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51 records in 1974
United States · United States Congress · 20 December 1974
Increases the medicare inpatient hospital deductible from $40 to $84 under title XVIII of the Social Security Act.
United States · United States Congress · 20 December 1974
Provides that, beginning fifteen months after the date of the enactment of this Act, it shall be unlawful for any person to manufacture or import chlorofluoromethane, except under a license issued pursuant to this Act. States that any person who manufactures or imports chlorofluoromethane in violation of this Act shall be fined not more than $10,000, or imprisoned for not more than six months, or both, for each day of violation. Authorizes the Administrator of the Environmental Protection Agency to apply to any United States District Court to obtain a temporary restraining order, an injunction, and other appropriate equitable relief from any such violation. States that the Administrator of the Environmental Protection Agency shall have the power, after public hearing and consultation with appropriate Federal agencies and scientific entities, and after considering the report made by the Administrator of the National Aeronautics and Space Administration pursuant to this Act, to make rules prescribing the maximum steady-state ozone reduction due to chlorofluoromethane which is consistent with the protection of the public health, and to issue licenses to manufacture or import a quantity of chlorofluoromethane equivalent to the control level thereby established.
United States · United States Congress · 19 December 1974
Requires federally related health care facilities to test infants born in the facility or brought to it for health care for specified diseases. Defines a "federally related health care facility" for the purposes of this Act.
United States · United States Congress · 18 December 1974
Medicare Benefits Protection Act - Provides that any hospital or nursing home which desires to participate in the medicaid program must also participate in the medicare program (if qualified therefor). Prohibits Federal matching of hospital and nursing home expenses under the medicaid program in the absence of such participation.
United States · United States Congress · 17 December 1974
Provides a tax deduction, under the Internal Revenue Code, for health care expenses for pets up to $250 for the taxable year.
European Union · EUR-Lex · 17 December 1974
United States · United States Congress · 12 December 1974
Provides that in any action brought by the Administrator of the Environmental Protection Agency requesting equitable relief for the purpose of protecting public health, if a party shows that a defendant in such action is discharging or emitting any substance in violation of Federal law (or any State law which is enforceable under Federal law) and that such discharge or emission presents or contributes to a public health risk, the court shall grant such equitable relief as may be necessary promptly to assure that such discharge or emission does not present or contribute to such risks, unless the person who is discharging or emitting such substance demonstrates that: (1) the public health risk does not exist; or (2) it would be arbitrary or capricious to grant such relief (taking into account technological and economic considerations, and magnitude or risk).
United States · United States Congress · 11 December 1974
National Arthritis Act - Expresses the findings of Congress that arthritis and related musculoskeletal diseases constitute major health problems and that the development of methods for their diagnosis and treatment deserve the highest national priority. Directs the Secretary of Health, Education, and Welfare to establish a National Commission on Arthritis and Related Musculoskeletal Diseases, and specifies the composition of the Commission. Requires the Commission to survey Federal, State, and local programs relating to arthritis to assess the adequacy and coordination of such programs. Requires the Commission to formulate a long-range plan for the organization of national resources to combat arthritis. States that the Arthritis Plan shall provide a comprehensive program for the National Institute of Arthritis, Metabolism, and Digestive Diseases and plans for Federal, State, and local programs, including specified activities and research. Requires the Commission to prepare an estimate of necessary expenditures for each of the National Institutes of Health to be affected by the Arthritis Plan, which shall be submitted to Congress for comparison with the amounts requested for each fiscal year. Directs the Commission to publish the Arthritis Plan within 210 days of the date on which funds are first appropriated and provides that the Commission shall cease to exist 30 days after the submission of the Plan. Authorizes to be appropriated $1,000,000 to carry out the provisions of this section. Directs the Secretary to establish an Arthritis Coordinating Committee, to be composed of representatives of Federal departments and agencies involved in research, health services, and rehabilitation programs affecting arthritis. Requires the Committee to submit a report of its work to the Secretary at the end of each fiscal year. Authorizes the Secretary, through the Assistant Secretary for Health: (1) to make grants to public and non-profit private entities for projects for the development and demonstration of methods for arthritis screening, detection, prevention and referral; and (2) to establish the Arthritis Screening and Detection Data Bank for the collection of data useful in the screening, prevention, and early detection of arthritis. Authorizes to be appropriated to carry out these duties $1,000,000 for fiscal year 1975; $2,000,000 for fiscal year 1976; and $3,000,000 for fiscal year 1977. Allows the Secretary, through the Assistant Secretary for Health, to provide for the development, modernization, and operation of centers for arthritis research, screening, detection, diagnosis, prevention, control, and the rehabilitation of arthritis victims. Authorizes to be appropriated for such purposes $9,000,000 for fiscal year 1975; $11,000,000 for fiscal year 1976; and $13,000,000 for fiscal year 1977. Requires that not less than 20 percent of the funds for each year be used for the purpose of establishing new centers.
