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251 records in 1983

Records

Law· HRH.R. 2713 (98th)enacted

A bill to amend the Public Health Service Act to authorize appropriations to be made available to the Secretary of Health and Human Services for research for the cause, treatment, and prevention of public health emergencies.

United States · United States Congress · 21 April 1983

Amends the Public Health Service Act to authorize the Secretary of Health and Human Services, upon determining that a health emergency exists, to make grants and enter into contracts for research into its cause, treatment, or prevention. Establishes in the Treasury a Public Health Emergency Fund for such purposes. Authorizes appropriations for FY 1984, and for subsequent years in such sums as are necessary to have $40,000,000 in the Fund at the beginning of each fiscal year.

Bill· HRH.R. 2685 (98th)referred

A bill to amend title XVIII of the Social Security Act to provide for coverage of antibiotics administered intravenously at home to patients with a chronic infectious disease requiring long-term intravenous antibiotic therapy.

United States · United States Congress · 21 April 1983

Amends title XVIII (Medicare) of the Social Security Act to include within the definition of "medical and other health services" the services and supplies furnished by or under the supervision of a physician in connection with intravenous antibiotic therapy furnished in the patient's home to a patient with a chronic infectious disease requiring long-term intravenous antibiotic therapy.

Bill· SS. 1109 (98th)open

A bill to provide for the establishment of a bipartisan commission to study and make recommendations concerning changes in the medicare program to assure its short-term and long-term financial solvency and the appropriateness of its benefit structure.

United States · United States Congress · 20 April 1983

Establishes the Medicare Financing and Benefit Review Commission to study and make recommendations concerning the financial problems and benefit structure of the programs established under title XVIII (Medicare) of the Social Security Act. Terminates the Commission on June 1, 1984. Authorizes appropriations.

Bill· SS. 1116 (98th)referred

Cigarette Labeling and Advertising Act of 1983

United States · United States Congress · 20 April 1983

Cigarette Labeling and Advertising Act of 1983 - Amends the Federal Cigarette Labeling and Advertising Act to make it unlawful to advertise or export cigarettes without the required labeling (repeals the existing export exemption). Directs the Federal Trade Commission to establish a cigarette labeling system under which each brand of cigarettes shall bear a different specified health warning each month of a 16-month cycle. Makes it unlawful to manufacture, package, import or export cigarettes without disclosing each natural or synthetic ingredient, including chemical additives, contained in each cigarette.

Bill· HRH.R. 2636 (98th)open

In-Flight Medical Emergencies Act

United States · United States Congress · 20 April 1983

In-Flight Medical Emergencies Act - Directs the Administrator of the Federal Aviation Administration to issue final rules requiring passenger-carrying aircraft of 30 seats or more to carry medical supplies, drugs, and equipment for the temporary treatment of in-flight emergencies. Provides relief from State or Federal civil liability for any licensed medical personnel or air carrier employee who renders emergency medical aid on an airplane or who continues such aid until arrival at a medical facility. Extends such relief to an airplane's crew and owner or operator for providing on-board emergency medical supplies.

Bill· HRH.R. 2577 (98th)referred

Medicare Voucher Act of 1983

United States · United States Congress · 18 April 1983

Medicare Voucher Act of 1983 - Amends title XVIII (Medicare) of the Social Security Act to revise the method of reimbursement to health maintenance organizations (HMO's). Provides instead for payments to health benefits organizations (HBO's). Directs the Secretary of Health and Human Services to determine annually a per capita rate of payment for each class of individuals enrolled with a HBO under this Act with which the Secretary has a contract. Directs the Secretary to define appropriate classes of members on the basis of such factors as age, sex, disability status, and place of residence. Provides that the payment rate for each class shall be equal to 95 percent of the adjusted average per capita cost for that class, and that the rate shall be paid monthly in advance. Defines adjusted average per capita cost to mean the average per capita amount estimated in advance that would be payable in any contract year for services covered under parts A (Hospital Insurance) and B (Supplementary Medical Insurance), and types of expenses otherwise reimbursable under parts A and B, if payment for the services were to be made other than as provided for under this Act. Provides that payment to a HBO under this Act for individuals enrolled with a HBO shall be made from the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Defines a HBO as a voluntary association, corporation, partnership, or other organization which is lawfully engaged in providing, paying for, or reimbursing the cost of, health services under insurance policies or contracts, medical or hospital agreements, membership or subscription contracts, or similar arrangements, and includes a health benefits plan duly sponsored or underwritten by an employer or an employee organization. Requires the employer under an employment based plan to pay at least 25 percent of the premium for every current or former employee. Requires a HBO to: (1) provide, pay for, or reimburse the cost of at least all the services to which a Medicare enrollee is entitled and the inpatient hospital services for every day the individual is an inpatient; and (2) provide, pay for, or reimburse the cost of emergency services, if they would otherwise be covered under Medicare. Permits a HBO to offer one or more combinations of benefits, as long as the benefits are offered to all enrollees. Provides that all individuals entitled to benefits under part A shall be eligible to enroll with an HBO, except individuals with end-stage renal disease. Entitles an individual enrolled with a HBO who is dissatisfied because of failure to receive benefits to a hearing before the Secretary, and judicial review of the Secretary's determination if the amount in controversy exceeds a specified sum. Prohibits the actuarial value of the amounts (other than premiums) that an individual enrolled with a HBO is required to pay for Medicare covered services from exceeding the actuarial value of the amounts (other than premiums) the individual would be required to pay if the individual were not enrolled with a HBO. Authorizes HBO's to change premiums. Directs the Secretary to enter into a contract with any HBO that meets specified requirements. Provides that each contract shall be for a term of at least one year. Requires each contract to provide: (1) that the Secretary shall have the right to inspect the quality and appropriateness of a HBO's services; (2) that the Secretary shall have the right to audit and inspect a HBO's books and records; and (3) that the HBO furnish required information. Makes conforming amendments. Sets forth effective date and transitional provisions.

