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Bill· HRH.R. 12058 (95th)referred
United States · United States Congress · 12 April 1978
Rural Health Care Delivery Improvement Act - Declares that it is the policy of Congress and the purpose of this Act to provide assistance to programs for the delivery of health services to residents of rural areas. Establishes within the Department of Health, Education, and Welfare an Office of Rural Health. Authorizes the Director of such office to award grants, contracts, loans, and loan guarantees for projects to: (1) examine existing models of rural health care delivery; (2) determine such models' applicability and transferability to other rural areas; and (3) assist in the study, planning, and development of rural health care delivery models. States that the Director shall: (1) provide liaison among all Federal agencies for the purpose of coordinating health care programs in rural areas; (2) provide technical assistance and advice for the development of rural health care delivery models; and (3) provide for the coordination of programs assisted under this Act with programs of the National Health Service Corps. Establishes in the Treasury a Rural Health Care Delivery Loan Guarantee and Loan Fund. Stipulates that the Director shall not approve an application for a loan or a loan guarantee under this Act unless he determines that the terms and conditions are sufficient to protect the financial interests of the United States. Establishes a Rural Health Care Advisory Committee composed of 11 members. Directs such committee to make recommendations to the Director with respect to overall planning, policies, objectives and priorities for the Office of Rural Health. Stipulates that the Director shall not approve an award of any grant, contract, loan, or loan guarantee under this Act unless such award has been approved by the Rural Health Care Advisory Committee and the appropriate State and local medical society. Authorizes the appropriation of such amounts as may be required from time to time for the rural health care delivery loan guarantee and loan fund.
Bill· SS. 2879 (95th)referred
United States · United States Congress · 11 April 1978
Primary Health Care Act - States that it is the purpose of this Act: (1) to develop and promote a long-term strategy for addressing primary health care needs; and (2) to alleviate the shortage of health resources in both urban and rural medically underserved areas of the country. Establishes the Commission on National Primary Health Care Needs. Requires the Commission to issue a report to Congress on the national primary health care needs with special attention on the varying needs of both urban and rural areas. Directs the Commission to conduct a study to determine if the Department of Defense, the Veterans' Administration, and other Federal health facilities can be utilized to provide health care services in medically underserved areas. Defines the term "primary care" as first contact medical care services, including health promotion and disease prevention, and continuous patient management throughout secondary and tertiary treatment. Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to establish a plan to allow community health centers to retain earned income if the income is used to expand or improve the services of the center. Authorizes appropriations through fiscal year 1983: (1) to make grants to public and nonprofit private entities for projects to plan and develop community health centers to serve medically underserved populations; and (2) to make grants for the costs of operation of public and nonprofit private community health centers which serve medically underserved populations. Defines, for purposes of the Public Health Service Act, the following terms: (1) community hospital; (2) hospital-affiliated primary care center (primary care center); (3) primary care group practice; and (4) primary care resident. Authorizes the Secretary to make grants to community hospitals for planning, developing, and operating primary care centers in medically underserved populations. Sets forth specified assurances which a community hospital must include in an application for such a grant. Authorizes appropriations for such grants through fiscal year 1981. Requires the Secretary to establish a plan to allow migrant health centers to retain earned income if the income is used to expand or improve services of the centers. Authorizes appropriations through fiscal year 1983 for: (1) grants to plan and develop migrant health centers; and (2) to make grants for the cost of operation of such centers. Authorizes the Secretary to make grants and contracts to demonstrate new, improved, or expanded primary health and dental care delivery mechanisms in the community setting for medically underserved populations. Defines, for purposes of the Public Health Service Act, the following terms: (1) "Medically underserved population; (2) "rural"; and (3) "urban."
Bill· HRH.R. 12008 (95th)passed
United States · United States Congress · 11 April 1978
Psychotropic Substances Act - Amends the Controlled Substances Act, the Controlled Substances Import and Export Act, the Federal Food, Drug, and Cosmetic Act, and the Public Health Service Act to meet obligations under the Convention on Psychotropic Substances.
Bill· HRH.R. 12022 (95th)referred
United States · United States Congress · 11 April 1978
Amends the Federal Insecticide, Fungicide, and Rodenticide Act to direct the Administrator of the Environmental Protection Agency to request the National Academy of Science to conduct a study regarding the desirability of developing a Federal policy for the determination of the potential carcinogenicity in man of chemicals tested primarily in nonhuman test systems through the standardization of certain tests.
Bill· HRH.R. 12015 (95th)referred
United States · United States Congress · 11 April 1978
Establishes a ten-year program of preventive health care services within the Veterans' Administration. Directs the Administrator of Veterans' Affairs to design and conduct a health maintenance pilot program to demonstrate the medical advantages and cost-effectiveness of providing such services to veterans.
Question· Fragestunde08/1689open
Germany · German Bundestag · 7 April 1978
Law· proposition de loi82-1019enacted
France · Senate · 6 April 1978
Bill· HRH.R. 11932 (95th)referred
United States · United States Congress · 6 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to permit payment for eye care, eyeglasses, hearing aids and related examinations, dental care and dentures under the supplementary medical insurance program. Increases the government contribution to the Federal Supplementary Insurance Trust Fund by twice the amount of premiums that are presently paid into the Fund each month, while decreasing the portion of the Fund comprised fo premiums from one-half to one-third. Excludes from the coverage of the supplementary medical insurance program expenses relating to referrals of individuals by a doctor of optometry for the diagnosis or detection of eye diseases.
