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151 records in US in 1993

Records

Resolution· HRESH.Res. 208 (103rd)passed

Waiving certain points of order against the bill (H.R. 2491) making appropriations for the Departments of Veterans Affairs and Housing and Urban Development, and for sundry independent agencies, boards, commissions, corporations, and offices for the fiscal year ending September 30, 1994, and for other purposes.

United States · United States Congress · 24 June 1993

Waives certain points of order against the consideration of H.R. 2491 (Departments of Veterans Affairs and Housing and Urban Development and independent agencies appropriations).

Bill· SS. 1138 (103rd)referred

Community Schools Demonstration Program Act of 1993

United States · United States Congress · 22 June 1993

Expresses the sense of the Congress that increased resources should be invested in public-private partnerships between government and community-based organizations to: (1) empower distressed and disconnected communities to develop their own resources and abilities to meet the needs of children; and (2) forge innovative solutions to challenges confronting children's development in such communities. Amends the Public and Assisted Housing Drug Elimination Act of 1990 to allow certain grants to be issued for community schools demonstration programs. Community Schools Demonstration Program Act of 1993 - Amends the Anti-Drug Abuse Act of 1988 to establish the community schools demonstration program. Authorizes the Secretary of Housing and Urban Development to award up to ten demonstration grants to community-based organizations to assist eligible communities located within economically distressed areas to develop and conduct programs to increase students' academic success and improve work force readiness. Requires peer review panels, non-Federal share (including some private or nonprofit sources), and evaluation. Authorizes appropriations.