Bill· HRH.R. 2576 (98th)open

Health Care Financing Amendments of 1983

United States · United States Congress · 18 April 1983

Health Care Financing Amendments of 1983 - Title I: Medicare - Subtitle A: Changes in Eligibility, Benefits, and Cost Sharing - Amends title XVIII (Medicare) of the Social Security Act to increase the Supplementary Medical Insurance (SMI), (part B of title XVIII) deductible by the percentage increase in the Medicare Physicians' services economic index. Amends titles II (Old Age, Survivors and Disability Insurance) and XVIII of the Act to provide that Medicare eligibility shall not begin until the first full month in which an individual becomes age 65. Revises provisions relating to SMI premiums. Directs the Secretary of Health and Human Services during September 1983 and annually thereafter to determine the monthly actuarial rate for enrollees age 65 and over which shall be applicable for the succeeding year. Provides that the actuarial rate shall be the amount the Secretary estimates to be necessary so that the aggregate amount for that succeeding year with respect to those enrollees age 65 and over will equal one-half of the total benefits and administrative costs estimated to be payable from the Federal Supplementary Medical Insurance Trust Fund for services performed and related administrative costs incurred in that year. Directs the Secretary during September 1983 and annually thereafter to determine a monthly premium amount applicable for the succeeding year. Provides that amount (except in certain instances) shall be equal to: (1) for 1984, 50 percent of the 1984 monthly actuarial rate for enrollees age 65 and over; (2) for 1985, 55 percent of the 1985 monthly actuarial rate; (3) for 1986, 60 percent of the 1986 monthly actuarial rate; (4) for 1987, 65 percent of the 1987 monthly actuarial rate; and (5) for 1988 and each succeeding year, 70 percent of the monthly actuarial rate for that year. Provides that payments to home health agencies for durable medical equipment shall be the lesser of: (1) the reasonable cost of the equipment and the customary charges for such equipment less an amount equal to 20 percent of the reasonable charge, but in no case may the payment for the equipment exceed 80 percent of the reasonable cost; or (2) if the equipment is furnished by a public home health agency free of charge or at a nominal charge, an amount which provides fair compensation to the agency. Eliminates the SMI deductible for diagnostic tests performed in a laboratory which has entered into a negotiated rate agreement with the Secretary. Provides for a 30 day period of coverage for services furnished by a home health agency following the termination of the agency's agreement. Subtitle B: Changes in Reimbursement - Reduces the "applicable percentage increase" used in computing hospital "target amounts." Provides that in determining SMI reasonable charges for physicians' services, the prevailing and customary charge levels that apply to services furnished after June 1982 but before July 1983 shall also apply to services furnished after June 1983 but before July 1984. Authorizes the Secretary to enter into an agreement with a public or private entity under which the entity accepts specified amounts as full payment for certain SMI items and services. Subtitle C: Administrative Changes - Revises provisions relating to Medicare claims processing. Authorizes the Secretary to enter into agreements with intermediaries providing for their determination of the amount of the payments required under part A (Hospital Insurance) of title XVIII to be made to providers of services assigned by the Secretary to specific intermediaries, and for the making of such payments by intermediaries to those providers. Defines "intermediary" as: (1) a voluntary association, corporation, partnership, or other nongovernmental organization which is lawfully engaged in providing, paying for, or reimbursing the cost of, health services under group health insurance policies or contracts, medical or hospital service agreements, membership or subscription contracts, or similar group arrangements, in consideration of premiums or other periodic charges payable to the intermediary; or (2) an agency or organization with which an agreement was in effect on the date of enactment of the Health Care Financing Amendments of 1982. Requires all items and services furnished by a hospital to inpatients to be furnished by or through the hospital, except for physicians' services. Prohibits payment for inpatient hospital services furnished to an individual as an inpatient of a particular hospital during a spell of illness after such services have been furnished to the individual for 150 days as an inpatient of that hospital or of another hospital that has previously filed a request for payment for such services during such spell minus one day for each day of inpatient hospital services in excess of 90 received during any preceding spell of illness. Requires the first hospital filing after Medicare payment for inpatient hospital services to be responsible for collecting the deductible. Repeals specified requirements relating to coverage of tuberculosis treatments. Eliminates utilization review requirements. Eliminates the requirement for a separate Railroad Retirement Board carrier contract. Authorizes the United States to bring an action directly against a third party payer (workmen's compensation, automobile, or other insurance plan) for Medicare payments. Prohibits a provider from receiving payment for custodial services or for services not reasonable and necessary. Permits SMI payments to be made to an entity: (1) which provides coverage of the service under a health benefits plan; (2) which has paid the person who provided the service the amount which that person has accepted as payment in full for the service; and (3) to which the individual has agreed in writing that payment may be made. Eliminates the Health Insurance Benefits Advisory Council. Prohibits the Secretary from disclosing any accreditation survey made by the Joint Commission on Accreditation of Hospitals or the American Osteopathic Association of an institution accredited by either of those bodies as a hospital. Eliminates the requirement that institutional providers include as a part of the required overall plan and budget the three year capital expenditures plan. Eliminates the requirement that a psychiatric hospital must be accredited by the Joint Commission on Accreditation of Hospitals. Eliminates the requirement that final cost reports of health maintenance organizations and competitive medical plans be independently certified. Provides that only in contracts of above $50,000 (currently $10,000) between a Medicare provider and any of its subcontractors must there be a clause permitting access to the subcontractor's records before reimbursement will be made. Makes the national end-stage renal disease medical information system discretionary with the Secretary (currently, the Secretary is required to establish the system). Authorizes the Secretary, if patient health and safety is not jeopardized, to apply less severe sanctions than are presently available for dealing with an end-stage renal disease facility which is not in compliance with applicable regulations. Prohibits Medicare payment to any physician convicted of Medicare or Medicaid (title XIX