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301 records in 1983
United States · United States Congress · 16 March 1983
Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to provide coverage for outpatient occupational therapy services.
United States · United States Congress · 15 March 1983
Health Care for Displaced Workers Act of 1983 - Establishes a State block grant program to provide unemployed workers and their families with health care benefits directly or through insurance or otherwise. Defines "eligible unemployed worker" as a person who: (1) is entitled to regular, extended, or Federal supplemental compensation; (2) has exhausted such benefits within the past 12 months, and is still unemployed; and (3) was a participant in an employer-supported group health plan. Creates a 52- week eligibility period (after workers' compensation eligibility has been exhausted). Bases a State's allocation upon its figures (as compared to national figures) of unemployed, excess unemployed (in excess of six percent), and persons unemployed for 15 weeks or more. Sets forth State application requirements and nondiscrimination provisions. Requires withholding of funds, after notice and hearing opportunity, for noncompliance. Requires the Secretary to conduct fund use investigations in several States annually. Authorizes the Comptroller General to conduct fund use investigations. Authorizes appropriations through FY 1986.
United States · United States Congress · 15 March 1983
Health Care Cost Control Act of 1983 - Amends the Social Security Act by adding a new title XXI entitled "Control of Health's Escalating Costs." Prohibits, as a general rule, the total inpatient revenues of a hospital for any accounting period from exceeding the total inpatient revenues from the hospital's base accounting period by a percentage which is greater than the compounded sum of the percentage limits computed under such title for that accounting period and previous accounting periods of the hospital after the base accounting period. Sets forth the method for determining the percentage limitation. Provides, upon the request (and subsequent approval of such request) of an organization owning two or more hospitals in a State, that the limits under such title on total revenues shall be computed and applied in the aggregate for the organization's hospitals with the same accounting period in the State, rather than on each hospital. Prohibits a hospital from changing its admission practices in a manner which results in: (1) a significant reduction in patients who have no third-party coverage and who are unable to pay; (2) a significant reduction in admissions for which payment is (or is likely to be) less than the anticipated charges; (3) the refusal to admit patients who would be expected to require unusually costly care; or (4) the refusal to provide emergency services if the hospital provides such services. Prohibits the charges, the amount recognized as the reasonable charge under part B (Supplementary Medical Insurance) of title XVIII (Medicare) of such Act, and the schedule of Medicaid (title XIX of the Act) payment of a person furnishing outpatient services or of a person furnishing physicians' services to an inpatient of a hospital or other medical institution from exceeding the customary charge, the amount recognized as the reasonable charge under part B of title XVIII, or the schedule of Medicaid payments, respectively, of the person for furnishing such service as established as of January 1, 1983, by a percentage greater than the applicable percentage (computed under this title) for the calendar quarter in which the service is furnished. Prohibits the average reimbursement payable per unit of service to a hospital by a cost payer for outpatient services from exceeding the average reimbursement payable to the hospital per unit of service by the cost payer as estimated as of January 1, 1983, by a percentage greater than the applicable percentage (computed under title XXI) for the calendar quarter in which the service is furnished. Sets forth the method for determining the applicable percentage. Directs the Secretary of Health and Human Services to provide for an analysis of the feasibility and desirability of providing for control of the inpatient costs of skilled nursing facilities and of intermediate care facilities. Sets forth civil penalties for a provider who exceeds the revenue limit and fails to deposit the excess in an escrow account. Requires a provider, in order to avoid a penalty for excess revenues, to establish an escrow account. Authorizes withdrawals if the provider's revenues fall below the applicable limit. Sets forth administrative and judicial review procedures for a provider adversely affected by an assessment. Prohibits reimbursement or payment under Medicare or Medicaid for services furnished by a provider exempted from cost control limits to the extent that the reimbursement or payment exceeds the limits. Authorizes a State to apply to administer the limitations imposed under title XXI with respect to services furnished by the State. Authorizes exemptions from cost control: (1) for demonstration purposes; or (2) for a State which has a hospital reimbursement control system. Increases the Federal medical assistance percentage by two percent for a State indicating an intention to submit a State health care cost control plan or administering a cost limitation program under title XXI. Authorizes a State to apply to the Secretary for the approval of a medical cost control plan for that State. Provides that in the case of any State with an approved plan: (1) the Secretary shall waive the requirements under Medicare for covered services furnished in that State; and (2) the Federal medical assistance percentage under the State's Medicaid program shall be increased by two percent. Requires a State plan to: (1) be administered in a manner that provides equitable treatment for all entities paying for covered health services, employees of hospitals, and patients receiving services; (2) provide required reports to the Secretary; and (3) permit health maintenance organizations (HMO'S) to negotiate lower rates for inpatient hospital services and other services. Authorizes a State plan to be mandatory or voluntary and to exempt