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Bill· HRH.R. 5111 (98th)referred

A bill to amend title XVIII of the Social Security Act to apply the so-called swing-bed provision to hospitals with up to one hundred and fifty beds.

United States · United States Congress · 13 March 1984

Amends title XVIII (Medicare) of the Social Security Act to permit rural hospitals of up to 150 beds to furnish services which, if furnished by an extended care facility, would constitute extended care services. (Current law permits rural hospitals of up to 50 beds to furnish such services.)

Bill· HRH.R. 5098 (98th)referred

Information Dissemination and Research Accountability Act

United States · United States Congress · 8 March 1984

Information Dissemination and Research Accountability Act - Establishes in the National Library of Medicine a National Center for Research Accountability to assist in eliminating duplication of effort in Federal research proposals involving live animals. Directs the President to appoint as members of the Center 20 experts in the biomedical information sciences who are currently employed by a Federal agency in a capacity which qualifies them to make determinations as to whether research proposals involving live animals are duplicative of other research efforts. Requires submission to the Center before it is funded of any such proposal approved by a Federal agency. Prohibits funding of any proposal which the Center determines would duplicate other research completed or in process. Authorizes the Center to contract with private entities to assist in the conduct of comprehensive full-text literature searches. Requires an annual report to Congress and the President. Directs the National Library of Medicine to: (1) acquire, transcribe, and store all biomedical information owned or available for use by Federal agencies; (2) support by grants and contracts the creation of new information for teaching and demonstrations; and (3) increase, by making grants and awards, the number of persons trained in modern methods of biomedical information storage and dissemination technologies. Permits the Library to contract with the private-sector data recording industry to improve the development of such technologies and the dissemination of full-text biomedical information to medical libraries. Requires the Library to report annually to Congress and the President on its progress. Authorizes appropriations.

Bill· HRH.R. 5043 (98th)referred

Health in Advertising Act

United States · United States Congress · 6 March 1984

Health in Advertising Act - Amends the Federal Cigarette Labeling and Advertising Act to prohibit cigarette and other tobacco product advertising on any medium of electronic communication subject to Federal Communications Commission jurisdiction.

Resolution· HRESH.Res. 451 (98th)referred

A resolution expressing the sense of the House of Representatives that the President should award the Presidential Medal of Freedom to David Phillip Vetter, of Spring, Texas, to be presented to his family in his memory.

United States · United States Congress · 5 March 1984

Declares that it is the sense of the House of Representatives that the President should award the Presidential Medal of Freedom to David Phillip Vetter, of Spring, Texas, to be presented to his family in his memory as the oldest survivor of congenital severe combined immunodeficiency (SCID).

Bill· HRH.R. 5006 (98th)referred

A bill to amend title XVIII of the Social Security Act with respect to treatment of certain rural hospitals under the prospective payment system for inpatient hospital services under the medicare program.

United States · United States Congress · 1 March 1984

Amends title XVIII (Medicare) of the Social Security Act to provide that a hospital shall be considered to be located in an urban area for purposes of the prospective payment system if the wage level within the county (or equivalent area) in which the hospital is located is not less than the average wage level for urban areas in the State.

Bill· HRH.R. 4969 (98th)open

A bill to amend title XVIII of the Social Security Act to provide an additional transitional year in the full implementation of the prospective payment system for inpatient hospital services under part A of that title and to amend the Social Security Amendments of 1983 to provide for a report on refinements in such payment system.

United States · United States Congress · 29 February 1984

Amends title XVIII (Medicare) of the Social Security Act to provide for an additional transitional year in which to implement the hospital prospective payment system. Directs the Secretary of Health and Human Services to conduct a study and make recommendations to Congress concerning refinements in the prospective payment system.

Bill· HRH.R. 4961 (98th)referred

A bill to provide equitable treatment for certain hospitals in high wage areas.

United States · United States Congress · 28 February 1984

Amends title XVIII (Medicare) of the Social Security Act to provide that a county with an average wage rate which is no less than the average wage rate for a standard metropolitan statistical area in the State shall be considered an urban area for purposes of the prospective payment system.

Bill· SS. 2352 (98th)open

A bill to provide equitable treatment for certain hospitals in high wage areas.

United States · United States Congress · 27 February 1984

Amends title XVIII (Medicare) of the Social Security Act to provide that a county with an average wage rate which is no less than the average wage rate for a standard metropolitan statistical area in a State shall be considered an urban area for purposes of the prospective payment system.

Bill· SS. 2338 (98th)open

A bill to amend title XVIII of the Social Security Act to allow medicare coverage for home health services provided on a daily basis.