of the Act) related crimes. Authorizes the Secretary to deny participation in the Medicare program to any provider: (1) convicted of Medicare or Medicaid related crimes; (2) against whom a Medicare or Medical related civil penalty has been assessed; or (3) to whom Medicare payments have been denied due to knowingly and willfully making a false statement or representation related to Medicare participation. Authorizes the Secretary to terminate an agreement with a provider if any individual who directly or indirectly owns or controls five percent or more of the provider's business has been convicted of certain Medicare or Medicaid related offenses. Authorizes the Secretary to use accrediting organizations to determine whether rural health clinics, laboratories, clinics, rehabilitation agencies, and public health agencies meet Medicare requirements. Eliminates certain reporting requirements of the Secretary. Title II: Medicaid - Subtitle A: Changes in Payments to States - Amends title XIX (Medicaid) of the Social Security Act to provide 100 percent Federal payment of the administrative costs of processing combined Medicare and Medicaid claims. Provides that Federal Medicaid payments to States for FY 1985 and each succeeding year shall be reduced by three percent. Prohibits payment with respect to any amount spent for an item or service furnished by or through a physician who has been convicted of a Medicare or Medicaid related crime or who knowingly and willfully made false representations related to Medicare or Medicaid. Authorizes the Secretary to reduce the amount which would otherwise be considered as expenditures under a State plan by an amount equal to payments made by the State to any individual or institution that has failed to furnish requested information regarding payment claimed. Subtitle B: Changes in Eligibility, Benefits, and Cost Sharing - Requires (currently, permits) a State to provide for the assignment of rights of payment. Prohibits copayments on services furnished by health maintenance organizations (HMO's) to the categorically needy and to certain long-term care inpatients. Authorizes a State to exempt children and pregnant women from copayments. Authorizes a State to exempt emergency services from copayments. Requires the categorically needy to pay a copayment of one dollar per day for inpatient hospital services and one dollar per visit for outpatient hospital services, rural health clinic services, physician services, and clinic services. Requires copayments two dollars per day and $1,50 per visit by the medically needy for the same services. Subtitle C: Administrative Changes - Repeals provisions prohibiting grants to profit making organizations for research or demonstration projects. Revises provisions under title XIX relating to medical review and independent professional review. Repeals special requirements relating to coverage of tuberculosis treatments. Repeals the requirement that a State plan must have in effect: (1) program of control over utilization of inpatient hospital services, skilled nursing facility services, or intermediate care facility services exceeding 60 days (or inpatient mental care services exceeding 90 days); and (2) a utilization review plan with respect to any amount spent for care or services in the above institutions. Requires a State to obtain from each Medicaid applicant or recipient his or her taxpayer identification number. Repeals the requirement that Medicaid management information systems provide written notice to each Medicaid recipient of the services furnished. Requires instead, that each State provide for an effective method of verifying whether services billed by all participating providers were furnished as claimed. Authorizes the Secretary to waive or modify any Medicaid requirement with respect to Puerto Rico, the Virgin Islands, Guam, or the Northern Mariana Islands (currently, the Secretary has this authority only with respect to American Samoa), other than a waiver of the Federal medical assistance percentage, the ceiling on total federal payments, or services for which medical assistance may be provided. Authorizes a State to terminate an agreement with a provider if any owner of the institution has been convicted of certain offenses. Eliminates the requirement that a psychiatric hospital must be accredited by the Joint Commission on Accreditation of Hospitals and requires instead that it meet specified standards under the Medicare program. Modifies the type of hearing required before the Secretary may cancel approval of a skilled nursing facility or intermediate care facility. Modifies payment rates for hospital furnishing skilled nursing or intermediate care facility services. Provides those hospitals with the same payment rate as for other hospital services. Revises the Secretary's authority to provide, by waiver, that a State plan may include as medical assistance approved home or community based services in the situation where an individual otherwise would have to be placed in nursing care facility. Provides that the waiver shall be for an initial term of one, two, or three years and, upon the request of a State, shall be extended for additional periods of one, two, or three years, if appropriate. Provides the Secretary with the same authority to issue and enforce subpoenas under Medicaid as the Secretary has under title II (Old age, Survivors and Disability Insurance) of the Act. Revises provisions relating to disputed claims on which States are required to pay interest on Federal matching claims. Makes the requirement effective with respect to amounts claimed by the State (currently, expenditures for services furnished) on or after October 1, 1980. Title III: Other Health Care Financing Provisions - Repeals provisions under titles XVIII and XIX of the Act which authorized payments to promote the closing and conversion of underutilized hospital facilities. Amends part A (General Provisions) of title XI of the Act to provide that the Administrator of the Health Care Financing Administration shall be appointed by the President by and with the advice and consent of the Senate. Revises provisions relating to the capital expenditures review program. Directs the Secretary, after consultation with the Governor and with appropriate local public officials, to make an agreement with any State which is able and willing to do so under which a designated planning agency (which shall be a State governmental agency) may make, and submit to the Secretary, findings and recommendations with respect to capital expenditures proposed by or on behalf of any health care facility in the State that the agency chooses to review. Eliminates the national advisory council which was established to assist the Secretary with respect to the program. Repeals provisions providing for Federal funding of State programs that review health facility capital expenditures. Revises requirements concerning ownership of providers. Eliminates reporting requirements if an individual owns $25,000 or more, but still owns less than five percent. Authorizes the Secretary to bar from participation in Medicare or Medicaid any provider in which an ownership interest of five percent or more is owned by an individual convicted of Medicare or Medicaid related crimes. Repeals part B (Peer Review of the Utilization and Quality of Health Care Services) of title XI of the Act.