hospitals and other persons from limits for demonstration purposes. Requires that the State plan apply to all payors and to at least 75 percent of all revenues or expenses for inpatient hospital services. Prohibits the amount of the total inpatient revenues from increasing at a rate greater than the permissible percentage increase based upon such amount determined for: (1) the previous year; (2) a typical year in the previous three years; or (3) the average of the previous three years. Directs the chief executive officer of a State to provide for the appointment of a panel consisting of seven members, with expertise in health care economics, to develop the methodology for establishing the permissible percentage increase. Requires the State plan to provide a procedure whereby, upon the request of a hospital, an adjustment can be made to the permissible percentage increase. Requires that the State plan: (1) provide for prospective payment of hospitals; (2) have a mechanism for providing fair hearings for hospitals aggrieved by determinations made under the plan; (3) assure that hospitals continue to meet Federal and State certification standards; and (4) provide assurances that hospital admission practices meet specified requirements. Requires the plan to provide for the development of schedules: (1) of maximum payment for outpatient services and for physicians' services furnished to inpatients; and (2) of maximum reimbursement for diagnostic laboratory and X-ray services. Requires the plan to provide for capitation payment to HMOs not in excess of the prevailing rates for comparable services of other providers. Provides that if a State does not have a State cost control plan for FY 1986, the Secretary shall publish a determination that either: (1) the cost limitation program shall apply; or (2) the Secretary shall establish and implement a cost control plan meeting the requirements of a State plan under title XXI. Requires Medicare assignment for physicians' services. Establishes an Advisory Committee on Health Care Technologies and Procedures to examine: (1) the appropriateness of the various interventions and conditions under which they are needed; (2) the safety and efficacy of alternative therapeutic and preventive regimens; and (3) the standards for availability and utilization of various technologies. Directs the Advisory Committee to report on whether or not payments should be made for such services. Sets forth definitions used in title XXI. Prohibits regulations determining reasonable cost from including any provision for specific recognition of a return on equity capital for certain proprietary facilities. Authorizes State demonstration projects which encourage the care of individuals who are chronically ill or severely disabled outside of institutions. Authorizes, in certain instances, the modification of demonstration project provisions so that a project need not maintain the rate of increase in Medicare hospital costs in a State below the national rate of increase in Medicare hospital costs.
United States · United States Congress · 14 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.
United States · United States Congress · 11 March 1983
Health Promotion and Disease Prevention Amendments of 1983 - Amends the Public Health Service Act to replace the existing Office of Health Information, Health Promotion, and Physical Fitness and Sports Medicine (within the Office of the Assistant Secretary for Health of the Department of Health and Human Services) with an Office of Health Promotion, to be headed by a Director. Directs such Office to: (1) coordinate Department and private health information, promotion, and prevention services; (2) establish a national information clearinghouse; and (3) support projects, conduct research, and disseminate information relating to preventive medicine, health promotion, physical fitness and sports medicine. Authorizes appropriations through FY 1986. Repeals specified provisions regarding: (1) program models; (2) physical fitness grants; and (3) sports medicine (transferred under this Act). Directs the Secretary of Health and Human Services to make grants to academic health centers to establish Centers for Research and Demonstration of Health Promotion and Disease Prevention. Sets forth related operating provisions. Requires three such centers to be established in FY 1984, and five centers in each of the subsequent two fiscal years. Authorizes appropriations through FY 1986. Requires an annual health promotion and preventive medicine report to the appropriate congressional committees, with the first report due by January 1, 1984. Establishes an Assistant Director for Prevention position in the National Institutes of Health (NIH), to coordinate and promote NIH health promotion and disease prevention programs. Revises full-time student enrollment requirements for schools of public health seeking capitation grants to require that enrollment equal (presently must exceed) 1976 levels.
United States · United States Congress · 11 March 1983
Smoking Prevention Health and Education Act of 1983 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to inform the public of the health hazards of cigarettes through research, demonstration, and educational activities. Establishes an Interagency Committee on Smoking and Health to coordinate such Federal and private activities. Requires the Committee to meet at least four times a year. Directs the Secretary to report annually to Congress on the status of health and smoking in the United States. Makes it a misdemeanor (with maximum $10,000 fine) to manufacture, import, or package cigarettes without first filing a list of chemical additives (types and amounts) with the Secretary. States that such information shall be considered a trade secret. Requires the Secretary to report at least annually to Congress regarding cigarette additives and their health hazards. Amends the Federal Cigarette Labeling and Advertising Act to change existing label warning provisions to require cigarette packages to carry one of four specified warnings on a rotating basis according to Federal Trade Commission rules. Makes it unlawful to manufacture, import, or package cigarettes commercially without disclosing tar, nicotine, and carbon monoxide levels on the package.