Bill· SS. 1134 (103rd)open

Omnibus Budget Reconciliation Act of 1993

United States · United States Congress · 22 June 1993

TABLE OF CONTENTS: Title I: Committee on Agriculture, Nutrition, and Forestry Subtitle A: Commodity Programs Subtitle B: Restructuring of Loan Programs Subtitle C: Food Stamp Program Subtitle D: Agricultural Trade Subtitle E: Miscellaneous Title II: Committee on Armed Services Title III: Committee on Banking, Housing, and Urban Affairs Title IV: Communications and Transportation Title V: Committee on Energy and Natural Resources Subtitle A: Recreation and Commercial Use Fees Subtitle B: Hardrock Mining Claim Maintenance Fee Subtitle C: Commonwealth of Northern Mariana Islands Agreement Subtitle D: Mineral Receipts Title VI: Committee on Environment and Public Works Title VII: Finance Committee Reconciliation Provisions Relating to Medicare, Medicaid, and Other Programs Subtitle A: Medicare Subtitle B: Medicaid Program Subtitle C: Income Security Programs Subtitle D: Miscellaneous Provisions Title VIII: Finance Committee Revenue Provisions Subtitle A: Training and Investment Incentives Subtitle B: Revenue Increases Title IX: Committee on Foreign Relations Title X: Committee on Governmental Affairs Subtitle A: Civil Service Subtitle B: Postal Service Title XI: Judiciary Title XII: Committee on Labor and Human Resources Subtitle A: Student Loan Provisions Subtitle B: Public Health Service Act Provisions Subtitle C: Improved Immunization Delivery and Monitoring Subtitle D: ERISA Amendments Title XIII: Veterans' Programs Omnibus Budget Reconciliation Act of 1993 - Title I: Committee on Agriculture, Nutrition, and Forestry - Agricultural Reconciliation Act of 1993 - Subtitle A: Commodity Programs - Amends the Agricultural Act of 1949 to reduce, with specified exceptions, the acreage eligible for deficiency payments from 92 percent to 85 percent for wheat, feed grains, upland cotton, and rice. (Sec. 1105) Extends the dairy support program. Sets forth purchase price ceilings for butter and nonfat dry milk. Reduces milk prices by ten cents per hundredweight for 1996. Prohibits the sale of bovine growth hormone during a specified time period. (Sec. 1106) Amends the Agricultural Adjustment Act of 1938 to require domestic cigarette manufacturers to certify the amount of U.S.-produced tobacco in their products. Establishes a domestic marketing assessment. Requires domestic cigarette manufacturers to purchase specified amounts of Burley and Flue-cured tobacco from producer-owned cooperatives. Amends the Agricultural Act of 1949 to require importers of foreign tobacco to pay: (1) specified marketing assessments; and (2) specified assessments to the No Net Cost Tobacco Fund. Amends the Tobacco Adjustment Act of 1983 to subject imported tobacco to inspection fees on the same basis as domestic tobacco. Amends the Agricultural Adjustment Act of 1938 to extend quota reduction floor authority (with waiver authority to avoid excess inventories) for Burley and Flue-cured tobacco. (Sec. 1107) Increases 1995 and 1996 sugarcane and sugarbeet marketing assessment rates. (Sec. 1108) Reduces 1994 and 1995 loan levels for soybeans and oilseeds. Revises loan maturation provisions. Eliminates loan origination fees for post-1993 crop years. (Sec. 1109) Increases 1994 and 1995 peanut marketing assessment and first purchaser-producer assessment rates. (Sec. 1110) Reduces 1994 through 1997 honey price support levels and individual payment ceilings. (Sec. 1111) Amends the National Wool Act of 1954 to reduce 1995 through 1997 wool and mohair individual payment ceilings. Maintains the 1993 support price for shorn wool through 1997. Eliminates specified marketing assessments. Subtitle B: Restructuring of Loan Programs - Amends the Rural Electrification Act of 1936 to restructure Rural Electrification Administration electric and telephone loan programs, including the establishment of: (1) electric hardship loans and cost-of-money loans; and (2) telephone hardship loans and cost-of-money loans. Revises the definition of "rural area" for purposes of rural electrification and telephone service. Amends the Consolidated Farm and Rural Development Act to permit electric and telephone borrowers to qualify for: (1) water and waste disposal loans; and (2) rural economic development assistance. Subtitle C: Food Stamp Program - Amends the Food Stamp Act of 1977 to reduce to 50 percent Federal cost-sharing expenses for: (1) food stamp investigations and prosecutions; and (2) immigration status verifications under the Social Security Act. Includes automated data processing and information retrieval systems among eligible cost-sharing activities. Subtitle D: Agricultural Trade - Amends the Agricultural Trade Act of 1978 to eliminate required FY 1994 and 1995 additional funding levels for the market promotion program and obligate certain sums for specified categories of exporters. (Sec. 1402) Amends the Omnibus Budget Reconciliation Act of 1990 to: (1) remove specified acreage reduction requirements for grain sorghum and barley; and (2) eliminate certain support level adjustment provisions. (Sec. 1403) Amends the Agricultural Trade Act of 1978 to prohibit the entry into or the withdrawal from a warehouse of any imported wheat or barley that it is not covered by an end-use certificate. (Sec. 1404) Expresses the sense of the Congress that the Secretary of Agriculture should aggressively promote the export of vegetable oil. Subtitle E: Miscellaneous - Amends the Federal Crop Insurance Act to direct the Federal Crop Insurance Corporation to take specified actions to improve the actuarial soundness of Federal crop insurance coverage. (Sec. 1502) Amends the Food Security Act of 1985 with regard to the conservation reserve program to: (1) make the current discretionary enrollment provision mandatory; and (2) reduce acreage requirements. Extends the wetlands reserve program and revises acreage enrollment provisions. (Sec. 1503) Authorizes the Secretary of Agriculture to charge admission, entrance, and recreation fees at appropriate sites, and public or recreation areas. (Sec. 1504) Expresses the sense of the Senate that: (1) farmers should pay no more than their fair share of any budget reduction necessary to achieve deficit reduction; and (2) the level of budget reduction should take into account taxes, interest rates, and user fees. Title II: Committee on Armed Services - Directs the Secretary of Defense to provide a limited increase in the military retired pay of former military personnel who became members of the armed forces before August 1, 1986. Specifies the month for which such increases becoming effective on December 1 of FY 1994 through 1998 shall be payable as part of retired pay. Title III: Committee on Banking, Housing, and Urban Affairs - Amends the Federal Deposit Insurance Act (FDICA) to prescribe an order of priority for the distribution of amounts realized from the resolution of any insured depository institution. (Sec. 3002) Amends the Federal Reserve Act to mandate for FY 1997 and FY 1998 the transfer into the Treasury of specified percentages of the surplus fund of any Federal reserve bank. Prohibits a Federal reserve bank from replenishing its surplus fund by the amount of such transfer. (Sec. 3003) Amends the Stewart B. McKinney Homeless Assistance Amendments Act of 1988 to: (1) include certain Indian housing programs within the parameters of the Department of Housing and Urban Development program; (2) require submission of certain income disclosure consent forms to verify applicant eligibility for benefits; and (3) revise applicant, participant, and public housing agency protections. Amends the United States Housing Act of 1937 to declare that adjustments to a public housing agency's operating subsidy shall reflect actual changes in rental income collections resulting from application of the Stewart B. McKinney Homeless Assistance Amendments Act of 1988. (Sec. 3004) Amends the National Housing Act to direct the Government National Mortgage Association (GNMA) to: (1) charge fees in connection with its multiclass securities guarantee program (the program); (2) take steps to assure that a certain portion of the benefit resulting from the program accrues to mortgagors who execute eligible mortgages; (3) summarize program activities in its annual report; and (4) report to certain congressional committees on specified risk minimization aspects of the program. (Sec. 3005) Directs the Secretary of Housing and Urban Development to increase the rate at which the Secretary earns the single premium payment collected at the time of insurance of a mortgage that is an obligation of the Mutual Mortgage Insurance Fund. Title IV: Communications and Transportation - Subtitle A: Spectrum Allocation and Auction - Emerging Telecommunications Technologies Act of 1993 - Directs the Assistant Secretary of Commerce for Communications and Information and the Chairman of the Federal Communications Commission (FCC) to meet at least biannually to conduct joint spectrum planning with respect to: (1) future spectrum requirements for public and private uses and the allocation actions to accommodate those uses; and (2) actions to promote the efficient use of the spectrum. Directs the Assistant Secretary and the Chairman to report jointly to specialized congressional committees on their recommendations. Requires the FCC to develop procedures to ensure that minority-owned businesses and small businesses are given the opportunity to provide spectrum-based services. Directs the FCC to report to the Congress a study of current and future spectrum needs of State and local government public safety agencies through the year 2010. (Sec. 404) Directs the Secretary of Commerce to identify radio band frequencies that are allocated on a primary basis for Federal use, are not currently required for Federal needs, can easily be made available for other uses, and have the greatest potential for productive uses and public benefits. Directs the Secretary to recommend to the President and the Congress the immediate reallocation of no less than 30 megahertz of such frequencies. Requires a preliminary and final report on other reallocable frequencies, with an opportunity for public comment. (Sec. 405) Directs the President, after receipt of the Secretary's recommendation, to: (1) withdraw the assignment of appropriate frequencies no longer needed by the Government; (2) assign other frequencies to Federal stations; (3) reallocate for public or mixed use appropriate frequencies; and (4) provide notice of his actions to the FCC and the Congress. Authorizes appropriations. (Sec. 406) Directs the FCC to issue rules for the allocation of all frequencies made available for immediate reallocation under this Act. Authorizes the President to reclaim reassigned frequencies for reassignment to Federal stations. (Sec. 408) Amends the Communications Act of 1934 to direct the FCC, during FY 1994 through 1998, to use competitive bidding procedures to grant all radio spectrum licenses for which two or more mutually exclusive applications have been filed. Requires a report on such procedures. Provides rural program license procedures. Provides for the State and local tax treatment of radio licenses and permits. (Sec. 409) Revises the FCC's regulatory authority in the management of mobile communications services. Considers a person engaged in the provision of commercial mobile services to be a common carrier and, therefore, required to establish physical connections with such service as required under the Communications Act. Prohibits a person engaged in private land mobile service from being considered to be a common carrier for such purposes. Prohibits any State or local government from imposing any rate or entry regulation upon any commercial or private land mobile service, but allows a State to regulate other terms and conditions of commercial mobile service, under certain conditions. Provides certain FCC deadlines with respect to rules, licenses, and permits for personal communications services. Subtitle B: Vessel Tonnage Duties - Amends Federal law relating to shipping to extend the years during which certain tonnage duties are imposed. Title V: Committee on Energy and Natural Resources - Subtitle A: Recreation and Commercial Use Fees - Amends the Land and Water Conservation Fund Act of 1965 to: (1) authorize the charging of admission fees for FY 1994 through 1998 at Bureau of Land Management (BLM) national monuments and scenic areas and areas of concentrated public use; (2) strike a provision prohibiting a recreation fee for the use of visitors' centers, picnic tables, or boat ramps; (3) authorize the Secretaries of Agriculture and the Interior to withhold from a special account made up of user fees an amount determined to be equal to the additional fee collection costs for each fiscal year; (4) direct the Secretary of the Interior, for FY 1994 through 1998, to establish and collect fees on commercial tour vehicles entering units of the National Park System in which fees are authorized; and (5) authorize the Secretaries to allow businesses and other organizations to sell and collect fees for the Golden Eagle Passport (an admission passport valid for an entire year). (Sec. 5003) Directs the Secretaries to assess and collect charges for utilization of radio and television communication sites located on Federal lands administered by the Forest Service or BLM. Requires such users to provide the Forest Service or BLM with a list identifying all additional site users and all revenues received from such users. Requires the Secretaries to establish a broad based advisory group to determine the market value for radio and television communication site users. Requires a report to specified congressional committees. Subtitle B: Hardrock Mining Claim Maintenance Fee - Mandates payment for maintenance fees of $100 per claim by each claimant of an unpatented mining claim, mill or tunnel site on federally-owned lands in order to hold such claims for the assessment year. Declares that such fee is in lieu of assessment work and related filing requirements contained in certain Federal laws. Waives such fees under certain conditions. (Sec. 5102) Mandates the payment of a location fee for every unpatented mining claim, mill or tunnel site located after the date of enactment of this Act and before September 30, 1998. Replaces certain assessment requirements and expenditures with the annual maintenance fee. Subtitle C: Commonwealth of Northern Mariana Islands Agreement - Limits the payments to the Northern Mariana Islands for FY 1994 through 1998 to the amounts and for the purposes set forth in the Agreement of the Special Representatives on Future Financial Assistance of the Northern Mariana Islands of December 1992. Continues funding after 1998 at a specified annual amount. Subtitle D: Mineral Receipts - Amends the Mineral Leasing Act to provide that in calculating the amount to be paid to States of revenues derived from Federal onshore mineral and geothermal steam leasing receipts, 50 percent of the portion of the appropriation allocable for administration and enforcement shall be deducted from those receipts in approximately equal amounts each month before their division and distribution between the States and the United States. Title VI: Committee on Environment and Public Works - Amends the Omnibus Budget Reconcilitation Act of 1990 to extend from 1995 to 1998 the authority of the Nuclear Regulatory Commission to assess and collect annual charges. (Sec. 6002) Amends the Flood Control Act of 1968 to authorize the Secretary of the Army to charge fees for the use of developed recreation sites and facilities with specified exceptions. Mandates deposit of such fees into a certain account established for the Army Corps of Engineers. Title VII: Finance Committee Reconciliation Provisions Relating to Medicare, Medicaid, and Other Programs - Subtitle A: Medicare - Part I: Provisions Relating to Part A - Amends title XVIII (Medicare) of the Social Security Act (SSA) to: (1) provide for a reduction in payment updates for inpatient hospital services; (2) provide for a reduction in payment for the indirect costs of medical education; (3) extend payments for Medicare-dependent, small rural hospitals; (4) repeal the requirement for a return on equity for proprietary skilled nursing facilities; (5) extend the ten percent reduction in payments for capital-related costs of inpatient hospital services; (6) lower the per diem limits with respect to payments for routine service costs of extended care services; and (7) change the update formula for hospice care payment starting in 1994. (Sec. 7103) Provides for continuation of the other urban payment rate through 1994. Requires the Secretary of Health and Human Services to: (1) permit hospitals that fail to qualify as rural referral centers due to their urban reclassification to decline their reclassification and retain their former status; and (2) make lump-sum retroactive payments to such hospitals. Part II: Provisions Relating to Part B: Subpart A - Physician Services - Amends SSA title XVIII to: (1) reduce the default update for the conversion factor otherwise applicable to surgical and non-surgical services (except primary care services) in 1994; (2) increase the performance standard factor starting in 1994; (3) double the maximum reduction in the default update allowed for 1994 starting in 1995; (4) provide for classification of primary care services as a separate category of services for purposes related to the application of volume performance standards and updates in conversion factors for physicians' services; (5) directs the Secretary to phase-in reductions to the practice expense relative value units for certain services; (6) revise the payment policy for anesthesia care teams; (7) repeal the prohibition on separate billing for the interpretation of electrocardiograms (EKGs); (8) repeal payment reductions for new physicians and practitioners; (9) require adjustments in the relative value units for services provided by physicians and other practitioners in order to ensure budget neutrality; (10) revise the application of the limiting charge policy with respect to claims submitted on a nonassignment basis; (11) add payment and billing rules for services furnished by certain practitioners; (12) set forth requirements for Medicare carriers to provide limiting charge information on the explanation of benefits form furnished to Medicare beneficiaries and screen unassigned claims by service providers before making payment to determine whether the amount billed exceeds the applicable limiting charge; and (13) require the Secretary's report to the Congress on changes in expenditures for physician services to reflect information on charges in excess of the applicable limiting charge. Subpart B: Outpatient Hospital Services and Ambulatory Surgical Services - Amends SSA title XVIII to: (1) extend the ten percent reduction in payments for capital-related costs of outpatient hospital services; (2) extend the reduction in payments for other costs of outpatient hospital services; and (3) make changes to payment formulae for outpatient hospital services. (Sec. 7224) Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to reduce payments for intraocular lenses. Subpart C: Durable Medical Equipment - Amends SSA title XVIII to: (1) revise the payment rules for durable medical equipment (DME); (2) provide for the treatment of nebulizers and aspirators and payment for accessories relating to such items; (3) provide a method for determining payment for surgical dressings; and (4) reduce payments for TENS devices. Subpart D: Part B Premium - Amends SSA title XVIII to revise current law establishing the monthly part B premium for Medicare beneficiaries. Subpart E: Other Provisions - Amends SSA title XVIII to: (1) provide for a freeze, then reduction, in updates for certain items and services covered under Medicare part B (Supplementary Medical Insurance), including DME and ambulatory surgical center services; and (2) lower the cap on payments for clinical diagnostic laboratory tests performed after December 31, 1993. Part III: Provisions Relating to Parts A and B - Amends SSA title XVIII to: (1) revise weighting factors and other criteria used in determining payments for direct graduate medical education costs; (2) include preventive care services as part of the initial residency period; (3) include successor exams in the definition of an FMGEMS examination; (4) modify home health agency cost limits; (5) extend the ban on certain referrals by physicians to cover additional specified health services and include new exceptions as well as modified ones related to its application; and (6) reduce payments for erythropoietin. (Sec. 7303) Amends SSA title XVIII and the Internal Revenue Code (IRC) to make numerous changes with respect to Medicare as secondary payer. Subtitle B: Medicaid Program - Part I: Program Savings Provisions - Subpart A: Repeal of Mandate - Amends SSA title XIX to: (1) repeal the mandate that States cover personal care services under their Medicaid programs for all individuals entitled to nursing facility benefits; and (2) give States the option of covering personal care services furnished in a home or other location. Subpart B: Outpatient Prescription Drugs - Amends SSA title XIX to: (1) allow States, under certain conditions, to establish formularies limiting coverage of prescription drugs under their Medicaid programs; (2) eliminate the prohibition on a State's subjecting covered outpatient drugs to prior authorization during the first six months after the drug is approved by the Food and Drug Administration; and (3) make modifications to the Medicaid prescription drug program. Subpart C: Restrictions on Divestiture of Assets and Estate Recovery - Amends SSA title XIX to: (1) revise provisions regarding adjustments and recoveries and transfers of assets; and (2) set forth rules for the treatment of trusts for purposes of determining an individual's eligibility for, and amount of, benefits under a State's Medicaid plan. Subpart D: Improvement in Identification and Collection of Third Party Payments - Amends SSA title XIX to: (1) address the liability of third parties to pay for care and services under Medicaid; and (2) require States to have in effect certain specified laws relating to medical child support. (Sec. 7433) Amends IRC and SSA title XIX to provide for collection of payment obligations relating to medical assistance from State and Federal tax refunds. Subpart E: Assuring Proper Payments to Disproportionate Share Hospitals - Amends SSA title XIX to make changes with regard to payments for disproportionate share hospitals. Subpart F: Anti-Fraud and Abuse Provisions - Amends SSA title XIX to prohibit payment with respect to any amount expended for an item or service for which payment would be denied under the Medicare ban on certain physician referrals if the item or service were furnished to an individual entitled to benefits under Medicare. Part II: Other Medicaid Provisions - Amends OMBRA '90 to revise : (1) the limits on expenditures and funding for demonstration projects to study the effect of allowing States to extend Medicaid coverage to certain low-income families not otherwise qualified to receive Medicaid benefits; and (2) project reporting requirements. Subtitle C: Income Security Programs - Amends SSA title IV part A (Aid to Families with Dependent Children) (AFDC) to make changes with regard to Federal matching of State AFDC administrative expenditures. Amends SSA titles I (Old Age Assistance), X (Aid to the Blind), XIV (Aid to the Permanently and Totally Disabled), and XVI (Supplemental Security Income) to revise the formula for determining Federal payments to the States for expenses incurred in administering their State plans under such SSA titles. Amends SSA title XI to change the requirements for attesting to citizenship status. (Sec. 7602) Amends SSA title IV part D (Child Support and Establishment of Paternity) to: (1) modify performance standards for State paternity establishment programs; and (2) modify existing, and require certain additional, procedures under State law with respect to child support enforcement. (Sec. 7603) Amends SSA title XVI (SSI) and other Federal law to: (1) require the Social Security Administration to charge States fees for the Federal cost of administering State supplemental SSI payments; and (2) require the Secretary to charge fees for additional services requested by the State that are beyond the level customarily provided in administering a State's supplemental SSI payments. Subtitle D: Miscellaneous Provisions - Part I: Trade Provisions - Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to extend authority for levying customs user fees. (Sec. 7702) Amends the Trade Act of 1974 to provide for an extension of, and authorization of appropriations for, the trade adjustment assistance program. Part II: Improved Access to Childhood Immunizations - Amends SSA title XIX to direct the Secretary to promulgate a list of vaccines that provide immunization against naturally occurring infectious diseases and are recommended for universal use in children. Provides for immunization outreach through the EPSDT (Early and Periodic Screening, Diagnostic, and Treatment Services) Program. Requires Medicaid managed care plans to comply with specified requirements relating to EPSDT. Allows State plans to make payments directly to the manufacturer of the vaccine under a voluntary replacement program. Requires the Secretary to provide for demonstration projects designed to improve the rate and timeliness of immunization against childhood diseases in the case of any Medicaid-eligible child up to age two who is part of a family eligible for AFDC. (Sec. 7803) Amends SSA to add a new title XXI entitled "Central Bulk Purchasing Program For Pediatric Vaccines" under which the Secretary shall provide for the purchase and delivery on behalf of the applicant State of such quantities of pediatric vaccines as may be necessary for the immunization of each eligible child in the State. Part III: Disclosure Provisions - Amends the Internal Revenue Code to extend the authority to disclose return information for the administration of certain veterans programs. (Sec. 7902) Authorizes the disclosure of such information: (1) in the administration of repayments of certain student loans; and (2) for income verification under certain housing assistance programs. (Sec. 7904) Amends title XI of the Social Security Act to provide for the establishment of a Third Party Liability Clearinghouse to identify third parties responsible for payment for health care items and services furnished to beneficiaries of Medicare and Medicaid. Authorizes the disclosure of certain taxpayer return information for purposes of identifying health insurance coverage of certain individuals and spouses. Requires employers to report whether a group health plan is available to an employee on wage statements. Part IV: Other Provisions - Expands the 45-day interest-free period for refunding tax overpayments to all returns, as well as to amended returns and claims for refunds. Provides that if interest is not refunded within 45 days after the taxpayer files an amended return or claim for refund, interest will be paid only for periods after the date on which the return or claim is filed. (Sec. 7951) Requires the establishment of a program requiring the payment of user fees for the processing of applications for certificates of alcohol label approval and exemption, formula reviews, and statements of process (including laboratory tests and analyses). (Sec. 7952) Removes authority to use the Harbor Maintenance Trust Fund for administrative expenses of certain customs fee collections. (Sec. 7953) Increases the amount that individuals may designate to the Presidential Election Campaign Fund on their tax returns. (Sec. 7954) Increases the public debt limit and repeals the temporary limit on such increases. Title VIII: Revenue Provisions - Revenue Reconciliation Act of 1993 - Subtitle A: Training and Investment Incentives - Extends until June 30, 1994, the tax exclusion for employer-provided educational assistance and the targeted jobs credit. (Sec. 8111) Suspends the credit for increasing research activities from July 1, 1992, through June 30, 1993, and any period after June 30, 1994. Modifies the fixed base percentage of such credit for startup companies for taxable years after 1993. (Sec. 8115) Eliminates the depreciation adjustment for computing adjusted current earnings for such property placed in service after December 31, 1993. (Sec. 8119) Increases the dollar limitation on the election to expense certain depreciable small business assets. (Sec. 8121) Extends until June 30, 1994, the authority to issue qualified small issue bonds to finance manufacturing facilities and farm property. (Sec. 8131) Repeals certain interaction rules of the earned income credit with respect to the medical expense deduction, the deduction for health insurance, and the dependent care credit. Revises credit and phaseout percentages for 1994. (Sec. 8141) Extends the authority to issue qualified mortgage bonds and qualified mortgage credit certificates until June 30, 1994. Makes permanent the low-income housing credit. (Sec. 8143) Provides for the treatment of rental real estate activities under the limitations on losses from passive activities. (Sec. 8144) Modifies exceptions to the exclusion of real property acquired by a qualified organization from the meaning of acquisition indebtedness. Makes certain exceptions inapplicable to sales out of foreclosure by a financial institution. (Sec. 8145) Repeals the special rule for publicly traded partnerships with respect to the treatment of unrelated business taxable income. (Sec. 8146) Permits a tax-exempt title-holding company to receive unrelated business taxable income if the unrelated income is incidentally derived from the holding of real property. (Sec. 8147) Excludes from unrelated business taxable income: (1) gains from the sale, exchange or other disposition of real property acquired from financial institutions that are in conservatorship or receivership; and (2) loan commitment fees and certain option premiums. Provides for the tax treatment of pension fund investments in real estate investment trusts. (Sec. 8151) Increases the depreciation recovery period for nonresidential real property. (Sec. 8161) Repeals the luxury excise tax on boats, aircraft, jewelry, and furs. Modifies the luxury excise tax on automobiles to index the threshold for inflation occurring after 1990 and make such tax applicable to the first retail sale. (Sec. 8162) Exempts from the luxury excise tax parts or accessories installed for use of passenger vehicles by disabled individuals. (Sec. 8163) Extends the current diesel fuel excise tax to diesel fuel used by noncommercial motorboats. Retains such taxes in the General Fund of the Treasury. (Sec. 8171) Repeals the tax preference for the appreciated property charitable deduction. Disallows an adjustment related to the earnings and profits effects of any charitable contribution from being made in computing adjusted current earnings. (Sec. 8172) Establishes substantiation requirements for charitable contributions of $250 or more. (Sec. 8173) Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. (Sec. 8174) Amends the Railroad Retirement Solvency Act of 1983 to make permanent the treatment of certain railroad retirement benefits as received under employer plans. (Sec. 8175) Provides for the temporary extension of the deduction of health insurance costs of self-employed individuals. Subtitle B: Revenue Increases - Lowers the tax rates for certain taxpayers and increases the tax rate for certain higher incomes. Imposes a surtax on certain higher incomes. (Sec. 8203) Increases the tentative minimum tax for taxpayers other than corporations. (Sec. 8204) Makes permanent the overall limitation on itemized deductions and the phaseout of personal exemptions for high-income taxpayers. (Sec. 8206) Sets forth provisions to prevent the conversion of ordinary income to capital gain in certain financial transactions. Repeals certain exceptions to market discount rules. Provides for the treatment of purchases of stripped preferred stock after April 30, 1993. Revises the methods of : (1) computing the limitation on the deductibility of investment interest; and (2) determining substantial appreciation of partnership inventory items. (Sec. 8207) Repeals the limitation on the amount of wages subject to the health insurance employment tax. (Sec. 8208) Increases and makes permanent the highest estate and gift tax rate. (Sec. 8209) Reduces the deduction for business meals and entertainment expenses. (Sec. 8210) Disallows a tax deduction for social membership dues, except for employee recreational expenses. (Sec. 8211) Disallows a deduction as a trade or business expense for remuneration to certain employees in excess of $1 million. (Sec. 8212) Reduces the compensation taken into account in determining contributions and benefits under qualified retirement plans. (Sec. 8213) Removes qualified residence sales, purchases, or leases and meals from the deduction for moving expenses. Places a dollar limitation on the deduction for moving expenses. (Sec. 8214) Revises the limitation on using the preceding year's tax to calculate an individual's estimated tax payments. (Sec. 8215) Increases the amount of social security and tier 1 railroad retirement benefits to be included in the gross income of certain taxpayers. (Sec. 8221) Increases the tax rate for corporate income in excess of $10 million and the tax rate on personal service corporations. (Sec. 8222) Denies a tax deduction for lobbying expenses. Subjects lobbying organizations to special reporting requirements. (Sec. 8223) Requires any security which is inventory in the hands of the dealer to be included in inventory at its fair market value. Requires any dealer in securities that holds any security which is not in inventory at the close of any taxable year to: (1) recognize gain or loss as if the security were sold on the last business day of the taxable year; and (2) take into account any such gain or loss for such year (the mark-to-market requirement). (Sec. 8224) Requires taking into account: (1) certain Federal Savings and Loan Insurance Corporation (FSLIC) assistance as compensation for loss; and (2) any FSLIC assistance for any debt for determining whether such debt is worthless and in determining the amount of any addition to a reserve for bad debts arising from such worthlessness or partial worthlessness. (Sec. 8225) Increases the required annual payment for corporations that fail to pay estimated income tax. Modifies the periods for applying such annualization. (Sec. 8226) Repeals the stock for debt exception in determining income from discharge of indebtedness. (Sec. 8227) Limits the Puerto Rico and possession tax credit to 40 percent of the possession corporation's qualified possession wages by 1998 and thereafter. (Sec. 8228) Modifies the limitation on corporate deductions for interest paid to related persons to take into account disqualified guarantees of indebtedness and the imposition of a gross basis tax. (Sec. 8231) Requires U.S. shareholders of controlled foreign corporations to include in gross income a pro rata share of the corporations' excess passive assets. Sets forth rules for determining such amounts. Modifies the rule on taxation of investment in United States property and takes into account excessive passive assets. (Sec. 8233) Excepts from foreign personal holding income dividends attributable to earnings and profits of the distributing corporation accumulated during any period during which the person receiving such dividend did not hold such stock. Requires the establishment of an excess limitation account by taxpayers who receive foreign tax credits in a year they receive previously taxed earnings and profits. (Sec. 8234) Reduces the amount allowed as allocation and apportionment of research and experimental expenditures from sources within the United States. (Sec. 8235) Excludes passive dividends or interest income from foreign oil and gas income. (Sec. 8236) Modifies accuracy-related penalties for tax underpayments. (Sec. 8237) Denies the inclusion of certain contingent interest in the exemption for portfolio interest for nonresident aliens. (Sec. 8238) Authorizes the Secretary of the Treasury to prescribe regulations recharacterizing any multiple-party financing transaction as a transaction directly among any two or more such parties where appropriate to prevent any tax avoidance. (Sec. 8239) Provides that export property eligible for certain tax incentives does not include any unprocessed softwood timber for purposes of: (1) taxation of foreign sales corporations (FSCs); and (2) taxation of domestic international sales corporations (DISCs). Requires any income from the sale of such unprocessed timber which was cut from an area in the United States to be sourced in the United States. Repeals the deferral for income of the controlled foreign corporation from sales or milling (outside the United States) of unprocessed softwood timber to the extent that any controlled foreign corporation is owned by ten percent or more U.S. shareholders. (Sec. 8241) Increases the excise tax on gasoline, diesel fuel, aviation fuel, and other transportation fuels. (Sec. 8242) Imposes an excise tax on fuel (separate from the gasoline tax and the tax on aviation). Exempts from such tax diesel fuel: (1) used by trains and intercity, local, or school buses; and (2) which is dyed or marked in accordance within regulations prescribed by the Secretary of the Treasury. Provides that the Airport and Airway Trust Fund financing rate does not apply to aviation fuel sold by a producer or importer for use by the purchaser in a nontaxable use. Imposes a civil penalty on persons who use reduced-rate fuel for a taxable use. (Sec. 8243) Imposes a floor stocks tax on any person holding diesel fuel on April 1, 1994. (Sec. 8224) Increases the tax on gasoline and diesel fuels for purposes of the Highway Trust Fund financing rate. Increases the amount to be transferred to the Mass Transit Account from such Fund. (Sec. 8251) Requires information reporting on payments to corporations for services. (Sec. 8252) Modifies provisions concerning substantial understatement and return-preparer penalties to allow reasonable cause exceptions. (Sec. 8253) Requires certain financial entities (including the Federal Deposit Insurance Corporation, the Resolution Trust Corporation, and the National Credit Union Administration, and their successors or subunits) to file information returns regarding discharges of indebtedness of $600 or more. (Sec. 8261) Allows an amortization deduction with respect to certain intangible property, including goodwill, that is acquired and held by a taxpayer in connection with the conduct of a trade or business or an activity engaged in for the production of income. (Sec. 8271) Denies the business travel expense deduction for spouses, dependents, or others. (Sec. 8272) Increases the withholding rate for supplemental wage payments. (Sec. 8273) Makes permanent the excise tax on certain vaccines. Title IX: Committee on Foreign Relations - Delays cost-of-living adjustments in Foreign Service retirement benefits during FY 1994 through 1996. (Sec. 9002) Eliminates the lump sum retirement option for certain Foreign Service employees. Title X: Committee on Governmental Affairs - Subtitle A: Civil Service - Delays cost-of-living adjustments in Federal employee retirement benefits during FY 1994 through 1996. (Sec. 1002) Eliminates permanently the lump sum retirement option for certain Federal employees. (Sec. 1003) Amends Federal law to make changes regarding District of Columbia government contributions for specified periods for certain employee and annuitant health benefits. Subtitle B: Postal Service - Directs the United States Postal Service to make a specified additional payment into the Civil Service Retirement and Disability Fund and the Employee Health Benefits Fund to cover increases due to retirement cost-of-living adjustments and increases in health benefits costs. Subtitle C: Miscellaneous - Makes changes under the Civil Service and Federal Employees Retirement Systems regarding survivor annuities. Title XI: Judiciary - Amends the Omnibus Budget Reconciliation Act of 1990 to extend through FY 1998 the surcharge fees for Patent and Trademark Office users. Title XII: Committee on Labor and Human Resources - Subtitle A: Student Loan Provisions - Student Loan Reform Act of 1993 - Amends the Higher Education Act of 1965 (HEA) to replace the Federal Family Education Loan Program, under which loans made by private lenders are guaranteed by the Government, with a Federal Direct Student Loan Program, over a four-year transition period. Chapter 1: Federal Direct Student Loan Program - Amends HEA to change the Federal Direct Loan Demonstration Program to the Federal Direct Student Loan Program (FDSL). (Sec. 12011) Sets forth program authority for making necessary sums available to make FDSL loans to all eligible students (and parents) at participating higher education institutions selected by the Secretary of Education (Secretary), for the period beginning July 1, 1994. Requires such loans to be made by participating institutions that also have agreements with the Secretary to originate loans, or by alternative originators designated by the Secretary. Directs the Secretary to provide funds for such student and parent loans either directly to a participating institution that also has an origination agreement or to a designated alternative originator, on the basis of need and eligibility of students and parents at each participating institution. Requires the Secretary to pay fees to assist in meeting costs of loan origination to participating institutions or alternative originators. Declares that no institution shall have a right to participate in FDSL programs. Provides for phase-in of the program, and application of the requirements of the Cash Management Improvement Act of 1990 on a transition schedule. Sets forth selection criteria for an institution's participation in the FDSL program and in origination agreements. Allows consortia of eligible participating institutions to apply to originate FDSL loans as consortia. Sets forth FDSL program participation and origination agreement requirements for institutions. Sets forth terms and conditions for FDSL loans, including certain parallels with Stafford, supplemental, parent, and unsubsidized Stafford loans under the FFEL program. Sets interest rates according to different formulas for loans made before rather than on or after July 1, 1997. Sets minimum and maximum loan fees to be charged to borrowers. Provides for standard, extended, graduated, and income contingent repayment plan options. Sets forth deferment and forbearance possibilities (including national service). Sets forth provisions for consolidation, borrower defenses, optically imaged records, and nondischargeability in bankruptcy. Authorizes the Secretary to award contracts under the FDSL program for: (1) alternative origination of loans; (2) servicing and collection of loans; (3) data systems for records maintenance; and (4) services to assist in orderly transition from FFEL to FDSL programs. Authorizes the Secretary to use funds for research on, or demonstration or evaluation of, any FDSL program aspects, including flexible repayment plans. Provides funds for specified administrative expenses of the FDSL program and the transition from the FFEL program, including certain transition expenses of guaranty agencies. Establishes a bipartisan National Student Loan Reform Commission to study the advisability of replacing the FFEL program with direct lending. Authorizes appropriations. Chapter 2: Student Loan Savings - (Sec. 12022) Revises interest rates for new student loans after July 1, 1994. (Sec. 12023) Reduces student loan origination fees paid by students. Requires lenders to pay fees. (Sec. 12024) Requires the Student Loan Marketing Association (Sallie Mae) to pay an offset fee to the Secretary. (Sec. 12025) Reduces the amount of the tax exemption granted to holders of certain student loans. (Sec. 12026) Reduces the interest rate for consolidation loans. Requires holders of consolidation loans to pay a rebate fee to the Secretary. (Sec. 12027) Reduces certain maximum interest premiums and eliminates certain reinsurance fees. (Sec. 12028) Requires the transferee to pay the Secretary a loan transfer fee. (Sec. 12030) Establishes a $10,000 annual limit on PLUS loans, still subject to the limitation based on need. Requires multiple disbursement. Chapter 3: Conforming Amendments - Subchapter A: Conforming Amendments to the Higher Education Act of 1965 - Amends HEA to provide for access to FFEL program student and parent loans during the transition to the FDSL program. Provides for advances to guaranty agencies for lender-of-last-resort services. Requires Sallie Mae or its designated agent to begin making FFEL loans as lender-of-last-resort, subject to certain limitations, upon the Secretary's request, and to cease such lending when the triggering conditions have ceased. (Sec. 12043) Modifies terms of loans under the FFEL program. Authorizes requiring a defaulted borrower to make income contingent repayments. Subchapter B: Amendments to Other Laws - Amends the Internal Revenue Code to add or revise provisions relating to disclosure of tax return information with respect to income contingent repayment of student loans, individuals who owe on overpayment of Federal Pell Grants, and collection of payments on Federal Direct Student Loans. Chapter 4: Cost Sharing by States - Amends HEA to require any State in which there are higher education institutions with cohort default rates exceeding 20 percent to pay the Secretary specified portions of costs related to such loan defaults. Allows States to charge institutions fees based on their cohort default rate and the State's risk of loss. Chapter 5: General Effective Date - Sets forth the effective dates of subtitle A. Subtitle B: Public Health Service Act Provisons - Amends the Public Health Service Act (PHSA) to create a new title establishing the Health Coverage Clearinghouse to identify third parties which may be liable for payment for health care items and services furnished by a covered health program (defined as certain entities under the PHSA, a non-Federal entity under the Indian Self-Determination Act, or any other federally funded program providing payments for medical services that may be covered under a private health insurance policy). Requires: (1) the Secretary of the Treasury to furnish tax information to the Clearinghouse on the identity and employer of the spouse or parents; and (2) employers to furnish information on group health plan coverage of the individual, spouse, or parents. Requires the Clearinghouse to maintain a data bank containing such information. Authorizes disclosure of any information in the data bank to: (1) the Secretary, administrators of covered health programs (CHPs), employers, insurers; and (2) Federal and State law enforcement officials in connection with proceedings relating to a CHP. Mandates service fees to cover Clearinghouse costs. Amends the Employee Retirement Income Security Act of 1974 (ERISA) to require the administrator of each employee benefit plan to comply with the amendments made by these provisions. (Sec. 12102) Mandates a study on referral of a patient by a health care provider to an entity in which the provider has a financial interest or from which the provider receives a financial benefit for the referral. (Sec. 12103) Delays, during specified fiscal years, cost-of-living increases for National Health Service Corps retiree annuitants. (Sec. 12104) Allows a members of the Corps who is covered by provisions of Federal law relating to retirement or the Federal Employees' Retirement System and has a critical medical condition to elect annuity benefits under specified provisions. (Sec. 12105) Amends the PHSA to allow malpractice coverage, in certain circumstances, for officers, employees, and contractors of entities that are migrant or community health centers or that provide health services for the homeless or for residents of public housing when they provide services to individuals who are not patients of the entities. Subtitle C: Improved Immunization Delivery and Monitoring - Comprehensive Child Immunization Act of 1993 - Amends the Public Health Service Act to mandate establishment of a list of the vaccines that the Secretary of Health and Human Services recommends for administration to all children and a recommended administration schedule. Requires that the list and schedule be subordinate to State law. Mandates allotments to States. Provides for the establishment of State registries to monitor the immunization status of all children. Requires States to monitor and enforce compliance with these provisions by health care providers. Authorizes appropriations. Establishes a national immunization surveillance program to assess the effects of these provisions, provide technical assistance to States, and receive aggregate epidemiologic data collected by States. Authorizes appropriations. Directs the Secretary of Health and Human Services to provide for the distribution, without charge, of pediatric vaccines purchased by the Secretary to health care providers who are: (1) members of a uniformed service; (2) U.S. officers or employees; (3) federally qualified health centers; (4) migrant or community health centers; (5) entities providing health services for the homeless or for residents of public housing; or (6) public or nonprofit entities receiving funds under provisions of the Social Security Act relating to special projects of regional and national significance. Prohibits a provider receiving the vaccine from imposing a charge for the vaccine but allows a charge for the actual costs of the administration of the vaccine. Mandates activities to improve Federal, State, and local vaccine delivery systems and immunization outreach and education efforts, including a National Immunization Public Awareness Campaign and incorporation of immunization status assessment and referral in the application process for various types of Federal assistance. Authorizes grants to States to develop, revise, and implement immunization improvement plans. Requires States to establish child immunization rate goals. Authorizes appropriations. Mandates: (1) a biennial report on the costs, efficiency, and effectiveness of procedures established to deliver vaccine to health care providers; and (2) a report by the National Academy of Sciences on the role of the National Vaccine Program established under this title in achieving progress toward the established immunization goals for the year 2000. (Sec. 12203) Requires that the Vaccine Injury Table of the National Vaccine Injury Compensation Program include any vaccine on the list established under this subtitle. Allows a special master to award reasonable attorney's fees whether or not an election has been made to file a civil action regarding a vaccine injury compensation petition. Requires that compensation under the Program be used as determined by the special master to be in the best interests of the petitioner. (Current law requires that the compensation be used, with the consent of the petitioner, as determined by the special master to be in the best interests of the petitioner.) Sets time limits regarding applications for attorney's fees and costs. Authorizes appropriations for payment of compensation under the Program regarding vaccines administered before the effective date of the Program. Revises requirements regarding: (1) time limits on actions when the Table is revised; and (2) extensions of time limits for decisions. Mandates an annual report on amounts collected under provisions regarding subrogation of petitioners' rights. Requires the Advisory Commission on Childhood Vaccines to monitor the balance of the Vaccine Injury Trust Fund and recommend changes in the tax per dose. Revises requirements regarding vaccine information materials. Authorizes appropriations from the Trust Fund for administering the National Vaccine Program. (Sec. 12204) Removes provisions authorizing grants for research on the prevention and control of diseases through vaccination and related demonstration projects, public information programs, and health professionals training and clinical skills improvement. Subtitle D: ERISA Amendments - Chapter 1: Group Health Amendments - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to modify requirements regarding supersedure of State laws in connection with title XIX (Medicaid) of the Social Security Act requirements. (Sec. 12302) Prohibits a group health plan from reducing its coverage of pediatric vaccine costs below the coverage it provided on a specified date. Chapter 2: Liabilities and Penalties - Mandates joint and several liability for any person who participates in an act or omission of a fiduciary, knowing that the act or omission was a breach of fiduciary responsibility. (Sec. 12312) Changes requirements regarding civil enforcement actions brought by a participant, beneficiary, or fiduciary or by the Secretary of Labor and requires amounts recovered to be subject to a civil penalty. Limits awards of punitive damages and monetary relief. Modifies civil penalty requirements. Allows waiving or reducing penalties if the person will not be able to restore all losses to the plan, participants, or beneficiaries (currently, to the plan) without severe financial hardship. Requires reduction of penalties by the amount of any penalty or tax imposed by provisions of the Internal Revenue Code relating to minimum funding standards and prohibited transactions. Chapter 3: Public Health Service Act - Amends the Public Health Service Act to prohibit any health insurance policy in effect before a specified date from reducing coverage for pediatric vaccine costs below the coverage on the date of enactment of this provision. Mandates civil money penalties for violations. Title XIII: Veterans' Programs - Extends permanently (currently, ends September 30, 1997) the $90 monthly pension limitation for veterans having neither spouse nor child and being furnished domiciliary care by the Department of Veterans Affairs. (Sec. 13002) States that the FY 1994 cost of living increases in veterans' disability compensation and dependency and indemnity compensation shall be no more than the percentage increases under title II (Old Age, Survivors and Disability Insurance) of the Social Security Act. (Sec. 13003) Requires an increased reduction in the monthly basic pay of active duty and reserve personnel entering into service after FY 1993 for participation in the Montgomery GI Bill educational assistance program. Provides similar increases for those enrolled in such program before either voluntary or involuntary separation from the armed forces. (Sec. 13004) Extends permanently (currently terminated as of December 31, 1992) certain procedures applicable to liquidation sales on defaulted home loans to veterans which were guaranteed by the Department. Increases the home loan fees charged to such veterans for such guarantee loans. (Sec. 13006) Extends permanently: (1) the authority of the United States to recover from third party insurers the cost of certain care and services provided to veterans through the Department; (2) a required minimum copayment for medication received by certain veterans on an outpatient basis; and (3) the authority of the Secretary of Veterans Affairs to obtain, and the Secretary of the Treasury to provide, certain financial information of veterans for income verification purposes.