Bill· HRH.R. 2574 (98th)referred

Health Cost Containment Tax Act of 1983

United States · United States Congress · 18 April 1983

Health Cost Containment Tax Act of 1983 - Amends the Internal Revenue Code to include in the gross income of an employee any employer contribution to the employee's health plan which exceeds $70 per month ($175 per month for employees with family coverage), beginning in 1984. Provides for a cost of living adjustment to allowable contribution amounts for calendar years after 1984. Treats an employee as having individual coverage unless the employee has a spouse or a dependent who is covered under the plan. Provides that the employer contribution to a health plan will be the cost of coverage of the employee under the plan reduced by the amount of the employee's contributions for such coverage. Specifies rules which must be used to calculate the annual cost of providing coverage for an employee. Excludes any cost allocable to workmen's compensation or to a purpose other than providing medical care for purposes of determining cost of coverage under the plan.

Bill· HRH.R. 2575 (98th)referred

Medicare Catastrophic Hospital Cost Protection Act

United States · United States Congress · 18 April 1983

Medicare Catastrophic Hospital Cost Protection Act - Amends title XVIII (Medicare) of the Social Security Act to eliminate the time limits on the duration of inpatient hospital care, post-hospital extended care, and inpatient psychiatric hospital care. Prohibits more than two inpatient hospital deductibles per year, no matter how many hospitalizations occur. Revises coinsurance provisions. Provides that coinsurance shall be: (1) eight percent of the inpatient hospital deductible for each of the first 15 days of hospitalization during any spell of illness; and (2) five percent of the inpatient hospital deductible for each subsequent day. Prohibits the total number of days annually for which coinsurance was charged plus the days for which the inpatient hospital deductible was charged from exceeding 60. Reduces the coinsurance imposed on the 21st through 100th day of care for post-hospital extended care services.

Bill· HRH.R. 2552 (98th)open

Health Care for the Unemployed Act

United States · United States Congress · 13 April 1983

Health Care for the Unemployed Act - Amends the Social Security Act to add a new title, Title XXI - Health Care for the Unemployed: Part A - Grants to States - Authorizes appropriations for a sum sufficient to enable each State to furnish medical assistance to unemployed individuals and their immediate family. Requires a State, in order to receive funding, to have an approved State plan for medical assistance for the unemployed. Requires a State plan to: (1) meet specified administrative requirements of the State's Medicaid plan; (2) make medical assistance available to eligible individuals voluntarily enrolled during the individual's coverage period; (3) require the State unemployment compensation agency to inform unemployment compensation recipients of the plan and of group health plans, and to notify the State Medicaid agency of eligible unemployment compensation recipients; (4) provide the following services: (a) inpatient hospital services up to nine days annually; (b) outpatient hospital, emergency, rural health clinic, and physician services for up to ten visits annually; (c) laboratory and x-ray services, subject to such limits as the Secretary of Health and Human Services shall establish; and (d) family planning and nurse mid-wife services; (5) provide for the imposition of premiums, enrollment fees, and similar charges; (6) provide that the plan will be secondary in payment to any other insurance or benefit plan providing medical assistance; and (7) provide that a State make reasonable efforts to determine the Medicaid eligibility of individuals enrolled in the plan who are not receiving unemployment compensation. Requires the Secretary to approve any plan meeting the above requirements, but precludes approval of any plan: (1) which excludes any U.S. citizen or any individual residing in the State; (2) which, if approved, would result in a deduction of Medicaid services; or (3) which does not meet requirements relating to the continuation and coversion rights of employees who lose health benefits under group health plans due to unemployment. Provides that an individual is eligible for a week if the individual: (1) is receiving unemployment compensation and three weeks have elapsed since the first week the individual received unemployment compensation; or (2) is not receiving unemployment compensation for the week, was receiving unemployment compensation for a week during the 104 week period ending with the week before the first week in which the plan is in effect and has not received unemployment compensation for any week in which the plan is in effect, and certain requirements relating to work availability. Makes an individual's family eligible if the individual is eligible. Requires a State plan to establish standards concerning whether or not an individual is employed. Requires an individual to be considered employed for a week if the individual's earnings equal or exceed an amount equal to 30 times the minimum hourly wage. Makes an individual ineligible for a week if: (1) the individual is covered under a group health plan for which a contribution is being made by someone other than the individual; (2) the individual is covered under his or her spouse's group health plan; (3) the individual is eligible for Medicaid; (4) the individual is employed for four consecutive weeks; or (5) the individual was disqualified because of fraud for unemployment compensation or convicted of a Medicaid offense in the previous year. Authorizes a State to impose a premium of between two and five percent of an individual's unemployment compensation. Requires a State to provide for the same deduction, cost-sharing, and similar charges as imposed under Medicaid. Sets forth the methods for determining payments to States. Makes provisions of title XIX relating to the operation of State plans applicable to title XXI. Sets forth definitions used in this part. Directs the Secretary, provided certain conditions are met, to grant a waiver to a State plan with respect to some or all of the Medicaid administrative requirements in the case of a State plan which enters into an arrangement with one or more private health benefits plans under which health insurance or health benefits are made available to all eligible individuals which provide required benefits at a cost no greater than the premiums and other charges of the State plan. Makes specified provisions of title XIX and part A (General Provisions) of title XI of the Act relating to rural health clinics, fraud and abuse, Indian health service facilities, cost sharing, judicial and administrative review, capital expenditures, and administration applicable to this title. Requires a State to provide an employee covered under an insured group health plan who would otherwise lose coverage because of an involuntary separation (other than for cause) from employment be provided with the option of coverage under a group health plan. Part B: Assistance to Hospitals Serving the Unemployed - Authorizes the Secretary to make grants to hospitals to assist the hospitals in providing services to individuals unable to pay. Requires a hospital, in order to receive a grant, to: (1) be located in an area of high unemployment or serve primarily medically underserved populations; (2) serve a significantly disproportionate number of patients having low income; (3) provide services to individuals without regard to their inability to pay; and (4) offer assurances that it will use the grants in addition to, rather than in lieu of, existing Federal, State, and local funds. Directs the Secretary to report to Congress concerning the grants. Authorizes appropriations for such grants for FY 1984-1987. Establishes the effective date for part B of title XXI as the beginning of FY 1984. Amends provisions of the Internal Revenue Code relating to group health plans to require a group health plan to have an open enrollment period of at least 30 days for each eligible married employee whose spouse loses coverage under a group health plan due to involuntary termination (other than for cause) of the spouse's employment. Provides for the participation of Puerto Rico, the Virgin Islands, Guam, the Northern Mariana Islands, and American Samoa in the program established this Act.