United States · United States Congress · 11 March 1983
Biomedical Research, Training, and Medical Library Assistance Amendments of 1983 - Title I: National Institutes of Health Cancer Programs - Amends title IV (National Research Institutes) of the Public Health Service Act to include within the scope of cancer research and control, responsibility for projects relating to: (1) continuing care of cancer patients and their families; and (2) developmental research. Authorizes appropriations through FY 1986 for the National Cancer Institute (NCI). Requires the continued maintenance and operation of the International Cancer Research Data Bank. Requires the NCI Director to consult with the Secretary of Health and Human Services regarding the appointment of advisory committees and the awarding of construction grants. Increases from $35,000 to $50,000 the ceiling on grants which may be directly approved by the NCI or the National Heart, Lung, and Blood Institute. Increases cancer research and demonstration center support authority from three to five years. Authorizes appropriations through FY 1986 for the National Heart, Lung, and Blood Institute (NHLBI). Includes Cooley's anemia and sickle cell anemia within the scope of NHLBI projects. Eliminates certain NHLBI personnel and appropriations reporting requirements. Requires the NHLBI Director to consult with the National Heart, Lung, and Blood Advisory Council concerning demonstration center assistance. Changes the name of the National Kidney Diseases Advisory Board to the National Kidney and Urologic Diseases Advisory Board. Extends the expiration date of the Diabetes, Arthritis, Kidney and Urologic, and Digestive Diseases Advisory Boards through 1986. Establishes a National Institute (Institute) of Arthritis and Musculoskeletal and Skin Diseases in the National Institutes of Health (NIH). Redesignates the existing National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases as the National Institute of Diabetes and Digestive and Kidney Diseases. States that the Institute shall conduct research and related activities concerning arthritis and musculoskeletal diseases, including sports-related disorders and skin diseases. Requires the Director of the Institute, with the advice of the National Arthritis and Musculoskeletal and Skin Diseases Advisory Council, to establish within 180 days a national plan to coordinate such activities. Requires an annual evaluation of the skin diseases programs. Establishes within the Institute: (1) the National Arthritis and Musculoskeletal and Skin Diseases Data System; and (2) the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse. Authorizes appropriations through FY 1986. Establishes within the Institute: (1) an Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee; and (2) a Skin Diseases Interagency Coordinating Committee. Requires annual reports to the Secretary of Health and Human Services and to the Director of NIH. Establishes within the Institute a National Arthritis and Musculoskeletal and Skin Diseases Advisory Council. Authorizes appropriations through FY 1986 for arthritis and musculoskeletal demonstration projects and multipurpose disease centers. Requires the Institute to submit a biennial report. Transfers arthritis-related functions (including data system, advisory functions, coordinating functions, demonstration project, and multipurpose center), funds, personnel, and assets to the Institute from the existing National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases. Terminates the National Arthritis Advisory Board. Makes conforming amendments. Requires the Secretary, through NIH, to conduct a study of the existing combinations of disease research programs within the institutes and of the standards to be followed in establishing new or realigning existing institutes. Requires a report to the appropriate congressional committees within 18 months. Prohibits the establishment of any new institutes within six months of such reports' submission. Directs the Secretary to conduct and complete within 60 days a review of the disease research programs of the National Institute of Diabetes and Digestive and Kidney Diseases (as redesignated by this Act) to determine if any of these programs could be more effectively managed by other national research institutions. Title II: Other Programs - Eliminates payback requirements for National Research Awards. Authorizes appropriations through FY 1986. Authorizes National Library of Medicine and medical libraries appropriations through FY 1986. Repeals certain requirements for the Secretary's annual report. Requires an annual report (the first due by January 1, 1984) to the appropriate congressional committees concerning NIH grant, contracting, and peer review improvement activities. Requires the Directors of the NIH institutes to notify their Advisory Boards of any investigations of grant or contract recipients unless such disclosure would jeopardize the investigation. Requires the Director of NIH to establish research application appeals procedures.
United States · United States Congress · 11 March 1983
Federal Physicians Comparability Allowance Amendments of 1983 - Extends the authority of Federal agencies to enter into service agreements providing comparability allowances for Government physicians.
United States · United States Congress · 10 March 1983
Home and Community-Based Care Act of 1983 - Amends title XIX (Medicaid) of the Social Security Act to authorize a State to provide home care services to all individuals (currently, limited to individuals 18 years of age or younger) who are disabled, as defined in title XVI (Supplemental Security Income) of the Act, and with respect to whom it has been determined that: (1) they can receive appropriate care outside an institution; and (2) they would have to be institutionalized (but for such home care) at a cost that is equal to or greater than the cost of home care. Amends the Internal Revenue Code to provide a tax credit for a taxpayer who maintains a household for a disabled dependent as described in the above paragraph. Provides that the maximum allowable credit shall be $750.
United States · United States Congress · 9 March 1983
Designates the week of April 3 through April 9, 1983, as National Drug Abuse Education Week.
United States · United States Congress · 9 March 1983
Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services to make grants to hospitals meeting specified requirements for their provision of health services during a one year period to individuals who are not eligible for Medicaid (title XIX of the Act), are not covered by insurance, and are otherwise unable to pay for such services.
United States · United States Congress · 9 March 1983
Amends title XVIII (Medicare) of the Social Security Act to extend coverage to include expenses incurred in providing a Papanicolaou test for the diagnosis of uterine cancer, if the individual receiving the test has not had such a test on a routine basis during the preceding six months.
United States · United States Congress · 9 March 1983
Medical Facility Dependent Care Act of 1983 - Amends the Public Health Service Act to authorize the Secretary of Health and Human Services to make grants and provide technical assistance to medical facilities for dependent care services. Gives priority to those facilities that provide: (1) dependent care 24 hours a day, seven days a week; or (2) care for infant dependents (aged three and under). States that: (1) the Federal share of such costs shall be 75 percent; and (2) the non-Federal share may be provided in cash or services and equipment. Authorizes grants to medical facilities to establish dependent care information clearinghouses and referral networks. Authorizes appropriations for FY 1984 through FY 1986.
United States · United States Congress · 8 March 1983
Amends title XVIII (Medicare) of the Social Security Act to authorize the Secretary of Health and Human Services to certify outpatient rehabilitation clinics and hospices for participation in the Medicare program if they are certified by the Commission on Accreditation of Rehabilitation Facilities.