Law· HRH.R. 2491 (103rd)enacted

Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1994

United States · United States Congress · 22 June 1993

TABLE OF CONTENTS: Title I: Department of Veterans Affairs Title II: Department of Housing and Urban Development Title III: Independent Agencies Title IV: Corporations Title V: General Provisions Departments of Veterans Affairs and Housing and Urban Development, and Independent Agencies Appropriations Act, 1994 - Title I: Department of Veterans Affairs - Makes appropriations for FY 1994 to the Department of Veterans Affairs. Provides for the use of such appropriations. Title II: Department of Housing and Urban Development - Makes appropriations for FY 1994 for the Department of Housing and Urban Development. Title III: Independent Agencies - Makes appropriations for FY 1994 to the: (1) American Battle Monuments Commission; (2) Chemical Safety and Hazard Investigation Board; (3) Commission on National and Community Service; (4) Consumer Product Safety Commission; (5) Court of Veterans Appeals; (6) Department of Defense-Civil for cemeterial expenses, Army; (7) Environmental Protection Agency; (8) Executive Office of the President for the Office of Science and Technology Policy; (9) Federal Emergency Management Agency (FEMA); (10) General Services Administration for the Consumer Information Center; (11) Department of Health and Human Services for the Office of Consumer Affairs; (12) Interagency Council on the Homeless National Aeronautics and Space Administration; (13) National Credit Union Administration for the obligations of the Central Liquidity Facility; (14) National Science Foundation; (15) Neighborhood Reinvestment Corporation; and (16) Selective Service System. Title IV: Corporations - Authorizes certain corporations and agencies of HUD to make commitments without regard to fiscal year limitations as necessary to carry out provisions under the Government Corporation Control Act. Allows any collections by such corporations and agencies to be used for new loan or mortgage purchase commitments to the extent provided under this Act, with specified exceptions. Makes funds available to the Federal Deposit Insurance Corporation and the Office of Inspector General of the Resolution Trust Corporation. Title V: General Provisions - Specifies certain uses, limitations, and prohibitions on uses of funds appropriated by this Act. Requires FY 1994 pay raises to be absorbed within the levels appropriated in this Act.

Bill· HRH.R. 2479 (103rd)referred

Lead-Based Paint Hazard Abatement Trust Fund Act of 1993

United States · United States Congress · 22 June 1993

Lead-Based Paint Hazard Abatement Trust Fund Act of 1993 - Amends the Housing and Community Development Act of 1992 to establish a program of formula allotments to eligible public entities for lead-based paint hazard reduction. Sets forth matching requirements and authorized uses of grants. Prohibits States from providing grants to public entities or other units of general local government unless such entities or units have local lead-based paint laws in effect. Permits the expenditure of grant amounts only in accordance with an approved plan that sets priorities for lead risk assessment and abatement in rental housing and in owner-occupied housing occupied by children and pregnant women. Requires the certification of personnel conducting assessment and abatement activities. Bars the use of more than 20 percent of a grant for emergency measures. Limits assistance to small nonprofit organizations and businesses for performing such activities to one percent of the grant amount. Provides for the continued use of eligible residential units at which lead abatement activities are carried out as affordable housing. Permits grant amounts to be expended for abatement activities for an eligible unit only if the eligible public entity has entered into an agreement with the unit owner that: (1) provides for the abatement activities to be carried out; (2) establishes a lien (held by the public entity) on the unit to ensure compliance with affordable housing requirements; and (3) provides penalties for the breach of the agreement. Sets forth elements of plans required to be submitted by public entities as a condition of receiving grants. Establishes formulas for the determination of allotments. Authorizes appropriations from the Lead Abatement Trust Fund to carry out this Act. Amends the Internal Revenue Code to impose a tax of 45 cents per pound on: (1) lead removed from any U.S. smelter; and (2) lead and lead in any taxable lead product entered into the United States for consumption, use, or warehousing. Provides a credit or refund for tax paid on lead or lead products that were exported. Establishes the Lead Abatement Trust Fund.

Bill· HRH.R. 2470 (103rd)referred

To amend section 8 of the United States Housing Act of 1937 to permit the Secretary of Housing and Urban Development to reduce the maximum monthly rents in effect for certain projects receiving assistance under such section to eliminate material differences in the rents charged for similar assisted and unassisted units in the same area.

United States · United States Congress · 18 June 1993

Amends the United States Housing Act of 1937 to permit rent reductions for certain assisted section 8 housing.

Bill· SS. 1133 (103rd)referred

A bill to amend the Public Health Service Act to provide for the establishment of a residential support service program for special high-risk populations of pregnant women and their children, and for other purposes.

United States · United States Congress · 17 June 1993

Amends the Public Health Service Act to direct the Secretary of Health and Human Services to make grants to establish residential programs for special populations of high-risk and disadvantaged pregnant women and their children. Sets forth provisions regarding eligibility of entities to receive such grants and application requirements. Requires such programs to provide specified services in the language and cultural context appropriate for the mother and her family, such as: (1) medical services (including assessment and screening, referrals, and psychological services); and (2) parenting, job counseling, and other services. Sets forth provisions regarding: (1) eligibility of women to receive services under such programs; (2) housing facilities; and (3) peer review. Authorizes appropriations.

Bill· SS. 1124 (103rd)referred

Depository Institutions Regulatory Improvements Act of 1993

United States · United States Congress · 17 June 1993

TABLE OF CONTENTS: Title I: Regulatory Improvements Subtitle A: Reduction of Regulatory Burdens Subtitle B: Studies and Reports Title II: Enhanced Credit Availability and Deposit Insurance Protection Title III: Technical and Conforming Amendments Depository Institutions Regulatory Improvements Act of 1993 - Title I: Regulatory Improvements - Subtitle A: Reduction of Regulatory Burdens - Amends the Federal Deposit Insurance Act (FDIA) to direct Federal banking regulatory authorities, when prescribing regulations, to consider and minimize their impact upon the availability of credit for businesses and upon low- and moderate-income communities. Amends the Financial Institutions Reform, Recovery, and Enforcement Act of 1989 to direct the Appraisal Subcommittee to encourage the States to develop reciprocity agreements allowing certified appraisers to perform appraisals in sister States. Amends the FDIA to permit: (1) annual State examinations of insured depository institutions in lieu of Federal examinations; (2) biennial examinations for certain small-sized depository institutions in good standing; and (3) the exemption of insured depository institutions controlled by certain depository institution holding companies from the Act's examination requirements. Authorizes coordinated Federal and State examinations. Directs the Federal Financial Institutions Examination Council (FFIEC) to review the regulatory burden incurred by insured depository institutions and credit unions in preparing mandated condition reports. Amends Federal banking law to repeal certain publication requirements for national banks, State non-member insured banks, and Federal Reserve banks. Requires the appropriate Federal regulatory agency to consider the administrative burdens placed upon depository institutions when determining the effective date for regulations changing the form of condition reports. Excludes from the purview of the FDIA certain depository institution branches and automated teller machines. Amends Federal law to modify the recordkeeping requirements for monetary instruments transactions. Amends the Real Estate Settlement Procedures Act to repeal certain disclosure requirements with respect to federally related home equity mortgage loans that are statutorily mandated elsewhere. Amends the Electronic Fund Transfer Act to increase consumer liability for unauthorized electronic funds transfers where the cardholder has substantially contributed to such use. Amends the Housing and Urban Development Act of 1968 to modify its homeownership debt counseling notification requirements. Amends the Real Estate Settlement Procedures Act of 1974 to: (1) modify the disclosure requirements for federally related mortgage loans; and (2) exempt from its purview specified credit extension transactions. Subtitle B: Studies and Reports - Requires the Secretary of the Treasury to report to certain congressional committees on the impact of risk-based capital standards upon domestic institutions and credit availability. Requires reports to the Congress by: (1) the Board of Governors of the Federal Reserve System (the Board) on certain sterile reserves associated with depository institutions; and (2) the Office of Management and Budget and the Congressional Budget Office on the budgetary impact of interest payments associated with such reserves. Requires Federal banking regulatory agencies to review and eliminate regulations requiring insured depository institutions to produce unnecessary internal written policies. Directs FFIEC to reduce, where appropriate, the burdensome effect upon community banks of compliance requirements associated with risk-based capital rules. Requires the Board to study and report to the Congress on ways to streamline the credit-granting process. Title II: Enhanced Credit Availability and Deposit Insurance Protection - Amends the Comprehensive Environmental Response, Compensation, and Liability Act of 1980 to limit lender liability for the release of petroleum or a hazardous substance associated with property acquired in the ordinary course of business. Shields Federal banking and lending agencies from strict liability for the release of petroleum or a hazardous substance associated with property acquired in the ordinary course of business. Title III: Technical and Conforming Amendments - Makes technical and conforming amendments to specified Federal law.

Law· HRH.R. 2446 (103rd)enacted

Military Construction Appropriations Act, 1994

United States · United States Congress · 17 June 1993

Military Construction Appropriations Act, 1994 - Appropriates funds for FY 1994 for military construction functions administered by the Department of Defense (DOD) in specified amounts for: (1) military construction for the Army, Navy, and Air Force; (2) military construction, DOD (including a transfer of funds); (3) military construction for the Army and Air National Guards; (4) military construction for the Army, Navy, and Air Force Reserves; (5) North Atlantic Treaty Organization (NATO) Infrastructure; (6) family housing for the Army, Navy, Marine Corps, and Air Force; (7) family housing, DOD; (8) the homeowners assistance fund, defense; and (9) the Base Realignment and Closure Accounts, Parts I through III. Specifies prohibited uses of funds appropriated by this Act. Directs the Secretary of Defense to provide certain congressional notification 30 days in advance of the plans and scope of any proposed military exercise involving U.S. personnel if construction amounts for such exercise are expected to exceed $100,000. Provides for the transfer of certain funds from the Military Family Housing Management Account to the appropriations for family housing. Provides for the transfer of lapsed unobligated military construction and family housing funds into the Foreign Currency Fluctuations, Construction, Defense account. Directs the Secretary to report to the Congress on actions proposed by DOD to encourage other member nations of NATO, Japan, and Korea to assume a greater share of the common defense burden of such nations and the United States. Directs the Secretary of the Army to transfer to the Architect of the Capitol a portion of the Army Research Laboratory, Woodbridge, Virginia.

Bill· HRH.R. 2449 (103rd)referred

Depressed Smaller Cities Improvement Act of 1993

United States · United States Congress · 17 June 1993

Depressed Smaller Cities Improvement Act of 1993 - Establishes the Interagency Task Force on Depressed Smaller Cities to study problems affecting depressed smaller cities and to determine the proper scope and extent of Federal assistance and programs to reduce the problems affecting such cities. Authorizes appropriations.

Bill· HRH.R. 2426 (103rd)referred

CDBG Improvement Act of 1993

United States · United States Congress · 15 June 1993

CDBG Improvement Act of 1993 - Amends the Housing and Community Development Act of 1974 to authorize the Secretary of Housing and Urban Development to make grants under the community development block grant program to any city previously classified as a metropolitan city that loses such classification because of a reduction in population, if the city provides evidence of specified population growth.

Bill· HRH.R. 2402 (103rd)open

Military Construction Authorization Act for Fiscal Year 1994

United States · United States Congress · 14 June 1993

TABLE OF CONTENTS: Title I: Army Title II: Navy Title III: Air Force Title IV: Defense Agencies Title V: North Atlantic Treaty Organization Infrastructure Title VI: Guard and Reserve Forces Facilities Title VII: Expiration and Extension of Authorizations Title VIII: General Provisions Subtitle A: Military Construction Program and Military Family Housing Changes Subtitle B: Defense Base Closure and Realignment Subtitle C: Land Transactions Military Construction Authorization Act for Fiscal Year 1994 - Title I: Army - Authorizes the Secretary of the Army to acquire real property and carry out military construction projects in specified amounts at specified installations and locations. Authorizes the Secretary to construct or acquire family housing units, to carry out architectural planning and design activities, and to improve existing military family housing in specified amounts. Authorizes appropriations to the Army for FY 1994 for military construction, land acquisition, and military family housing functions of the Army. Limits the total cost of construction projects authorized by this title. Title II: Navy - Provides, with respect to the Navy, authorizations paralleling those provided for the Army under Title I. Title III: Air Force - Provides, with respect to the Air Force, authorizations paralleling those provided for the Army under Title I. Title IV: Defense Agencies - Authorizes the Secretary of Defense to acquire real property and carry out military construction projects in specified amounts at specified installations and locations. Authorizes the Secretary to carry out certain energy conservation projects. Authorizes appropriations to the Department of Defense (DOD) for FY 1994 for military construction, land acquisition, and military family housing functions of DOD. Limits the total cost of construction projects authorized by this title. Title V: North Atlantic Treaty Organization Infrastructure - Authorizes the Secretary of Defense to make contributions for the North Atlantic Treaty Organization (NATO) Infrastructure Program and authorizes appropriations for fiscal years after 1993 for such contributions. Title VI: Guard and Reserve Forces Facilities - Authorizes appropriations for fiscal years after 1993 for the Guard and Reserve forces for acquisition, architectural planning and design activities, and construction of facilities. Title VII: Expiration and Extension of Authorizations - Terminates all authorizations contained in titles I through VI of this Act on October 1, 1996, or the date of enactment of an Act authorizing funds for military construction for FY 1997, whichever is later. Extends certain FY 1991 military construction projects. Title VIII: General Provisions - Subtitle A: Military Construction Program and Military Family Housing Changes - Makes miscellaneous changes with respect to military construction and family housing programs. Subtitle B: Defense Base Closure and Realignment - Amends the Defense Authorization Amendments and Base Closure and Realignment Act and the Defense Base Closure and Realignment Act of 1990 to authorize the Secretary to: (1) contract with local governments for the provision of community services at military installations to be closed; and (2) receive further funding for environmental restoration activities at such installations. Subtitle C: Land Transactions - Authorizes the Secretary of the Army to convey to: (1) Washington Gas Company, Virginia, the natural gas distribution system at Fort Belvoir, Virginia; (2) American Water Company, Virginia, the water distribution system at Fort Lee, Virginia; and (3) Blackstone, Virginia, the waste water treatment facility at Fort Pickett, Virginia.

Bill· HRH.R. 2404 (103rd)referred

Foreign Assistance Authorization Act of 1993

United States · United States Congress · 14 June 1993

TABLE OF CONTENTS: Title I: Reform of Foreign Assistance Programs Title II: Authorizations for Foreign Assistance Programs Title III: Regional Provisions Title IV: Provisions Relating to Arms Transfers Title V: Other Foreign Assistance Provisions Title VI: Bosnia-Hercegovina Foreign Assistance Authorization Act of 1993 - Title I: Reform of Foreign Assistance Programs - (Sec. 101) Requires the President to submit to the Congress a plan for comprehensive reform of U.S. foreign assistance programs and of the agency primarily responsible for administering development assistance. (Sec. 102) Amends the Foreign Assistance Act of 1961 to require the President to establish a program performance, monitoring, and evaluation capacity with respect to such agency and to report annually to the Congress on: (1) the progress of the agency in achieving sustainable development objectives; and (2) the impact on economic development of U.S. economic assistance on a country-by-country basis. Title II: Authorizations for Foreign Assistance Programs - (Sec. 201) Authorizes appropriations for FY 1994 for: (1) specified development assistance; (2) international disaster assistance; (3) American schools, libraries, and hospitals abroad; (4) assistance for the Philippines; (5) economic assistance for Eastern Europe and the Baltic States; (6) assistance for the independent states of the former Soviet Union; (7) the Inter-American Foundation; (8) the African Development Foundation; (9) the International Fund for Ireland; (10) foreign military financing and international military education and training; (11) economic support fund (ESF) assistance; (12) anti-terrorism assistance; (13) a nonproliferation and disarmament fund; and (14) the Peace Corps. Reduces the amount previously authorized for international narcotics control for FY 1994. (Sec. 202) Declares that the Congress expects that certain amounts of assistance will be allocated for child survival activities and the Vitamin A deficiency program and related activities. (Sec. 203) Authorizes appropriations for FY 1994 for worldwide housing guarantees and raises the ceiling on the amount of loans available under such program. (Sec. 204) Raises the ceiling on insurance and guarantees issued by the Overseas Private Investment Corporation (OPIC) and extends OPIC programs through FY 1995. (Sec. 205) Authorizes the President to reduce the debt owed by an eligible country as a result of housing guarantees or credits or guarantees extended under the Arms Export Control Act. Defines an "eligible country" as a country with a heavy debt burden that is eligible to borrow from the International Development Association but not from the International Bank for Reconstruction and Development. Title III: Regional Provisions - (Sec. 302) Amends the African Development Foundation Act to authorize the African Development Foundation to employ persons who are not U.S. citizens. (Sec. 303) Allocates assistance for establishing conflict resolution capabilities within specified African organizations and for facilitating reductions in the size of armed forces of Subsaharan African countries. (Sec. 305) Amends the Foreign Assistance Act of 1961 to remove restrictions on assistance to nongovernmental organizations financed or controlled by the South African Government if they meet certain conditions relating to promotion of democracy and assistance to disadvantaged South Africans. (Secs. 306 and 307) Bars specified economic and military assistance for Sudan and Zaire. (Sec. 308) Makes humanitarian assistance available to Afghanistan. (Sec. 311) Directs the President to report to the Congress on progress towards the withdrawal of personnel of any independent state of the former Soviet Union from the Cienfuegos nuclear facility in Cuba. Makes ineligible for assistance any independent state that: (1) is providing assistance for, or engaging in nonmarket based trade with Cuba; or (2) knowingly transfers sophisticated conventional weapons to Iran in numbers and types that are destabilizing. Directs the President to study and report to the Congress on: (1) the possible use of barter or exchange of resources as methods of reimbursement for assistance provided to the independent states; and (2) the collateralization of loans and investment guarantees provided by the U.S. Government for project financing in such states using resources or prospective revenues. (Sec. 312) Authorizes the President to use funds for the independent states to provide assistance to Mongolia. (Sec. 313) Bars international military education and training assistance for Malta. (Sec. 314) Extends the administration of justice assistance program. Makes such assistance available for Panama. (Sec. 317) Earmarks ESF and foreign military financing assistance for Israel and Egypt and ESF assistance for Middle East cooperative programs. Title IV: Provisions Relating to Arms Transfers - (Sec. 402) Amends the Arms Export Control Act to increase the aggregate ceiling on excess defense articles for delivery to foreign countries or international organizations. (Sec. 403) Makes East European countries eligible to receive excess defense articles. (Sec. 406) Establishes limits on additions to stockpiles in South Korea, Israel, and Thailand. (Sec. 407) Prohibits the sale or lease of defense articles or services to any country or international organization which is known to have sent letters to U.S. firms requesting, or soliciting information about, compliance with the secondary or tertiary Arab boycott. Provides for presidential waivers, subject to certain conditions. Title V: Other Foreign Assistance Provisions - (Sec. 503) Provides that certain restrictions with respect to foreign assistance shall not restrict assistance in support of a nongovernmental organization's programs (with exceptions). (Sec. 504) Prohibits the use of funds authorized for foreign assistance programs for FY 1994 for: (1) financial incentives to businesses for inducing them to relocate outside the United States if it will reduce the number of individuals employed in the United States; (2) establishing any export processing zone or designated area in which the tax, tariff, labor, environment, and safety laws of a country do not apply to activities in such area, unless the President certifies that such assistance is not likely to cause a loss of jobs within the United States; or (3) assistance for a project that contributes to the violation of workers' rights. (Sec. 505) Requires the Director of the Trade and Development Agency to carry out a capital projects pilot program in developing countries and countries making the transition from a nonmarket to a market economy. (Sec. 506) Provides for the establishment of a Microenterprise Development Fund within the agency primarily responsible for administering development assistance. (Sec. 507) Requires the administrator of such agency to report to the Congress on the incorporation of the Agenda 21 principles of the United Nations Conference on Environment and Development into foreign assistance activities. (Sec. 509) Requires the annual deobligation of specified unexpended foreign assistance funds that have been obligated for more than four years. Title VI: Bosnia-Hercegovina - Bosnia-Hercegovina Self-Defense Act of 1993 - (Sec. 603) Authorizes the President to terminate the arms embargo of Bosnia-Hercegovina upon receipt of a request for assistance in exercising its right of self-defense under the United Nations Charter. (Sec. 604) Authorizes the President, if such request is made, to direct the drawdown of defense articles and services and military education and training to provide assistance. Bars members of the armed forces who provide such assistance abroad from performing combatant duties.