Bill· HRH.R. 2538 (98th)referred

Interim Medical Coverage for the Unemployed Act of 1983

United States · United States Congress · 13 April 1983

Interim Medical Coverage for the Unemployed Act of 1983 - Provides for a voluntary State program (with 90 percent Federal funding) of health insurance or medical coverage for unemployment insurance recipients (and family members) who choose to participate. Provides that States shall contribute through deductions from unemployment compensation payments. Prohibits Federal contributions for an individual participant for more than one year. Directs the Secretary of Health and Human Services to establish weekly premiums in each State. Permits States to provide coverage through private insurers, health maintenance organizations, or other State programs. Authorizes appropriations. Prohibits obligation of funds if a previous fiscal year's unemployment rate was six percent or lower. Amends the Internal Revenue Code to require employer-provided group health plans to provide for open enrollment of spouses of unemployed individuals in order for employer contributions to qualify as a tax-deductible business expense.

Bill· HRH.R. 2467 (98th)referred

A bill to amend the Export Administration Act of 1979 to restrict the export of goods which have been found to be hazardous to the public health.

United States · United States Congress · 12 April 1983

Amends the Export Administration Act of 1979 to prohibit the export of goods which are regulated or subject to registration, licensing, or use requirements under specified laws unless the Secretary of Commerce and the head of the agency regulating the goods agree that the sale of the goods in the foreign country would be subject to similar registration, licensing, or use requirements or that: (1) the government of such country has requested that such goods be exported; (2) the exporter has fully informed such government and the consignee of any U.S. restrictions on the sale of the goods and of the possible hazards posed by the goods; and (3) the potential benefits outweigh the possible hazards. Prohibits the export of goods which do not contain warnings which will be effective in the country to which exported. Prohibits the export of goods for the purpose of using the goods in the manufacture of another article the export of which is prohibited by this Act.

Bill· HRH.R. 2495 (98th)referred

A bill to provide for establishment of a bipartisan Commission to study and make recommendations concerning changes in the medicare program to assure its short-term and long-term financial solvency and the appropriateness of its benefit structure.

United States · United States Congress · 12 April 1983

Establishes the Medicare Financing and Benefit Review Commission to study and make recommendations concerning the financial problems and benefit structure of the programs established under title XVIII (Medicare) of the Social Security Act. Terminates the Commission on June 1, 1984. Authorizes appropriations.

Bill· HRH.R. 2509 (98th)referred

Saccharin Study and Labeling Act Amendment of 1983

United States · United States Congress · 12 April 1983

Saccharin Study and Labeling Act Amendment of 1983 - 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.

Bill· SS. 1009 (98th)open

A bill to authorize federal physicians comparability allowances.

United States · United States Congress · 7 April 1983

Limits to two years the length of any service agreement entered into by a physician and a Federal agency under which the physician will receive a comparability allowance. Eliminates the expiration date on the authority of agencies to enter into such agreements.

Bill· SS. 971 (98th)open

A bill to authorize the Secretary of Health and Human Services to expedite research on a disease or disorder which constitutes a public health emergency.

United States · United States Congress · 5 April 1983

Amends the Public Health Service Act to permit the Secretary of Health and Human Services, after consultation with the Director of the National Institutes of Health, the Commissioner of the Food and Drug Administration, or the Director of the Centers for Disease Control, to expedite grant applications for research on diseases or disorders that constitute a public health emergency. Requires reports to the appropriate congressional committees (within 90 days from the end of a fiscal year) regarding any such expedited research.

Bill· SS. 951 (98th)open

Health Care for the Unemployed Act of 1983

United States · United States Congress · 24 March 1983

Amends title XX (Block Grants to States for Social Services) of the Social Security Act to authorize a State to establish a program for providing health care coverage for unemployed workers. Authorizes a State to choose who will be covered, the duration of the coverage, and the duration of the program, except that: (1) to be eligible, an individual must have received, be receiving, or have been eligible for unemployment compensation within specified time periods; (2) coverage is prohibited for the first six weeks of eligibility for unemployment compensation; (3) an individual must have been enrolled in a group health plan at his or her last place of employment; and (4) no coverage may be provided to an individual eligible for Medicaid (title XIX of the Act). Provides coverage only for inpatient and outpatient emergency hospital services and physician services. Authorizes premiums, deductibles, and coinsurance amounts to be charged. Authorizes appropriations for two 12-month periods beginning June 1, 1983, and June 1, 1984. Sets forth reporting requirements. Provides for Federal matching payments of at least 80 percent, but no more than 95 percent. Provides that a State's unemployment offices shall determine program eligibility and that such State's Medicaid agency shall administer health benefits. Amends the Internal Revenue Code to deny 50 percent of the deduction allowed for employer-sponsored health benefit plans if the employer does not provide an open enrollment period if the spouse or parent of an employee becomes unemployed.