United States · United States Congress · 8 March 1983
Authorizes and requests the President to designate the month of January 1984 as National Eye Health Care Month.
United States · United States Congress · 8 March 1983
Home and Community-Based Care Act of 1983 - Amends title XIX (Medicaid) of the Social Security Act to authorize a State to provide home care services to all individuals (currently, limited to individuals 18 years of age or younger) who are disabled, as defined in title XVI (Supplemental Security Income) of the Act, and with respect to whom it has been determined that: (1) they can receive appropriate care outside an institution; and (2) they would have to be institutionalized (but for such home care) at a cost that is equal to or greater than the cost of home care. Amends the Internal Revenue Code to provide a tax credit for a taxpayer who maintains a household for a disabled dependent as described in the above paragraph. Provides that the maximum allowable credit shall be $750.
United States · United States Congress · 8 March 1983
Amends title XVIII (Medicare) of the Social Security Act to provide additional funds to the Federal Hospital Insurance Trust Fund when the unemployment rate exceeds six percent.
United States · United States Congress · 8 March 1983
Authorizes and requests the President to designate the week of April 10 through April 16, 1983, as National Mental Health Week.
United States · United States Congress · 3 March 1983
Authorizes and requests the President to designate the week of April 10 through April 16, 1983, as National Mental Health Week.
United States · United States Congress · 3 March 1983
Commends those involved in the Health Fair Program and supports their efforts to help maximize the availability of Health Fair services to all citizens.
United States · United States Congress · 3 March 1983
Designates November 1983 as National Alzheimer's Disease Month.
United States · United States Congress · 2 March 1983
Comprehensive Smoking Prevention Education Act - Amends the Public Health Service Act to direct the Secretary of Health and Human Services to inform the public of the health hazards of cigarettes through research, demonstration, and educational activities. Establishes an Interagency Committee on Smoking and Health to coordinate such Federal and private activities. Requires the Secretary to report to Congress biennially (with the first report due by January 1, 1984). Amends the Federal Cigarette Labeling and Advertising Act to require cigarette packages to carry one of three specified label warnings on a rotating basis. Includes exports under such requirements. Makes it unlawful to advertise cigarettes without one of three specified warnings. Makes it unlawful to manufacture, import, or package cigarettes commercially without disclosing tar, nicotine, and carbon monoxide levels on the package. Requires the Secretary to test such levels at least once a year. Makes it unlawful to manufacture, import, or package cigarettes commercially without first filing with the Secretary a list of chemical additives (types and amounts). Requires the Secretary to report at least annually to Congress regarding cigarette additives and their health hazards. Increases the fine for violation of such Act from $10,000 to $100,000.
United States · United States Congress · 2 March 1983
Health Insurance for Unemployed Workers Act of 1983 - Permits States to establish and regulate reinsurance pools providing three or more qualified pool health options for unemployed individuals. Requires each State reinsurance pool to offer three or more health plan options to any unemployed individual and his family, at a monthly rate which is discounted from the average premium amount. Authorizes the State insurance commissioner or other official having jurisdiction over group health plans to be responsible for establishing and overseeing the operation of the pool. Requires the Secretary of Health and Human Services to certify whether a State reinsurance pool meets all the stipulated requirements. Allows for private reinsurance pools in States which do not establish a State reinsurance pool. Directs the Secretary to carry out the duties of the State insurance commissioner in such instances. Directs the Secretary to establish a Federal pool in States where there is no State or private reinsurance pool. Waives participation in a pool by any group health plan provider which extends coverage under a group plan for covered employees after involuntary termination or layoff, at a level equal to or surpassing the minimum extended coverage required by a qualified pool health plan. Amends the Internal Revenue Code to disqualify for income tax deductions an employer's premium payments to any group health plan that does not provide coverage according to this Act. Requires qualifying group health plans to provide for the continuation of health insurance coverage following an employee's involuntary severance. Makes qualified unemployed individuals in States without pool health plans eligible to enroll in the hospital insurance program and in the supplementary medical insurance program under title XVIII of the Social Security Act. Directs the Secretary to establish expedited enrollment procedures. Provides for conversion from such Social Security coverage to pool health plan coverage. Provides for Federal contributions to reinsurance pools when the national unemployment rate exceeds seven and one-half percent and the individual State's unemployment rate is equal to 110 percent of the national rate for the previous six months.
United States · United States Congress · 2 March 1983
Authorizes any individual to enroll in the Medicare program (title XVIII of the Social Security Act) under either part A (Hospital Insurance) or part B (Supplementary Medical Insurance) who as of January 1, 1983: (1) is a military or Federal civilian retiree and is 65 years of age or older; (2) is not entitled to benefits under part A; and (3) is eligible under part A under provisions which authorize eligibility for uninsured individuals not otherwise eligible or is eligible under part B to enroll under part A or B. Eliminates the late enrollment premium penalty for any individual who enrolled under the provisions of this Act. Provides for a special enrollment period of three months for individuals covered by this Act.
United States · United States Congress · 2 March 1983
Directs the Secretary of Health and Human Services to conduct a study to determine whether there is a relationship between the exposure of members of the U.S. armed forces to nuclear radiation in Hiroshima and Nagasaki and any abnormal health symptoms currently exhibited by such individuals. Requires a report to Congress within two years of enactment of this Act.