United States · United States Congress · 10 December 1974
Directs the Secretary of Health, Education, and Welfare to conduct a research program with regard to the diagnosis and treatment of histoplasmosis and ocular histoplasmosis. Authorizes, for fiscal years 1975-1977, specified sums to be appropriated for the research programs and for conducting training programs.
United States · United States Congress · 9 December 1974
Authorizes, under the Flood Control Act of 1936, the consideration of public health benefits in support of Federal projects for the control of floods.
United States · United States Congress · 9 December 1974
Broadens the coverage of home health service under the supplementary medical insurance (Medicare) program of the Social Security Act by authorizing payments for homemaker services under specified circumstances and removes the 100-visit limitation presently applicable to the home health service program. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payments of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program.
United States · United States Congress · 9 December 1974
Establishes the per-annum pay scale for specified personnel of the Department of Medicine and Surgery of the Veterans' Administration, including the Chief Medical Director, at $49,700. States that in order to attract or retain highly qualified physicians, dentists, and nurses in the Department, such persons may be paid an additional 25 percent of their annual salary. Authorizes the granting of leave with pay for pursuit of studies to such individuals under enumerated circumstances.
United States · United States Congress · 5 December 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
United States · United States Congress · 5 December 1974
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
United States · United States Congress · 4 December 1974
Provides that in any action brought by the Administrator of the Environmental Protection Agency requesting equitable relief for the purpose of protecting public health, if a party shows that a defendant in such action is discharging or emitting any substance in violation of Federal law (or any State law which is enforceable under Federal law) and that such discharge or emission presents or contributes to a public health risk, the court shall grant such equitable relief as may be necessary promptly to assure that such discharge or emission does not present or contribute to such risks, unless the person who is discharging or emitting such substance demonstrates that: (1) the public health risk does not exist; or (2) it would be arbitrary or capricious to grant such relief (taking into account technological and economic considerations, and magnitude or risk).
United States · United States Congress · 26 November 1974
Provides for the coverage of a clinical psychologists' services under the supplementary medical insurance benefits program of title XVIII (Medicare) of the Social Security Act.
United States · United States Congress · 25 November 1974
Authorizes coverage of emergency inpatient hospital services furnished outisde the United States to individuals insured for hospital benefits under the Medicare program of the Social Security Act.
United States · United States Congress · 25 November 1974
Authorizes the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act for research in fertility and sterility in humans and the human reproductive process, and for training and fellowship grants to allow persons to undertake such research. Empowers the Secretary to establish in the National Institutes of Health and in the various geographical regions of the United States not more than five specialized treatment centers to (1) provide assistance to individuals seeking medical services to enable them to bear children, and (2) undertake clinical research and training in, and demonstration of, advanced diagnostic and treatment methods relating to problems of human reproduction. Provides that the Secretary may enter into cooperative arrangements with public and private nonprofit agencies and institutions to pay all or part of the cost of planning, establishing, and providing basic operating support for such specialized treatment centers. Allows Federal spending for (1) construction, (2) staffing and other basic operating costs, (3) training, and (4) demonstration projects. Authorizes to be appropriated for the fiscal year ending June 30, 1975 and for each of the next four fiscal years such sums as may be necessary to make payments as provided in this Act. Provides that family planning projects and services assisted under the Public Health Service Act shall include counseling for individuals who have been unable to bear children and who seek medical assistance in bearing children, and referral of such individuals to specialized regional treatment centers established under this Act.
United States · United States Congress · 19 November 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
United States · United States Congress · 17 October 1974
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
United States · United States Congress · 16 October 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
United States · United States Congress · 16 October 1974
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
United States · United States Congress · 16 October 1974
Sets forth a formula under title XIX (Medicaid) of the Social Security Act to provide for additional Federal payments to States to reflect the higher medicaid costs resulting from the enactment of the supplemental security income benefit program.
United States · United States Congress · 11 October 1974
Provides for the review of dental services by dentists, under the Professional Standards Review provisions of the Social Security Act.
United States · United States Congress · 11 October 1974
Requires that users of heart pacemakers be given notice of the proximity of electronic products which emit radiation which adversely affects such pacemakers. Directs the Secretary of Health, Education, and Welfare to establish and promulgate regulations under the provisions of this Act. Sets forth penalties for violation of the provisions of this Act.