Bill· SS. 963 (98th)open

Health Amendment of 1983

United States · United States Congress · 24 March 1983

Health Amendments of 1983 - Title I: Research - Amends the Public Health Service Act to extend authorizations of appropriations through FY 1988 for: (1) cancer programs; (2) blood, lung, and cardiovascular programs; (3) medical libraries; (4) alcohol and drug abuse programs; (5) national research service awards; (6) diabetes data programs and research and training centers; (7) diabetes, arthritis, and digestive diseases advisory boards; and (8) arthritis data programs and multipurpose centers. Extends cancer research center support periods from three to five years. Exempts clinical trial data involving human participants from disclosure under specified conditions. Eliminates: (1) the National Center for Health Care Technology; (2) specified pollution study funding restrictions; (3) specified health research center support provisions; (4) the Task Force on Environmental Cancer and Heart and Lung Disease; (5) specified environmental data collection requirements; and (6) certain Cancer Institute budget provisions. Redesignates (within the National Institutes of Health) the Associate Director for Digestive Diseases and the Subcommittee on Digestive Diseases as the Associate Director for Digestive Diseases and Nutrition and the Subcommittee on Digestive Diseases and Nutrition, respectively. Restricts the coordination responsibilities of the associate directors within the National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases. Amends the Orphan Drug Act to eliminate the provision requiring the support of ten sickle cell disease centers. Title II: Services - Expands the scope of primary care block grants to include migrant health, family planning, and health services for miners. Authorizes appropriations through FY 1986. Eliminates the Office of Population Affairs and the position of Assistant Secretary for Population Affairs. Permits treatment for Hansen's disease (leprosy) outside Public Health Service facilities. Repeals specified provisions regarding civil commitment of addicts and narcotics outpatient services. Permits the Secretary to provide private practice assistance to Health Service Corps Scholarship participants in health manpower shortage areas who have not yet completed two years' service. Permits the use of fiscal agents on behalf of Public Health Service beneficiaries. Title III: Training - Replaces formula and capitation public health training grants with grants for specialized and graduate training in public health and health administration. Authorizes appropriations through FY 1986. Consolidates the National Advisory Councils on Health Professions Education, Nurse Training, and the National Health Service Corps. Eliminates: (1) specified health professions education reporting requirements; and (2) National Health Service Corps Scholarship appropriation requirements. Increases late charges for health professions student loans. Permits the Secretary to assist in loan collections. Prohibits nursing school loan funds to be transferred to scholarship funds. Eliminates ceilings on certain nursing loans. Title IV: Prevention - Authorizes appropriations for health information and promotion authorities through FY 1986. Repeals expired physical fitness and sports provisions. Title V: Health Maintenance Organizations - Eliminates health maintenance organization (HMO) requirements regarding: (1) mental health services; (2) policymaking body membership; (3) Federal standards; (4) feasibility studies; (5) ambulatory facility loans; (6) health systems review; (7) training and technical assistance; and (8) non-HMO Federal funding. Limits: (1) Federal loans and loan guarantees for start-up costs to specified HMOs; and (2) loan guarantee fund borrowing to guarantees made before FY 1983. Title VI: Personnel and Administration - Eliminates additional pay for personnel treating Hansen's disease patients. Limits the applicability of Public Health Service physician additional pay provisions. Authorizes the transfer of certain Public Health Service officers to other uniformed services. Permits the Secretary to determine whether a Health Service Scholarship participant will fulfill his Federal service obligation as a civilian or commissioned officer. Provides health insurance conversion coverage for certain involuntarily separated commissioned officers and dependents. Permits Federal funds to be used for telephone data service in private homes connected to computer centers. Eliminates specified advisory body provisions. Title VII: Requirements for Reports - Modifies and eliminates specified reporting requirements. Title VIII: Health Planning - Eliminates specified health planning provisions.

Bill· SS. 921 (98th)referred

Radiogenic Cancer Compensation Act of 1983

United States · United States Congress · 24 March 1983

Radiogenic Cancer Compensation Act of 1983 - Permits a civil action to be instituted in an appropriate district court against the United States by or on behalf of: (1) any individual who has or has had a radiation related cancer that was diagnosed after January 1, 1952, or any uranium miner who has or has had such cancer that was diagnosed after January 1, 1948; or (2) the estate of any such deceased individual. Requires the Secretary of Health and Human Services at the time the Secretary publishes the radioepidemiological tables, formulas, and methods required to be devised and published pursuant to the Orphan Drug Act, to also publish a list of radiation related cancers. Requires the Administrator of Veterans Affairs to use such tables, formulas, and methods to determine whether cancer which has developed in any veteran is due to radiation exposure while such veteran was on active duty. Permits any person covered by this Act who is also a veteran and who has or has had a radiation related cancer to bring an action under this Act for radiation received while not a member of the armed forces. Permits any such person to have recourse for compensation through the Veterans Administration for radiation received while a member of the armed forces. Sets forth claims and compensation provisions. Makes significantly relevant information, data, and records which have been developed by or are under the control of any Federal agency discoverable by any party to such action. Declares that any individual who has established under this Act and the Orphan Drug Act that he has an individual probability of causation in excess of 50 percent shall receive an award of damages. Limits such award to no more than $500,000. Provides for a limited award of damages for individuals with a probability of causation between 10 percent and 50 percent. Requires an individual to demonstrate his individual dose by a preponderance of the evidence. Provides that this Act shall be the exclusive remedy available to: (1) any individual who alleges to have cancer caused by nuclear fallout from open-air nuclear bomb tests that were conducted in Nevada between January 1, 1951, and July 31, 1962; and (2) any person who alleges to have cancer as a result of working in an uranium mine in Colorado, New Mexico, Arizona, or Utah between January 1, 1947, and December 31, 1961. Sets forth statute of limitations and attorney fee provisions. Declares that an award or claim made in accordance with this Act shall not affect any future or pending insurance claim.