Bill· SS. 1090 (103rd)referred

Spending Priority Reform Act of 1993

United States · United States Congress · 10 June 1993

TABLE OF CONTENTS: Title I: Agriculture Appropriations Title II: Commerce, Justice, and State, the Judiciary, and Related Agencies Appropriations Subtitle A: Department of Commerce Subtitle B: Related Agencies Subtitle C: Department of State Title III: Defense Appropriations Subtitle A: Research, Development, Test and Evaluation Subtitle B: Other Department of Defense Programs Subtitle C: Operations and Maintenance Title IV: Energy and Water Appropriations Subtitle A: Corps of Engineers Subtitle B: Department of Energy Title V: Interior Appropriations Title VI: Transportation Appropriations Title VII: Treasury, Postal Service, and General Government Appropriations Title VIII: Veterans Affairs, Housing and Urban Development, and Independent Agencies Appropriations Subtitle A: Department of Veterans Affairs Subtitle B: Independent Agencies Subtitle C: Department of Housing and Urban Development Title IX: Blue Smoke and Mirrors Spending Priority Reform Act of 1993 - Expresses the sense of the Congress that any money returned to the Treasury as a result of this Act should be deposited in the General Fund to be applied against the Federal budget deficit. Title I: Agriculture Appropriations - Rescinds FY 1993 appropriations to the Department of Agriculture for certain special research grants and for the construction of buildings and facilities of the Cooperative State Research Service which were not authorized, not awarded on a competitive basis, or not subjected to congressional hearings ("unauthorized"). Title II: Commerce, Justice, and State, the Judiciary and Related Agencies Appropriations - Subtitle A: Department of Commerce - Rescinds FY 1993 specified appropriations to the National Oceanic and Atmospheric Administration and the International Trade Administration. Subtitle B: Related Agencies - Rescinds FY 1993 appropriations to the Small Business Administration for unauthorized grants for specified miscellaneous projects. Subtitle C: Department of State - Rescinds FY 1993 appropriations to the Department of State for an unauthorized grant for the North/South Center at the University of Miami, Miami, Florida, and certain educational and cultural exchange programs. Title III: Defense Appropriations - Subtitle A: Research, Development, Test and Evaluation - Rescinds unauthorized FY 1993 appropriations made to the Department of Defense for: (1) university grants; (2) electrical vehicle demonstration projects; (3) Army industrial preparedness and manufacturing technology development programs; (4) medical research; (5) naval research, development, testing, and evaluation; and (5) the Space Surveillance Network Improvement Program. Subtitle B: Other Department of Defense Programs - Rescinds FY 1993 appropriations for efforts to prevent brown tree snakes from entering Hawaii from Guam. Subtitle C: Operations and Maintenance - Rescinds FY 1993 appropriations for the following projects: (1) self-powered locks; (2) grants for World University and 1996 Summer Olympics games and World Cup 1994; (3) Army procurement of extended cold weather clothing systems; (4) study of nuclear disposal by the former Soviet Union and for Project Peace; and (5) the Hawaiian Volcano Observatory. Title IV: Energy and Water Appropriations - Subtitle A: Corps of Engineers - Rescinds unauthorized FY 1993 appropriations for funding of surveys and planning activities and construction of water resource projects. Subtitle B: Department of Energy - Rescinds unauthorized FY 1993 appropriations made under the Energy and Water Development Appropriations Act, 1993, for funding certain energy supply, research, and development activities. Title V: Interior Appropriations - Rescinds FY 1993 appropriations for unauthorized funding of: (1) certain National Park System projects; (2) certain construction projects of the U.S. Fish and Wildlife Service; and (3) certain National Forest Service projects. Title VI: Transportation Appropriations - Rescinds FY 1993 appropriations to the Department of Transportation for unauthorized funding of: (1) certain airway science programs; (2) a certain highway research, development, and technology project; (3) certain construction and maintenance projects; (4) certain Federal Highway Administration demonstration projects; and (5) transit planning and research. Title VII: Treasury, Postal Service and General Government Appropriations - Rescinds FY 1993 appropriations to the General Services Administration for certain unauthorized grants for projects funded through the Federal Buildings Fund. Rescinds FY 1993 appropriations to the Office of Personnel Management for the establishment of health promotion and disease prevention programs. Title VIII: Veterans Affairs, Housing and Urban Development, and Independent Agencies Appropriations - Subtitle A: Department of Veterans Affairs - Rescinds FY 1993 appropriations to be Department of Veterans Affairs for unauthorized construction projects. Subtitle B: Independent Agencies - Rescinds 1993 appropriations to: (1) the Environmental Protection Agency for certain unauthorized projects; (2) the Consortium for International Earth Science Information Network; and (3) the National Aeronautics and Space Administration for certain unauthorized research and development projects and construction projects. Subtitle C: Department of Housing and Urban Development - Rescinds FY 1993 appropriations to the Department of Housing and Urban Development for unauthorized funding of certain housing projects and assistance programs. Title IX: Blue Smoke and Mirrors - Expresses the sense of the Congress that, with regard to the appropriations process, "forward funding" tactics should no longer be utilized and Congress should operate within the funding limits prescribed for each fiscal year.

Bill· HRH.R. 2354 (103rd)referred

Prison Litigation Relief Act of 1993

United States · United States Congress · 9 June 1993

Prison Litigation Relief Act of 1993 - Amends the Federal judicial code to require a district court, in any action challenging the constitutionality of conditions of confinement in any correctional instituion, that finds that a condition of confinement violates the Constitution, to narrowly tailor any relief to fit the nature and extent of the violation and to make an order no more intrusive than necessary to remedy the violation. Denies the court jurisdiction to: (1) impose a ceiling on the population of any institution or to require any adjustment of the release dates of inmates; or (2) prohibit the use of tents or prefabricated structures for housing inmates. Specifies that: (1) no consent decree in any such action shall provide relief greater than the minimum required to bring conditions of confinement into substantial compliance with the Constitution; and (2) in entering a consent decree, the court shall make a written finding to that effect (permits the court to recommend changes if it appears that the relief provided is greater than the minimum required). Permits the court, upon motion of a defendant at any time, to conduct a hearing on whether such an order or decree should be modified in light of: (1) changed factual circumstances; (2) a change or clarification of the governing law; (3) a succession in office of an official responsible for having consented to a decree; (4) the Government's financial constraints or any other matter affecting public safety or the public interest; or (5) specified grounds under the Federal Rules of Civil Procedure. Directs the court: (1) to conduct such a hearing if the motion was filed more than one year after the date of the order or decree or the date on which the last previous modification hearing was conducted, whichever is later; and (2) if the court denies a motion to modify such an order or consent decree, to make a written finding that the relief provided is no greater than the minimum required.

Law· HRH.R. 2333 (103rd)enacted

Foreign Relations Authorization Act, Fiscal Years 1994 and 1995

United States · United States Congress · 8 June 1993

TABLE OF CONTENTS: Division A: State Department, USIA, and Related Agencies Title I: Department of State, USIA, and Related Agencies Title II: United States Informational, Educational, and Cultural Programs Title III: Arms Control and Disarmament Agency Division B: Foreign Assistance and Related Programs Title XI (sic): Reform of Foreign Assistance Programs Title XII: Authorizations for Foreign Assistance Programs Title XIII: Regional Provisions Title XIV: Provisions Relating to Arms Transfers Title XV: Other Foreign Assistance Provisions International Relations Act of 1993 - Division A: State Department, USIA, and Related Agencies - State Department, USIA, and Related Agencies Authorization Act, Fiscal Years 1994 and 1995 - Title I: Department of State and Related Agencies - Part A: Authorization of Appropriations - (Sec. 101) Authorizes appropriations for the Department of State for FY 1994 and 1995 for the administration of foreign affairs. (Secs. 102 through 107) Authorizes appropriations for FY 1994 and 1995 for: (1) the agency primarily responsible for administering development assistance under the Foreign Assistance Act of 1961; (2) international organizations, programs, and conferences; (3) international commissions; (4) offsetting adverse fluctuations in foreign currency exchange rates; (5) migration and refugee assistance; (6) U.S. bilateral science and technology agreements; (7) the Asia Foundation; and (8) carrying out the Arms Control and Disarmament Act. (Sec. 103) Earmarks funds for the United Nations Population Fund. Bars the use of such funds for programs in China and applies restrictions on funding for abortions and involuntary sterilization. Part B: Authorities and Activities - (Sec. 113) Amends the State Department Basic Authorities Act of 1956 to authorize the Secretary of State to procure the services of experts for use in prosecuting a proceeding before an international tribunal or a claim by or against a foreign entity. Establishes an International Litigation Fund for meeting expenses related to such proceedings. (Sec. 115) Amends the Foreign Assistance Act of 1961 to prohibit certain reprogrammings of funds for the agency primarily responsible for administering development assistance unless specified congressional committees are notified in advance. (Sec. 116) Prohibits the Department of State from contracting with: (1) any foreign person who complies with the Arab League boycott of Israel; or (2) any foreign or U.S. person who discriminates in the award of subcontracts on the basis of religion. Provides for waivers of such prohibition if in the national interest. Requires potential contractors to submit certain statements concerning Israel, the Arab boycott, and discriminatory actions. (Sec. 117) Establishes limits on the number of Foreign Service personnel in the Department of State, the U.S. Information Agency (USIA), and the Agency for International Development (AID). (Sec. 121) Amends the Foreign Assistance Act of 1961 to prohibit funds for the agency primarily responsible for administering development assistance from being available for obligation or expenditure: (1) unless they are appropriated pursuant to an authorization of appropriations; or (2) in excess of the authorized level of appropriations. (Sec. 122) Requires the Assistant Secretary of State for Administration, together with other specified officials, to report to specified congressional committees on the feasibility of consolidating domestic administrative operations for the Department of State, AID, and USIA. (Sec. 124) Directs the Secretary to implement an upgrade of all overseas visa lookout operations to computerized systems with automated multiple-name search capabilities. Establishes procedures for the processing of visas for admission into the United States and provides for appropriate disciplinary action of consular officers in connection with the issuance of visas to excludable aliens. Part C: Department of State Organization - (Sec. 132) Amends the State Department Basic Authorities Act of 1956 to revise the organization of the Department of State and eliminate specified bureaus and official positions. Part D: Personnel - (Sec. 142) Authorizes the Secretary to provide financial incentives during FY 1994 and 1995 to certain members of the Foreign Service and Department of State who are eligible for retirement. (Sec. 143) Permits the Secretary, if exceptional circumstances so warrant, to waive a limitation on claims for losses incurred by Government personnel subject to a chief of mission in a foreign country in cases of emergency evacuation. Makes such waiver retroactive to claims made as of October 31, 1988. (Secs. 144 and 145) Amends the Foreign Service Act of 1980 to make chiefs of mission salaries and performance pay subject to limitations on certain payments under Federal civil service provisions. Prohibits performance pay awards to Senior Foreign Service members by any agency subject to an agency-wide reduction in force for budgetary reasons. (Sec. 147) Requires the Director of the Office of Personnel Management to conduct a classification audit of all Senior Foreign Service positions in Washington, D.C., assigned to the Department of State, AID, and USIA and to review the methods of classification of such positions. (Sec. 148) Limits the number of Senior Foreign Service personnel serving under career extensions. Part E: International Organizations - (Sec. 161) Requires the President to direct the U.S. representatives to the International Atomic Energy Agency (IAEA) to work toward the early adoption of specified reforms in the implementation of the IAEA's safeguards responsibilities. (Sec. 162) Authorizes the President to bring into force the Agreement on State and Local Taxation of Foreign Employees of Public International Organizations. (Sec. 163) Permits the President to withhold 20 percent of the funds appropriated for the U.S. assessed contribution to the United Nations if the United Nations has failed to implement consensus-based decisionmaking procedures on budgetary matters which assure that sufficient attention is paid to the views of the United States and other member states who are major financial contributors. (Sec. 165) Authorizes the President to maintain membership in the Asia Pacific Economic Cooperation organization. Part F: Miscellaneous Provisions - (Sec. 181) Expresses the sense of the Congress with respect to steps to be taken to address international women's human rights, including the creation of a position within the Department of State to promote such rights. (Sec. 183) Amends the Migration and Refugee Assistance Act of 1962 to raise the ceiling on the amount of funds authorized to be appropriated for the Emergency Refugee Migration and Assistance Fund. (Sec. 186) Reduces the amount authorized to be appropriated annually for the Mexico-United States Interparliamentary Group. Increases the amount authorized for the Canada-United States Interparliamentary Group. (Sec. 187) Sets forth U.S. policy on providing assistance for, and protecting, refugee women and children. (Sec. 190) Expresses the sense of the Congress that U.S. citizens who were victims of crimes against humanity committed by the German Government from 1939 to 1945 should have remedies against Germany in U.S. courts for damages. Title II: United States Informational, Educational, and Cultural Programs - Part A: Authorization of Appropriations - (Sec. 201) Authorizes appropriations for FY 1994 and 1995 to carry out specified international information activities and educational and cultural exchange programs. Part B: International Broadcasting Authorities and Activities - International Broadcasting Act of 1993 - (Sec. 213) Sets forth standards for Government-supported international broadcasting. (Secs. 215 and 216) Authorizes the President to: (1) assign responsibility for the functions of such broadcasting to any Federal agency; (2) make grants to carry out specified functions to any public or private entity; and (3) delegate specified USIA satellite and television authorities to any Federal agency. (Sec. 217) Repeals the Board for International Broadcasting Act of 1973. (Sec. 220) Sets the same obligation and expenditure restrictions on international broadcasting funds as are applicable to funds for the agency responsible for administering development assistance under title I. (Sec. 221) Directs Government agencies which carry out international broadcasting to report to the Congress on efforts to sell advertising. Part C: USIA and Related Agencies Authorities and Activities - (Sec. 233) Amends the United States Information and Educational Exchange Act of 1948 to establish a Buying Power Maintenance Account for USIA to offset fluctuations in foreign currency exchange rates or changes in overseas wages and prices. (Secs. 239 and 240) Permits the USIA Director to: (1) establish collections at university libraries abroad to further the study of the United States; and (2) provide for a South Pacific exchange program. (Sec. 244) Provides for USIA educational and cultural exchanges with Tibet. Part D: Mike Mansfield Fellowships - Mike Mansfield Fellowship Act - (Sec. 252) Establishes the Mike Mansfield Fellowship Program to provide for USIA grants to the Mansfield Center for Pacific Affairs to award fellowships to eligible Federal employees. Requires Mansfield Fellows to: (1) study the Japanese language and political economy; and (2) serve in an agency of the Government of Japan, or, subject to Center approval, a nongovernmental Japanese institution associated with their interests. Part E: Facilitation of Private Sector Initiatives - Free Trade in Ideas Act of 1993 - (Secs. 262 through 267) Amends specified Federal laws to permit the exchange of certain information, as well as cultural and educational exchanges, with citizens in countries subject to U.S. export restrictions or embargoes. Title III: Arms Control and Disarmament Agency - (Sec. 302) Amend the National Security Act of 1947 to grant the Director of the U.S. Arms Control and Disarmament Agency membership on the National Security Council. (Sec. 304) Amends the Arms Control and Disarmament Act to grant the Director primary responsibility for the preparation and management of U.S. participation in all international negotiations and implementation forums in arms control, disarmament, and nonproliferation. (Sec. 305) Amends the Arms Export Control Act to provide for the participation of the Director in specified arms export and licensing activities. Amends the Atomic Energy Act of 1954 to provide for consideration of the Director's judgment in specified nuclear export activities. (Secs. 306 and 307) Applies the same requirements for congressional notification for reprogramming and restrictions on obligations and expenditures of Agency funds as are applicable to development assistance funds under this Act. Division B: Foreign Assistance and Related Programs - Foreign Assistance Authorization Act of 1993 - Title XI (sic): Reform of Foreign Assistance Programs - (Sec. 1101) Requires the President to submit to the Congress a plan for comprehensive reform of U.S. foreign assistance programs and of the agency primarily responsible for administering development assistance. (Sec. 1102) Requires the President to establish a program performance, monitoring, and evalation capacity with respect to such agency and to report annually to the Congress on: (1) the progress of the agency in achieving sustainable development objectives; and (2) the impact on economic development of U.S. economic assistance on a country-by-country basis. Title XII: Authorizations for Foreign Assistance Programs - (Sec. 1201) Authorizes appropriations for FY 1994 for: (1) specified development assistance; (2) international disaster assistance; (3) American schools, libraries, and hospitals abroad; (4) assistance for the Philippines; (5) economic assistance for Eastern Europe and the Baltic States; (6) assistance for the independent states of the former Soviet Union; (7) the Inter-American Foundation; (8) the African Development Foundation; (9) the International Fund for Ireland; (10) foreign military financing and international military education and training; (11) economic support fund (ESF) assistance; (12) anti-terrorism assistance; (13) a nonproliferation and disarmament fund; and (14) the Peace Corps. Reduces the amount previously authorized for international narcotics control for FY 1994. (Sec. 1202) Authorizes appropriations for FY 1994 for worldwide housing guarantees and raises the ceiling on the amount of loans available under such program. (Sec. 1203) Raises the ceiling on insurance and guarantees issued by the Overseas Private Investment Corporation (OPIC) and extends OPIC programs through FY 1995. (Sec. 1204) Authorizes the President to reduce debt owed by eligible countries as a result of housing guarantees or credits or guarantees issued under the Arms Export Control Act. Title XIII: Regional Provisions - (Sec. 1302) Amends the African Development Foundation Act to authorize the African Development Foundation to employ persons who are not U.S. citizens. (Sec. 1303) Authorizes the President to provide assistance to establish a permanent conflict resolution capability within the Organization of African Unity, subject to certain conditions. Allocates funding for such purpose. Allocates specified assistance for establishing conflict resolution capabilities within subregional organizations in Subsaharan Africa and to facilitate reductions in the size of armed forces of Subsaharan African countries. (Sec. 1305) Removes certain restricitons on assistance to nongovernmental organizations financed or controlled by the South African Government if they meet certain conditions relating to promotion of a nonracial democracy and assistance to disadvantaged South Africans. (Secs. 1306 and 1307) Bars specified economic and military assistance for Sudan and Zaire. (Sec. 1308) Makes humanitarian assistance available to Afghanistan. (Sec. 1311) Makes ineligible for assistance any independent state of the former Soviet Union that knowingly transfers sophisticated or destabilizing conventional weapons to Iran. (Sec. 1312) Authorizes the President to use funds for the independent states for Mongolia. (Sec. 1313) Bars international military education and training assistance for Malta. (Sec. 1314) Extends the administration of justice assistance program. Makes such assistance available for Panama. (Sec. 1317) Earmarks ESF and foreign military financing assistance for Israel and Egypt and ESF assistance for Middle East regional cooperative programs. Title XIV: Provisions Relating to Arms Transfers - (Sec. 1402) Amends the Arms Export Control Act to increase the aggregate ceiling on excess defense articles for delivery to foreign countries or international organizations. (Sec. 1403) Makes East European countries eligible to receive excess defense articles. (Sec. 1406) Establishes limits on funding for stockpiles in South Korea, Israel, and Thailand. Title XV: Other Foreign Assistance Provisions - (Sec. 1503) Provides that certain restrictions with respect to foreign assistance shall not restrict assistance in support of a nongovernmental organization's programs (with exceptions). (Sec. 1504) Prohibits the use of funds authorized for foreign assistance programs for FY 1994 for: (1) financial incentives to businesses for purposes of inducing them to relocate outside the United States if it will reduce the number of individuals employed in the United States; (2) establishing any export processing zone or designated area in which the tax, tariff, labor, environment, and safety laws of a country do not apply to activities in such area, unless the President certifies that such assistance is not likely to cause a loss of jobs within the United States; or (3) assistance for a project that contributes to the violation of workers' rights. (Sec. 1505) Requires the Director of the Trade and Development Agency to carry out a capital projects pilot program in developing countries and countries making the transition from a nonmarket to a market economy. Makes funds available for such program. (Sec. 1506) Provides for the establishment of a Microenterprise Development Fund within the agency primarily responsible for administering development assistance. (Sec. 1507) Requires the administrator of such agency to report to the Congress on the incorporation of the Agenda 21 principles of the United Nations Conference on Environment and Development into foreign assistance activities.

Bill· HRH.R. 2334 (103rd)open

To amend the Internal Revenue Code of 1986 to simplify the collection of employment taxes on domestic services.

United States · United States Congress · 8 June 1993

Amends the Internal Revenue Code to set forth rules for filing returns with respect to domestic service employment taxes and requires such returns to be made on a calendar year basis. Subjects such taxes to estimated tax provisions. Makes filing requirements inapplicable to any employer liable for tax concerning remuneration for services other than domestic service in a private home. Authorizes the Secretary of the Treasury to enter into agreements with States to collect the State unemployment tax imposed on remuneration for domestic service and transfers such amounts to a State's account in the Unemployment Trust Fund. Treats such taxes as domestic service employment taxes. Requires the Secretary to inform domestic service employers in private homes of their tax obligations. Adjusts the threshold (from $50 a calendar quarter to $800 a year) for paying and withholding social security taxes on wages paid for domestic service in a private home.

Bill· HRH.R. 2340 (103rd)open

To amend the Internal Revenue Code of 1986 to allow a credit for the cleanup of certain contaminated industrial sites.

United States · United States Congress · 8 June 1993

Amends the Internal Revenue Code to establish an environmental remediation credit program that allows businesses a credit for 25 percent of the costs incurred for: (1) environmental remediation with respect to any qualified contaminated site; and (2) an approved environmental remediation plan. Requires the Secretary of Housing and Urban Development to designate eligible jurisdictions that may participate in such credit program. Establishes the overall credit limitation and provides for its allocation among eligible cities and States. Allows the issuance of tax-exempt bonds for qualified contaminated site remediation, with limitations.

Bill· HRH.R. 2331 (103rd)referred

To amend title 38, United States Code, to clarify the rights of veterans with regard to procedures for housing loans upon default, and for other purposes.

United States · United States Congress · 8 June 1993

Revises provisions with respect to the loan default procedure for veterans' housing loans guaranteed by the Department of Veterans Affairs. Authorizes the Secretary of Veterans Affairs to reimburse the holder of the loan obligation for such advances, costs, and attorney's fees properly and reasonably incurrred in connection with the default and to receive an assignment of the loan and security. Directs the Secretary to notify the mortgagor, within ten days after receiving a notice of default from the veteran, that the Secretary may purchase the loan from the holder. Outlines notification and loan purchase requirements. Directs the Secretary to obtain and hold a quitclaim deed from the mortgagor to the Secretary for the real property securing the loan after the loan is purchased from the loan holder and before the Secretary makes any modifications to the loan instruments or grants any forbearance. Allows such unrecorded quitclaim deed to be returned to the mortgagor if the mortgagor brings the loan current and keeps it current for 12 consecutive months. Makes permanent all such loan default procedures (currently terminated as of December 31, 1992).

Bill· SS. 1076 (103rd)referred

Special Debt Relief for the Poorest Act of 1993

United States · United States Congress · 7 June 1993

Special Debt Relief for the Poorest Act of 1993 - Authorizes the President to reduce amounts of principal and interest owed to the United States by eligible countries as a result of: (1) housing guarantees made pursuant to the Foreign Assistance Act of 1961; or (2) loans or guarantees made pursuant to the Arms Export Control Act or the Export-Import Bank Act of 1945. Defines an "eligible country" as a country with a heavy debt burden that is eligible to borrow from the International Development Association, but not from the International Bank for Reconstruction and Development. Permits such authority only to implement multilateral official debt relief ad referendum agreements known as the Paris Club Agreed Minutes.

Bill· SS. 1058 (103rd)referred

Real Jobs for America Act of 1993

United States · United States Congress · 28 May 1993

TABLE OF CONTENTS: Title I: Investment and Savings Incentives Subtitle A: Reductions in Cost of Capital and Tax Penalties on Investment Subtitle B: Investment in Business Subtitle C: Increased Savings Through Individual Retirement Accounts Subtitle D: Incentives for Private Businesses to Hire New Employees Title II: Deficit Reductions Subtitle A: Extension of the Caps on Discretionary Spending Subtitle B: Spending Cuts Real Jobs for America Act of 1993 - Title I: Investment and Savings Incentives - Subtitle A: Reductions in Cost of Capital and Tax Penalties on Investment - Amends the Internal Revenue Code to require indexing of certain assets (corporate stock, certain tangible property, and a principal residence) that have been held for more than three years at the time of sale or other transfer, solely for the purpose of determining gain or loss. Modifies the method of determining the depreciation deduction for certain personal property placed in service after June 30, 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subtitle B: Investment in Small Business - Increases the dollar limitation, with an inflation adjustment, on the deduction for expensing depreciable business assets. Subtitle C: Increased Savings Through Individual Retirement Accounts - Removes the limitation on the retirement savings deduction for active participants in certain pension plans. Provides a cost-of-living adjustment for such deduction. Allows individuals to establish individual retirement plus accounts with tax treatment similar to that for individual retirement plans. Makes contributions to such accounts nondeductible. Allows distributions from certain retirement plans without penalty to purchase first homes, pay higher education expenses and financially devastating medical expenses, and assist certain unemployed individuals. Treats certain disaster victims as first-time homebuyers. Requires contributions to an individual retirement plan (other than an individual retirement plus account) to be held for five years prior to distribution. Subtitle D: Incentives for Private Businesses to Hire New Employees - Allows employers a refundable credit for the employment taxes paid on the qualified wages of new employees hired during July 1, 1993, and June 30, 1994. Repeals the luxury excise tax on passenger vehicles, boats, aircraft, jewelry, and furs. Exempts from such tax parts for accessories installed for use on passenger vehicles by disabled individuals. Provides for the treatment of rental and nonrental real estate activities under the limitation on losses from passive activities. Title II: Deficit Reductions - Subtitle A: Extension of the Caps on Discretionary Spending - Reduces discretionary spending limits for the defense, international, and domestic categories for FY 1993 through 1995. Establishes the level of such limits for FY 1996 through 1998. Subtitle B: Spending Cuts - Rescinds a specified amount of budgetary resources for Federal administrative expenses. Eliminates the lump sum retirement benefit for Federal employees unless such employees have a life-threatening affliction or other critical medical condition. Requires employers to report group health plan information on wage forms. Amends title XVIII (Medicare) of the Social Security Act to establish a data bank for the collection of information on Medicare secondary payer situations and health insurance information. Expresses the sense of the Congress that the reductions in discretionary spending required by this Act be achieved by reducing, modifying, eliminating, closing, or terminating specified Federal programs.