United States · United States Congress · 23 February 1984

Amends title XVIII (Medicare) of the Social Security Act to provide that nursing care and home health aid services may be provided on a daily basis as home health services for up to 60 days with monthly physician certification of the need for such services, and after the 60 day period, on a physician certification of exceptional circumstances.

Bill· HRH.R. 4892 (98th)open

Uniform Minimum Drinking Age Act of 1984

United States · United States Congress · 22 February 1984

Uniform Minimum Drinking Age Act of 1984 - Prohibits the Secretary of Transportation from approving Federal-aid highway projects in States in which the purchase or public possession of alcoholic beverages by persons less than 21 years of age is lawful. Makes such prohibition effective in the sixth fiscal year after enactment of this Act. Requires the Secretary to reduce such States' apportionment of Federal-aid highway funds by specified percentages beginning in the third fiscal year after enactment.

Bill· HRH.R. 4870 (98th)open

Medicare Solvency and Health Care Financing Reform Act of 1984

United States · United States Congress · 21 February 1984

Medicare Solvency and Health Care Financing Reform Act of 1984 - Adds a new title XXI to the Public Health Service Act entitled "Programs For Reforming the Health Care Financing System." Sets forth part A of such title entitled "State Health Care Programs." Provides that if a State transmits to the Secretary of Health and Human Services, within one year of the enactment of this Act, a statement that the State intends to submit a health care plan (described below), for purposes of making payments to the State under title XIX (Medicaid) of the Social Security Act the Federal medical assistance percentage shall be 102 percent of such percentage as otherwise determined under Medicaid for such State for up to one year. Directs the Secretary to exempt hospitals in a State from the prospective payment limits established under this Act for certain time periods occurring during the first year of the transition period (defined in part C of title XXI as the 24-month period beginning January 1985) if: (1) the State requests such treatment; (2) the State indicates an intention to have implemented a State plan under title XXI which will provide for a recoupment of any revenues received in excess of the amounts permitted under part A; and (3) the State has agreed, with respect to such hospitals, that if a State plan under this Act is not implemented by the end of the first year of the transition period, then the Secretary shall provide for such adjustment in the prospective payment limits under part I of part B as will provide for recoupment in the subsequent year of any revenues received in excess of amounts permitted. Authorizes a State to apply to the Secretary for the approval of a health care plan for the State for an initial period of up to three years, subject to disapproval. Authorizes extensions of such initial period for up to two additional years. Provides that, for any one-year period, in the case of any State with an approved plan: (1) the transitional period provisions of subpart I of part B of title XXI shall not apply; (2) requirements for reimbursement (other than those relating to beneficiary cost sharing) under title XVIII (Medicare) of the Social Security Act shall be waived and; (3) for purposes of making payments to a State under Medicaid the Federal medical assistance percentage shall, for the year the plan is in effect, be 103 percent (or 104 percent in the case of an unrestricted Medicaid plan) of the amount of the Federal medical assistance percentage otherwise determined under Medicaid and 102 percent (or 103 percent in the case of an unrestricted Medicaid plan) for any subsequent year (except for any extension period) of the amount of the Federal medical assistance percentage otherwise determined. Defines "unrestricted Medicaid plan" as a State Medicaid plan which does not impose any limitation on the scope or duration of inpatient hospital services other than requiring that such services be medically necessary. Directs the Secretary to annually review each approved plan. Requires the continued approval, for a certain time, of a plan not in compliance, if the State certifies that it will comply within a stated time period. Permits a further extension of approval if there is a trend towards compliance. Provides for the establishment of a Federal program with respect to hospitals for a State which cannot comply. Requires a State plan, in order to be approved, to meet the general requirements set forth below and, if applicable, certain requirements relating to ratesetting plans. Permits a plan, in meeting the general requirements, to be designed in a manner that meets such requirements through a ratesetting system, a voluntary system, or through the use of competitive mechanisms. Requires a plan to be designed in a manner so as to provide, to the satisfaction of the Secretary, that: (1) the amount of the total revenues per discharge for all hospitals in the State for each year beginning before 1987 in which the plan is in effect may not exceed the base general hospital revenues per discharge increased by the sum of the compounded sum of the percentage limits for a year and the previous years for which the State plan was in effect, and the population-discharge factor; and (2) the amount of the total revenues per discharge for all services furnished to hospitals inpatients for all hospitals in the State for each year beginning after 1986 in which the plan is in effect may not exceed the sum of the base general hospital revenues per discharge increased by the sum of the compounded sum of the percentage limits for a year and the previous years for which the State plan was in effect, and the population-discharge factor, plus the base physician-related hospital revenues per discharge increased by the sum of the compounded sum of the percentage limits for a year and the previous years for which the plan is in effect and provided for a limitation under this clause (2), and the population-discharge factor. Authorizes a State, at its option, to apply the test specified in clause (2) instead of the test specified in clause (1) with respect to years prior to 1986. Permits a plan, instead of meeting the above requirements, to meet such other alternative test of constraint of health care costs as the Secretary determines will not result in a greater expenditure of funds under title XVIII (Medicare) of the Social Security Act and by private payers than would have been made if the plan met the above requirements. Requires a plan to be