Bill· HRH.R. 2350 (98th)open

Health Research Extension Act of 1983

United States · United States Congress · 24 March 1983

Health Research Extension Act of 1983 - Amends title IV of the Public Health Service Act (National Research Institutes) to establish as an agency of the Public Health Service the National Institutes of Health (NIH) (abolished as a statutory entity by Reorganization Plan No. 3 of 1966) consisting of the following 12 categorical institutes: (1) the National Cancer Institute; (2) the National Heart, Lung, and Blood Institute; (3) the National Institute of Diabetes, and Digestive and Kidney Diseases; (4) the National Institute on Aging; (5) the National Institute of Allergy and Infectious Diseases; (6) the National Institute of Child Health and Human Development; (7) the National Institute of Dental Research; (8) the National Eye Institute; (9) the National Institute of Neurological and Communicative Disorders and Stroke; (10) the National Institute of General Medical Sciences; (11) the National Institute of Environmental Health Sciences; and (12) the National Institute of Arthritis and Musculoskeletal Diseases. Establishes as agencies within NIH: (1) the Division of Research Resources; (2) the National Library of Medicine; (3) the John E. Fogarty International Center for Advanced Study in the Health Sciences; (4) the Office of Medical Applications of Research; (5) the National Center for Health Services Research; (6) the National Center for Health Statistics; and (7) the National Institute for Occupational Safety and Health. Permits the Secretary of Health and Human Services to establish additional research institutes. Provides that: (1) the NIH shall be headed by a Director, who shall be appointed by the President by and with the advice and consent of the Senate; (2) the Secretary acting through the Director shall be responsible for the overall direction of NIH, including specified administrative and supervisory functions; and (3) the Director shall delegate certain program promotion and coordination functions to an Assistant Director including the formulation of a long-range disease Prevention Plan (the first Plan to be prepared by January 1, 1985). Prohibits human fetal experimentation unless: (1) necessary for the survival or meeting of the health needs of the fetus; or (2) the risk to the fetus is minimal and no other alternative is possible. Sets forth waiver provisions. Directs the Secretary to appoint a National Institutes of Health Advisory Board to: (1) advise and make recommendations to the Secretary and the Director; and (2) prepare a biennial report. Requires a biennial report to be submitted by the Secretary to the President and to Congress consisting of: (1) a description of the NIH's activities; (2) the biennial report of the Advisory Board; and (3) the biennial reports of the directors of each of the national research institutes and their advisory councils. Requires the Director of NIH to establish Centers for Research and Demonstration of Health Promotion and Disease Prevention (ten in FY 1984, ten in FY 1985, and five in FY 1986) to undertake research and demonstration projects in health promotion, disease prevention, and improved methods of appraising health hazards and risk factors. Provides that the Director of the National Cancer Institute shall be appointed by the President, and the Directors of the other national research institutes shall be appointed by the Secretary. Sets forth the general duties of the Secretary (acting through the Director of each national research institute) with respect to the aspect of human health for which the institutes were established. Authorizes activities and programs to be supported through grants and contracts approved by each Director. States that each institute shall have an Assistant Director for Prevention. Directs the Secretary to appoint an advisory council for each institute. Sets forth the duties of such advisory councils, including the periodic review of research. Requires the director of each institute to prepare a biennial report. Authorizes specified appropriations for FY 1984 through 1986. States the general purpose and defines the scope of the National Cancer Institute. Requires that cancer control programs under the Institute include demonstration methods for disseminating cancer prevention information to the public. Directs the Secretary, through the Director of the Institute, to establish an information and education center to collect and disseminate information on cancer. Authorizes such Director to: (1) support production or distribution of therapeutic substances for cancer research, including biological materials, and set safety standards for their use; (2) with the approval of such Institute's advisory council, support certain cancer research by foreign nationals outside the United States, encourage collaborative research involving American and foreign participants, and train Americans abroad or foreign nationals in the United States; (3) support education and training programs; (4) coordinate certain research by industrial concerns; (5) hire experts and consultants; (6) acquire, repair, or construct facilities, including facilities in the District of Columbia; (7) appoint advisory committees; (8) enter into contracts, leases, or other transactions; and (9) submit an annual budget estimate to the President. Deletes the existing limitation on aggregate payments respecting cooperative agreements to establish cancer research and demonstration centers, and extends the period of support for a center to five years (with additional extensions of not more than five years). Eliminates the existing requirement that at least two members of the President's Cancer Panel be scientists or physicians, and requires the filling of vacancies within 90 days of their occurrence. States the general purpose and defines the scope of the National Heart, Lung, and Blood Institute. Requires the Secretary, through the Director of the Institute, to establish an information and education center to collect and disseminate information on research, treatment, and prevention of such diseases. Deletes the existing limitation on aggregate payments respecting research and demonstration centers for heart, blood vessel, lung, and blood diseases. States the general purpose of the National Institute of Diabetes and Digestive and Kidney Diseases. Establishes information clearinghouses, data systems, and Associate Director positions, advisory boards, interagency coordinating committees, advisory council subcommittees, and research and training centers. Requires a biennial Institute report. Establishes the National Institute of Arthritis and Musculoskeletal Diseases. Establishes an information clearinghouse and data system, arthritis and skin diseases coordinating committees, demonstration project grant authority, and multipurpose centers. Requires a biennial Institute report. Establishes a National Arthritis Advisory Board. Sets forth the general purpose of the National Institute on Aging. Transfers the responsibility for public information and education programs on aging from the Secretary to the Director of such Institute. Sets forth the general purposes of the National Institutes of: (1) Allergy and Infectious Diseases; (2) Child Health and Human Development (including grants to mental retardation research centers); (3) Dental Research; (4) Neurological and Communicative Disorders and Stroke; (5) General Medical Sciences; and (6) Environmental Health Sciences. Sets forth the general purpose of the National Eye Institutes. Establishes in the National Institute of Neurological and Communicative Disorders and Stroke an Interagency Committee on Spinal Cord Injury to develop and implement Federal initiatives in spinal cord regeneration research. Requires an annual report to Congress. Sets forth the general purposes of the Division of Research Resources, the John E. Fogarty International Center for Advanced Study in the Health Sciences, and the Office for Medical Applications of Research. Authorizes appropriations for National Research Service Awards through FY 1986. Limits the scope of the Institutional Review Board's authority to federally-financed research. Exempts research which does not involve human risk from such review authority. Requires the Director of NIH to establish procedures for periodic, technical, and scientific peer review of NIH research. States that such procedures shall require that: (1) the reviewing entity be given a written description of the research to be reviewed; and (2) such entity shall provide the advisory council of the institute involved with the results of such review. Requires grant or contract recipients to establish an administrative entity to review project reports of scientific fraud and to report any substantial allegations to the Secretary. Requires the Director of NIH to establish a process for handling such allegations. Provides for expedited grant procedures in cases of public health emergencies. Requires an annual report to the appropriate congressional committees regarding such actions. Requires the Secretary to establish animal research standards, including the formation of animal care committees. Requires NIH grant and contract recipients to meet such standards. Authorizes the Secretary to: (1) accept certain conditional gifts for the NIH or a national research institute; and (2) establish suitable memorials for donations of $50,000 or more. Terminates the National Advisory Health Council. Makes technical changes in specified provisions of the Public Health Service Act and other Federal health laws. Amends the Orphan Drug Act to eliminate the provision requiring the establishment of at least ten sickle cell disease centers. States that the National Library of Medicine shall be an agency of NIH (presently established as part of the Public Health Service). Extends authorizations of appropriations through FY 1986. Requires: (1) an NIH pertussis vaccines study (including comparisons with vaccines used abroad); and (2) such study to be completed and reported to Congress by April 1, 1984, or six months after enactment of this Act, whichever is later. Requires the Institute on Aging to conduct a study of personnel for the health needs of the elderly. Requires a report to the appropriate congressional committees by March 1, 1985. Provides for a study of the effects of commercialization on biomedical research. Requires completion of this study by September 30, 1985. Establishes an Interagency Committee on Learning Disabilities. Requires a report to Congress within 18 months. Terminates the Committee 90 days after such report is submitted. Requires the Secretary to conduct a study of: (1) the effectiveness of the national research institutes; and (2) the research programs of the National Institute of Diabetes and Digestive and Kidney Diseases. Prohibits the establishment of any new national research institute (excluding the National Institute of Arthritis and Musculoskeletal Diseases) for at least six months. Requires: (1) the National Institute of Diabetes and Digestive and Kidney Diseases to conduct research on diet therapy for kidney failure; and (2) a report to Congress by January 1, 1987. Authorizes pay increases and extended work schedules for Public Health Service nurses at NIH. Directs the Secretary to follow specified Office of Management and Budget guidelines in calculating biomedical and behavioral research costs. Establishes the National Commission on Orphan Diseases to evaluate public and private rare disease activities. Requires a report to the Secretary and to each House of Congress by September 30, 1985. Terminates such Commission 90 days after submitting such report. Authorizes FY 1984 and FY 1985 appropriations.