Bill· SS. 1052 (103rd)open

Coast Guard Authorization Act of 1993

United States · United States Congress · 27 May 1993

TABLE OF CONTENTS: Title I: Authorizations Title II: Personnel Management Improvement Title III: Navigation Safety and Waterway Service Management Title IV: Engineering and Development Amendments Title V: Educational Research Title VI: Passenger Vessel Safety Coast Guard Authorization Act of 1993 - Title I: Authorizations - (Sec. 101) Authorizes appropriations for the Coast Guard for: (1) operation and maintenance; (2) acquisition, construction, rebuilding, and improvement of aids to navigation, shore and offshore facilities, vessels, and aircraft; (3) research, development, test, and evaluation; (4) retirement pay and benefits; (5) alteration or removal of bridges; and (6) environmental compliance and restoration. (Sec. 102) Authorizes the Coast Guard end-of-year strength for active duty personnel and the average military training student loads. Title II: Personnel Management Improvement - (Sec. 201) Eliminates the ceiling on the number of active duty commissioned officers in the Coast Guard. (Sec. 202) Authorizes the President to appoint, with the advice and consent of the Senate, a Chief of Staff of the Coast Guard to rank next after area commanders and have the rank of vice admiral. Removes a requirement that the rear admiral serving as Chief of Staff be the senior rear admiral for all purposes other than pay. (Sec. 203) Requires that officers serving in the grade of admiral and Rear admiral (including the Commandant, Vice Commandant, and Area Commanders) continue to hold that grade while being processed for physical disability retirement and while awaiting retirement. Replaces, in retirement provisions, references to the Commanders of the Atlantic and Pacific Areas with references to vice admirals. Removes references to the Chief of Staff from provisions relating to continuation on active duty and involuntary retirement of rear admirals and rear admirals (lower half). (Sec. 204) Authorizes the acceptance of voluntary services for the maintenance and improvement of natural and historic resources, or to benefit natural and historic research, on Coast Guard facilities. (Sec. 205) Authorizes convening a retention board concerning Reserve officers who have 18 years or more of service. Title III: Navigation Safety and Waterway Service Management - (Sec. 301) Repeals provisions of the Act of June 25, 1936, requiring: (1) public notice of North Atlantic Ocean passenger vessel routes, adherence to the routes, and avoidance of fishing and ice regions; and (2) publication in the Federal Register of rules and regulations promulgated under provisions relating to ice and derelicts. (Sec. 302) Amends the Internal Revenue Code (IRC) to prohibit inclusion of amounts previously appropriated from the Aquatic Resources Trust Fund to carry out provisions of Federal law relating to allocations for State recreational boating safety programs, but not distributed, when calculating whether the Boat Safety Account exceeds certain IRC limits. (Sec. 303) Amends Federal law to declare that a seagoing barge is not subject to inspection under specified provisions if the barge is unmanned and does not carry oil in bulk or a reportable or harmful quantity of a hazardous material. Title IV: Engineering and Development Amendments - (Sec. 401) Authorizes: (1) acquisition of real property for use as Coast Guard family housing units and disposal of any such property; and (2) improvement of buildings at Coast Guard Air Station Cape Cod, Cape Cod, Massachusetts. (Sec. 402) Grants the Secretary long-term lease authority for aids-to-navigation sites, vessel traffic service sensor sites, or National Distress System high level antenna sites. Title V: Educational Research - (Sec. 501) Authorizes the Coast Guard to compete for and accept Federal, State, or other educational research grants, provided that no award is accepted for the acquisition or construction of facilities, or for the routine functions of the Academy. Title VI: Passenger Vessel Safety - (Sec. 601) Passenger Vessel Safety Act of 1993 - Amends Federal shipping law relating to vessels and seamen to: (1) modify the definitions of "passenger," "passenger vessel," "small passenger vessel," "uninspected passenger vessel," "offshore supply vessel," and "sailing school vessel"; and (2) define "passenger for hire," "consideration," and "submersible vessel." (Sec. 611) Authorizes the Secretary of the department in which the Coast Guard is operating to exempt excursion vessels and oceanographic research vessels from requirements of provisions relating to inspection and regulation of vessels, load lines of vessels, manning of vessels, and merchant seamen protection and relief. (Sec. 612) Directs the Secretary to require additional equipment or establish construction standards or additional operating standards for uninspected passenger vessels.

Law· HRH.R. 2295 (103rd)enacted

Foreign Operations, Export Financing, and Related Programs Appropriations Act, 1994

United States · United States Congress · 27 May 1993

TABLE OF CONTENTS: Title I: Multilateral Assistance Title II: Bilateral Economic Assistance Title III: Military Assistance Title IV: Export Assistance Title V: Fiscal Year 1993 Supplemental Title I: Multilateral Assistance - Makes appropriations for FY 1994 for the U.S. contribution to the: (1) International Bank for Reconstruction and Development; (2) International Development Association; (3) International Finance Corporation; (4) Inter-American Development Bank; (5) Asian Development Fund; (6) African Development Fund; (7) European Bank for Reconstruction and Development; and (8) Enterprise for the Americas Multilateral Investment Fund. Makes appropriations for FY 1994 for international programs and organizations. Title II: Bilateral Economic Assistance - Makes appropriations for FY 1994 for: (1) development assistance (including development assistance for Subsaharan Africa); Special Fund; (2) international disaster assistance; (3) the Foreign Service Retirement and Disability Fund; (4) operating expenses of the Agency for International Development (AID) and the AID Office of Inspector General; (5) worldwide housing guarantees and for administrative expenses of such program; (6) debt reduction; (7) economic support fund assistance; (8) the Multilateral Assistance Initiative for the Philippines; (9) economic assistance for Eastern Europe and the Baltic States; (10) assistance for the independent states of the former Soviet Union; (11) the African Development Foundation; (12) the Inter-American Foundation; (13) Overseas Private Investment Corporation direct and guaranteed loans and administrative expenses; (14) the Peace Corps; (15) international narcotics control; (16) migration and refugee assistance, salaries and expenses authorized by the Foreign Service Act of 1980, and specified allowances and the hire of passenger motor vehicles; (17) the Emergency Refugee and Migration Assistance Fund; and (18) antiterrorism assistance. Title III: Military Assistance - Makes appropriations for FY 1994 for: (1) international military education and training; (2) foreign military financing and direct loans; (3) international peacekeeping operations; and (4) a Nonproliferation and Disarmament Fund. Amends the Arms Export Control Act to redesignate the Guaranty Reserve Fund as the Foreign Military Loan Liquidating Account. Title IV: Export Assistance - Prohibits the use of Export-Import Bank funds for nuclear exports to a non-nuclear weapon state. Makes appropriations for FY 1994 for: (1) direct loans, tied-aid grants, loan guarantees, and insurance under Export-Import Bank programs; (2) administrative expenses; and (3) the Trade and Development Agency. Title V: Fiscal Year 1993 Supplemental - Makes appropriations for FY 1993 for additional assistance for: (1) the independent states of the former Soviet Union; and (2) the defense agencies for providing assistance to such states.

Bill· HRH.R. 2308 (103rd)referred

Microenterprise Opportunity Expansion Act

United States · United States Congress · 27 May 1993

Microenterprise Opportunity Expansion Act - Amends the Social Security Act to exclude, for purposes of determining eligibility for public assistance benefits, any resources and income used primarily for a small-sized business (microenterprise) owned by an individual otherwise eligible for such assistance. Amends the Internal Revenue Code to prescribe guidelines under which individuals starting microenterprises are entitled to unemployment compensation. Permits the use of funds in a State unemployment fund to assist eligible individuals in starting microenterprises. Amends the Community Reinvestment Act of 1977 to treat grants and loans made to certain microenterprises by a regulated financial institution as community reinvestments. Amends the Home Owners' Loan Act to treat as a qualified thrift investment the aggregate amount of microenterprise loans held by a savings association. Amends the Housing and Community Development Act of 1974 to permit the use of Federal community development funds for the administrative and operating costs of entities providing support for microenterprises. Requires each Federal banking agency to establish a division to promote microenterprises to be known as the Microenterprise Technical and Operations Office. Directs the Financial Institutions Examination Council to study and report to the Congress on: (1) the administration of the microenterprise loan provisions of this Act; and (2) the credit needs of certain small businesses ineligible for microenterprise loans.

Bill· SS. 1032 (103rd)referred

A bill to transfer vacant real property from the Federal Government to general units of local government when the property has been vacant for at least 7 years.

United States · United States Congress · 26 May 1993

Authorizes the Secretaries of Housing and Urban Development, of Veterans Affairs, and of Agriculture to tranfer, upon request, without payment to a State or local government, or a qualified community organization or designated public agency, certain real property to which the appropriate Secretary holds title that has been vacant for at least seven years.