designed so as to provide that the amount of revenues for inpatient hospital services and physicians' services to hospital inpatients and individuals entitled to benefits under parts A (Hospital Insurance) and B (Supplementary Medical Insurance) of title XVIII of the Social Security Act may not exceed the amount which would otherwise be payable (including copayments and deductibles) for such services under title XVIII. Permits a plan (other than a plan providing for the establishment of rates of hospital reimbursement for hospital inpatient services) to provide that payment under title XVIII for inpatient hospital services and for other services furnished to hospital inpatients shall continue to be made in the amounts and in the manner otherwise provided under Medicare. Requires that the unreimbursed costs incurred by hospitals in providing services to low-income, uninsured or underinsured patients (other than Medicare or Medicaid patients) be paid pursuant to a plan in an amount which must, in the aggregate, be the same proportion of total revenues as such unreimbursed costs are of total costs of patients who are neither Medicare nor Medicaid patients. Provides that such unreimbursed costs shall be paid through distribution of funds pooled at the statewide level, through a higher payment rate, or through another method approved by the Secretary. Requires a plan to have a mechanism for providing fair hearings for hospitals and any other entities aggrieved by determinations made under the plan. Requires a State to provide for the appointment of a panel, consisting of members with expertise in health care economics and service delivery, to advise in the development and implementation of its plan, periodically review and propose modifications to the plan, and establish the methodology for establishing the percentage limit used to compute hospital revenues. Requires such methodology to include the use of appropriate external price indicators, the use of data from major collective-bargaining agreements for nonsupervisory hospital employees, and other appropriate indicators of wage costs. Requires the methodology to be approved by the Secretary. Requires a plan, to the extent that it provides for meeting plan requirements through a system which provides for the establishment of rates for hospital reimbursement for hospital inpatient services by an entity other than the hospital, to meet the following additional requirements: (1) except as provided in clause (2), the plan must provide equitable treatment of all entities that pay for health services covered under the plan, of hospital employees, and of patients; (2) if the plan is established under State law, the plan must take into account the proportion of costs associated with, and services covered by, the different payors, including Medicare and Medicaid, and may not permit undue shifting of proportions of costs among the different payors; (3) the plan may not make available any discount in price to any purchaser unless the discount accurately reflects economic benefits to a hospital resulting from a service arrangement with a purchaser and the discount is made available to all other purchasers who can satisfy such service; and (4) the plan must provide a procedure whereby, upon the request of a hospital, an adjustment can be considered to the rate limitation applicable under the plan to that hospital to reflect a significant change in the inpatient hospital services, increased costs for the compensation of employees, funds necessary to provide for the efficient operation of a hospital which the State has determined should remain in operation, and higher expenses associated with a regional tertiary care institution, teaching hospital, or children's hospital. Directs the Secretary, in reviewing a plan which provides for control of hospital inpatient costs through a competitive mechanism, to take into account the degree to which the plan provides for the following or other measures to improve price competition among providers: (1) the plan provides for open enrollment periods; (2) the plan provides for the dissemination of information concerning different health benefits plans; (3) the plan encourages innovation and public incentives to new forms of health care delivery and financing; (4) there are negotiated prices and risk-sharing between insurers and health care providers; and (5) the laws of the State do not impose legal barriers to competition in negotiated and other arrangements among insurers and health care providers. Sets forth part B of title XXI entitled "Residual Federal Program subpart I of part B entitled "Transition Period." Provides that, subject to the provisions of subpart I, for any accounting period of a hospital subject to subpart I the total revenues for inpatient hospital services may not exceed the total of such revenues that are permitted on the basis of prospective payment limits established under subpart I for the hospital's discharges as classified by diagnosis-related groups. Requires each hospital subject to a limitation on revenues under subpart I to provide for the publication of a price list which establishes the price per discharge which any payor may pay for inpatient hospital services. Requires a hospital to submit its price list to the Secretary. Directs the Secretary to determine (for each accounting period) a prospective payment limit for inpatient hospital services for discharges classified by diagnosis-related groups. Sets forth the method for determining and adjusting the limit for each hospital for discharges. Authorizes the Secretary, at the request of a hospital, to increase the allowable revenues for an accounting period or provide for an increase in the base number of discharges otherwise permitted under subpart I to allow for higher revenues than would otherwise be permitted if: (1) a major renovation or replacement of physical plant or significant change in the capacity of the hospital has occurred; (2) the hospital is a sole community provider or provides a disproportionate percentage of its services to low-income or medicare patients, the hospital would otherwise be insolvent, and the State has determined that the hospital should remain open; (3) a larger revenue increase is needed because the hospital is a regional tertiary care institution, teaching hospital, or children's hospital; and (4) there has been a significant change in the characteristics of the hospital's mix of patients. Subjects a hospital which has total inpatient revenues for an accounting period in excess of its applicable limit to a civil penalty, unless the excess is deposited in an escrow account. Permits withdrawals from the account upon the