Bill· HRH.R. 11879 (95th)referred
United States · United States Congress · 5 April 1978
Health Services Act - Declares it to be the purpose of this Act: (1) to create a United States Health Service to provide without charge to all residents comprehensive health care services delivered by salaried health workers; and (2) to establish representative and democratic governance of the Service through community boards, district and regional boards, and a National Health Board. Defines the terms used in this Act. Title I: Establishment and Operation of the United States Health Service - Establishes the United States Health Service as an independent establishment of the Executive Branch. States that the authority of the Service shall be exercised by the appropriate National Health Board and, in accordance with this Act and guidelines established by such Board, by area health boards. Requires the President to appoint, by and with the advice and consent of the Senate, 21 individuals as an Interim Board of Directors of the Service. States that the Interim National Board shall serve as the National Health Board of the Service until the National Health Board holds its initial meeting. Directs such Board to: (1) establish the boundaries of the health care delivery regions established by this Act; (2) select and assist regional health boards; (3) coordinate the initial election of community health boards; and (4) submit a report to Congress on its performance under this Act after the appointment of the National Health Board. Authorizes the appropriation of $4,000,000,000 to carry out the provisions of this Act. Directs the Interim National Health Board, within six months of the appointment of its members, to establish health care delivery regions throughout the United States. Requires that each such region be a contiguous geographic area appropriate for the effective governance, planning, and delivery of all health care and supplemental services under this Act for residents of a region having a population of not less than 500,000 and not more than 3,000,000 individuals. Allows for exceptions to such population restrictions when such exceptions would facilitate the delivery of health care or the effective governance of the program. Directs the Interim Board, in establishing health care delivery regions, to take into account the differences in health care needs between metropolitan and non-metropolitan areas. Directs the Interim Board to appoint an interim regional board for each region. Makes it the duty of each such regional board: (1) to establish the boundaries of health care delivery districts and of health care delivery communities within its region; and (2) to conduct elections for voting members of community boards within its region. Stipulates that each region shall be divided into three or more health care delivery districts which shall be contiguous geographic areas with populations of not less than 100,000 and not more than 500,000 individuals. Divides each district into three or more health care delivery communities which shall be contiguous geographic areas with populations of not less than 25,000 and not more than 50,000 individuals. Authorizes variations in the number of districts in a region or communities within a district, and in the respective population requirements, in the interest of facilitating health care delivery and management in such areas. Sets forth the procedures and the requirements for the election of health care delivery community boards. Requires the establishment of health care delivery district boards by appointment by each community board of two individuals eligible to receive health services under this Act to serve as members of its respective district board. Stipulates that, after the initial meeting of each district board, each such board shall appoint two individuals in the district who are eligible to receive health services under this Act to serve as members of its respective regional board. Requires the Interim National Health Board to assign each region to one of three groups of regions established under this Act. Stipulates that after the initial meeting of each regional board each such board for a region in the first two groups of regions shall appoint an eligible user in the region as a user member of the National Health Board. Stipulates that each such board for any other region shall appoint an eligible regional health worker to serve as a worker member of the National Health Board. Requires each regional board to promptly notify the Interim National Health Board and the President of each appointment. Requires the Interim National Board to notify the President and the Congress of the certification of each member of the National Board. Sets forth the procedures to be used in subsequent elections and appointments of members of health boards. Permits the National Board to review and modify the boundary of any region in which there has been a substantial shift of population. Outlines the organizational structure of the National Health Board. Directs each health board to record the minutes of each of its meetings and each of its committees and advisory groups, and to make such records available to the public for inspection and copying. Makes meetings of each health board, committee, and advisory groups open to the public. Requires the National Board to establish such advisory guidelines and standards as will facilitate the implementation of the objectives of this Act. Title II: Delivery of Health Care and Supplemental Services - Enumerates the basic health rights which the Service shall ensure in the delivery of health care services to users including: (1) the right to receive health care and supplemental services without charge and without discrimination; (2) the right to choose the health workers from whom, and health facilities in which, health care services are received; (3) the right to have all health care information translated into the individual's primary language; (4) the right to an explanation of the benefits and risks involved in the delivery of such service; (5) the right to refuse the initial or continuing delivery of any health care service; (6) the right to have all documents treated confidentially; and (7) the right to legal assistance to enforce these rights. Amends the Fair Labor Standards Act of 1938 to establish a program of health leave compensation by requiring that each employee of any employer who in any workweek is engaged in commerce or in the production of goods for commerce, shall be entitled to receive from the employer, for each 35 hours of employment per workweek, compensation for one hour of employment at the regular rate at which the employee is employed for an hour: (1) during the period of 52 weeks beginning with the workweek with which the entitlement is earned; and (2) during which the employee is unable to work because of the need for the employee (or a dependent of that employee) to receive necessary health care services. Declares that all individuals while within the United States or any of its territories are eligible to receive health care and supplemental services under this Act. Includes within the care and services to be provided: (1) the promotion of health and well-being through health education programs; (2) the prevention of illness, injury, and death through education, early detection programs, and through emergency actions to halt environmental threats to life and health; (3) the diagnois and treatment of illness and injury; (4) the rehabilitation of the sick and disabled; and (5) the provision of drugs, therapeutic devices, appliances, equipment, and other medical supplies certified effective in the National Pharmacy and Medical Supply Formulary. Enumerates the supplemental services to be provided under this Act. States that such services shall consist of: (1) ambulance transportation; (2) child care; and (3) homemaking services. Requires the Service to reimburse facilities and health workers not operated or employed by the Service in circumstances requiring immediate medical attention. States that the Service shall provide specified health care services through the community, district, and regional health boards and facilities. Requires each community board to establish community health care facilities to