Law· HRH.R. 2264 (103rd)enacted

Omnibus Budget Reconciliation Act of 1993

United States · United States Congress · 25 May 1993

TABLE OF CONTENTS: Title I: Committee on Agriculture Title II: Committee on Armed Services Title III: Committee on Banking, Finance and Urban Affairs Title IV: Education and Labor Title V: Committee on Energy and Commerce Title VI: Committee on Foreign Affairs Title VII: Committee on the Judiciary Title VIII: Committee on Merchant Marine and Fisheries Title IX: Committee on Natural Resources Title X: Committee on Post Office and Civil Service Title XI: Committee on Public Works and Transportation Title XII: Committee on Veterans Affairs Title XIII: Committee on Ways and Means-Savings Title XIV: Revenue Provisions Title I: Committee on Agriculture - Agricultural Reconciliation Act of 1993 - Subtitle A: Commodity Programs - Amends the Agricultural Act of 1949 to reduce payment acres for wheat, feed grains, upland cotton, and rice. (Sec. 1101) Extends specified loan, payment, and acreage reduction programs for wheat, feed grains, upland cotton, rice, milk and dairy products, tobacco, sugar, oilseeds, peanuts, honey, and wool and mohair. Sets forth maximum purchase prices for butter and nonfat dry milk. Increases marketing assessments for tobacco and sugar. Establishes an additional marketing assessment for peanuts. (Sec. 1109) Amends the Harmonized Tariff Schedule of the United States to provide temporary additional customs duties on peanut butter and peanut paste. Subjects peanut butter to import quotas. (Sec. 1110) Amends the Agricultural Act of 1949 to reduce the support rate and annual payments for honey. Eliminates marketing assessments. (Sec. 1111) Reduces annual payments for wool and mohair. Eliminates marketing assessments. Subtitle B: Restructuring of Loan Programs - Amends the Rural Electrification Act of 1936 to restructure current Rural Electrification Administration (REA) electric and telephone loan programs, including creation of categories of hardship loans and municipal (electric) loans. Authorizes appropriations. (Sec. 1202) Transfers REA authority to the Department of Agriculture's Rural Development Administration. Subtitle C: Food Stamp Program - Mickey Leland Childhood Hunger Relief Act - Chapter 1: Ensuring Adequate Food Assistance - Amends the Food Stamp Act of 1977 to increase the basic food stamp program (program) benefit to 104 percent of the thrifty food plan. (Sec. 1312) Increases the age for students whose income is excluded from consideration as program income. (Sec. 1313) Removes (with an interim increase) the excess shelter cap. (Sec. 1314) Eliminates food stamp reductions for certain reapplying households. (Sec. 1315) Excludes third party payments for transitional housing for the homeless from consideration as program income. (Sec. 1318) Increases funding for the nutrition assistance program in Puerto Rico. (Sec. 1316) Excludes general assistance vendor payments from consideration as program income. Chapter 2: Promoting Self Sufficiency - Excludes education assistance and certain child support from consideration as program income. (Sec. 1324) Increases dependent care deductions and participant and State agency reimbursements in connection with employment and training activities. (Sec. 1325) Increases annually the fair market value limits of vehicles that program recipients may own. (Sec. 1326) Excludes from financial resources the value of a household vehicle used to carry heating fuel or water for home use. (Sec. 1327) Authorizes resource accumulation demonstration projects. Chapter 3: Simplifying the Provision of Food Assistance - Permits related adults living in the same household to apply for separate program benefits. (Sec. 1332) Makes children living with parents who are partcipating in drug or alcohol treatment programs eligible for food stamps. (Sec. 1333) Permits a participating family made up of, or including, an elderly or disabled member to own $3,000 in allowable financial resources. (Sec. 1334) Repeals provisions authorizing benefit reductions due to funding. Chapter 4: Improving Program Integrity - Expands: (1) the permitted use and disclosure of information provided by retail and wholesale food concerns; and (2) claims collections alternatives. (Sec. 1343) Authorizes demonstration projects aimed at coupon trafficking. Chapter 5: Improving Food Stamp Program Management - Excludes from categorical eligibility any household disqualified from participation because of workfare noncompliance. (Sec. 1353) Disqualifies program participants for trading food stamp coupons for controlled substances or for firearms, ammunition, or explosives. (Sec. 1356) Modifies the program's quality control system. Requires an error measurement study. Chapter 6: Uniform Reimbursement Rates - Revises State reimbursement rates. Chapter 7: Implementation and Effective Dates - Sets forth implementation and effective dates. Subtitle D: Miscellaneous Provisions - Amends the Agricultural Trade Act of 1978 to extend and reduce expenditure levels for the market promotion program. (Sec. 1402) Authorizes the Secretary of Agriculture (Secretary) to improve admission and recreation fees at specified public use areas. (Sec. 1403) Requires reduction of Department of Agriculture expenditures through personnel and office consolidations. (Sec. 1404) Amends the Food Security Act of 1985 to: (1) reduce the conservation reserve program acreage requirement; and (2) revise and make mandatory wetlands reserve program acreage requirements. (Sec. 1405) Amends the Federal Crop Insurance Act to direct the Federal Crop Insurance Corporation to make available four levels of commodity insurance based upon percentage of loss in yield. Title II: Committee on Armed Services - Directs the Secretary of Defense to provide a limited increase in the military retired pay of any former military personnel who became a member of the armed forces before August 1, 1986. (Sec. 2002) Waives the automatic FY 1994 increase in the rates of basic pay, basic allowance for quarters, and basic subsistence allowance. Provides that if the General Schedule pay rates for Federal employees is increased during any of FY 1995 through 1998, then military pay rates shall be increased. Title III: Committee on Banking, Finance and Urban Affairs - Amends the Federal Deposit Insurance Act to prescribe an order of priority for the distribution of amounts realized from the resolution of any insured depository institution. Requires distributions in connection with certain claims to be accompanied by an accounting report. (Sec. 3002) Amends the Federal Reserve Act to mandate that for FY 1994 through FY 1998 specified percentages of the surplus fund of any Federal reserve bank be transferred to the Treasury. Prohibits a Federal reserve bank from replenishing its surplus fund by the amount of such transfer. (Sec. 3003) Amends the Stewart B. McKinney Homeless Assistance Amendments Act of 1988 to: (1) require that certain income disclosure consent forms be submitted for verification of eligibility for benefits; and (2) amend applicant, participant, and public housing agency protections. (Sec. 3004) Amends the National Housing Act to direct the Government National Mortgage Association (GNMA) to: (1) charge fees in connection with its multiclass securities guarantee program; (2) assure that a portion of program benefits accrue to mortgagors who execute eligible mortgages; and (3) summarize program activities to the Congress. (Sec. 3005) Directs the Secretary of Housing and Urban Development to increase the rate at which the Secretary earns the single premium payment collected at the time of insurance of a mortgage that is an obligation of the Mutual Mortgage Insurance Fund. Title IV: Education and Labor - Subtitle A: Federal Direct Loan Program - Student Loan Reform Act of 1993 - Amends the Higher Education Act of 1965 (HEA) to replace the Federal Family Education Loan Program, under which loans made by private lenders are guaranteed by the Government, with a Federal Direct Student Loan Program. Chapter 1: Amendments to Part D of Title IV of the Higher Education Act of 1965 - Amends HEA to change the Federal Direct Loan Demonstration Program to the Federal Direct Student Loan Program (FDSL). (Sec. 4002) Sets forth program authority for making sums available for FDSL loans to all eligible students (and parents). Directs the Secretary of Education to provide funds for such student and parent loans on the basis of need and eligibility of students and parents at each participating institution. Declares that no institution shall have a right to participate in FDSL programs. Provides for application of the requirements of the Cash Management Improvement Act of 1990 on a transition schedule. Sets forth selection criteria for an institution's participation in the FDSL program and in origination agreements. Allows consortia to apply to originate FDSL loans. Sets forth terms and conditions for FDSL loans, including certain parallels with Stafford, supplemental, parent, and unsubsidized Stafford loans under the FFEL program. Sets interest rates. Sets minimum and maximum loan fees. Provides for standard, extended, graduated, and income contingent (EXCEL account) repayment plan options. Sets forth deferment and forbearance possibilities (including national service). Authorizes the Secretary to award contracts under the FDSL program for: (1) alternative origination of loans; (2) servicing and collection of loans; (3) data systems for records maintenance; and (4) services to assist in orderly transition from FFEL to FDSL programs. Authorizes the use of funds for research on FDSL program aspects, including flexible repayment plans. Chapter 2: Conforming Amendments - Amends HEA with respect to FFEL program student and parent loans during the transition to the FDSL program. (Sec. 4021) Provides for advances to guaranty agencies for lender-of-last-resort services. Requires the Student Loan Marketing Association (Sallie Mae) to begin making FFEL loans as lender-of-last-resort and to cease such lending when the triggering conditions have ceased. (Sec. 4028) Requires a study of alternatives for Sallie Mae during and after the transition to FDSL, including its own transition from a Government-sponsored enterprise to a private corporation. (Sec. 4030) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that any reductions in the FDSL program required by a sequestration order shall be achieved only through a specified increase in the loan fee. Chapter 3: Effective Dates; Study - Sets forth effective dates for amendments made by this Act. (Sec. 4032) Directs the Secretary to report to the Congress on the feasibility of Internal Revenue Service (IRS) collection of student loan repayments. (Sec. 4033) Expresses the preference of the House Committee on Education and Labor for an IRS collection mechanism. Subtitle B: Cost Sharing by States - Amends HEA to require any State in which there are higher education institutions with cohort default rates exceeding 20 percent to pay portions of costs related to such loan defaults. Allows States to charge institutions fees based on their cohort default rate and the State's risk of loss. Subtitle C: ERISA Amendments Relating to Group Health Plans - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to coordinate ERISA preemption rules with Medicaid provisions for liability of third parties. (Sec. 4202) Prohibits a group health plan from reducing its coverage of the costs of pediatric vaccines below that provided as of May 1, 1993. (Sec. 4203) Sets forth rules whereby: (1) ERISA preemption of State laws shall be inapplicable to certain State laws (of Hawaii, Maryland, Minnesota, and New York); or (2) the Secretary of Labor can assist such States in effectuating the policies of certain provisions superseded by ERISA. Title V: Committee on Energy and Commerce - Subtitle A: Medicare Program - Chapter 1: Provisions Relating to Part B - Subchapter A: Physicians' Services - Amends title XVIII (Medicare) of the Social Security Act (SSA) to, among other things: (1) reduce the default update for the conversion factor otherwise applicable to surgical and non-surgical services (except primary care services) in 1994; (2) increase the performance standard factor; (3) provide for classification of primary care services as a separate category of services with respect to volume performance standards and updates in conversion factors for physicians' services; (4) phase-in reductions to the practice expense relative value units; (5) revise the payment policy for anesthesia care teams; (6) repeal the prohibition on separate billing for the interpretation of electrocardiograms (EKGs); (7) require adjustments in the relative value units for services in order to ensure budget neutrality; (8) require Medicare carriers to screen unassigned claims; (9) include antigens prepared by a physician on the physician fee schedule; and (10) specify the conditions under which the Secretary can recognize substitute billing arrangements between two physicians. (Sec. 5011) Requires the Secretary to develop relative values for pediatric physicians' services. Subchapter B: Outpatient Hospital Services and Ambulatory Surgical Services - Amends SSA title XVIII to: (1) extend the ten percent reduction in payments for capital-related costs of outpatient hospital services, as well as the 5.8 percent reduction in payments for other costs of such services; and (2) extend special payment rates for certain eye or eye and ear hospitals. (Sec. 5023) Directs the Secretary to suspend the annual update for ambulatory surgery payments for FY 1994. (Sec. 5025) Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to extend the cap on payments for intraocular lenses. Subchapter C: Durable Medical Equipment - Amends SSA title XVIII to: (1) revise payment rules for items of durable medical equipment (DME) and supplies; (2) remove aspirators and nebulizers from the category of DME items requiring frequent and substantial servicing, and specifically provide for payment of related accessories; (3) set forth requirements which suppliers of medical equipment and supplies must satisfy in order to qualify for Medicare reimbursement; (4) require development of standardized certificates of medical necessity forms; (5) require DME suppliers to submit claims to the carrier with jurisdiction over the geographic area including the patient's permanent residence; (6) place restrictions on certain DME supplier marketing and sales practices; (7) specify circumstances under which Medicare beneficiaries are not financially liable for covered items and services furnished by a supplier; (8) address adjustments made to unreasonable DME payment amounts; (9) determine payments for surgical dressings; and (10) reduce the DME fee schedule amount for transcutaneous electrical nerve stimulation devices. (Sec. 5032) Freezes payments during 1994 for parenteral and enteral nutrients, supplies, and equipment at 1993 levels. (Sec. 5034) Directs the Secretary to report to the Congress on: (1) the effect of the uniform criteria established pursuant to this Act for DME items; and (2) appropriate methodology for determining payment under Medicare for prosthetic devices and orthotics. (Sec. 5037) Amends SSA title XI to modify anti-kickback provisions. (Sec. 5042) Requires a report to the Congress on variations in DME supplier costs. Subchapter D: Part B Premium - Amends SSA title XVIII to extend current law with respect to the monthly Medicare part B premium for beneficiaries enrolled in Medicare. Subchapter E: Other Provisions - Revises provisions of SSA title XVIII, including: (1) to revise payments for clinical diagnostic laboratory tests; (2) to address the provision of x-ray services by rural health clinics and federally-qualified health centers; (3) to condition payment for mammograms on the certification status of the facility; and (4) to provide Medicare coverage of oral cancer drugs. (Sec. 5064) Amends the Omnibus Budget Reconciliation Act of 1986 (OMBRA '86) to extend the Alzheimer's Disease Demonstration. (Sec. 5066) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COMBRA '85) to extend certain municipal health service demonstration projects. (Sec. 5069A) Requires a report to the Congress on annual payment limitations for outpatient physicial and occupational therapy services. Chapter 2: Provisions Relating to Parts A and B - Amends Medicare part C (Miscellaneous) provisions relating to Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) to: (1) eliminate requirements for special adjustments for administrative costs of hospital-based home health agencies; (2) make changes with regard to Medicare as secondary payor; (3) reduce payment for erythropoientin; (4) require nursing facilities and home health agencies to inform Medicare beneficiaries of the hospice benefit; and (5) require revision of the capitation payment methodology for health maintenance organizations (HMOs) to account for regional variations in application of Medicare secondary payor provisions. (Sec. 5073) Amends Medicare part B with regard to use of carriers to recover erroneous payments from primary payers. (Sec. 5072, 5074, and 5078) Requires: (1) a report on Medicare payments to hospitals for medical residency training program costs; (2) a report on the use of the new shared facility arrangement exception to ownership and compensation arrangements under the ban on certain referrals by physicians; and (3) establishment of a method of outreach to newly eligible Medicare beneficiaries qualifying for Medicaid payment of out-of-pocket expenses. (Sec. 5077) Amends OMBRA '86 to extend certain waivers under Medicare for the Watts Health Foundation. (Sec. 5079) Amends the Omnibus Budget Reconciliation Act of 1987 (OMBRA '87) to extend the waivers under Medicare for social health maintenance organization (SHMO) demonstration projects. Amends the Deficit Reduction Act of 1984 to require additional SHMO demonstration projects and permit one project to enroll Medicare end stage renal disease beneficiaries. (Sec. 5082) Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to revise the payment methodology for organizations under a risk-sharing contract with the Secretary. Chapter 3: Provisions Relating to Medicare Supplemental Insurance Policies - Amends OMBRA '90 and Medicare to make changes to Federal standards respecting the sale of Medicare supplemental insurance policies. Subtitle B: Medicaid Program and Other Health Care Provisions- Chapter 1: Medicaid Program - Subchapter A: Program Savings Provisions - Amends SSA title XIX to, among other things: (1) repeal the mandate that States cover personal care services under their Medicaid programs for all individuals entitled to nursing facility benefits; (2) allow States to establish formularies limiting coverage of prescription drugs under their Medicaid programs; (3) prohibit States from disregarding assets in cases where an individual has received payments under a long-term care policy; (4) address the liability of third parties to pay for care and services provided to Medicaid eligibles; (5) require States to have in effect certain laws relating to medical child support; and (6) make changes with regard to payments for disproportionate share hospitals. (Sec. 5117) Amends SSA to add a new title XXI requiring establishment of a Health Coverage Clearinghouse to identify third parties which may be liable for payment of health care items and services furnished to Medicare, Medicaid, Indian Health Service, and Maternal and Child Health Service beneficiaries. Subchapter B: Miscellaneous Provisions - Amends SSA title XIX to, among other things: (1) provide for the application under Medicaid of the physician self-referral prohibitions currently under Medicare; (2) require State maintenance of annual expenditures (adjusted) for State Medicaid fraud control units; (3) change treatment of HMO enrollees in determining the Medicaid inpatient utilization rate of a hospital seeking to qualify as a disproportionate share hospital; (4) raise, with respect to eligible States, Federal Medicaid matching payments for State expenses incurred in the provision of bona fide emergency medical services to undocumented aliens; (5) establish an option for States to make TB-infected individuals eligible for limited TB-related services; (6) require that mammographies paid for under Medicaid be conducted by a facility certified under the Mammography Quality Standards Act of 1992; and (7) make permanent the current law requirement for continued Medicaid coverage of families who lose eligibility for cash assistance under the Aid to Families with Dependent Chidren Program because they work. (Sec. 5132 and 5144) Amends SSA title XI to: (1) authorize an alternative intermediate remedy for redressing kickback offenses; (2) change procedures for initiation of a civil monetary penalty action; and (3) raise the ceiling on Federal Medicaid matching payments to Puerto Rico and other specified territories. (Sec. 5137) Extends the period during which the Secretary is required to waive application of the enrollment mix requirement under Medicaid for certain HMOs under the Dayton Area Health Plan, Inc. (Sec. 5138, 5146, and 5150) Amends the Omnibus Budget Reconciliation Act of 1989 with respect to the Tennessee Primary Care Network, certain demonstration projects for low-income pregnant women and children, and the Kent Community Hospital Complex and the Saginaw Community Hospital. (Sec. 5139) Directs the Secretary to waive application of the enrollment mix requirement under Medicaid with respect to the District of Columbia Chartered Health Plan, Inc.. (Sec. 5140) Amends the Family Support Act of 1988 to extend the period during which the Secretary is required to waive application of certain provisions of Medicaid law for the Minnesota Prepaid Demonstration Project. Subchapter C: Miscellaneous and Technical Corrections Relating to OMBRA '90 - Amends OMBRA '90 to make miscellaneous and technical corrections to various specified Medicaid-related provisions. Chapter 2: Universal Access to Childhood Immunizations - Amends the Public Health Service Act to entitle each State to the Federal purchase of enough pediatric vaccines to immunize each child in the State who is: (1) covered under title XIX (Medicaid) of the Social Security Act; (2) uninsured, or has insurance which does not cover vaccinations; or (3) an Indian. (Sec. 5181) Establishes the National Childhood Immunization Trust Fund. Exempts the vaccine program from reduction under the Balanced Budget and Emergency Deficit Control Act of 1985. Mandates State allotments for a registry of information on every child, including immunization data. Authorizes appropriations. Mandates grants to States to achieve objectives for immunizing U.S. children. Authorizes appropriations. (Sec. 5182) Amends the Omnibus Budget Reconcilation Act of 1989 to authorize appropriations from the Vaccine Injury Compensation Trust Funds to administer certain provisions of the National Vaccine Injury Compensation Program. Amends the Public Health Service Act to modify provisions regulating the effect on the statute of limitations of revisions to the Vaccine Injury Table. (Sec. 5183) Amends Medicaid provisions to require notifying all Medicaid-eligible persons under 21 of the need for immunizations. Adds grant entities under Public Health Service Act health provisions for residents of public housing to the list of entities within the definition of "Federally-qualified health center." (Sec. 5184) Allows Medicaid payments directly to vaccine manufacturers under certain programs. (Sec. 5185) Authorizes grants for demonstration projects providing comprehensive services to reduce the incidence of infant mortality and morbidity, fetal deaths, maternal mortality, fetal alcohol syndrome, and low birth weight. Authorizes appropriations. (Sec. 5186) Amends title V (Maternal and Child Health Services Block Grant) of the Social Security Act to authorize appropriations to carry out specified provisions. (Sec. 5187) Modifies compensation requirements regarding members of the National Advisory Council on the National Health Service Corps. Allows certain entities that are migrant, community, homeless, and public housing health services providers to elect certain treatment under the Public Health Service for purposes of malpractice actions. Removes provisions allowing waiver of rights to recover National Health Service Corps scholarship or loan repayment amounts after default. Subtitle C: Communications Licensing Improvement - Chapter 1: Competitive Bidding Authority - Licensing Improvement Act of 1993 - Amends the Communications Act of 1934 to empower the Federal Communications Commission (FCC) to use a system of competitive bidding in the granting of licenses involving the use of the electromagnetic spectrum (public airwaves). Outlines certain provisions, including: (1) uses to which such bidding may apply; (2) establishment by the FCC of a competitive bidding methodology; (3) alternative payment schedules for the use of airwaves; and (4) bidder and licensee qualifications. (Sec. 5205) Revises the FCC's regulatory authority in the mangagement of mobile communications services. Considers a person engaged in the provision of commercial mobile services to be a common carrier and, therefore, required to establish physical connections as required under the Communications Act. Prohibits State or local government imposition of any rate or entry regulation on commercial mobile service, but allows the FCC to grant a State petition to regulate rates under certain conditions. Chapter 2: Emerging Telecommunications Technologies - Emerging Telecommunications Technologies Act of 1993 - Amends the National Telecommunications and Information Administration Organization Act to require the Assistant Secretary of Commerce for Communications and Information and the FCC Chairman to conduct joint electromagnetic spectrum planning with respect to future spectrum requirements and promotion of efficient use of the spectrum. (Sec. 5222) Directs the Secretary to report to the President and the Congress identifying bands of frequencies that are allocated primarily for Government, are eligible for licensing, and are not required by the Government. Requires a report to the Congress on preliminary identification of reallocable bands of frequencies. Requires that an advisory committee be convened to assist in carrying out this Chapter. Directs certain actions after receipt of the advisory committee report on reallocation of band frequency assignments between Government and private uses. Authorizes the President to substitute alternative frequencies in the interest of national defense, governmental needs, public health or safety, or financial considerations. Directs the FCC to submit a plan for the distribution of reallocated frequency bands. Authorizes the President to reclaim reassigned frequencies. Chapter 3: Communications Technical Amendments - Sets forth corrections and technical amendments to communications provisions. Subtitle D: Energy Programs - Amends the Omnibus Budget Reconciliation Act of 1990 to extend from September 30, 1995, to September 30, 1998, the authority of the Nuclear Regulatory Commission to collect annual charges. Title VI: Committee on Foreign Affairs - States that the Committee on Foreign Affairs recommends changes in Federal law which would reduce direct spending under the Foreign Service Retirement and Disability Fund and the Foreign Service Pension System by requiring a three-month delay in cost-of-living adjustments for each year, FY 1994 through 1996. Title VII: Committee on the Judiciary - Amends the Omnibus Budget Reconciliation Act of 1990 to extend through FY 1998 the authorization for the collection of surcharges for use of the Patent and Trademark Office. Title VIII: Committee on Merchant Marine and Fisheries - Amends Federal shipping law to extend the years during which certain tonnage duties are imposed. (Sec. 8002) Declares the sense of the Congress that the inland waterways fuel tax should not be increased beyond those increases already mandated by law. Title IX: Committee on Natural Resources - Amends specified Federal law regarding the political union of the Commonwealth of the Northern Mariana Islands (Commonwealth) with the United States to repeal the direct grant asssitance for such Islands. Prescribes guidelines under which the United States commits its full faith and credit for specified payments to certain U.S. possessions and territories, including payments for capital improvements projects. Requires reports on the minimum wage and immigration policies of the Commonwealth. (Sec. 9002) Amends the Mineral Leasing Act to provide that, in calculating the amount to be paid to States of revenues derived from Federal onshore mineral and geothermal steam leasing receipts, 50 percent of the portion of the appropriation allocable for administration and enforcement shall be deducted from those receipts in approximately equal amounts each month prior to their division and distribution between the States and the United States. (Sec. 9003) Mandates the payment of a specified minimum flat claim maintenance fee and location fee by the holder of an unpatented mining claim, mill, or tunnel site in lieu of the assessment work and related filing requirements under certain Federal mining law. Exempts certain oil shale claims from the fee requirement. Waives fees under certain conditions. (Sec. 9004) Amends Federal reclamation laws to mandate that non-Federal recipients of water delivered by way of Federal facilities pay an operation and maintenance charge to the United States. Establishes the Natural Resources Restoration Fund for the benefit of fish and wildlife resources and habitat affected by Federal reclamation projects. (Sec. 9005) Amends the Land and Water Conservation Fund Act of 1965 to prohibit recreation user fees for campgrounds lacking specified amenities. Revises the terms of "Golden Age" passports in the National Park System. Establishes user fees for rights-of-way, tour vehicles or aircraft, and commercial telephone transmission facilities on Federal lands. (Sec. 9007) Directs the Secretaries of Energy and of the Interior adjust fees and other charges in order to recover the cost of Government services and establish a fee mechanism to recover Government costs of providing services which are currently free. (Sec. 9008) Directs the President to transmit in the annual budget an estimate of unfunded future Federal liabilities that are not accounted for in the budget itself. Title X: Committee on Post Office and Civil Service - Subtitle A: Civil Service - Delays the cost-of-living adjustments scheduled to take effect under certain Federal employee retirement systems during FY 1994 through 1996. (Sec. 1002) Amends the Civil Service and Federal Employees' Retirement Systems and the Foreign Service and Central Intelligence Agency systems to permanently eliminate the lump sum retirement option except for employees with a critical medical condition. (Sec. 1003) Eliminates the 1994 annual cost-of-living adjustment for Members of Congress and Federal employees. Amends the Ethics Reform Act of 1989 and other Federal law to modify the formulae for computing such adjustments for 1995 through 1997. (Sec. 1004) Amends Federal law to delay locality-based comparability payments until July of 1994. Limits the total amounts payable for locality payments between July 1, 1994, and September 30, 1998. Authorizes the President to specify locality payments less than the minimum amounts which would otherwise be required if necessary to comply with such limitations. Delays annual cost-of-living adjustments for Federal employees and Members of Congress until July of each year for the period between January 1, 1995, and December 31, 2003. Repeals provisions excluding senior executives from the limitation on the accumulation of annual leave. Prohibits cash awards during FY 1994 through 1998. Limits the average total number of civilian employees in the executive branch (except employees of the U.S. Postal Service and Postal Rate Commission) during FY 1994 through 1998. Requires the Director of the Administrative Office of United States Courts to apply the prohibitions and limitations of this Act with respect to annual cost-of-living adjustments and locality-based comparability payments to employees under the separate system of the Office. (Sec. 1005) Requires certain Federal Employees Health Benefits Program (FEHBP) plans to apply the Medicare part B limiting charges for physicians' services to enrolled retirees who are 65 or older and do not participate in Medicare part B. (Sec. 1006) Extends the proxy premium formula for determining Government contributions under FEHBP through contract year 1998 in the absence of a Government-wide indemnity benefit plan. Expresses the sense of the Congress that such extension should not be considered to reflect any view on the appropriateness, merits, or timing, or any other aspect of any comprehensive health care reform legislation. Subtitle B: Postal Service - Directs the U.S. Postal Service to make a specified additional payment into the Civil Service Retirement and Disability Fund and the Employee Health Benefits Fund to cover increases due to retirement cost-of-living adjustments and increases in health benefits costs. Subtitle C: Revenue Forgone Reform - Revenue Forgone Reform Act - Amends Federal postal service law to repeal the authorization of appropriations under the Overseas Citizens Voting Rights Act of 1975 and the Federal Voting Assistance Act of 1955 for mail sent at reduced postage rates. Revises provisions relating to the treatment of reduced-rate categories of mail. (Sec. 10203) Repeals certain Federal provisions authorizing appropriations to the Postal Service for certain accumulated operating indebtedness and directing the Postal Service to provide door or curbline delivery to certain permanent addresses. Authorizes appropriations for FY 1994 through 2035 to cover losses. (Sec. 10205) Prohibits reduced mailing rates for mail adverstising or offering products or services if: (1) the sale is not related to the purposes allowing mail at such rates; or (2) the mail matter involved is part of a cooperative mailing with a person not authorized to mail at reduced rates. Revises provisions with respect to the mailing rates of books. (Sec. 10207) Expresses the sense of the Congress that any legislation enacted after September 30, 1994, which would expand the class of mail eligible for reduced rates should provide for funding ensuring no losses to the Postal Service nor increases in rates for other classes of mail. Title XI: Committee on Public Works and Transportation - Amends the Federal Aviation Act of 1958 to revise fees charged for aircraft registration, designation as an aviation medical examiner, issuance of an airman's certificate to be a pilot and costs associated with processing forms for fuel system repairs. Requires fees be deposited in the Airport and Airway Trust Fund. (Sec. 11002) Amends the Flood Control Act of 1968 to authorize the Secretary of the Army to collect fees for the use of developed recreation facilities, including campsites, beaches, and boat launching ramps. Requires fees to be deposited into the Treasury account for the Corps of Engineers. Title XII: Committee on Veterans Affairs - Veterans Reconciliation Act of 1993 - Amends the Omnibus Reconciliation Act of 1990 to extend through September 30, 1998, the requirement that veterans with a certain minimum income level make copayments in exchange for receiving certain health care benefits through the Department of Veterans Affairs. Extends: (1) the requirement of a minimal copayment for medications received by veteran outpatients; (2) authority to recover the cost of veterans' services from third party insurers; (3) the authority of the Secretary of the Treasury to provide certain financial information for income verification purposes; (4) a monthly pension limitation for certain recipients of nursing home care covered under Medicaid; and (5) procedures applicable to liquidation sales on defaulted home loans to veterans. (Sec. 12006) Prohibits any FY 1994 cost-of-living adjustment in the rates of dependency and indemnity compensation paid to surviving spouses. (Sec. 12008) Increases the home loan fee charged to veterans for loans guaranteed by the Department, closed after September 30, 1993, and before October 1, 1998. (Sec. 12009) Reduces by one percentage point the FY 1994 cost-of-living adjustment for educational assistance benefits payable to active duty and reserve personnel under the Montgomery GI Bill educational assistance program. (Sec. 12010) Excludes a person who is not the natural or legally adopted child of the parent from eligibility for survivors' and dependents' educational assistance. Title XIII: Committee on Ways and Means: Savings - Subtitle A: Old-Age, Survivors and Disability Insurance Programs - Amends OMBRA '90 to require the Secretary to reestablish and maintain in service the same number of telephone lines to each local social security office that were in place as of September 30, 1989. (Sec. 13003) Makes amendments to SSA title II, including to: (1) permit States collecting social security numbers to use those numbers to eliminate duplicate names and names of convicted felons from jury source lists; (2) extend to all States the option to provide police officers and firefighters with social security coverage; (3) disregard the windfall elimination provision in computing any U.S. totalization benefit and the amount of a regular U.S. benefit of an individual who receives a foreign totalization benefit based in part on U.S. employment, and who does not receive any other pension based on noncovered employment; (4) provide that military pensions based wholly on service in the military reserves before 1988 shall not trigger application of the Government pension offset or windfall elimination provision to the individual's social security benefits; (5) permit the Department of Agriculture to share its list of names, social security numbers, and employer identification numbers of the owners of retail grocery stores which redeem food stamps with other Federal agencies for the purpose of investigating food stamp fraud and other crimes; and (6) prohibit a State from using social security numbers in the administration of any driver's license or motor vehicle registration law where the State has not contracted to provide death certificate and related information to the Secretary, or where use of death information is restricted. (Sec. 13005) Exempts from payment liability and penalties ministers who were American citizens and residents of Canada prior to the 1984 totalization agreement between the United States and Canada and failed to file a tax return or pay self-employment taxes. (Sec. 13010) Amends IRC to: (1) authorize the Secretary of the Treasury to disclose information from tax returns on individuals' mortality status to the Secretary for eipdemiological research purposes; (2) coordinate the collection of domestic service employment taxes with the collection of income taxes; and (3) change threshold requirements with respect to social security employment taxes on domestic services. (Sec. 13015) Requires the Secretary to study and report to the Congress on the rising costs of disability benefits. (Sec. 13016) Amends the Social Disability Amendments of 1980 to extend the Secretary's authority to conduct disability work incentive demonstration projects. Subtitle B: Human Resources Amendments - Chapter 1: Child Welfare Services, Foster Care, and Adoption Assistance - Amends SSA title IV part B (Child-Welfare Services) to, among other thing: (1) create a capped entitlement program to provide child welfare services designed to strengthen and preserve families; (2) repeal provisions linking the payment of title IV part B funds to the implementation of protections for children in foster care; (3) require State part B plans to contain a description of the specific measures taken by the State to comply with the Indian Child Welfare Act; and (4) provide for child welfare traineeships. (Sec. 13212) Directs the Secretary to provide grants for State courts to improve foster care placement and adoption proceedings. (Sec. 13216) Amends SSA title IV part E (Foster Care and Adoption