United States · United States Congress · 2 March 1983
Amends title XVIII (Medicare) of the Social Security Act to direct the Secretary of Health and Human Services to provide guidelines relating to the return of unused home dialysis supplies to the supplier or provider.
United States · United States Congress · 1 March 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) 8 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.
United States · United States Congress · 1 March 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 charge 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.
United States · United States Congress · 1 March 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.
United States · United States Congress · 1 March 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 an 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 a 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) a 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 a 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 an 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 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 relating to ownership of providers. Eliminates an individual owner's reporting requirements if such owner owns less than five percent (even though the amount of ownership is $25,000 or more). Authorizes the Secretary to bar from participation in Medicare or Medicaid any provider in which 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.
United States · United States Congress · 28 February 1983
Medicare Prospective Payment Rates Act - Amends title XVIII (Medicare) of the Social Security Act to provide that payments for inpatient hospital services shall be made on a prospective basis, except for psychiatric, long term, or childrens hospitals. Bases payments to hospitals not paid on the prospective basis on target amounts. Sets forth a method for determining prospective Medicare payments which shall be based upon the national standard rate per discharge for the diagnosis related group to which that discharge belongs. Permits a Health Maintenance Organization (HMO) or a Competitive Medical Plan (CMP) receiving payments on a risk basis to choose to be reimbursed either on a reasonable cost basis or on a prospective basis for inpatient hospital services furnished to HMO or CMP enrollees. Provides that any reimbursement will be deducted from Medicare payments to an HMO or CMP. States that this Act shall not affect the authority of the Secretary of Health and Human Services to develop, carry out, or continue experiments and demonstration projects. Sets forth conforming amendments and effective dates.
United States · United States Congress · 25 February 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.
United States · United States Congress · 25 February 1983
Alcohol and Drug Abuse Amendments of 1983 - Redesignates existing title V (Miscellaneous) of the Public Health Service Act as title XXI. Establishes a new title V entitled Administration and Coordination of the National Institute of Mental Health, the National Institute on Alcohol Abuse and Alcoholism, and the National Institute on Drug Abuse. Directs the Administrator of the Alcohol, Drug Abuse, and Mental Health Administration (Administration) to disseminate current information about the health hazards of alcohol and drug abuse. Establishes in the Administration an Associate Administrator for Prevention to promote and coordinate prevention research programs of the National Institutes of Mental Health, Drug Abuse, and Alcohol Abuse and Alcoholism. Requires an annual report to Congress. Requires the Administrator to establish procedures for information-collecting and taking action on scientific fraud and violations of the rights of human research subjects. Transfers to the Public Health Service Act statutory authority establishing the National Institute on Alcohol Abuse and Alcoholism (Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970) and the National Institute on Drug Abuse (Drug Abuse Prevention, Treatment, and Rehabilitation Act), and other provisions of such Acts. Consolidates specified reporting requirements. Directs the Secretary of Health and Human Services to provide for technical and scientific peer review of grants and cooperative agreements, and research, administered through the National Institutes of Mental Health, Drug Abuse, and Alcohol Abuse and Alcoholism. Authorizes FY 1984 appropriations for alcohol and drug abuse research. Abolishes the Interagency Committee on Federal Activities for Alcohol Abuse and Alcoholism. Repeals title V (Marihuana and Health Reporting Act) of the Medical Facilities Construction and Modernization Amendments of 1970. Requires the Secretary to submit alcohol, drug abuse, and mental health reports to Congress by January 15, 1984. Requires the President to submit to Congress a biennial drug abuse strategy report.
United States · United States Congress · 25 February 1983
Orphan Diseases Act of 1983 - Establishes the National Commission on Orphan Diseases. Directs such Commission to assess the rare diseases research and related activities of the National Institutes of Health (NIH), the Alcohol, Drug Abuse, and Mental Health Administration, and other public and private entities. Sets forth assessment priorities and guidelines. Sets forth Commission membership and personnel. Directs the Secretary of Health and Human Services to make such appointments. Requires a Commission report to Congress by September 30, 1985. Terminates the Commission 90 days after it submits such report. Authorizes specified appropriations for FY 1984 and 1985. Requires NIH to make a specified amount available from its FY 1984 appropriations for the Commission.
United States · United States Congress · 24 February 1983
National Commission on Neurofibromatosis Act - Directs the Secretary of Health and Human Services to establish within 60 days a National Commission on Neurofibromatosis which shall formulate a plan to identify the research needed to develop an effective treatment and a cure for neurofibromatosis. Sets forth operating and related provisions. Authorizes the Commission to transmit interim reports. Requires the Commission to make a final report to the President and to each House of Congress within two years. Terminates the Commission three months after submission of the final report.
United States · United States Congress · 24 February 1983
Designates the week of May 15 1983 through May 21, 1983, as National Parkinson's Disease Week.