provide comprehensive primary and specialized health care services including: (1) general primary medical care and treatment; (2) preventive health services; (3) children's health services; (4) obstetrical and gynecological services including family planning and contraceptive services, and abortion counseling and services; (5) vision and hearing testing and provision of eyeglasses and hearing aids; (6) 24-hour emergency medical services; (7) provision of pharmaceuticals, therapeutic devices, and medical appliances; (8) mental health services; (9) home health services; and (10) occupational safety and health services. Requires each district board to establish, within its district, a general hospital for the delivery of general health care services and those specialized services which may be provided most effectively at the district level. Requires each regional board to establish a regional medical facility for the delivery of highly specialized health care services to individuals residing in the region. Directs each area health board to provide through its health care facilities: (1) health education on personal health matters; (2) referral services to health care facilities located outside the board's area; (3) environmental health inspection and monitoring services; and (4) discharge planning and followup services for patients who will need continuing care after discharge from an inpatient facility. Requires area health boards, in establishing health care facilities, to purchase or lease such premises as its deems necessary and suitable, utilizing, where appropriate, existing health facilities, including health centers and clinics, hospitals, nursing homes, and medical laboratories. Title III: Health Labor Force - Declares that not withstanding any law of a State or political subdivision, the Service shall be the sole judge of the qualifications of its employees. Directs the National Board to establish guidelines for the classification, certification, and employment of health workers by job category. Requires each regional board to establish a health team school to provide programs of initial and continuing basic and specialized education in health care delivery for health workers in all levels of the health care field. Prohibits any individual from enrolling in a regional health board school or specialized program unless the individual agrees to perform health care services as an employee of the Organization for a specified period of time in the job category for which training is being provided. Applies specified Federal standards to labor-management relations within the Service including provisions relating to: (1) employment and promotion in the Service; (2) adverse actions against employees; (3) compensation for work-related injuries; and (4) collective-bargaining agreements. Stipulates that the remedy against the United States provided by the United States Code for malpractice and negligence suits by employees of the Service acting within the scope of their employment shall be exclusive of any other civil action against the employee. Title IV: Other Functions of Health Boards - Requires each area health board to establish a program of health advocacy to ensure the full realization of patients' rights as enumerated in Title II of this Act. Directs the National Board to establish a health rights legal services program to ensure that users and health workers receive free, high quality legal services for legal problems related to health rights and health care services. Stipulates that each regional board and the appropriate National Health Board shall provide that any user, health worker, or voluntary association having a demonstrated interest in health care may commence a grievance proceeding before the board with respect to an alleged violation of this Act by the appropriate board. Outlines the procedure to be used in the filing and hearing of such grievances. Enumerates the remedies to be provided if an entity determines that a board has failed to comply with this Act. Directs the National Board to oversee occupational safety and health programs at the regional level and to participate in the establishment and administration of occupational safety and health standards under the Occupational Safety and Health Act of 1970. Makes conforming amendments within the Occupational Safety and Health Act of 1970. Directs each community board to provide for the organization and operation in its community of a community occupational safety and health action council (OSHAC). Directs each regional board to establish an occupational health and safety program for its region. Requires the employer in each workplace to establish and maintain a health facility in or near the workplace to provide occupational and emergency health care services to employees. Gives employees in each workplace having 25 or more employees the right to establish workplace occupational safety and health committees to monitor safety and health conditions in their workplace. Grants right of inspection to such committees. Authorizes employees to leave work sites at which a hazard has been found to exist. Transfers the National Institutes of Health to the National Health Board on the effective date of this Act. Directs the National Health Board to establish National Institutes of: (1) Epidemology; (2) Evaluative Clinical Research; (3) Health Care Services; (4) Pharmacy and Medical Supply; and (5) Sociology of Health and Health Care. Requires each regional board to establish a program for the purchase and distribution of drugs and other medical supplies for use by health care facilities established within its region. Authorizes the National Health Board to establish and operate drug and medical supply manufacturing facilities, if it determines that such operation will result in reduced expenditures by the Service. Title V: Financing of the Service - Imposes a tax on every individual, estate, trust, and employer for funding of the Health Service. Repeals provisions of the Internal Revenue Code taxing individuals and employers and allowing deductions to employers and individuals for services which will be provided by the Health Service. Creates the Health Service Trust Fund which shall consist of gifts, bequests, and appropriations. Transfers to the Trust Fund all of the assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund which now provide funding for the Medicare program. Creates the Board of Trustees of the Trust Fund to manage and invest the Fund. Requires each health board to submit to the appropriate board a plan and budget for the fiscal year beginning on October 1 of each year. Directs the National Board to prepare and transmit to the appropriate boards a national health budget for the fiscal year. Limits the manner in which allocated funds shall be expended. Authorizes the borrowing of money and the issuing and selling by the National Health Board of such obligations as the Board determines is necessary to carry out the purposes of this Act. Title VI: Miscellaneous Provisions - Makes the effective date of health services under this Act January 1 of the fourth calendar year after the year in which this Act is enacted. Repeals all programs and provisions of the Public Health Service Act except for: (1) Title III Part F (Licensing - Biological Products and Clinical Laboratories and Control of Radiation) and Part G (Quarantine and Inspection); and (2) Title VII (Health Research and Teaching Facilities and Training of Professional Health Personnel). Repeals Titles V (Maternal and Child Health and Crippled Children's Services), XVIII (Medicare), and XIX (Medicaid), of the Social Security Act. Repeals the Comprehensive Alcohol and Alcoholism Prevention, Treatment, and Rehabilitation Acts. Repeals provisions relating to hospitals and other health facilities for Indians. Repeals the Mental Retardation Facilities and Community Health Centers Construction Act of 1963 and the Family Planning Services and Population Research Act of 1970. Requires the President to prepare and to transmit to Congress legislation to repeal or amend such provisions of law as are inconsistent with the purposes of this Act. Transfers funds, personnel, assets, liabilities, contracts, property and records or programs repealed by this Act to the Service.