Assistance) (FCAA) to change the reimbursement policy with respect to foster care maintenance payments made on behalf of certain children whose adoption has been set aside by a court or whose voluntary placement in foster care has been judicially determined to be in the best interests of the child. Requires States to review their foster care maintenance payment and adoption assistance levels. Requires the health and education records in each child's case plan include a record that the foster care provider was advised (where appropriate) of the child's eligibility for certain Medicaid services. Makes permanent the authorization for the independent living program. Sets forth case plan requirements for children placed in foster care a substantial distance from their homes or in a different State. (Sec. 13218) Directs the Secretary to study and report to the Congress on the ways in which States implement the reasonable efforts requirements for State part E plans. (Sec. 13225) Amends OMBRA '89 to extend permanently (and retroactively to October 1, 1992) the level of Federal reimbursement under part E for the training of personnel employed by the State or local child welfare agency, and for the training of foster and adoptive parents. (Sec. 13227) Amends SSA title XI part A to overturn certain limitations in Suter v. Artist M. on private enforceability of State plan requirements. (Sec. 13232) Prohibits the Secretary, until October 1, 1994, from reducing any payment to any State under parts B or E because of State noncompliance with part B foster care protections. (Sec. 13233) Requires the Secretary to make grants to eligible institutions to train individuals to deliver culturally sensitive and bilingual child welfare services in border areas with Mexico. Authorizes approprations. Chapter 2: Child Support Enforcement - Amends SSA title IV part D (Child Support and Establishment of Paternity) to set up new paternity establishment performance standards and procedures for State child support enforcement programs. Outlines State plan requirements. Requires State child support enforcement agencies to periodically report, at no charge, the names and amounts of obligors at least two months delinquent in child support payments to bona fide consumer reporting agencies. Chapter 3: Supplemental Security Income - Amends SSA title XVI (Supplemental Security Income) (SSI) and other Federal law to require the Social Security Administration to charge States fees for the Federal cost of administering supplemental SSI payments. (Sec. 13252) Amends OMBRA '90 to make permanent the exclusion of State and local relocation assistance from countable income under SSI. (Sec. 13253-13256) Amends SSA title XVI to: (1) deem to be living in a household a spouse or parent of family members on SSI who is absent because of active duty military assignment; (2) exclude hazardous duty pay from countable income; (3) continue SSI benefits to children who are U.S. citizens if they received SSI in the United States and then accompanied their parents on military assignment to a U.S. territory or possession; and (4) extend the SSI definition of disability for children under 18 to any person under age 18. (Sec. 13257) Exempts income of up to $2,000 per year received by individual Indians that is derived from leases on trust or restricted Indian lands in determining eligibility and benefit levels under AFDC (SSA title IV part A) and SSI. Chapter 4: Aid to Families with Dependent Children - Amends SSA title IV part A to: (1) reduce to 50 percent the enhanced Federal matching available for certain categories of State administrative expenses; (2) make optional a State's verification of an individual's immigration status with the Immigration and Naturalization Service through an immigration status verfication system; (3) delay Federal requirements regarding AFDC-UP participation rates; and (4) increase the amount of stepparent earnings disregarded in determining the eligibility and benefit amounts of AFDC recipients and applicants. (Sec. 13263) Amends part F (Job Opportunities and Basic Skills Training Program) (JOBS) to require development of criteria for performance standards in the JOBS program, rather than performance standards themselves. (Sec. 13264) States that the Congress declares: (1) it is the responsibility of the Federal Government to reduce family dependence on income from welfare programs, to assist them toward self-sufficiency, and to increase the living standards of low-income families; and (2) the Federal Government should help welfare recipients and individuals at risk of welfare participation to improve education and job skills, to obtain access to child care and support services, and to take other steps as may assist them to become financially independent. Directs the Secretary to develop welfare participation measures and predictors, and report annually on welfare participation to specified congressional committees. Establishes the Advisory Board on Welfare Participation. (Sec. 13265) Directs the Secretary to provide for a demonstration project offering low-income residents of Milwaukee, Wisconsin, employment, wage supplements, health and child care, and job counseling and training. (Sec. 13266 and 13270) Amends the Family Support Act of 1988 to: (1) delay the requirement for implementation of the Unemployed Parent program in Puerto Rico, Guam, the Virgin Islands, and American Samoa until the limitations on Federal matching payments with respect to AFDC and FCAA maintenance payments are repealed; and (2) extend the authorization for early childhood development projects. (Sec. 13269) Amends OMBRA '87 to extend New York State's Child Assistance Program demonstration. (Sec. 13267) Amends SSA title XI to provide that, with respect to AFDC, one adult member of a household may sign a declaration attesting to the citizenship or satisfactory immigration status of other household members. Chapter 5: Unemployment Insurance - Amends IRC and SSA title III (Unemployment Compensation) to provide for the treatment of short-time compensation programs under which individuals whose workweeks have been reduced by at least ten percent (especially as an alternative to a temporary layoff) are eligible for unemployment compensation, under certain conditions. (Sec. 13275) Amends the Federal-State Extended Unemployment Compensation Act of 1970 to increase the reimbursement rate and repeal special eligibility requirements under the extended unemployment program. (Sec. 13276 and 13277) Amends IRC to extend the current Federal unemployment tax rate and require disclosure of tax information to the Railroad Retirement Board for administration of the Railroad Retirement and Railroad Unemployment Insurance Acts. Chapter 6: Technical Provisions - Makes technical corrections related to the income security and human resources provisions of OMBRAs '89 and '90. (Sec. 13283) Amends SSA title XVI to repeal certain obsolete provisions relating to treatment of the earned income tax credit. Subtitle C: Medicare Program - Chapter 1: Provisions Relating to Part A -Subchapter A: Elimination of Inflation Update for Services Provided under Part A: - Amends SSA title XVIII (Medicare) to eliminate updates for inpatient hospital services and hospice care under Medicare part A in FY 1994 and 1995. (Sec. 13402) Prohibits the Secretary from applying an update factor to the cost limits for skilled nursing facility cost reporting periods beginning in FY 1994 and 1995. Subchapter B: Other Provisions Relating to Part A - Amends SSA title XVIII to, among other things: (1) provide that a change in classification of hospitals from one area to another cannot result in a reduction in the wage index for an urban area if the area has an age index below the rural wage index for the State or if the area is the only urban area in a State with no rural areas; (2) change certain standards for designating metropolitan statistical areas that are used in determining treatment of hospitals in rural counties adjacent to urban areas; (3) require the phase out of payments for day outlier cases starting in FY 1995; (4) authorize appropriations for the Essential Access Community Hospital (EACH) demonstration program; (5) provide for a prospective payment system for outpatient rural primary care hospital services; (6) continue special payments for Medicare-dependent, small rural hospitals for discharges occurring through FY 1994, with reduced payments for certain discharges; (7) allow to participate in Medicare hospitals where the care of patients receiving qualified psychologist services is under a clinical psychologist; (8) require skilled nursing facilities to inform beneficiaries of the hospice benefit under Medicare; (9) reduce the part A premium, on a phase-in basis, for individals with 30 or more quarters of social security coverage (and their spouses); (10) require periodic updating of salary equivalency guidelines for physical therapy and respiratory therapy services; and (11) provide that diagnosis-related group (DRG) window provisions will not apply to hospitals that are not paid on a DRG basis. (Sec. 13414) Amends OMBRA '87 to: (1) reauthorize and extend the rural health transition grant program; and (2) provide that all hospitals classified as regional referral centers on September 30, 1992, shall retain such status through FY 1994. (Sec. 13418) Amends OMBRA '90 to require the Secretary to continue limited-service rural hospital demonstration projects through calendar 1995. (Sec. 13419) Amends OMBRA' 89 to extend the hemophilia pass-through program. (Sec. 13420) Declares that, in the case of a State with a Medicare-approved payment system, no other provision of law shall be construed as preventing the system from providing that payment for covered services be made on the basis of rates provided for under such system. (Sec. 13423) Prohibits the Secretary from taking action to recover certain amounts paid by Medicare to uniformed services treatment facilities in Boston, Baltimore, and Seattle for services provided between October 1, 1986, and December 31, 1989, except to the extent that funds are made available for that purpose under the Department of Defense Appropriations Act, 1993. Requires a report to the Congress on establishment of joint medical facilities among the Department of Defense, the Department of Veterans' Affairs, and other entities. (Sec. 13424 and 13425) Requires the Secretary to: (1) review ]the DRGs assigned to discharges of patients with intractable epilepsy; (2) revise the assignment of discharges to such groups as the Secretary considers appropriate to account for the resource requirements of such patients; and (3) begin collecting data necessary to compute a skilled nursing facility wage index adjustment to the routine service cost limits required under Medicare. Requires the Prospective Payment Assessment Commission to report to the Congress on the impact of applying routine per diem cost limits for skilled nursing facilities on a regional basis. (Sec. 13429) Allows hospitals that have been reclassified from urban to rural as a result of revisions to metropolitan statistical area definitions issued by the Office of Management and Budget on December 28, 1992, to apply to the Medicare Geographic Classification Review Board for reclassification in FY 1994. Chapter 2: Provisions Relating to Part B: Subchapter A: Elimination of Inflation Update - Amends SSA title XVIII part B to eliminate the inflation update for physician and related professional services and other items and services. (Sec. 13432) Freezes payments for enteral and parenteral nutrients, supplies and equipment, rural health clinic, federally qualified health center, and comprehensive outpatient rehabilitation facility services, dialysis services, and other part B items and services. Subchapter B: Physicians' Services - Amends SSA title XVIII part B to, among other things: (1) repeal the OMBRA '90 prohibition on separate payments for EKG interpretations; (2) repeal the reductions in payments to new physicians and practitioners; (3) prohibit changing the methodology in effect as of January 1, 1992, for calculating anesthesia time in the fee schedules; (4) revise requirements with respect to geographic adjustment factors and beneficiary liability for amounts billed above the limiting charge; (5) require pre-payment screening by carriers of unassigned claims submitted by nonparticipating physicians; (6) require the Explanation of Benefits form to contain information on amounts billed in excess of the applicable limiting charge; (7) specify the practitioners who may only bill for services on an assignment-related basis; (8) include antigens prepared by a physician on the physician fee schedule; (9) prohibit the imposition of user fees in specified circumstances in the administration of claims relating to physicians' services; and (10) specify the conditions under which the Secretary can recognize substitute billing arrangements between two physicians. (Sec. 13444) Requires the Secretary to revise and report to specified congressional committees on the data necessary to revise geographic indices. Requires the Physician Payment Review Commission to develop criteria for use in redefining the localities used within States for adjusting physicians' fees. (Sec. 13446) Requires the Secretary to develop relative values for the full range of pediatric physicians' services and report to the Congress. Subchapter C: Ambulatory Surgical Center Services - Makes amendments identical to those made above to the Medicare program and OMBRA'90 under subchapter B of chapter 1 of title V of this Act with respect to eye and eye and ear hospitals and intraocular lenses. (Sec. 13452) Requires the Secretary to report to the Congress on the costs to providers of intraocular lenses provided to individuals enrolled under Medicare part B. Subchapter D: Durable Medical Equipment - Makes amendments similar to those made above to the Medicare program and SSA title XI under subchapter C of chapter 1 of title V of this Act with respect to durable medical equipment and kick-backs. (Sec. 13468) Subjects ostomy supplies, tracheostomy supplies, and urologicals to national payment limits. Subchapter E: Other Provisions - Makes amendments similar to those made above to the Medicare program, OMBRA '86, and COMBRA '85 under subchapter E of chapter 1 of title V of this Act with respect to oral cancer drugs and the treatment of certain Indian health programs and facilities as federally-qualified health centers, and the extension of Alzheimer's disease and municipal health service demonstration projects. (Sec. 13471) Amends SSA title XVIII to, among other things: (1) freeze at the 1992 level the conversion factor used to determine payments to medically directed certified registered nurse anesthetists; (2) cap the part B premium penalty for late enrollment for Federal employees who meet certain conditions; and (3) establish statutory definitions for speech language pathologist and audiologists. (Sec. 13473) Provides for uniform coverage of "off-label" drugs used in anti-cancer therapy. Requires a report to specified congressional committees on Medicare coverage of patient care costs associated with clinical trials of new cancer therapies. Subchapter F: Part B Premiums - Duplicates the amendment to the Medicare program made above under subchapter D of chapter 1 of subtitle A of title V of this Act with respect to the monthy Medicare part B premium. Chapter 3: Provisions Relating to Parts A and B -Subchapter A: Elimination of Updates - Amends SSA title XVIII to eliminate updates in payments to hospitals for the direct costs of graduate medical education for cost reporting periods beginning during FY 1994 and 1995. (Sec. 13502) Prohibits the Secretary from providing any update in the cost limits for home health services for cost reporting periods beginning during FY 1994 and 1995. Subchapter B: Medicare Secondary Payer Provisions - Makes amendments similar to those under chapter 2 of subtitle A of title V of this Act with respect to Medicare as secondary payer. Subchapter C: Physician Ownership and Referral - Amends SSA title XVIII to: (1) apply the ban on certain referrals by physicians to all payers, extending it to cover additional specified health services as well as new exceptions; (2) expand current standards used to define a group practice; and (3) provide that Federal law shall not preempt State laws that related to referrals not covered under the ban, or that relate to referrals covered under the ban but are even more restrictive. Subchapter D: Other Provisions - Sets forth measures similar to those under chapters 1 and 2 of subtitle A of title V of this Act with respect to: (1) interest payments on clean claims; (2) payments for erythropoietin; (3) qualified Medicare beneficiary outreach; (4) social health maintenance demonstrations; (5) the second surgical opinion program under SSA title XI; (6) hospice notification; and (7) Medicare capitation payments. (Sec. 13551) Requires the Secretary to redetermine the full-time-equivalent (FTE) resident amount to reflect the amount that would be allowed if the hospital had been liable to pay FICA taxes or make other specified retirement contributions for residents during the base year, but did not make such payments, yet now must do so as a result of OMBRA '90. Amends SSA title XVIII to: (1) provide for adjustments for certain publicly funded family residency programs; (2) extend on a graduated basis to three years (after 1997) the current one-year period following a transplant procedure during which Medicare covers immunosuppressive drug therapy for beneficiaries who have received organ transplants; and (3) provide that user fees imposed under the Clinical Laboratories Improvement Act of 1967 are not subject to the general ban on user fees for determining compliance with any requirement of Medicare. (Sec. 13560) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that to the extent that appropriations are enacted providing budget authority for Medicare administrative costs above a base level spending in FY 1992 of $1.526 billion, the appropriate discretionary spending limits shall be adjusted to accommodate additional budget authority in FY 1994 and 1995. Chapter 4: Medicare Supplemental Insurance Policies - Amends OMBRA '90 and Medicare to make specified changes to Federal standards respecting the sale and regulation of Medicare supplemental insurance policies. Chapter 5: Treatment of Certain State Health Care Programs - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide that: (1) the Hawaii Prepaid Health Care Act will not be preempted by ERISA unless the Secretary of Labor notifies the Governor of Hawaii that certain conditions exist; and (2) State tax laws relating to employee benefit plans will continue to be preempted. Subtitle D: Customs and Trade Provisions - Amends the Tariff Act of 1930 to authorize appropriations for FY 1994 and 1995 for the United States International Trade Commission (ITC). Prohibits use of funds for any special study, requested by the executive branch unless the ITC is reimbursed. (Sec. 13601) Amends the Customs Procedural Reform and Simplification Act of 1978 to authorize appropriations for FY 1994 and 1995 for the United States Customs Service for noncommercial and commercial operations, and the air and marine interdiction programs. Amends the Trade Act of 1974 to authorize appropriations for FY 1994 and 1995 for the Office of the United States Trade Representative. (Sec. 13602) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) to extend the authority of the Secretary of the Treasury to collect customs user fees through September 30, 1998. (Sec. 13603) Amends the Trade Act of 1974 to remove the Union of Soviet Socialist Republics from the list of countries ineligible for designation as a beneficiary developing country under the Generalized System of Preferences (GSP). Extends duty-free treatment provided under the GSP through September 30, 1994. (Sec. 13604) Extends the worker trade adjustment assistance program (trade adjustment assistance benefits for workers adversely affected by import competition or the relocation of U.S. production facilities abroad), and authorization of appropriations, from FY 1993 through FY 1996. (Sec. 13605) Amends the Omnibus Trade and Competitiveness Act of 1988 to extend the authority of the President, for a specified period of time, to enter into trade agreements with foreign countries for the reduction or elimination of tariff or nontariff barriers if the Uruguay Round of multilateral trade negotiations under the General Agreement on Tariffs and Trade (GATT) has not resulted in such trade agreements by May 31, 1993. Provides that implementing bills involving tariff and nontariff trade agreements shall be effective only if, among other things, the President, at least 120 calendar days (currently, 90 days) before he enters into such an agreement, notifies the Congress of his intention and publishes such intention in the Federal Register. Extends congressional "fast track procedures" to such implementing bills through April 16, 1994. (Sec. 13606) Amends the Federal Trade Act of 1974 to eliminate the East-West Trade Statistics Monitoring System. Subtitle E: Customs Officer Pay Reform - Revises the pay system for United States Customs Service inspectors. (Sec. 13701) Amends the Tariff Act of 1930 to prohibit merchandise or passengers from foreign places, or merchandise being transported from one port to another, from being unladen from carrying vehicles during overtime hours (currently, at night). (Sec. 13702) Authorizes cash awards to customs officers for foreign language proficiency. (Sec. 13703) Amends COBRA to provide for reimbursement of appropriations from the Customs User Fee Account for agency retirement contributions. (Sec. 13704) Amends Federal law with regard to the treatment of certain pay of customs officers for retirement purposes. (Sec. 13705) Revises COBRA congressional reporting requirements respecting Account reimbursements. Requires additional General Accounting Office reports to the Congress on financing of overtime inspectional services through user fees. Title XIV: Revenue Provisions - Revenue Reconciliation Act of 1993 - Subtitle A: Training and Investment Incentives - Part I: Provisions Relating to Education and Training - Makes permanent after June 30, 1992: (1) the tax exclusion of employer-provided educational assistance; and (2) the targeted jobs credit. Allows the use of the targeted jobs credit, with limitations, for the hiring of a qualified participant in an approved school-to-work program. Part II: Investment Incentives - Subpart A: Research Credit - Makes permanent the credit for increasing research activities. Modifies the fixed base percentage of such credit for startup companies for taxable years after 1993. Subpart B: Capital Gain Provisions - Allows a taxpayer other than a corporation to exclude from gross income 50 percent of gain from the sale or exchange of qualified small business stock held for more than five years. Set forth rules and limitations for such exclusion. Treats one-half of such exclusion as an item of tax preference for minimum tax purposes. (Sec. 14114) Allows the rollover of gain from the sale of publicly traded securities into specialized small business investment companies. Subpart C: Modifications to Minimum Tax Depreciation Rules - Modifies the method of determining the depreciation deduction for certain personal property placed in service after 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subpart D: Increase in Expense Treatment for Small Business - Increases the dollar limitation on the election to expense certain depreciable small business assets. Part III: Tax-Exempt Bond Provisions - Provides a complete tax exemption (currently a 75 percent tax exemption) for bonds used to finance high-speed intercity rail facilities. (Sec. 14122) Permanently extends the authority to issue qualified small issue bonds to finance manufacturing facilities and farm property. Part IV: Expansion and Simplification of Earned Income Tax Credit - Repeals certain interaction rules with respect to the medical expense deduction, the deduction for health insurance, and the dependent care credit. Revises credit and phaseout percentages for 1994. Part V: Incentives for Investment in Real Estate - Subpart A: Extension of Qualified Mortgage Bonds and Low-Income Housing Credit - Makes permanent: (1) the authority to issue qualified mortgage bonds and qualified mortgage credit certificates; and (2) the low-income housing credit. (Sec. 14142) Provides that assistance under the HOME Investment Partnerships Act should not result in certain buildings being federally subsidized. Subpart B: Modification of Passive Loss Rules - Provides for the treatment of rental real estate activities under the limitations on losses from passive activities. Subpart C: Provisions Relating to Real Estate Investments by Pension Funds - Modifies exceptions to the exclusion of real property acquired by a qualified organization from the meaning of acquisition indebtedness. Makes certain exceptions inapplicable to sales out of foreclosure by a financial institution. (Sec. 14145) Repeals the special rule for publicly traded partnerships with respect to the treatment of unrelated business taxable income. (Sec. 14146) Permits a tax-exempt title-holding company to receive unrelated business taxable income if the unrelated income is incidentally derived from the holding of real property. (Sec. 14147) Excludes from unrelated business taxable income: (1) gains from the sale, exchange, or other disposition of real property acquired from financial institutions that are in conservatorship or receivership; and (2) loan commitment fees and certain option premiums. Provides for the tax treatment of pension fund investments in real estate investment trusts. Subpart D: Discharge of Indebtedness - Excludes from gross income the income from the discharge of qualified real property business indebtedness. Subpart E: Increase in Recovery Period for Nonresidential Real Property - Increases the depreciation recovery period for nonresidential real property. Part VI: Luxury Tax - Repeals the luxury excise tax on boats, aircraft, jewelry, and furs. (Sec. 14162) Modifies the luxury excise tax on automobiles to index the threshold for inflation occurring after 1990 and make such tax applicable to the first retail sale. Exempts from the luxury excise tax parts for accessories installed for use of passenger vehicles by disabled individuals. (Sec. 14163) Extends the current diesel fuel excise tax to diesel fuel used by noncommercial motorboats. Retains such taxes in the General Fund of the Treasury. Part VII: Other Changes - Repeals the tax preferences for the appreciated property charitable deduction. Disallows an adjustment related to the earnings and profits effects of any charitable contribution from being made in computing adjusted current earnings. (Sec. 14171) Requires Secretary of the Treasury to report to specified congressional committees on the development of a procedure for taxpayers to seek an agreement with the Secretary on the value of tangible personal property prior to the donation of such property to a qualifying charitable organization. (Sec. 14172) Amends the Railroad Retirement Solvency Act of 1983 to make permanent the treatment of certain railroad retirement benefits as received under employer plans. (Sec. 14173) Provides for the temporary extension of the deduction of health insurance costs of self-employed individuals. Subtitle B: Revenue Increases - Part I: Provisions Affecting Individuals- Subpart A: Rate Increases - Lowers the tax rates for certain taxpayers and increases the tax rate for certain higher incomes. Imposes a surtax on certain higher incomes. (Sec. 14203) Increases the tentative minimum tax for taxpayers other than corporations. (Sec. 14204) Makes permanent the overall limitation on itemized deductions and the phaseout of personal exemptions for high-income taxpayers. (Sec. 14206) Sets forth provisions to prevent the conversion of ordinary income to capital gain in certain financial transactions. Repeals certain exeptions to market discount rules. Provides for the treatment of purchases of stripped preferred stock after April 30, 1993. Revises methods of: (1) computing the limitation on the deductibility of investment interest; and (2) determining substantial appreciation of partnership inventory items. Subpart B: Other Provisions - Repeals the limitation on the amount of wages subject to the health insurance employment tax. (Sec. 14208) Increases and makes permanent the highest estate and gift tax rate. (Sec. 14209) Reduces the deduction for business meals and entertainment expenses. (Sec. 14210) Disallows a tax deduction for social club membership dues, except for employee recreational expenses. (Sec. 14211) Disallows a deduction as a trade or business expense remuneration to certain employees in excess of $1 million. (Sec. 14212) Reduces the compensation taken into account in determining contributions and benefits under qualified retirement plans. (Sec. 14213) Removes qualified residence sales, purchases, or leases and meals from the deduction for moving expenses. (Sec. 14214) Revises the limitation on using the preceding year's tax to calculate an individual's estimated tax payments. (Sec. 14215) Increases the amount of social security and tier 1 railroad retirement benefits to be included in the gross income of certain taxpayers. Part II: Provisions Affecting Business - Increases the tax rate for corporate income in excess of $10 million and the tax rate on personal service corporations. (Sec. 14222) Denies a tax deduction for lobbying expenses. Subjects lobbying organizations to special reporting requirements. (Sec. 14223) Requires any security which is inventory in the hands of the dealer to be included in inventory at its fair market value. Requires any dealer in securities that holds any security which is not in inventory at the close of any taxable year to: (1) recognize gain or loss as if the security were sold on the last business day of the taxable year; and (2) take into account any such gain or loss for such year (the mark-to-market requirement). (Sec. 14224) Requires taking into account: (1) certain Federal Savings and Loan Insurance Corporation (FSLIC) assistance as compensation for loss; and (2) FSLIC assistance for any debt for determining whether such debt is worthless and the amount of any addition to a reserve for bad debts. (Sec. 14225) Increases the required annual payment for corporations that fail to pay estimated income tax. Modifies the periods for applying such annualization. (Sec. 14226) Limits the Puerto Rico and possession tax credit to 60 percent of the possession corporation's qualified possession wages. (Sec. 14227) Modifies the limitation on corporate deductions for interest paid to related persons to take into account disqualified guarantees of indebtedness and the imposition of a gross basis tax. Part III: Foreign Tax Provisions - Subpart A: Current Taxation of Certain Earnings of Controlled Foreign Corporations - Requires U.S. shareholders of controlled foreign corporations to include in gross income a pro rata share of the corporation's excess passive assets. Modifies the rule on taxation of investment in U.S. property and takes into account excessive passive assets. Requires a report on investments by controlled foreign corporations in U.S property. (Sec. 14233) Excepts from foreign personal holding income dividends attributable to earnings and profits of the distributing corporation accumulated during any period which the person receiving such dividend did not hold such stock. Requires the establishment of an excess limitation account by taxpayers who receive foreign tax credits in a year they receive previously taxed earnings and profits. Subpart B: Allocation of Research and Experimental Expenditures - Reduces the amount allowed as allocation and apportionment of research and experimental expenditures from sources within the United States. Subpart C: Other Provisions - (Sec. 14235) Excludes passive dividends or interest income from foreign oil and gas income. (Sec. 14236) Modifies accuracy-related penalties for tax underpayments. (Sec. 14237) Denies the inclusion of certain contingent interest in the exemption for portfolio interest for nonresident aliens. (Sec. 14238) Authorizes the Secretary of the Treasury to prescribe regulations recharacterizing any multiple-party financing transaction as a transaction directly among any two or more of such parties when appropriate to prevent tax avoidance. Part IV: Energy Tax Provisions - Subpart A: Energy Tax Based on Btu Content - Imposes an excise tax on the following energy products: (1) taxable refined petroleum products removed from a U.S. refinery or terminal entered into the United States for consumption, use, or warehousing, and sold to a nonregistered person; (2) natural gas removed from any U.S. pipeline, entered into the United States for consumption, use, or warehousing, and entered into any nonregistered pipeline; (3) coal received at any facility for use as a fuel at such facility; and (4) the sale of electricity to ultimate users in the United States and the use of electricity which was not subject to such tax. Bases the rate of tax on such products on the applicable Btu factor and content. (Sec. 14241) Provides for refunding certain amounts to ultimate vendors of petroleum used for heating oil and international commercial transportation. Repays certain sums to persons who use petroleum to produce calcined coke. Provides excise tax exemptions for certain uses. Refunds the tax paid by certain users of methane recovered from biomass or coal mining. Imposes a tax on the use of any fossil fuel: (1) in the manufacture or production of a fuel other than at a U.S. refinery; or (2) as a fuel. Imposes a tax on floor stock of taxable fuels held on the date of the tax increase. Allows a credit against such tax. Provides for such tax increases to begin July 1, 1994. Imposes a Btu tax on certain imported products that contain significant levels of direct energy inputs that would be taxable if the products were manufactured in the United States. Imposes a penalty on persons who sell dyed fuel for taxable uses. Subpart B: Modifications to Tax on Diesel Fuel - Imposes an excise tax on diesel fuel. Exempts from such tax diesel fuel: (1) used by trains and intercity, local, or school buses; and (2) which is dyed or marked in accordance in regulations. (Sec. 14242) Provides that the Airport and Airway Trust Fund financing rate does not apply to aviation fuel sold by a producer or importer for use by the purchaser in a nontaxable use. Imposes a civil penalty on persons who use reduced-rate fuel for a taxable use. (Sec. 14243) Imposes a floor stocks tax on any person holding diesel fuel April 1, 1994. Subpart C: Extension of Motor Fuel Tax Rates; Increased Deposits Into Highway Trust Fund - Increases the tax on gasoline and diesel fuels for purposes of the Highway Trust Fund financing rate. Increases the amount to be transferred to the Mass Transit Account from such Fund. Part V: Compliance Provisions - Requires information reporting on payments to corporations for services. (Sec. 14252) Modifies provisions concerning substantial understatement and return-preparer penalties to allow reasonable cause exceptions. (Sec. 14253) Requires certain financial entities (including the Federal Deposit Insurance Corporation, the Resolution Trust Corporation, and the National Credit Union Administration, and their successors or subunits) to file information returns regarding discharges of indebtedness of $600 or more. Part VI: Treatment of Intangibles - Allows an amortization deduction with respect to certain intangible property, including goodwill, that is acquired and held by a taxpayer in connection with the conduct of a trade or business or an activity engaged in for the production of income. Part VII: Miscellaneous Provisions - Establishes substantiation requirements for charitable contributions of $750 or more. (Sec. 14272) Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. (Sec. 14273) Expands the 45-day interest-free period for refunding tax overpayments to all returns, amended returns, and claims for refunds. Provides that if interest is not refunded within 45 days after the taxpayer files an amended return or claim for refund, interest will be paid only for periods after the date on which the return or claim is filed. (Sec. 14274) Denies the business travel expense deduction for spouses, dependents, or others. (Sec. 14275) Increases the withholding rate for supplemental wage payments. Subtitle C: Empowerment Zones and Enterprise Communities - Part I: Empowerment Zones and Enterprise Communities, Etc. - Provides for the designation of 100 tax enterprise communities and ten enpowerment zones between 1993 and 1996: (1) by the Secretary of Housing and Urban Development for urban areas; (2) by the Secretary of Agriculture for rural areas; and (3) by the Secretary of the Interior for Indian reservations. (Sec. 14301) Sets forth eligibility criteria. Makes certain buildings in such communities or zones eligible for the low-income housing credit applicable to buildings in high-cost areas. Provides for the issuance of enterprise zone facility bonds in enterprise communities and enpowerment zones in a manner similar to exempt facility bonds. Excludes enterprise zone facility bonds from the interest deduction limitations on financial institutions. Provides States an additional housing credit ceiling for each zone and community through 1996. Allows a limited empowerment zone employment credit to employers for a percentage of qualified zone wages paid during calendar years 1994 through 2004. Allows businesses a zone resident empowerment savings credit of 50 percent of the qualified savings contributions made by an employer to a defined contribution plan on behalf of a zone employee. Limits the credit amount based on the employee's compensation. Increases the limitation on expensing certain depreciable business assets. Increases the volume cap applicable to enterprise zone facility bonds if the business owners meet specified ownership requirements with regard to abiding in such zones. (Sec. 14302) Allows use of the targeted jobs credit for hiring empowerment zone residents. Part II: Credit for Contributions to Certain Community Development Corporations - Allows a general business tax credit for contributions to selected community development corporations for low-income individuals who are residents of the operational area of the community. Subtitle D: Other Provisions - Part I: Disclosure Provisions - Extends the authority to disclose tax return information to the Department of Veterans Affairs through September 30, 1998. (Sec. 14402) Authorizes the disclosure of certain tax return information to the Department of Education to implement the direct student loan program and to the Department of Housing for income verification. Part II: User Fee Provisions - Requires establishment of a program requiring the payment of user fees for the processing of applications for certificates of alcohol label approval and exemption, formula reviews, and statements of process (including laboratory tests). (Sec. 14412) Removes authority to use the Harbor Maintenance Trust Fund for administrative expenses of certain customs fee collections. (Sec. 14413) Increases the tax on fuel used on commercial transportation on inland waterways. Part III: Public Debt Limit - Increases the public debt limit and repeals the temporary limit on such increase. Part IV: Vaccine Provisions - Makes permanent: (1) the excise tax on certain vaccines; and (2) the authority to pay compensation from the Vaccine Trust Fund under the National Vaccine Injury Compensation Program for certain damages resulting from vaccines administered after September 30, 1988. Directs the Secretary of the Treasury to report to specified congressional committees on uses of such Fund. (Sec. 14431) Imposes a floor stocks tax on taxable vaccines. (Sec. 14432) Requires contribution coverage under group health plans of the costs of pediatric vaccines. (Sec. 14433) Establishes the Childhood Immunization Trust Fund for the entitlement program under the Public Health Service Act.