United States · United States Congress · 11 October 1974
Increases the excise tax on small cigarettes, weighing 3 pounds or less per thousand, to $4 per thousand plus an additional $1 per thousand, and that on large cigarettes, weighing over 3 pound per thousand, to $8.40 per thousand plus an additional $2.10 per thousand, effective June 30, 1975. (Amends 26 U.S.C. 5701 (b)) Establishes the National Cancer Research Fund to be used to fund the research programs of the National Cancer Institute. Provides that, beginning with fiscal year 1976, there shall be appropriated to the trust fund amounts equivalent to the additional tax on cigarettes imposed by this Act. Authorizes appropriations to the trust fund from the general fund of the Treasury through September 30, 1977.
United States · United States Congress · 10 October 1974
Establishes the National Cancer Research Fund to be used to fund the research programs of the National Cancer Institute. Provides that, beginning with fiscal year 1976, there shall be appropriated to the Fund amounts equivalent to the additional taxes on cigarettes imposed by the Internal Revenue Code. Authorizes appropriations to the Fund through September 30, 1977.
United States · United States Congress · 9 October 1974
Authorizes the payment under the Supplementary Medical Insurance Program under title XVIII (Medicare) of the Social Security Act for allergenic extracts, whether or not administered by the physician who prepared them.
United States · United States Congress · 9 October 1974
Imposes increased taxes, under the Internal Revenue Code, on cigarettes of $0.50 more per thousand on small cigarettes and $1.05 more per thousand on large cigarettes, the proceeds, coupled with additional appropriation authorizations, to be used in part for programs respecting lung and blood diseases.
United States · United States Congress · 9 October 1974
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 13002) to amend the Public Health Service Act to assure that the public is provided with safe drinking water, and for other purposes. States that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Declares that it shall be in order to consider the amendment in the nature of a substitute recommended by the Committee on Interstate and Foreign Commerce now printed in the bill as an original bill for the purpose of amendment under the five-minute rule. Stipulates that it shall also be in order to consider the text of the bill H.R. 16760 if offered as an amendment in the nature of a substitute for the said committee amendment. Requires that, at the conclusion of the consideration of H.R. 13002 for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and any Member may demand a separate vote in the House on any amendment adopted in the Committee of the Whole to the bill or to the committee amendment in the nature of a substitute. Provides that the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit with or without instructions. States that, after the passage of H.R. 13002, the Committee on Interstate and Foreign Commerce shall be discharged from further consideration of the bill S. 433, and it shall then be in order in the House to move to strike out all after the enacting clause of the said Senate bill and insert in lieu thereof the provisions contained in H.R. 13002 as passed by the House.
United States · United States Congress · 8 October 1974
Medical Long-Term Care Act - Establishes within the supplementary medical insurance program under title XVIII (Medicare) of the Social Security Act a program of long-term care benefits to be provided for aged and disabled individuals and financed without additional cost to such qualified individuals from premium payments made under such Act together with contributions from funds appropriated by the Federal Government. States that every individual who is entitled to supplementary medical insurance benefits shall be entitled to the benefits of the program established by this Act. States that the benefits provided to an individual by the program established by this Act shall consist of home health services, homemaker services, nutrition services, long-term institutional care services, day care and foster home services, and community mental health center outpatient services. Provides that, to the maximum extent possible, the benefits under this Act shall be provided by or through community long-term care centers certified, monitored, and assisted, where applicable, by the State agency which performs the functions of planning, developing, and overseeing such centers. Specifies the functions of community long-term care centers, including the evaluation, certification, and administration of the services to be provided to individuals eligible for such services under this Act. Defines the terms used in this Act. States that the Secretary of Health, Education, and Welfare, after consultion with interested parties, shall develop and make available to community long-term care centers one or more methods of payment for the benefits provided and covered under this Act on a prospective basis. Authorizes the Secretary to make available the method certified by the Governor to community long-term care centers in such State if such method does not increase the cost of the program. Provides limitations on benefits in the care of eligible individuals and their spouses both claiming benefits in the same month under this Act.
United States · United States Congress · 7 October 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
United States · United States Congress · 7 October 1974
Increases the medicare inpatient hospital deductible from $40 to $84 under title XVIII of the Social Security Act.
United States · United States Congress · 4 October 1974
Increases the medicare inpatient hospital deductible from $40 to $84 under title XVIII (Medicare) of the Social Security Act.