Bill· HRH.R. 11809 (95th)referred
United States · United States Congress · 3 April 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· HRH.R. 11805 (95th)referred
United States · United States Congress · 3 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for certain clinical psychologists' services under the supplementary medical insurance program.
Bill· HRH.R. 11826 (95th)referred
United States · United States Congress · 3 April 1978
Amends Title XIX (Medicaid) of the Social Security Act to assure the individuals otherwise eligible for benefits under such Title do not lose such eligibility, or have the amount of such benefits reduced, because of increases in the amount of benefits under Title II (Old-Age, Survivors, and Disability Insurance) of such Act.
Bill· HRH.R. 11816 (95th)referred
United States · United States Congress · 3 April 1978
Audiological Rehabilitation Amendments - Amends Title XVIII (Medicare) of the Social Security Act to provide payment for outpatient communicative services under the supplementary medical insurance program. Defines "outpatient communicative services" as speech pathology and audiology services furnished by a provider of services or other health agency to an individual referred by a physician.
Bill· HRH.R. 11804 (95th)referred
United States · United States Congress · 3 April 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· HRH.R. 11763 (95th)referred
United States · United States Congress · 22 March 1978
Amends the Public Health Service Act to require the Secretary of Health, Education, and Welfare to study the costs of diseases which are environmentally related. Defines such diseases as those which may result in whole or in part from exposure to contaminants at work, at home, indoors, or in the ambient environment. Defines costs of such diseases to be both direct and indirect costs, including costs of prevention, treatment, convalescence, rehabilitation, and costs stemming from loss of income due to incapacitation. Extends the authorization of appropriations under such Act through fiscal year 1981: (1) for health service research, evaluation, and demonstration activities; and (2) for health statistical activities. Amends the Clean Air Act Amendments of 1977 to require the Task Force on Environmental Cancer and Heart and Lung Disease to conduct a study to identify the extent to which indoor and outdoor environmental activities may cause cancer, heart, or lung diseases. Requires the Secretary, acting through the National Center for Health Statistics, to promulgate guidelines for the collection and distribution of information necessary to determine the effects of conditions of employment and indoor and outdoor environmental conditions on public health. Requires related Federal and Executive agencies to cooperate in compiling such information.
Bill· HRH.R. 11726 (95th)referred
United States · United States Congress · 22 March 1978
Amends the Internal Revenue Code to allow a deduction for donations of blood to charitable organizations in an amount equal to $25 for each pint donated. Limits the aggregate amount of donations which shall be deductible to $125 in any taxable year.
Bill· HRH.R. 11685 (95th)referred
United States · United States Congress · 21 March 1978
Prohibits, during the fiscal years 1978 and 1979, the use of funds appropriated to the Department of Health, Education, and Welfare to carry out a program on smoking and health described by the Secretary of such Department on January 11, 1978. Stipulates that programs on smoking and health for the period beginning October 1, 1977 and ending January 10, 1978, shall not be affected. Limits the use of funds which were projected on or before January 11, 1978, to be expended to carry out the program on smoking and health, announced on such date, to expenditures for additional research during 1978 or 1979 on the harmful properties of tobacco and dangerous effects of smoking.
Bill· HRH.R. 11702 (95th)referred
United States · United States Congress · 21 March 1978
Health Maintenance Organization Act Amendments - Amends the term used to describe the providers of basic health services in Health Maintenance Organizations (HMO's) organized under the Public Health Service Act from "health professionals" to "physicians," thereby excluding from the services provided by a HMO the services of dentists, nurses, podiatrists, optometrists, and such other individuals engaged in the delivery of health services as the Secretary of Health, Education, and Welfare may designate. Increases the maximum amounts available for: (1) grants and guarantees of loans for initial development of HMO's; (2) loans made or guaranteed for initial operation costs of HMO's. Authorizes the Secretary to make loans and guarantees to nonfederal lenders of payment of principal and interest on loans made to equip, construct, acquire, or renovate ambulatory care facilities. Extends for five years, through fiscal year 1985, the period during which loans and loan guarantees may be made for initial operation costs of HMO's. Establishes in the Treasury a loan and loan guarantee fund which shall be available to the Secretary of Health, Education, and Welfare to enable the Secretary to discharge his responsibilities under loans and loan guarantees for the establishment and renovation of ambulatory care facilities. Directs employers who are required to offer membership in a HMO to their employees to arrange, at the option of the employee, for payroll deductions from such employees' salary for membership in a qualified HMO. Extends the authorization of appropriations through fiscal year 1984 for feasibility surveys and planning and initial operating costs of HMO's. Requires the Secretary to establish a National Health Maintenance Organization Intern Program for the purpose of training qualified HMO administrators and managerial personnel. Authorizes appropriations through fiscal year 1983 for this purpose. Requires each HMO to annually file with the Secretary specified financial information. Requires the Secretary to annually file a report with Congress based on the information gathered from such financial disclosures.
Bill· HRH.R. 11648 (95th)referred
United States · United States Congress · 20 March 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. 11618 (95th)referred
United States · United States Congress · 16 March 1978
Amends the Internal Revenue Code to provide that all amounts, compensation, goods and services received as National Research Service Awards under the Public Health Service Act since July 12, 1974, are excludable from gross income to the same extent as scholarships and fellowship grants. Provides a minimum period of limitations for refunds of taxes assessed on such amounts of one year commencing with the date of this enactment.