Bill· SS. 898 (98th)open

Public Health Emergency Research Act

United States · United States Congress · 23 March 1983

Public Health Emergency Research Act - Amends title IV (National Research Institutes) of the Public Health Service Act to authorize the Secretary of Health and Human Services to conduct research on public health emergency diseases or disorders through the National Institutes of Health (NIH). Permits such research contracts to be entered into without regard to specified statutory provisions. Establishes a fund in the Treasury for such purposes, such fund to be financed through transferred NIH appropriations. Requires annual fund expenditure reports (within 90 days of the end of each fiscal year) to the appropriate congressional committees.

Bill· HRH.R. 2274 (98th)referred

A bill to amend title XVIII of the Social Security Act to provide that services furnished by a clinical psychologist shall be reimbursable under medicare when furnished by a health maintenance organization to a member of that organization.

United States · United States Congress · 23 March 1983

Amends title XVIII (Medicare) of the Social Security Act to provide coverage for services furnished by a clinical psychologist when furnished by a health maintenance organization.

Bill· HRH.R. 2208 (98th)referred

Saccharin Study and Labeling Act Amendment of 1983

United States · United States Congress · 21 March 1983

Saccharin Study and Labeling Act Amendment of 1983 - Amends the Saccharin Study and Labeling Act to extend until 60 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.

Bill· HRH.R. 2142 (98th)open

In-Flight Medical Emergencies Act

United States · United States Congress · 16 March 1983

In-Flight Medical Emergencies Act - Directs the Administrator of the Federal Aviation Administration to issue final rules requiring passenger-carrying aircraft of 30 seats or more to carry medical supplies, drugs, and equipment for the temporary treatment of in-flight emergencies. Provides relief from State or Federal civil liability for any licensed medical personnel or air carrier employee who renders emergency medical aid on an airplane or who continues such aid until arrival at a medical facility. Extends such relief to an airplane's crew and owner or operator for providing on-board emergency medical supplies.

Bill· HRH.R. 2125 (98th)referred

A bill to amend title XVIII of the Social Security Act to provide for coverage of advanced life support services furnished by qualified emergency medical technicians when supervised by a physician in radio contact with the technicians.

United States · United States Congress · 16 March 1983

Amends title XVIII (Medicare) of the Social Security Act to provide coverage for emergency advanced life support services furnished by qualified emergency medical technicians under the supervision of a physician (through radio or telecommunication contact or otherwise).

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