United States · United States Congress · 23 February 1983
Veterans' Health Care and Programs Improvement Amendments of 1983 - Title I: Adult Day Health Care Services Program - Authorizes the Administrator of Veterans Affairs to conduct a pilot program furnishing adult day care health services at Veterans Administration (VA) medical facilities to eligible veterans. Terminates such program after FY 1987. Authorizes appropriations for FY 1984-1987. Directs the Administrator to include a comprehensive report on this program in his annual report to Congress. Title II: Community Residential Care - Authorizes the Administrator to refer veterans eligible for hospital, nursing home, domiciliary, and medical care through the Veterans Administration to community residential facilities. Makes each veteran responsible for the cost of care and services provided by such facilities. Directs the Administrator to promulgate regulations regarding such facilities to ensure the health and safety of placed veterans. Requires the Administrator's approval of a facility before placement assistance is provided. Title III: Presumption Concerning Dysthymic Disorder - Creates a presumption of service-connection for disability purposes for dysthymic disorder (or depressive neurosis) manifest to a degree of ten percent or more in a veteran who is a former prisoner of war. Title IV: Beneficiary Travel - Permits the Administrator to pay the total travel costs of certain veterans receiving medical care at VA facilities. Title V: Effective Date - Sets forth the effective date for this Act
United States · United States Congress · 23 February 1983
Medicare Prospective Payment Rates Act - Amends title XVIII (Medicare) of the Social Security Act to provide that payments for inpatient hospital services shall be made on a prospective basis, except for psychiatric, long term, or children's hospitals. Bases payments to hospitals not paid on the prospective basis on target amounts. Sets forth a method for determining prospective Medicare payments which shall be based upon the national standard rate per discharge for the diagnosis related group to which that discharge belongs. Permits a Health Maintenance Organization (HMO) or a Competitive Medical Plan (CMP) receiving payments on a risk basis to choose to be reimbursed either on a reasonable cost basis or on a prospective basis for inpatient hospital services furnished to HMO or CMP enrollees. Provides that any reimbursement will be deducted from Medicare payments to an HMO or CMP. States that this Act shall not affect the authority of the Secretary of Health and Human Services to develop, carry out, or continue experiments and demonstration projects. Sets forth conforming amendments and effective dates.
United States · United States Congress · 23 February 1983
Title I: Essential Preventive Programs for Children - Subtitle A: Child Welfare; Adoption; Juvenile Justice Runaway Youth - Makes appropriations for FY 1984 to enable the Secretary of Health and Human Services to cooperate with State public welfare agencies in establishing, extending, and strengthening child welfare services, pursuant to the authority contained in specified provisions of the Adoption Reform and Child Welfare Act of 1980 and the Social Security Act. Reauthorizes the program of Federal payments for dependent children voluntarily placed in foster care (by eliminating the October 1, 1983, termination date for such program) under the Adoption Assistance and Child Welfare Act of 1980. Authorizes appropriations for FY 1984 for grants to States for child abuse and neglect prevention and treatment programs under the Child Abuse Prevention and Treatment Act. Authorizes appropriations for FY 1984 for demonstration projects under such Act. Authorizes appropriations for FY 1984 to carry out provisions relating to adoption opportunities under title II of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978. Authorizes and makes appropriations for FY 1984 to make grants and contracts under the Child Abuse Prevention and Treatment Act of 1978 for programs and projects to prevent, identify, and treat sexual abuse of children. Limits to ten percent the amount of such funds which may be used for research. Makes appropriations for FY 1984, pursuant to the above authorizations of appropriations for: (1) grants to States under the Child Abuse Prevention and Treatment Act; (2) demonstration projects under such Act; (3) adoption opportunities under title II of the Child Abuse Prevention and Treatment and Adoption Reform Act of 1978; and (4) programs and projects related to the treatment of sexual abuse of children. Amends the Omnibus Budget Reconciliation Act of 1981 to eliminate the ceiling on appropriations to carry out title II (Programs and Offices) of the Juvenile Justice and Delinquency Prevention Act of 1974. Makes appropriations for FY 1984 to carry out such title. Amends the Juvenile Justice and Delinquency Prevention Act of 1974 to increase the amount authorized to be appropriated for FY 1984 for part A (Grants Program) of title III (Runaway and Homeless Youth) of such Act. Makes appropriations for FY 1984 for such grants program for runaway and homeless youth under such Act. Subtitle B: Child Care - Makes appropriations for FY 1984 to carry out the Head Start Act, pursuant to the authority contained in specified provisions of the Omnibus Budget Reconciliation Act of 1981. Amends the National School Lunch Act to restore a reimbursement level for up to three meals and two supplements per day per child. (Current law provides for only two meals and one supplement.) Provides that no institution may be prohibited from serving breakfast, lunch, supper, and supplements to any eligible child each day, except in the case of institutions that provide day care to school children outside of school hours. Eliminates provisions for ten percent reductions in the total amount of reimbursement provided for school lunch program administrative expenses for family or group day care home sponsoring organizations. Directs the Secretary of Agriculture to immediately adjust the maximum allowable level for administrative expense payments so as to achieve an increase in the total amount of reimbursement which is equivalent to any reduction made pursuant to specified amendments made by the Omnibus Budget Reconciliation Act of 1981. Provides for restoration of the child care nutrition equipment assistance program under the National