Bill· HRH.R. 11619 (95th)referred
United States · United States Congress · 16 March 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. 2744 (95th)referred
United States · United States Congress · 15 March 1978
Rural Health Services Act - Amends the Public Health Service Act: (1) to define environmental health services provided by community health centers as the identification and detection of unhealthful conditions associated with water supply, sewage treatment, solid waste disposal, rodent and parasitic infestation, field sanitation, and other environmental factors related to health; and (2) to authorize the Secretary of Health, Education, and Welfare to make grants to carry out developmental and demonstration projects for providing health care to rural medically underserved populations.
Bill· HRH.R. 11537 (95th)referred
United States · United States Congress · 14 March 1978
Amends Title XVIII (Medicare) of the Social Security Act to permit payment for eye care, eyeglasses, hearing aids and related examinations, dental care and dentures under the supplementary medical insurance program. Increases the government contribution to the Federal Supplementary Insurance Trust Fund by twice the amount of premiums that are presently paid into the Fund each month, while decreasing the portion of the Fund comprised fo premiums from one-half to one-third. Excludes from the coverage of the supplementary medical insurance program expenses relating to referrals of individuals by a doctor of optometry for the diagnosis or detection of eye diseases.
Bill· HRH.R. 11488 (95th)open
United States · United States Congress · 13 March 1978
Health Planning and Resources Development Amendments - Title I: Revision of Health Planning Authority - Requires the Secretary of Health, Education, and Welfare to review annually the national guidelines for health planning promulgated under the Public Health Service Act. Requires the Secretary to determine whether health care delivery systems are meeting the standards and goals set forth in such guidelines and to periodically publish his findings. Directs health systems agencies designated under Title XV of such Act to provide such data as will enable the Secretary to carry out his responsibilities. Adds to the list of subjects deserving priority consideration in the formulation of national health planning goals: (1) the discontinuance of duplicative or unneeded services and facilities; and (2) the adoption policies to contain the rise of health care costs and promote efficiency in the health care delivery system. Permits the Governor of any State which comprises part of an interstate health service area, such an area being an entity designed to facilitate health planning and development functions for a specified region, to request, without the concurrence of the Governors of other States which are part of such area, the redesignation of an interstate area made up of an entire standard metropolitan statistical area. Directs the Secretary, in considering the application of an organization for designation as an area health systems agency, to give priority to an application which has been recommended by a Governor of a State within the area served by such agency for approval. Permits the State in which an agency is located an opportunity to comment on the performance of such agency before renewal by the Secretary of designating the agency as the health systems agency for a specified area. Increases from 12 to 36 months the maximum length of the term for which an entity may be designated as a health systems agency. Increases the term of a redesignation by the same term. Requires the Secretary to consult with the Governor and the Statewide Health Coordinating Council of each State in which a health systems agency is located before terminating such agency's designation as a health systems agency. Authorizes the Secretary to limit the functions an agency may perform if the Secretary determines that such agency has not fulfilled its obligations. Sets forth new criteria for the determination by the Secretary of the amount of the grant to be made each fiscal year to each health systems agency for the operation of such agency. Stipulates that funds provided under grants to a health systems agency for specified purposes in a fiscal year which have not been expended during such year, shall remain available for obligation in the succeeding fiscal year provided the designation of such health systems agency remains in effect during such succeeding year. Sets forth membership and selection requirements for the governing body of a health systems agency. Provides that records and meetings except for personnel matters shall be available to the public. States that each health systems agency shall have an identifiable program of providing assistance to the members of a governing body in making decisions for the agency. Prohibits any member of a governing body of a health systems or any member of Statewide Health Coordinating Council from voting on any matter with which such member has any substantial ownership, employment, fiduciary, contractual, creditor, or consultative relationship. Requires that each State health planning and development agency consult with the Statewide Health Coordinating Council to determine statewide health needs. Requires that each health planning and development agency conduct a public hearing on the proposed Annual Implementation Plan and shall give interested persons an opportunity to submit their views orally and in writing. Enumerates the requirements of a certificate of need program established by a State health planning and development agency (State Agency). States that such programs shall provide controls on the acquistion of additional equipment and facilities including: (1) review and determination of need for major medical equipment, health care facilities, and capital expenditures, (2) the acquisition and development of only such equipment, facilities, and services as the State Agency determines are needed; and (3) annual review of acquisition programs. Requires each health systems agency to coordinate its activities with any State entity which reviews rates and budgets of health care facilities. Requires health systems agencies located within the same standard metropolitan statistical area to coordinate their activities. Directs the Secretary to make grants to State health and development agencies to develop programs to reduce excess hospital capacity. Directs the Secretary, before renewing an agreement designating an agency of a State as the State health planning and development agency for that State, to provide each health systems agency designated for a health service area located in such State an opportunity to comment on the performance of the State Agency. Extends through fiscal year 1981 authorizations for: (1) planning grants; (2) State health planning and development; (3) rate regulation; (4) centers for Health Planning; and (5) area health services development funds. Title II: Revision of Authority for Health Resources Development - Amends Title XVI (Health Resources Development) of the Public Health Service Act to allow the Secretary to make loans for: (1) modernization of medical facilities; (2) construction of new outpatient facilities; (3) construction of new inpatient facilities in areas determined to require additional facilities; and (4) conversion of existing medical facilities for the provision of new health services. Authorizes the Secretary to guarantee payment of principal and interest to: (1) non-Federal lenders for their loans to nonprofit private entities for medical facilities projects; and (2) the Federal Financing Bank for its loans to nonprofit private entities for such projects. Authorizes the Secretary to make grants for construction or modernization projects designed to: (1) eliminate or prevent imminent safety hazards; or (2) avoid noncompliance with State or voluntary licensure or accreditation standards. Authorizes the Secretary to make grants to public and nonprofit entities for projects for: (1) construction of outpatient medical facilities providing services for medically underserved populations; and (2) conversion of existing medical facilities to provide such services. Directs the Secretary to assure, by regulation, the effective execution and management of projects carried out under this Act.