Secretary's certification that the total inpatient revenues of a hospital for an accounting period fall below the applicable limit for that period. Establishes a civil penalty for a physician or other person or entity (other than a hospital) who has charged any person or entity for services which are required by law to be billed to a hospital. Sets forth provisions relating to notice, opportunity for a hearing, and appeal of such penalties. Prohibits a hospital from engaging in an admission practice that results in: (1) a refusal to admit a patient who is unable to pay for inpatient hospital services; (2) the refusal to admit a patient who would be expected to require unusually costly or prolonged treatment; or (3) the refusal to provide emergency services to any person in need of such services. Sets forth penalties, including exclusion from Medicare or Medicaid participation, for hospitals committing such admissions violations. Sets forth subpart II of Part B entitled "Post-Transition Period." Provides that in the case of a State not having a plan approved under part A and in effect for any period beginning after the transition period, the Secretary shall establish and implement a health care plan for such State for such period which meets the requirements of part A, with specified differences. Sets forth definitions under part C of title XXI. Establishes an Advisory Committee on Health Care Technologies and Procedures. Directs the Advisory Committee to examine the appropriateness of the various interventions and the conditions under which they are needed, the safety and efficacy of alternative therapeutic and preventive regimens, and the standards for availability and utilization of various technologies, and to publicly report on whether or not payments should be made for such services and, if so, under what conditions and frequency of service. Exempts individuals enrolled in health maintenance organizations and competitive medical plans from the limits established under title XXI on revenues and discharge of a hospital if: (1) the organization elects such treatment; or (2) the organization annually pays for more than 20 percent of the number of bed-days of care with respect to that hospital. Amends provisions of the Public Health Service Act relating to employees' health benefits plans to provide that if an employer makes a contribution with respect to the costs of a health benefits plan of an employee and the employer offers the option of membership in a health maintenance organization or a competitive medical plan, which membership provides benefits at least actuarially equivalent to those provided under the other health benefits plan, the employer shall: (1) contribute at least as much towards the membership as the maximum amount of the employer's contribution to the other plan; (2) provide for a cash rebate if the contribution with respect to any other health benefits plan exceeds the cost of membership with the organization; and (3) provide information to employees that reasonably compares the benefits and costs of different plans. Exempts from the provisions of the previous sentence employees of an employer represented by a collective bargaining representative or other employee representative selected under any law. Amends title XVIII (Medicare) of the Social Security Act, with respect to health maintenance organizations and competitive medical plans, to provide that the annual per capita rate of payment for each class of members shall be 100 percent in the care of individuals enrolled with an eligible organization in an area where at least 30 percent of the individuals eligible to enroll with an organization are enrolled. Amends title XIX (Medicaid) of the Social Security Act to exempt a health maintenance organization which is a public entity from the requirement that at least 75 percent of its membership be Medicaid eligible or insured under part B (Supplementary Medical Insurance) of title XVIII or under both parts A (Hospital Insurance) and B of title XVIII. Directs the Secretary, under the prospective payment provisions of title XVIII of the Social Security Act, to provide that in the case of a State health care plan approved under Part A of title XXI of the Public Health Service Act payments with respect to services covered under title XXI: (1) may, at the State's option, be made in accordance with title XXI rather than Medicare; or (2) shall be made in accordance with title XXI rather than Medicare in the case of a plan which provides for the control of hospital costs through a title XXI ratesetting mechanism. Provides for increased Medicare payments to a hospital for its operating costs if the number of admissions for an accounting period exceeds the hospital's admissions during a specified base period. Directs the Secretary to determine a regionally adjusted capital-related prospective payment rate for each inpatient hospital discharge in accordance with a specified formula. Directs the Secretary, for each diagnosis-related group, to estimate the average per discharge amount of charges recognized under part B of title XVIII attributable to items and services furnished to inpatients within such group during 1983. Provides that, subject to the part B deductible and subject to other provisions of the Medicare prospective payment rate provisions, with respect to each individual entitled to benefits under part A and enrolled under part B of title XVIII who is a hospital inpatient and whose discharge is classified within a diagnosis-related group, the Secretary shall provide for payment to the hospital of an amount equal to 80 percent of a specified rate in lieu of payments otherwise made under part B for inpatient services. Requires that: (1) payments for health care services furnished to inpatients be made to or through a hospital as a condition of the hospital's participation in the Medicare payment; and (2) the Secretary provide for notice to the public and to individuals enrolled under part B of title XVIII of the Social Security Act of such requirement. Permits the Federal Hospital Insurance Trust Fund to borrow at any time from other social security trust funds if it can repay the loan within ten years. Provides for the periodic transfer to the Federal Hospital Insurance Trust Fund from the Federal Supplementary Medical Insurance Trust Fund of amounts which the Secretary determines to be equal to a specified fraction of the total revenues of the Federal Supplementary Medical Insurance Trust Fund for each fiscal year. Directs the Secretary to conduct and report to Congress on seven studies relating to: (1) health care costs, quality, delivery, and services; and (2) the effects of this Act.