United States · United States Congress · 3 October 1974
Nurse Training Act - Title I: Construction Assistance - Extends the authorization of appropriations for grants for construction or rehabilitation of nursing schools and loan guarantees and interest subsidies through fiscal year 1977. Title II: Capitation Grants - States that each collegiate school of nursing shall receive $400 for each student enrolled in each of the last two years of such school. Provides capitation grants for other schools of nursing and authorizes appropriations for such grants. Title III: Financial Distress Grants - Allows the Secretary of Health, Education, and Welfare to make grants to public or non-profit private schools of nursing which are in serious financial straits. Prescribes the procedures for the making of such grants and authorizes appropriations through fiscal year 1977 for the grants. Title IV: Special Project Assistance - Empowers the Secretary to make grants to schools of nursing and other entities to meet the costs of special projects, including: (1) to increase educational opportunities for disadvantaged students; (2) to provide continuing education for nurses; and (3) to increase the supply or distribution by geographic area or by specialty group of adequately trained nursing personnel needed to meet the health needs of the Nation, including the need to increase the availability of personal health services and the need to promote preventive health care. Authorizes appropriations through fiscal year 1977 for such grants and contracts. Provides for the making of grants, and authorizes appropriations for such grants, by the Secretary for: (1) advanced nurse training programs; and (2) nurse practitioner programs. Title V: Assistance to Nursing Students - Extends the authorization of appropriations for traineeships, student loans, and the program to encourage full utilization of educational talent for nursing. Extends the nursing scholarship program. Title VI: Technical and Conforming Amendments - Makes technical and conforming amendments to the Public Health Service Act. Title VII: Miscellaneous - Requires the Secretary of Health, Education, and Welfare to determine on a continuing basis the current and projected supply of the various classifications of nurses, their geographic distribution, pay rates, activity status, and advanced training status. Requires a report annually to the Congress upon such findings together with recommendations for legislation.
United States · United States Congress · 3 October 1974
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Service Act. Title II: Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations of $25,000,000 for each of fiscal years 1975, 1976 and 1977. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements by the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Establishes the National Advisory Council on the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1974-1977 for carrying out this section. Revises the Public Health and National Health Services Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the program $80,000,000 for fiscal year 1976 and $120,000,000 for fiscal year 1977. Title IV: Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances from each type of school, including assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years, are met. Title V: Special Project Grants and Contracts - Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds. Specifies the purposes for which such grants may be used. Authorizes appropriations for such grants through fiscal year 1977. Authorizes appropriations of $15,000,000, $20,000,000 and $25,000,000 for fiscal years 1975-1977, respectively for the establishment of area health education centers. Title VI: Public and Allied Health Personnel - Revises the training programs for public and community health personnel and allied health personnel, extending appropriations through fiscal year 1977. Title VII: Medical Residency Training Programs - Provides for the accrediting and operation of medical residency training programs with the number of first year positions not to exceed 125 percent of the estimated number of products from accredited school of medicine in the preceding calendar year. Title VIII: Miscellaneous - Directs the Secretary to contract for a study analyzing the current distribution of physicians by specialty, projecting such analysis for 1980, 1985, and 1990, and examining and developing a method for establishing the optimal distribution of physicians by geographic area. Requires the Secretary to make specified quality assurances to the Congress regarding education and training of allied health personnel. Calls for an allied health personnel study, detailing the contents of such study, including identification of classifications in which there are critical shortages of personnel.
United States · United States Congress · 3 October 1974
Health Manpower Act - Title I: General Provisions - Revises and repeals specified provisions of the Public Health Services Act. Title II: Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel. Authorizes appropriations of $10,000,000 for each of fiscal years 1975, 1976 and 1977. Title III: Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations. Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements of the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Establishes the National Advisory Council on the National Health Service Corps. Specifies the membership composition of such Council. Authorizes appropriations for fiscal years 1974-1977 for carrying out this section. Revises the Public Health and National Health Service Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the Program $80,000,000 for fiscal year 1976 and $120,000,000 for fiscal year 1977. Title IV: Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years, are met. Title V: Special Project Grants and Contracts - Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds. Specifies the purposes for which such grants may be used. Authorizes appropriations for such grants through fiscal year 1977. Authorizes appropriations of $15,000,000, $20,000,000 and $25,000,000 for fiscal years 1975-1977, respectively for the establishment of area health education centers. Title VI: Public and Allied Health Personnel - Revises the training programs for public and community health personnel and allied health personnel, extending appropriations through fiscal year 1977. Title VII: Medical Residency Training Programs - Provides for the accrediting and operation of medical residency training programs with the number of first year positions not to exceed 125 percent of the estimated number of graduates from accredited schools of medicine in the preceding calendar year. Title VIII: Miscellaneous - Directs the Secretary to contract for a study analyzing the current distribution of physicians by specialty, projecting such analysis for 1980, 1985, and 1990, and examining and developing a method for establishing the optimal distribution of physicians by geographic area. Requires the Secretary to make specified quality assurances to the Congress regarding education and training of allied health personnel. Calls for an allied health personnel study, detailing the contents of such study, including identification of classifications in which there are critical shortages of personnel.