Bill· SS. 2722 (95th)referred
United States · United States Congress · 10 March 1978
Mental Health Advocacy Act - Amends the Mental Retardation Facilities and Community Mental Health Centers Act of 1963 to require as a condition to a State receiving grants under such Act that the State establish a Statewide agency for mental health advocacy. Declares that the function of such an agency shall be to protect and advocate the rights of individuals identified as seriously disabled psychiatric patients. States that such an agency shall have the authority to pursue legal, administrative, and other remedies to insure the protection of the rights of seriously disabled psychiatric patients who are receiving treatment, services, or rehabilitation within the State. Authorizes the Secretary of Health, Education, and Welfare to establish the National Clearinghouse on Mental Health Advocacy Coalitions to assist State and local coalitions with developing mental health services.
Bill· HRH.R. 11461 (95th)referred
United States · United States Congress · 10 March 1978
Health Maintenance Organization Amendments - Title I: Amendments to the Public Health Service Act - Extends the authorization of appropriations under the Public Health Service Act through fiscal year 1981 for: (1) grants and contracts for surveys of the feasibility of establishing, operating or expanding health maintenance organizations (HMO's); and (2) grants, contracts, loans and loan guarantees for planning and initial development costs related to the establishment of HMO's. Prohibits a health maintenance organization from paying more than 15 percent of the estimated total amount to be paid for basic and supplemental health services in a given fiscal year to individual physicians under contract to the HMO. Implements such prohibition over a four-year period. Requires HMO's to provide the Secretary of Health, Education, and Welfare with specified information on major financial transactions among HMO's and related organizations. Repeals the requirement that the Secretary give priority to an application for funds for a feasibility survey or planning and initial development costs for an HMO in which 30 percent of the members are members of a medically underserved population. Increases the maximum amount available for grants for the initial development and operation of HMO's. Authorizes the Secretary to make loans to public or private entities for the acquisition, construction, renovation, or purchase of ambulatory care facilities for HMO's. Repeals the prohibition against using funds appropriated under the Public Health Service Act, other than under the title pertaining to HMO's, for projects involving HMO's. Requires health systems agencies in reviewing facilities, equipment, or services of HMO's to include only those standards specified by the Secretary. Title II: Amendments to Titles XI and XVIII of the Social Security Act - Amends Title XI (General Provisions and Professional Standards Review) of the Social Security Act to remove HMO's from the capital expenditures limitations of the Medicare, Medicaid, and Maternal and Child Health programs of such Act. Permits a HMO, under Title XVIII (Medicare) of such Act, to have more than 50 percent of its membership over the age of 65 if the HMO is a public HMO, receives funding under the Community Health Centers program of the Public Health Service Act, or is granted a waiver by the Secretary. Requires the Secretary, to annually determine a per capita rate of payment to each HMO for services provided under the Medicare program. States that such payment shall be equal to 95 percent of the adjusted average per capita cost. Requires the Secretary to pay each HMO its rate on a monthly basis in advance. Title III: Amendments to Title XIX of the Social Security Act - Permits a HMO to have more than 50 percent of its membership as Medicare or Medicaid recipients if the HMO is a public HMO, receives funding under the Community Health Centers program, or is granted a waiver by the Secretary. Requires a State to enter into a provider agreement under the Medicaid program with any HMO which requests such an agreement. Declares that under such agreement, the State will reimburse the HMO for services and benefits covered under the State Medicaid plan. States that such payment shall be equal to 95 percent of the adjusted average per capita cost of care to members of the HMO. Requires the State to pay each HMO its rate on a monthly basis in advance.
Bill· HRH.R. 11452 (95th)referred
United States · United States Congress · 10 March 1978
National Academy of Medicine Act - Establishes a National Academy of Medicine to train doctors at no cost to the student. Requires each student to sign a written agreement to serve as a commissioned officer of the Regular Corps of the Public Health Service upon graduation and after completion of residency and internship for a period of six years for general practitioners and nine years for specialists.
Question· Fragestunde08/1612open
Germany · German Bundestag · 10 March 1978
Bill· SS. 2697 (95th)referred
United States · United States Congress · 9 March 1978
Amends the Public Health Service Act to direct that, except as provided in Title X of such Act (Population Research and Voluntary Family Planning Programs), no program for which funds are authorized by such Act which directly or indirectly provide health services shall exclude from such programs or services the provision of abortions as a health service.
Bill· SS. 2710 (95th)referred
United States · United States Congress · 9 March 1978
National Academy of Medicine Act - Establishes a National Academy of Medicine to train doctors at no cost to the student. Requires each student to sign a written agreement to serve as a commissioned officer of the Regular Corps of the Public Health Service upon graduation and after completion of residency and internship for a period of six years for general practitioners and nine years for specialists.
Bill· SS. 2698 (95th)referred
United States · United States Congress · 9 March 1978
Amends the Indian Health Care Improvement Act to direct that no program for which funds are authorized which directly or indirectly provide health services shall exclude from such programs or services the provision of abortions as a health service.
Bill· HRH.R. 11434 (95th)referred
United States · United States Congress · 9 March 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· HRH.R. 11396 (95th)referred
United States · United States Congress · 8 March 1978
Amends the Federal Water Pollution Control Act to require that all parties receive the prior approval of the Administrator of the Environmental Protection Agency before discharging pollutants into navigable waters. Places the burden of proof on the party seeking to discharge pollutants to show that such discharge will not be harmful to the public health and welfare or to the environment.