Law· SS. 2301 (98th)enacted

Preventive Health Amendments of 1984

United States · United States Congress · 9 February 1984

Health Services, Preventive Health Services, and Home and Community-Based Services Act of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for: (1) childhood immunization; (2) tuberculosis prevention; (3) home health services; (4) venereal disease prevention; and (5) preventive health and health services block grants. Includes emergency services for children within the authorized uses for preventive health and health services block grants. Authorizes the Secretary of Health and Human Services to make one-year grants to up to four States in any fiscal year for children's emergency medical services demonstration projects. Authorizes FY 1985 through 1987 appropriations. Establishes a home and community-based services grant program. Authorizes FY 1986 through 1988 operating appropriations, and FY 1985 planning appropriations. Sets minimum State (including the District of Columbia and Puerto Rico) and territorial allotments, and bases remaining allotments on a State's elderly population. Makes Indian tribes or tribal organizations eligible grant recipients. States that grants may be used to: (1) coordinate existing services and maximize the use of funds under this Act; (2) develop means to identify elderly and disabled individuals who are at risk of institutionalization or who could be deinstitutionalized if home and community based services were available; (3) develop cost-effective services; and (4) provide specified medical and related social, occupational, educational, and supportive services. Permits the Secretary to provide States with planning and operating technical assistance. Prohibits the use of funds for: (1) inpatient services; (2) cash payments to intended recipients; (3) land purchase or construction; (4) purchases of major medical equipment; or (5) financial aid to other than public or nonprofit entities. Sets forth State application provisions, including requirements that public hearings regarding fund distributions be held, and the establishing of a administrative entity.

Law· SS. 2303 (98th)enacted

Alcohol Abuse, Drug Abuse, and Mental Health Amendments of 1984

United States · United States Congress · 9 February 1984

Alcohol and Drug Abuse and Mental Health Service Block Grant Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for alcohol, drug abuse, and mental health services block grants. Replaces the existing training grant allocation formula (divided between States and public and private nonprofit entities) with an overall State grant. Requires the Secretary of Health and Human Services to: (1) review the FY 1982 through 1984 allocation of funds to States to determine if a more equitable distribution formula can be devised; and (2) report to Congress by April 1, 1985. Makes existing annual audit requirements biennial. Requires the Secretary to work with appropriate national organizations to develop model data collection criteria. Repeals: (1) annual State reporting requirements; and (2) specified transitional provisions. Authorizes FY 1985 through 1987 additional appropriations for State programs for the treatment and prevention of alcohol and drug abuse among women.

Bill· SS. 2311 (98th)passed

Health Maintenance Organization Amendments of 1984

United States · United States Congress · 9 February 1984

Health Maintenance Organization Amendments of 1984 - Amends title XIII (Health Maintenance Organizations) of the Public Health Service Act to eliminate the requirement that health maintenance organizations (HMOs) have community rating-based fees for supplemental services. Repeals the requirement that one-third of private HMO governing boards be made up of enrollees. Repeals provisions authorizing assistance for feasibility surveys, planning and initial development, and construction of ambulatory care facilities. Limits initial operating loan assistance to entities with existing loan eligibility as of October 1, 1984. Limits the Secretary's authority to borrow through the loan guarantee fund to obligations made before October 1, 1983. Repeals statutory authority for: (1) health systems agency review; (2) periodic demonstration of compliance; (3) funding source limitations; and (4) certain financial reporting requirements. Requires updates of the digest of State HMO laws to be made annually (presently required quarterly). Authorizes FY 1985 through 1987 appropriations for loan assistance, including the loan fund.