United States · United States Congress · 3 October 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
United States · United States Congress · 2 October 1974
National Multiple Sclerosis and Epilepsy Act - Expresses the findings of Congress and declares the purpose of this Act. Instructs the Director of the National Institute of Neurological Diseases and Stroke to develop a neurological disease program to expand, intensify and coordinate the activities of the Institute. Specifies the scope of such program. Requires the Director to report annually on the accomplishments of the program. Empowers the Director to: (1) obtain the services of 50 experts; (2) acquire and maintain neurological disease equipment and facilities; and (3) enter into contracts to carry out the purposes of this Act. Authorizes appropriations of such sums as necessary to carry out the above objectives. Instructs the Director to develop six new centers for multiple sclerosis research and treatment and 14 new centers for other neurological and sensory diseases. Authorizes appropriations of $100 million, $125 million, and $150 million for such purposes for fiscal years 1973-1975. Empowers the Director to make grants to public entities for research in neurological disorders and authorizes to be appropriated such sums as necessary for such purposes.
United States · United States Congress · 2 October 1974
Arthritis Prevention, Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.
United States · United States Congress · 2 October 1974
Provides that upon the adoption of this resolution it shall be in order to move that the House resolve itself into the Committee of the Whole House on the State of the Union for the consideration of the bill (H.R. 16204) to amend the Public Health Service Act to assure the development of a national health policy and of effective area and State health planning and resources development programs. States that after general debate, which shall be confined to the bill and shall continue not to exceed one hour, to be equally divided and controlled by the chairman and ranking minority member of the Committee on Interstate and Foreign Commerce, the bill shall be read for amendment under the five-minute rule. Stipulates that, at the conclusion of the consideration of the bill for amendment, the Committee shall rise and report the bill to the House with such amendments as may have been adopted, and the previous question shall be considered as ordered on the bill and amendments thereto to final passage without intervening motion except one motion to recommit.
United States · United States Congress · 1 October 1974
National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy. Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission. Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder. Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.
United States · United States Congress · 30 September 1974
Provides that any officer or employee of any State who acts in cooperation with the performance of medical, surgical, dental or related functions by any commissioned officer or employee of the Public Health Service while acting within the scope of his office or employment, shall be deemed to be a Federal officer or employee.
United States · United States Congress · 30 September 1974
Rural Health Assistance Act - Expresses the findings of Congress, including that the health effects of contaminated drinking water and inadequate sewage disposal facilities act to reinforce the poverty of the rural poor. Directs the Secretary of Health, Education, and Welfare to conduct research for publication of a rural health manual identifying water-borne diseases and prescribing methods of treatment for such diseases. Authorizes the Secretary to make grants to States for the cost of specified programs relating to rural health. Authorizes to be appropriated $50,000,000, without fiscal year limitation, for the purpose of making such grants.
United States · United States Congress · 30 September 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
United States · United States Congress · 26 September 1974
Bilingual Health Opportunities Act - Authorizes appropriations for fiscal year 1974 and each of the three succeeding fiscal years of such sums as may be necessary to establish up to four bilingual health training clinical centers in communities where a substantial proportion of the residents is of limited English-speaking ability. Directs the Secretary of Health, Education, and Welfare to arrange for the conduct of a study or studies to determine the effectiveness of health education institution admissions examinations in evaluating accurately the potential and ability of the student applicant of limited English-speaking ability to participate in and benefit from the educational program, taking into account the need to eliminate any cultural bias in the presentation of admissions examinations.
United States · United States Congress · 25 September 1974
Provides that any officer or employee of any State who acts in cooperation with the performance of medical, surgical, dental, or related functions by any commissioned officer or employee of the Public Health Service while acting within the scope of his office or employment shall be deemed to be a Federal officer or employee.
United States · United States Congress · 25 September 1974
Health Security Act - Title I: Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services. Permits reciprocal and "buy-in" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions: (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that: (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use: prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings. Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered. Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board. Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare. States that the two requirements not found in the Medicare program are: (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare. Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay: institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants: (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary. Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare. Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services. Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act. Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II: Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers. Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base. Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees. Spells out the precise effective dates of the new payroll tax provisions. Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000. Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III: Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of: (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations. Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV: Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V: Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.
United States · United States Congress · 24 September 1974
National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs. Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease. Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general. Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.
United States · United States Congress · 24 September 1974
Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases. Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs. Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers. Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs. Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.