Bill· HRH.R. 11386 (95th)referred
United States · United States Congress · 8 March 1978
Delays for six months the effective date of the increase in the hospital deductible for 1978 under the hospital insurance program of Title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 11388 (95th)referred
United States · United States Congress · 8 March 1978
Amends the Public Health Service Act to authorize the Secretary of Health, Education, and Welfare to make grants to health maintenance organizations for the construction of ambulatory services to be used by such organizations for the provision of health services to their members in medically underserved areas. Authorizes the Secretary to make loans for the same purpose to such organizations in areas which are not medically underserved. Amends Title XVIII (Medicare) of the Social Security Act to set forth new regulations governing the payment of the cost of medical services incurred by a member of a health maintenance organization. Amends Title XIX (Medicaid) of the Social Security Act to permit reimbursement to States for payments made to health maintenance organizations in cases where such payments would have previously been prohibited because of the eligibility of a significant percentage of the members of such an organization for medicare payments when it is determined that the health needs of the population affected are best served by such organization.
Bill· HRH.R. 11387 (95th)referred
United States · United States Congress · 8 March 1978
Delays for six months the effective date of the increase in the hospital deductible for 1978 under the hospital insurance program of Title XVIII (Medicare) of the Social Security Act.
Bill· HRH.R. 11341 (95th)referred
United States · United States Congress · 7 March 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment under the supplementary medical insurance program for dental care including dentures, eye examinations including eyeglasses, and hearing aids including examination. Directs the Secretary of Health, Education, and Welfare to take steps to eliminate unnecessary or excessive medical (appliance) expenditures under the Medicare program. States that the Federal Trade Commission should continue and increase scrutiny of the medical appliance industries in the interest of consumer protection.
Bill· HRH.R. 11320 (95th)referred
United States · United States Congress · 7 March 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.
Bill· SS. 2647 (95th)referred
United States · United States Congress · 6 March 1978
Amends Title XVIII (Medicare) of the Social Security Act to include within the services to be provided under such Act medically required outpatient rehabilitation services. Defines the terms "outpatient rehabilitation facility" and "outpatient rehabilitation services" for purposes of this Act.
Bill· SS. 2676 (95th)referred
United States · United States Congress · 6 March 1978
Health Maintenance Organization Amendments - Title I: Amendments to the Public Health Service Act - Extends the authorization of appropriations under the Public Health Service Act through fiscal year 1981 for: (1) grants and contracts for surveys of the feasibility of establishing, operating or expanding health maintenance organizations (HMO's); and (2) grants, contracts, loans and loan guarantees for planning and initial development costs related to the establishment of HMO's. Prohibits a health maintenance organization from paying more than 15 percent of the estimated total amount to be paid for basic and supplemental health services in a given fiscal year to individual physicians under contract to the HMO. Implements such prohibition over a four-year period. Requires HMO's to provide the Secretary of Health, Education, and Welfare with specified information on major financial transactions among HMO's and related organizations. Repeals the requirement that the Secretary give priority to an application for funds for a feasibility survey or planning and initial development costs for an HMO in which 30 percent of the members are members of a medically underserved population. Increases the maximum amount available for grants for the initial development and operation of HMO's. Authorizes the Secretary to make loans to public or private entities for the acquisition, construction, renovation, or purchase of ambulatory care facilities for HMO's. Repeals the prohibition against using funds appropriated under the Public Health Service Act, other than under the title pertaining to HMO's, for projects involving HMO's. Requires health systems agencies in reviewing facilities, equipment, or services of HMO's to include only those standards specified by the Secretary. Title II: Amendments to Titles XI and XVIII of the Social Security Act - Amends Title XI (General Provisions and Professional Standards Review) of the Social Security Act to remove HMO's from the capital expenditures limitations of the Medicare, Medicaid, and Maternal and Child Health programs of such Act. Permits a HMO, under Title XVIII (Medicare) of such Act, to have more than 50 percent of its membership over the age of 65 if the HMO is a public HMO, receives funding under the Community Health Centers program of the Public Health Service Act, or is granted a waiver by the Secretary. Requires the Secretary, to annually determine a per capita rate of payment to each HMO for services provided under the Medicare program. States that such payment shall be equal to 95 percent of the adjusted average per capita cost. Requires the Secretary to pay each HMO its rate on a monthly basis in advance. Amends Title XIX (Medicaid) of the Social Security Act to require a State to enter into a provider agreement under the Medicaid program with any HMO which requests such an agreement. Declares that under such agreement the State will reimburse the HMO for services and benefits covered under the State Medicaid plan. States that such payment shall be equal to 95 percent of the adjusted average per capita cost of care to members of the HMO. Requires the State to pay each HMO its rate on a monthly basis in advance.
Bill· SS. 2629 (95th)referred
United States · United States Congress · 2 March 1978
Amends Title XVIII (Medicare) of the Social Security Act to provide payment for orthopedic shoes or other supportive devices prescribed by a physician for correction or treatment of abnormalities of the feet or legs which cause serious detrimental medical effects.
Bill· SS. 2631 (95th)referred
United States · United States Congress · 2 March 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.