Bill· SS. 2308 (98th)passed

Primary Health Care Amendments of 1984

United States · United States Congress · 9 February 1984

Primary Health Care Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for primary care block grants and community health center grants. Requires the Secretary of Health and Human Services to: (1) review the State allocation formula to determine if a more equitable distribution formula can be devised; and (2) report to Congress by April 1, 1985. Reduces State matching grant requirements. Requires the Secretary to consult with the Governor of a State before designating a "medically underserved population" in such State. Authorizes FY 1985 through 1987 appropriations for migrant health centers.

Bill· SS. 2281 (98th)passed

National Health Service Corps Amendments of 1984

United States · United States Congress · 9 February 1984

National Health Service Corps Amendments of 1984 - Amends the Public Health Service Act to authorize FY 1985 through 1987 appropriations for the National Health Service Corps Program. Authorizes appropriations through FY 1987 for new and continuing National Health Service Corps scholarships. Limits new scholarships to 150 per fiscal year. Provides with regard to scholarship-obligated service deferrals for advanced clinical training that the Secretary of Health and Human Services: (1) shall grant such deferrals upon request for contracts entered into prior to October 1, 1984; (2) may do so for contracts entered into after such date; and (3) shall not count such periods of advanced training toward satisfying the service obligation. Revises special private practice assistance provisions to: (1) limit such assistance to loans (presently grants and loans); (2) extend the minimum obligated service period from one to two years; and (3) apply such provisions to obligated- and unobligated-service National Health Service Corps members. Requires the Secretary to submit to the appropriate congressional committees by October 1, 1985, a long-term personnel plan based on a maximum 2100 Corps size.

Bill· HRH.R. 4839 (98th)referred

Mental Health Act of 1984

United States · United States Congress · 9 February 1984

Mental Health Act of 1984 - Title I: Mental Health Benefits - Entitles residents and nonresident citizens to mental health benefits under this Act. Enumerates mental health services covered by this Act, stipulating that payments for such services shall be made by the Secretary of Health and Human Services on the recipient's behalf. Sets forth qualifications of psychiatric hospitals for participation in the program under this Act, including the provision of active diagnostic, therapeutic, and rehabilitative services, and accreditation by the Joint Commission on the Accreditation of Hospitals. Requires the Secretary to administer the program with the advice and assistance of a Committee on Mental Health responsible for approval of all providers under this Act and the establishment of relevant guidelines and qualifications. Requires the Secretary to conduct a national mental health insurance feasibility study and to submit the findings to the President and Congress. Creates a mental health trust fund in the Treasury. Appropriates to the fund specified tax revenues. Creates a Board of Trustees, with the Secretary of the Treasury as the Managing Trustee, to hold the fund, report annually to Congress on the operation and status of the fund, and review general management policies. Makes it the duty of the Managing Trustee to invest such portions of the trust fund, according to specified instructions, as are not required to meet current withdrawals. Title II: Mental Health Taxes - Amends the Internal Revenue Code to impose a series of mental health taxes on employees' income, employers' income, self-employment income, and unearned income. Sets forth rules applicable to the nondeductibility of mental health taxes from the employee's exempt wages. Excludes from an individual's gross income an employer's payment of such tax.

Bill· HRH.R. 4856 (98th)referred

A bill to amend title XVIII of the Social Security Act to require physicians and others requesting payment on the basis of an assignment under the medicare program to provide a copy of the completed request for payment form to the patient.

United States · United States Congress · 9 February 1984

Amends title XVIII (Medicare) of the Social Security Act to require a physician or other person furnishing a service under Medicare who requests payment on the basis of an assignment to furnish a copy of the request for payment to the patient.

Bill· SS. 2263 (98th)referred

Uniform Minimum Drinking Age Act of 1984

United States · United States Congress · 7 February 1984

Uniform Minimum Drinking Age Act of 1984 - Requires the Secretary of Transportation to reduce a State's apportionment of Federal-aid highway funds by increments of five percent for every fiscal year during which the minimum drinking age in such State is less than 21 years.

Bill· HRH.R. 4767 (98th)referred

A bill to amend title XVIII of the Social Security Act to authorize the President to enter into reciprocal agreements for health care services furnished to medicare beneficiaries outside the United States.