School Lunch Act. Directs the Secretary of Agriculture to provide assistance under the National School Lunch Act to States for programs serving large numbers of low-income children meals under such Act and the Child Nutrition Act of 1966. Sets forth formulas for reimbursements to institutions. Amends title XX (Block Grants to States for Social Services) of the Social Security Act to establish a program of supplemental incentive grants to States for child day care services. Authorizes appropriations for FY 1984 for such program. Sets forth provisions for apportionment among the States and other program requirements. Amends the Internal Revenue Code to increase the income tax credit for household and dependent care expenses from 20 percent to a maximum of 50 percent of such expenses. Reduces such percentage by one percent for each full $1,000 by which the taxpayer's adjusted gross income exceeds $10,000. Makes the income tax credit for household and dependent care services refundable. Provides that no part of such credit shall be: (1) counted as income in determining eligibility for other entitlement programs; or (2) counted against other credits under specified provisions of the Code. Grants tax-exempt status to organizations which provide nonresidential dependent care services to the general public for purposes of enabling individuals to maintain employment. Subtitle C: Health Care for Mothers and Children - Part 1: Appropriations - Amends title V (Maternal and Child Health and Crippled Children's Services) of the Social Security Act to increase the amount authorized to be appropriated for FY 1984 for the maternal and child health block grant program. Makes appropriations for FY 1984 for such program. Makes appropriations for FY 1984 for grants to community health centers, pursuant to the authority contained in the Public Health Service Act. Makes appropriations for FY 1984 to carry out title X (Population Research and Family Planning) of the Public Health Service Act, pursuant to the authority contained in such Act and in the Omnibus Budget Reconciliation Act of 1981. Amends the Omnibus Budget Reconciliation Act of 1981 and the Public Health Service Act to increase the amount authorized to be appropriated in FY 1984 for grants for preventive health service programs to immunize children against immunizable diseases. Makes appropriations for FY 1984 for such grants. Amends the Omnibus Budget Reconciliation Act of 1981 and the Child Nutrition Act of 1966 to increase the amount authorized to be appropriated for FY 1984 for the special supplemental food program for women, infants and children (WIC). Makes appropriations for FY 1984 for the WIC program. Part 2: Medicaid - Amends title XIX (Medicaid) of the Social Security Act to provide for: (1) eligibility for certain needy individuals under age 18 and pregnant women; (2) automatic eligibility determination procedures during the first two months of life for certain children born to women receiving Medicaid assistance; (3) vision, hearing, and dental care services for eligible individuals under age 21; (4) exemption of certain expenditures in calculating Federal expenditure targets for States; and (5) mandatory Medicaid eligibility for recipients of State-provided child care. Subtitle D: Education - Makes appropriations for FY 1984 to carry out chapter I (Financial Assistance to Meet Special Educational Needs of Disadvantaged Children) of the Education Consolidation and Improvement Act of 1981, pursuant to the authority contained in the Omnibus Budget Reconciliation Act of 1981. Makes appropriations for FY 1984 to carry out part B (Assistance for Education of All Handicapped Children) of the Education of the Handicapped Act, pursuant to the authority contained in the Omnibus Budget Reconciliation Act of 1981. Amends the National School Lunch Act to provide for a reduction of reduced-price meal costs. Revises eligibility standards for free and reduced-price lunches. Provides for an increased subsidy for preparation of free or reduced-price meals. Amends the Child Nutrition Act of 1966 to repeal the $5,000,000 per fiscal year limitation on funding for grants to States for nutrition education and information programs. Authorizes appropriations for at least $10,000,000 per fiscal year for such grants. Makes appropriations for FY 1984 for such grants. Repeals provisions of the Omnibus Budget Reconciliation Act of 1981 which lowered the earned income deduction under the food stamps program. Amends the Food Stamp Act of 1977 to increase the earned income deduction. Provides for optional retrospective accounting for determining household eligibility under the food stamps program. Raises food stamp benefit amounts to thrifty food plan levels. Subtitle F: Family Supports - Amends title XX (Block Grants to States for Social Services) to increase the amount authorized to be appropriated for FY 1984 and succeeding fiscal years. Amends the Internal Revenue Code to provide for an upward adjustment of the credit for dependent children and children under age six. Reduces the tax on earned income of low-income workers. Amends title IV, part A (Aid to Families with Dependent Children) of the Social Security Act to repeal provisions which count earned income tax credit payments in advance as income for AFDC grant determination purposes. Amends title IV, part A (Aid to Families with Dependent Children) of the Social Security Act to provide for: (1) mandatory supplemental payments to families with income; (2) optional retrospective budgeting and optional monthly reporting by States; (3) elimination of the four-month restriction on work incentive disregards; (4) repeal of the 150 percent cap on income limit for eligibility; and (5) increased amounts for the disregards for work expenses and child care expenses. Subtitle G: Youth Employment - Makes appropriations for FY 1984 to carry out part A (Adult and Youth Programs) of title II (Training Services for the Disadvantaged) and title IV (Federally Administered Programs) (other than part B - Job Corps - provisions of title IV) of the Job Training Partnership Act of 1982. Requires that at least 93 percent of the appropriated amount be available to carry out local training programs for economically disadvantaged persons under part A of title II of such Act. Makes appropriations for FY 1984 to carry out part B (Summer Youth Employment and Training Programs) of title II of the Job Training Partnership Act of 1982.