Bill· HRH.R. 11192 (95th)reported
United States · United States Congress · 28 February 1978
Recombinant DNA Act - Title I: Interim Regulation of Recombinant DNA Activities - Requires all recombinant DNA activities, during the period from the tenth day after the enactment of this Act and ending 24 months thereafter, to be carried out in accordance with the recombinant DNA research guidelines of the National Institutes of Health published in part II of the Federal Register for July 7, 1976. Requires each individual or entity conducting recombinant DNA activities to report in writing to the Secretary of Health, Education, and Welfare respecting such activities. Enumerates actions prohibited by this Act and establishes civil penalties for the commission of such actions. Authorizes inspectors designated by the Secretary, upon presenting appropriate credentials and notice, to enter and inspect any place in which a recombinant DNA activity is being conducted or in which the inspector has reasonable grounds to believe such activity is being conducted. Authorizes an inspector to detain for a reasonable period of up to 20 days any recombinant DNA or material used in or produced by a recombinant DNA activity which the inspector believes to be violative of the prohibitions enumerated in this Act or to present a significant risk to health or the environment. States that such inspections may be conducted without obtaining a search warrant from a judicial officer before entering any plan to conduct an inspection. Declares that no State or political subdivision may establish or continue in effect any requirement for the regulation of recombinant DNA activities except upon application to and approval of the Secretary. Requires the Secretary to conduct or support on a continuing basis studies designed to assess the risks to health and the environment which may be presented by recombinant DNA activities. Title II: Commission for the Study of Research and Technology Involving Genetic Manipulation - Establishes a Commission for the Study of Research and Technology Involving Genetic Manipulation. Directs the Commission to conduct a study of: (1) Federal policy regarding activities involving the genetic modification of organisms and viruses; and (2) the long-term consequences of the development of a technology capable of accomplishing the genetic modification of organisms and viruses.
Bill· HRH.R. 11189 (95th)referred
United States · United States Congress · 28 February 1978
Amends the Internal Revenue Code to allow individuals a limited refundable income tax credit for specified medical expenses (including insurance) paid for themselves, their spouses and dependents. Repeals the current deduction for medical and dental expenses. Applies this credit to taxable years beginning between 1979 and 1983. Directs the Secretary of the Treasury to draft regulations for this program in consultation with the Secretary of Health, Education, and Welfare.
Bill· SS. 2598 (95th)referred
United States · United States Congress · 27 February 1978
Genetic Disease Amendments - Title I: Revision and Extension of Genetic Diseases - Amends the National Sickle Cell Anemia, Cooley's Anemia, Tay-Sachs, and Genetic Diseases Act to include genetic conditions, as well as genetic diseases, within the program of research, counseling, and education established by such Act. Extends the authorization of appropriations for such program for three fiscal years, through 1981. Title II: National Commission Amendment - Directs the National Commission for the Protection of Human Subjects of Biomedical and Behavioral Research to conduct a study of the ethical, social, and legal implications of voluntary testing, counseling, and information and education programs with respect to genetic diseases and conditions.
Bill· HRH.R. 11152 (95th)referred
United States · United States Congress · 24 February 1978
Amends the Internal Revenue Code to impose an additional excise tax on cigarettes to be paid into a Cigarette Tax Trust Fund in the Treasury and disbursed to States which do not impose more than a three-cent special tax on a pack of cigarettes.
Bill· HRH.R. 11150 (95th)referred
United States · United States Congress · 24 February 1978
Amends Title XVIII (Medicare) of the Social Security Act to permit payment for eye care, eyeglasses, hearing aids and related examinations, dental care and dentures under the supplementary medical insurance program. Increases the government contribution to the Federal Supplementary Insurance Trust Fund by twice the amount of premiums that are presently paid into the Fund each month, while decreasing the portion of the Fund comprised fo premiums from one-half to one-third. Excludes from the coverage of the supplementary medical insurance program expenses relating to referrals of individuals by a doctor of optometry for the diagnosis or detection of eye diseases.
Bill· SS. 2567 (95th)referred
United States · United States Congress · 23 February 1978
National Health Incentives Grants Act - Amends the Public Health Service Act by eliminating the directive to the Secretary of Health, Education, and Welfare to make grants to State mental health authorities to assist in meeting the costs of providing services. Requires each State health authority which submits an application for a grant to assist in providing comprehensive public health services to have in effect a method satisfactory to the Secretary which will assure equitable distribution of funds among the communities of the State which have made expenditures for comprehensive public health services. Sets forth a method for computing the amount of grant funds which shall be distributed to those local public health entities which have spent funds during the fiscal year for comprehensive public health services. Establishes minimum and maximum limits for such payments to each local public health entity. Sets forth a method of computing the amount of funds a State public health authority shall receive. Authorizes appropriations through fiscal year 1982 for grants made pursuant to this Act. Directs the Secretary to consult with a conference of State health authorities before promulgating regulations made pursuant to this Act.
Bill· HRH.R. 11139 (95th)referred
United States · United States Congress · 23 February 1978
Amends Title XVIII (Medicare) of the Social Security Act to remove the limits of 100 visits which applies to post-hospital home health services. Drops the requirement that the home health care provided be of the same kind as provided in prior hospitalization. Eliminates the requirement that a physician review the home health care plan and that the patient be under the care of a physician. Requires that such functions be done by the appropriate health professional under regulation of the Secretary of Health, Education, and Welfare. Extends Medicare coverage to include periodic chore services, hospital outreach services, nutritional counseling, health and supportive services furnished in elderly day care centers, and expansion of professional standard review organization review functions. Requires the Secretary to establish a review plan which is adapted to meet the non-institutional nature of home health services. Extends Medicare coverage only to those outpatient rehabilitation services which are certified by a physician as being required.
Bill· HRH.R. 11120 (95th)referred
United States · United States Congress · 23 February 1978
Amends Title XVIII (Medicare) of the Social Security Act to authorize payment for specified services performed by chiropractors, including x-rays and physical examinations, and related routine laboratory tests.