United States · United States Congress · 7 February 1984

Amends title XVIII (Medicare) of the Social Security Act to authorize the President to enter into agreements establishing reciprocal arrangements between Medicare programs and the program of any foreign country providing similar services to individuals either directly or by insurance payments. Requires that any such agreement specify: (1) the nature and extent of payment to be made to or on behalf of the individuals entitled to benefits; (2) limitations on the nature and duration of health services and on entitlement of individuals to benefits on a reciprocal basis; and (3) the methods by which the cost of providing health services on a reciprocal basis shall be shared by the United States and the foreign country. Directs the Secretary of Health and Human Services to make rules and regulations and establish procedures necessary to implement and administer such agreements. Authorizes the Secretary to enter into interim arrangements with any hospital in a foreign country which is accredited by the Joint Commission on Accreditation of Hospitals or such other hospitals as the Secretary finds meet specified health and safety standards.

Bill· HRH.R. 4762 (98th)open

Compassionate Pain Relief Act

United States · United States Congress · 6 February 1984

Compassionate Pain Relief Act - Directs the Secretary of Health and Human Services to establish a 60-month program under which diacetylmorphine shall be made available through qualified pharmacies for the relief of pain from cancer. Directs the Secretary to provide for the manufacture of such drug. Permits physicians registered under the Controlled Substances Act to prescribe such drug. States that for purposes of such program the Federal Food, Drug, and Cosmetic Act and titles II and III of the Comprehensive Drug Abuse Prevention and Control Act of 1970 shall not apply with respect to: (1) the importing of opium; and (2) the manufacture, distribution, and dispensing of diacetylmorphine. Requires: (1) the Secretary to make program reports to the appropriate congressional committees; and (2) the Comptroller General of the United States to make a four-year program report to such committees.

Bill· HRH.R. 4729 (98th)referred

A bill to establish the position of Associate Director for Minority Concerns in the National Institute on Drug Abuse.

United States · United States Congress · 2 February 1984

Amends the Public Health Service Act to establish the position of Associate Director for Minority Concerns within the National Institute on Drug Abuse. Requires the Associate Director to develop policies and programs to assure increased emphasis on the drug abuse and drug abuse-related needs of minority populations.

Bill· HRH.R. 4728 (98th)referred

A bill to establish the position of Associate Director for Minority Concerns in the National Institute on Alcohol Abuse and Alcoholism.

United States · United States Congress · 2 February 1984

Amends the Public Health Service Act to establish the position of Associate Director for Minority Concerns within the National Institute on Alcohol Abuse and Alcoholism. Requires such Associate Director to develop policies and programs to assure increased emphasis on the alcohol and alcohol-related needs of minority populations.

Bill· HRH.R. 4720 (98th)open

Asbestos School Hazard Detection and Control Act Amendments of 1984

United States · United States Congress · 1 February 1984

Asbestos School Hazard Detection and Control Act Amendments of 1984 - Amends the Asbestos School Hazard Detection and Control Act of 1980 to add: (1) the finding that the presence of asbestos and the exposure to asbestos fibers in the schools of local educational agencies (LEAs) pose a serious threat to the quality of education available in such schools; and (2) the purpose of providing Federal financial assistance for an emergency program of removal of asbestos from the schools of LEAs most in need of such assistance. Requires the Asbestos Hazards School Safety Task Force to meet at least four times each year. Directs the Task Force, in making recommendations respecting the approval or disapproval of applications for specified grants and loans, to consider: (1) the extent of compliance with specified Environmental Protection Agency (EPA) regulations; (2) the number of schools in each LEA which have closed due to asbestos related problems; (3) the financial condition of the affected localities as determined by the total cost of abatement or removal, or both; (4) the fiscal effort of the community in which the LEA is located made to maintain the public school system of the agency; and (5) the number of schools in the LEA requiring funds for abatement or removal. Provides that the Task Force review of, and recommendation of modifications of, EPA regulations shall take place only upon request of the EPA Administrator. Repeals the requirement that the Task Force assist the Secretary of Education in formulating standards and procedures. Repeals a provision for termination of the Task Force. Requires State education agencies (SEAs) to submit State plans to the Secretary within three months after enactment of this Act. Requires State plans to include a description of the extent to which LEAs are in compliance with the provisions of, and regulations issued under, the Asbestos School Hazard Detection and Control Act of 1980 and with specified EPA regulations. Establishes an emergency asbestos hazard control program. Makes an LEA eligible to receive emergency grants whenever the Secretary determines that the LEA: (1) is in compliance with specified EPA regulations; (2) has such limited fiscal resources that the LEA is unable to obtain a loan to carry out specified projects; and (3) the asbestos hazard in the school buildings of the school district of such agency adversely affect the public education in such district. Authorizes the Secretary to make emergency grants to eligible LEAs according to a specified ranking procedure. Provides that such grants shall cover all costs of projects for: (1) containment or removal of any materials containing asbestos in school buildings in which such materials pose an imminent hazard to the health and safety of children or employees; (2) replacement of the asbestos materials removed from school buildings with other appropriate building materials; and (3) making repairs which the Secretary determines to be necessary to restore school buildings to conditions comparable to those existing before containment or removal project activities were undertaken. Sets forth application requirements for such emergency grants. Sets forth factors to be used for ranking such applications. Directs the Secretary to provide the Task Force with a copy of any such application. Prohibits emergency grants for projects for which the LEA has an approved application for specified other grants under such Act. Directs the Secretary to report on the emergency grant program by February 1 of each year to the appropriate congressional committees. Authorizes appropriations for FY 1985 through 1988 for the emergency asbestos hazard control program.