United States · United States Congress · 22 February 1983
National Institute of Arthritis and Musculoskeletal and Skin Diseases Act of 1983 - Amends title IV (National Research Institutes) of the Public Health Service Act to establish a National Institute (Institute) of Arthritis and Musculoskeletal and Skin Diseases in the National Institutes of Health (NIH). Redesignates the existing National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases as the National Institute of Diabetes and Digestive and Kidney Diseases. States that the Institute shall conduct research and related activities concerning arthritis and musculoskeletal diseases, including sports-related disorders and skin diseases. Requires the Director of the Institute, with the advice of the National Arthritis and Musculoskeletal and Skin Diseases Advisory Council, to establish within 180 days a national plan to coordinate such activities. Requires an annual evaluation of the skin diseases programs. Establishes within the Institute: (1) the National Arthritis and Musculoskeletal and Skin Diseases Data System; and (2) the National Arthritis and Musculoskeletal and Skin Diseases Information Clearinghouse. Authorizes appropriations through FY 1986. Establishes within the Institute: (1) an Arthritis and Musculoskeletal Diseases Interagency Coordinating Committee; and (2) a Skin Diseases Interagency Coordinating Committee. Requires annual reports to the Secretary of Health and Human Services and to the Director of NIH. Establishes within the Institute a National Arthritis and Musculoskeletal and Skin Diseases Advisory Council. Authorizes appropriations through FY 1986 for arthritis and musculoskeletal demonstration projects and multipurpose disease centers. Requires the Institute to submit a biennial report. Transfers arthritis-related functions (including data system, advisory functions, coordinating functions, demonstration project, and multipurpose center), funds, personnel, and assets to the Institute from the existing National Institute of Arthritis, Diabetes, and Digestive and Kidney Diseases. Requires the Secretary to report to the appropriate congressional committees and to the Comptroller General within 60 days regarding such transfers. Requires the Comptroller General to report to the appropriate congressional committees within 80 days regarding such transfers. Terminates the National Arthritis Advisory Board. Makes conforming amendments. Requires the Secretary, through NIH, to conduct a study of the existing combinations of disease research programs within the institutes and of the standards to be followed in establishing new or realigning existing institutes. Requires a report to the appropriate congressional committees within 18 months. Prohibits the establishment of any new institutes within six months of such report's submission. Directs the Secretary to conduct and complete within 60 days a review of the disease research programs of the National Institute of Diabetes and Digestive and Kidney Diseases (as redesignated by this Act) to determine if any of these programs could be more effectively managed by other national research institutions.
United States · United States Congress · 22 February 1983
Expresses the sense of the Senate that: (1) the President should establish a bipartisan national commission to study and propose solutions to the problem of rising health care costs; (2) such commission should report to the President within six months; and (3) Congress should not make any further Medicare or Medicaid cuts that will increase medical costs for elderly, disabled, or low-income persons.
United States · United States Congress · 22 February 1983
National Commission on Down Syndrome Act - Directs the Secretary of Health and Human Services to establish a National Commission on Down Syndrome to formulate a long-range plan for the study, prevention, and treatment of Down Syndrome. Requires a final report to the President and the Congress within 12 months after the Commission is organized. Requires the Secretary to submit a related budget analysis to specified congressional committees. Terminates the Commission three months after submission of the final report. Authorizes specified appropriations.
United States · United States Congress · 17 February 1983
Federal Anti-Tampering Act - Amends the Federal criminal code to make it a Federal offense to maliciously cause or attempt to cause injury or death to any person, or injury to any business' reputation, by adulterating a food, drug, cosmetic, hazardous substance or other product. Provides for a prison term of up to 20 years and a fine of up to $100,000, or if personal injury or death results, a prison term of up to life. Establishes a separate offense, with similar penalties, for any person who willfully or maliciously conveys false information concerning an attempt at such adulteration if injury, fear of injury, or death results or if a governmental or commercial recall occurs.
United States · United States Congress · 17 February 1983
Removes the provision of the Federal Food, Drug, and Cosmetic Act prohibiting the use in drug or device labeling and advertising of representations of approval under such Act.
United States · United States Congress · 17 February 1983
Amends the Public Health Service Act to establish in the National Institute of Neurological and Communicative Disorders an Interagency Committee on Spinal Cord Injury to plan and implement Federal research on spinal cord regeneration. Requires the Committee to report annually to Congress. Terminates the Committee at the end of FY 1986. Authorizes appropriations through FY 1986.
United States · United States Congress · 17 February 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; and (5) the National Center for Health Services Research. 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. 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 activities 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. Requires such Centers to be located in academic health centers. 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 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. 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; (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 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. Authorizes the Secretary to: (1) accept certain conditional gifts for 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 an NIH pertussis vaccines study (including comparisons with vaccines used abroad), 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.
United States · United States Congress · 17 February 1983
Exempts specified registered nurses in the Veterans Administration Department of Medicine and Surgery from certain restrictions on the computation of their retirement annuities.
United States · United States Congress · 16 February 1983
Designates the week beginning March 20, 1983, as National Mental Health Counselors Week.
United States · United States Congress · 15 February 1983
Designates the week of November 7 through November 13, 1983, as National Reye's Syndrome Week.
United States · United States Congress · 15 February 1983
Amends title IV (National Research Institutes) of the Public Health Service Act to provide that the institute currently authorized to conduct research on neurological diseases shall be named the "National Institute of Neurological and Communicative Disorders and Stroke." Requires obligation of at least $16,000,000 of the sums appropriated for such Institute for research in the area of regeneration of the spinal cord.