal miners, individuals at home, medical emergencies, mental health, and alcohol and drug abuse. States that such funds do not have to be used to provide services in the same manner as provided prior to October 1, 1981. Prohibits the use of funds for: (1) inpatient services (other than those prescribed by the Secretary of Health and Human Services); (2) cash payments to health services recipients; (3) construction or land purchase; or (4) satisfying non-Federal funding requirements. Authorizes any State to transfer up to five percent of block grant funds for use under other Federal law providing for health promotion and disease prevention or social services, or for meeting home energy and emergency assistance needs. Requires States to report and to prepare an audit at least every two years concerning activities under this Act. Permits States for fiscal year 1982 to choose between operating programs under the block grant established by this Act or operating programs under the provisions repealed by this Act. Repeals various Federal laws authorizing categorical grants and other assistance in related fields.