Bill· SS. 2237 (98th)referred

Asbestos School Hazard Detection and Control Act Amendments of 1984

United States · United States Congress · 31 January 1984

Asbestos School Hazard Detection and Control Act Amendments of 1984 - Amends the Asbestos School Hazard Detection and Control Act of 1980 (the Act) to add: (1) the finding that the presence of asbestos and the exposure to asbestos fibers in the schools of local educational agencies (LEAs) pose a serious threat to the quality of education available in such schools; and (2) the purpose of providing Federal financial assistance for an emergency program of removal of asbestos from the schools of LEAs most in need of such assistance. Requires the Asbestos Hazards School Safety Task Force to meet at least four times each year. Directs the Task Force, in making recommendations respecting the approval or disapproval of applications for specified grants and loans, to consider: (1) the extent of compliance with specified Environmental Protection Agency (EPA) regulations; (2) the number of schools in each LEA which have closed due to asbestos related problems; (3) the financial condition of the affected localities as determined by the total cost of abatement or removal, or both; (4) the fiscal effort of the community in which the LEA is located made to maintain the public school system of the agency; and (5) the number of schools in the LEA requiring funds for abatement or removal. Provides that the Task Force review of, and recommendation of modifications of, EPA regulations shall take place only upon request of the EPA Administrator. Repeals the requirement that the Task Force assist the Secretary of Education in formulating standards and procedures. Repeals a provision for termination of the Task Force. Requires State education agencies (SEAs) to submit State plans to the Secretary within three months after enactment of this Act. Requires State plans to include a description of the extent to which LEAs are in compliance with the provisions of, and regulations issued under, the Act and with specified EPA regulations. Establishes an emergency asbestos hazard control program. Makes an LEA eligible to receive emergency grants whenever the Secretary determines that the LEA: (1) is in compliance with specified EPA regulations; (2) has such limited fiscal resources that the LEA is unable to obtain a loan to carry out specified projects; and (3) the asbestos hazard in the school buildings of the school district of such agency adversely affect the public education in such district. Authorizes the Secretary to make emergency grants to eligible LEAs according to a specified ranking procedure. Provides that such grants shall cover all costs of projects for: (1) containment or removal of any materials containing asbestos in school buildings in which such materials pose an imminent hazard to the health and safety of children or employees; (2) replacement of the asbestos materials removed from school buildings with other appropriate building materials; and (3) making repairs which the Secretary determines to be necessary to restore school buildings to conditions comparable to those existing before containment or removal project activities were undertaken. Sets forth application requirements for such emergency grants. Sets forth factors to be used for ranking such applications. Directs the Secretary to provide the Task Force with a copy of any such application. Prohibits emergency grants for projects for which the LEA has an approved application for specified other grants under the Act. Directs the Secretary to report on the emergency grant program by February 1 of each year to the appropriate congressional committees. Authorizes appropriations for FY 1985 through 1988 for the emergency asbestos hazard control program.

Bill· HRH.R. 4698 (98th)open

Dangerous Drug Diversion Control Act of 1984

United States · United States Congress · 31 January 1984

Dangerous Drug Diversion Control Act of 1984 - Amends the Controlled Substances Act to allow the Attorney General to place an uncontrolled substance under temporary controls which provide for registration, recordkeeping, and criminal penalties. Authorizes the Attorney General to exempt certain compounds, mixtures or preparations from control. Provides for administrative changes in the registration of practitioners. Authorizes the Attorney General to make grants to State and local governments to assist them in controlling the diversion of controlled substances from legitimate channels. Provides for forfeiture of controlled substances possessed in violation of such Act. Amends the Controlled Substances Import and Export Act to revise the importation requirements for narcotic and nonnarcotic substances. Makes changes in the registration requirements for importers and exporters of controlled substances. Allows the Attorney General to deny, revoke, or suspend a registration taking into consideration the public interest and international obligations. Makes it unlawful to export controlled substances from the United States without the required proof that the export does not violate the law of the importing country. Allows the Attorney General to authorize the importation of certain narcotic raw materials (opium, poppy straw, and coca leaves) necessary for medical or scientific purposes.

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