Bill· HRH.R. 2246 (103rd)referred

To amend the Internal Revenue Code of 1986 to provide tax incentives to encourage development in certain border areas.

United States · United States Congress · 25 May 1993

Amends the Internal Revenue Code to provide for the designation of one border empowerment zone and five border enterprise communities: (1) by the Secretary of Housing and Urban Development, in the case of an urban area; (2) by the Secretary of Agriculture, in the case of a rural area; and (3) the Secretary of the Interior for an Indian reservation. Describes a border area as one located in one or more counties each of which is located adjacent to an international border. Sets forth the eligibility criteria for such designations. Makes buildings in such areas eligible for the low-income housing credit applicable to buildings in high-cost areas. Provides for the issuance of enterprise zone facility bonds in border enterprise communities and empowerment zones in a manner similar to exempt facility bonds. Excludes enterprise zone facility bonds from the interest deduction limitations on financial institutions. Allows an empowerment zone employment credit to employers for a percentage of qualified zone wages paid during calendar years 1994 through 2004. Limits the amount of such credit. Allows a zone resident empowerment savings credit to employers as a general business credit of 50 percent of the qualified savings contributions made to a defined contribution plan on behalf of an employee. Limits the amounts of such contributions. Increases the limitation on expensing certain depreciable business assets. Increases the volume cap applicable to enterprise zone facility bonds if the business owners meet specified ownership requirements with regard to abiding in such zones. Allows the use of the targeted jobs credit for hiring economically disadvantaged border empowerment zone residents. Excludes from the penalty on early distributions from retirement plan distributions for first home purchases, higher educational expenses, or investment in an enterprise zone business.

Bill· HRH.R. 2244 (103rd)referred

Second Supplemental Appropriations Act of 1993

United States · United States Congress · 24 May 1993

TABLE OF CONTENTS: Title I: Supplemental Appropriations Title II: Rescissions Title III: General Provisions Second Supplemental Appropriations Act of 1993 - Title I: Supplemental Appropriations - Makes supplemental appropriations available to: (1) the Employment and Training Administration of the Department of Labor; (2) the Environmental Protection Agency for construction grants; (3) the Farmers Home Administration of the Department of Agriculture; (4) the Office of Justice Programs of the Department of Justice; (5) the Federal Railroad Administration of the Department of Transportation; and (6) the Small Business Administration through a fund transfer. Title II: Rescissions - Rescinds specified appropriations made to: (1) the Department of Agriculture for the Farmers Home Administration; (2) the Department of Commerce for the Economic Development Administration and the National Oceanic and Atmospheric Administration; (3) the Department of Justice for Office of Justice Programs and the Thomas Jefferson Commemoration Commission; (4) the Department of the Interior for the Bureau of Land Management, the U.S. Fish and Wildlife Service, the National Park Service, and the Office of Navajo and Hopi Indian Relocation; (5) the Department of Labor for the Employment and Training Administration and departmental management; (6) the Department of Education for certain programs; (7) the Department of Transportation for the Coast Guard, the Federal Aviation Administration, and the National Highway Traffic Safety Administration; (8) the Department of the Treasury for the U.S. Customs Administration, the Bureau of the Public Debt, and the Internal Revenue Service; (9) the General Services Administration for the Federal Buildings Fund; (10) the Department of Veterans Affairs for departmental administration; (11) the Department of Housing and Urban Development for certain housing programs; (12) the Environmental Protection Agency for the Hazardous Substance Superfund; and (13) the National Aeronautics and Space Administration for research and development. Title III: General Provisions - Prohibits appropriations in this Act from remaining available for obligation beyond the current fiscal year unless expressly so provided. Restricts the availability of funds for the Community Investment Program until September 30, 1993. Prohibits the use of any funds to pay for the relocation of the Human Nutrition Information Service.

Bill· SS. 1005 (103rd)open

Midnight Basketball League Training and Partnership Act

United States · United States Congress · 20 May 1993

Midnight Basketball League Training and Partnership Act - Amends the Cranston-Gonzalez National Affordable Housing Act to direct the Secretary of Housing and Urban Development to make grants to establish midnight basketball league training and partnership programs incorporating employment counseling and training and other educational activities for residents of public housing and federally assisted housing. Directs the Secretary to: (1) establish a related advisory committee; and (2) provide a grant to one eligible entity to study the effectiveness of such pograms.

Bill· HRH.R. 2230 (103rd)referred

Midnight Basketball League Training and Partnership Act

United States · United States Congress · 20 May 1993

Midnight Basketball League Training and Partnership Act - Amends the Cranston-Gonzalez National Affordable Housing Act to direct the Secretary of Housing and Urban Development to make grants to establish midnight basketball league training and partnership programs incorporating employment counseling and training and other educational activities for residents of public housing and federally assisted housing. Directs the Secretary to: (1) establish a related advisory committee; and (2) provide a grant to one eligible entity to study the effectiveness of such programs.

Law· HRH.R. 2150 (103rd)enacted

Coast Guard Authorization Act of 1993

United States · United States Congress · 19 May 1993

TABLE OF CONTENTS: Title I: Authorization Title II: Personnel Management Improvement Title III: Miscellaneous Sections Coast Guard Authorization Act of 1993 - Title I: Authorization - Authorizes appropriations for the Coast Guard for: (1) operation and maintenance; (2) acquisition, construction, rebuilding, and improvement of aids to navigation, shore and offshore facilities, vessels, and aircraft; (3) research, development, test, and evaluation; (4) retirement pay and benefits; (5) alteration or removal of bridges; and (6) environmental compliance and restoration. Authorizes the Coast Guard end-of-year strength for active duty personnel and the average military training student loads. Title II: Personnel Management Improvement - Raises the ceiling on the number of active duty commissioned officers in the Coast Guard. Authorizes the Commandant to enter into cooperative agreements to accept and utilize voluntary services for the maintenance and improvement of natural and historic resources, or to benefit natural and historic research, on Coast Guard facilities, provided that any such agreement requires the parties to contribute funds or services on a matching basis to defray costs. Authorizes the Secretary of the respective department in which the Coast Guard is operating, where necessary to reduce the number of Reserve officers in an active status in any grade, to provide a steady flow of promotion, or where there is an excessive number of such officers in an active status in any grade, to appoint and convene a retention board to consider all of the Reserve officers in that grade in an active status who have 18 years or more of service for retirement, with exceptions. Makes the ten-month deadline established in the Coast Guard Authorization Act of 1989 with respect to the correction of military records mandatory and applicable to applications pending before the Board for Correction of Military Records or the Secretary of Transportation on June 12, 1990, where administrative remedies are exhausted and other specified conditions are met. Revises provisions regarding the retirement of a Commandant to provide for continuity of grade of admirals and vice admirals. Authorizes the President to appoint a Chief of Staff of the Coast Guard. Title III: Miscellaneous Sections - Repeals provisions of the Act of June 25, 1936, requiring: (1) public notice of North Atlantic Ocean vessel routes, avoidance of ice regions, and penalties for failure to comply with such provisions; and (2) publication of rules and regulations in the Federal Register. Authorizes the Secretary to: (1) acquire real property or interests for use as Coast Guard family housing units and dispose of any such property or interests for adequate consideration; and (2) spend or obligate funds for improvements of buildings at Coast Guard Air Station Cape Cod, Cape Cod, Massachusetts. Grants the Secretary long-term lease authority for specified navigation and communications systems sites. Authorizes the Coast Guard to compete for and accept Federal, State, or other educational research grants, provided that no award is accepted for the acquisition or construction of facilities, or for the routine functions of the Academy. Authorizes the Secretary of Transportation to: (1) expend specified sums for acquisition, construction, and improvement that are derived from the Oil Spill Liability Trust Fund to acquire and preposition oil response equipment at Port Arthur, Texas, and Helena, Arkansas, and to the New York Maritime College of the State of New York to purchase a marine oil spill management simulator; and (2) construct specified shore facilities improvements at Coast Guard Station, Little Creek, Virginia. Authorizes appropriations for the latter. Directs the: (1) Coast Guard to establish the Gulf of Mexico Regional Fisheries Law Enforcement Training Center in the Eighth Coast Guard District in southeastern Louisiana; and (2) Secretary of Transportation to establish a program to evaluate the technological feasibility and environmental benefits of having tank vessels carry oil spill prevention and response technology. Exempts from inspection an unmanned seagoing barge that does not carry oil in bulk or a reportable or harmful quantity of a hazardous material.

Bill· HRH.R. 2191 (103rd)referred

Economic Development Loan Assistance Demonstration Program Act of 1993

United States · United States Congress · 19 May 1993

Economic Development Loan Assistance Demonstration Program Act of 1993 - Directs the Secretary of Housing and Urban Development to establish a demonstration program to encourage economic development in five enterprise zones through grants to community development corporations for reducing interest rates on economic development loans.

Bill· HRH.R. 2172 (103rd)referred

Health Care Reform Budget Enforcement Act of 1993

United States · United States Congress · 19 May 1993

TABLE OF CONTENTS: Title I: Requirement that President Submit and Budget Committees Report Budgets that Achieve a Balanced Budget by Fiscal Year 2000 Title II: Joint Budget Resolutions Title III: Categorical Sequestration and Pay-As-You-Go Title IV: The Budget Baseline Health Care Reform Budget Enforcement Act of 1993 - Title I: Requirement That President Submit and Budget Committees Report Budgets That Achieve a Balanced Budget by Fiscal Year 2000 - Amends Federal law to require any budget submitted by the President to the Congress for FY 1994 through 2000 be a budget for that fiscal year and the four ensuing fiscal years that provides for a balanced budget by FY 2000 and subsequent fiscal years. Requires that such budgets be within categorical targets. Amends the Congressional Budget Act of 1974 to require the reporting of balanced budgets by the congressional budget committees. Title II: Joint Budget Resolutions - Replaces the concurrent resolution on the budget with a joint resolution on the budget. Makes it out of order in the House and Senate to consider any appropriation or authorizing legislation for a fiscal year covered by a joint resolution on the budget before that joint resolution is enacted. Title III: Categorical Sequestration and Pay-As-You-Go - Establishes direct spending and discretionary spending targets (replaces maximum deficit amounts) for FY 1994 through 2000. Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to require adjustments to discretionary spending targets to include expiring housing contracts and emergencies. Establishes a reconciliation process for the congressional committees on Appropriations to avoid sequestration. Prohibits the House or Senate from considering legislation to reduce revenues unless such legislation reduces any combination of entitlement targets or discretionary spending targets in order to make such legislation deficit-neutral. Provides for permanent sequestration of direct spending, eliminating excess direct spending, and a reconciliation process to avoid sequestration. Designates benefits payable under the old-age, survivors and disability insurance program under title II (Old Age, Survivors and Disability Insurance) (OASDI) of the Social Security Act as the only program exempt from reduction from any sequestration order. Repeals other exceptions, limitations, and special rules. Title IV: The Budget Baseline - Amends Federal law to require both the President and the Congress to draft a budget based on estimates of current fiscal year spending, proposing increases or decreases based on this level (rather than on an estimated baseline). Amends the Congressional Budget Act of 1974 to require the Congressional Budget Office to use such a current fiscal year baseline in its report to the congressional budget committees, projecting growth for entitlement and discretionary spending based on current fiscal year spending.

Bill· HRH.R. 2141 (103rd)open

Ways and Means Budget Reconciliation Act of 1993

United States · United States Congress · 18 May 1993

TABLE OF CONTENTS: Title I: Short Title; References to Omnibus Budget Reconciliation Act of 1993 Titles II-XII: (Reserved) Title XIII: Committee on Ways and Means-Savings Subtitle A: Old-Age, Survivors, and Disability Insurance Program Subtitle D (sic): Customs and Trade Provisions Subtitle E: Customs Officer Pay Reform Subtitle B (sic): Human Resources Amendments Subtitle C: Medicare Program Title XIV: Revenue Provisions Subtitle A: Training and Investment Incentives Subtitle B: Revenue Increases Subtitle C: Empowerment Zones and Enterprise Communities, Etc. Subtitle D: Other Provisions Title I: Short Title; References to Omnibus Budget Reconciliation Act of 1993 - Ways and Means Budget Reconciliation Act of 1993 - Deems any reference in this Act to the Omnibus Budget Reconciliation Act of 1993 to be a reference to the Ways and Means Budget Reconciliation Act of 1993. Titles II-XII: (Reserved) Title XIII: Committee on Ways and Means: Savings - Subtitle A: Old-Age, Survivors and Disability Insurance Program - Amends the Omnibus Budget Reconciliation Act of 1990 (OMBRA '90) to require the Secretary of Health and Human Services (Secretary) to reestablish and maintain in service the same number of telephone lines to each local social security office that were in place on September 30, 1989. (Sec. 13002) Amends the Internal Revenue Code (IRC) and title II (Old Age, Survivors and Disability Insurance) of the Social Security Act (SSA) to raise the threshold at which election services become subject to social security employment taxes. (Sec. 13003) Amends SSA title II to: (1) permit States which already collect social security numbers under current law to use them to eliminate duplicate names and names of convicted felons from jury source lists; (2) extend to all States the option to provide police officers and firefighters participating in a public retirement system with social security coverage under voluntary agreements with the Secretary; (3) disregard the windfall elimination provision in computing any U.S. totalization benefit and the amount of a regular U.S. benefit of an individual who receives a foreign totalization benefit based in part on U.S. employment, and who does not receive any other pension which is based on noncovered employment; (4) provide that military pensions based wholly on service in the military reserves before 1988 shall not trigger application of the Government pension offset or windfall elimination provision to the individual's social security benefits; (5) repeal the facility-of-payment provision; (6) make the guaranteed primary insurance amount the basis for calculating the guaranteed maximum family benefit; (7) make unauthorized disclosure of information and fraudulent attempts to obtain personal information under SSA a felony, and increase penalties for such offenses; (8) increase the time for which an extension may be granted for filing an annual earnings report; (9) permit the Department of Agriculture to share its list of names, social security numbers, and employer identification numbers of the owners and officers of retail grocery stores which redeem food stamps with other Federal agencies for the purpose of investigating food stamp fraud and violations of other Federal laws; (10) prohibit the misuse of Department of the Treasury names, symbols, etc.; (11) prohibit a State from using an individual's social security number in the administration of any driver's license or motor vehicle registration law where the State has not entered into a contract to provide death certificate and related information to the Secretary, or where such a contract restricts the Secretary's use of death information; and (12) require the Secretary to study improvements in gathering and reporting of death information. (Sec. 13005) Exempts from payment liability and penalties any ministers who were American citizens and residents of Canada prior to the 1984 totalization agreement between the United States and Canada and failed to file a tax return or pay self-employment taxes. (Sec. 13010) Amends IRC to: (1) authorize the Secretary of the Treasury to disclose information from tax returns on individuals' mortality status to the Secretary for epidemiological research purposes; (2) provide for the coordination of the collection of domestic service employment taxes with the collection of income taxes; and (3) change threshold requirements with respect to social security employment taxes on domestic services. (Sec. 13015) Requires the Secretary to study the rising costs of disability benefits for a report to the Congress with recommendations for legislative changes. (Sec. 13016) Amends the Social Security Disability Amendments of 1980 to extend the Secretary's authority to conduct disability work incentive demonstration projects. Subtitle D (sic): Customs and Trade Provisions - Amends the Tariff Act of 1930 to authorize appropriations for the United States International Trade Commission (ITC). Prohibits use of such funds for any special study, investigation, or report requested by an agency of the executive branch unless such agency reimburses the ITC for its costs. (Sec. 13601) Amends the Customs Procedural Reform and Simplification Act of 1978 to authorize appropriations for the United States Customs Service for: (1) noncommercial and commercial operations; and (2) the air and marine interdiction programs. Amends the Trade Act of 1974 to authorize appropriations for the Office of the United States Trade Representative. (Sec. 13602) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) to extend the authority of the Secretary of the Treasury to collect customs user fees. (Sec. 13603) Amends the Trade Act of 1974 to remove the Union of Soviet Socialist Republics from the list of countries ineligible for designation as a beneficiary developing country under the Generalized System of Preferences (GSP). Extends duty-free treatment provided under the GSP. (Sec. 13604) Extends the worker trade adjustment assistance program (trade adjustment assistance benefits for workers adversely affected by import competition or the relocation of U.S. production facilities abroad) as well as authorization of appropriations for it. (Sec. 13605) Amends the Omnibus Trade and Competitiveness Act of 1988 to extend the authority of the President, for a specified period of time, to enter into trade agreements with foreign countries for the reduction or elimination of tariff or nontariff barriers if the Uruguay Round of multilateral trade negotiations under the General Agreement on Tariffs and Trade (GATT) has not resulted in such trade agreements by May 31, 1993. Provides that implementing bills involving tariff and nontariff trade agreements shall be effective only if, among other things, the President, at least 120 calendar days (currently, 90 days) before he enters into such agreement, notifies the Congress of his intention to enter into it, and publishes such intention in the Federal Register. Extends congressional "fast track procedures" to such implementing bills through April 16, 1994. (Sec. 13606) Amends the Trade Act of 1974 to eliminate the East-West Trade Statistics Monitoring System. Subtitle E: Customs Officer Pay Reform - Amends Federal law to revise the pay system for United States Customs Service Inspectors (customs inspectors). (Sec. 13702) Authorizes cash awards to customs officers for foreign language proficiency. (Sec. 13703) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) to provide for reimbursement of appropriations from the Customs User Fee Account (Account) for agency retirement contributions. (Sec. 13704) Amends Federal law with regard to the treatment of certain pay of customs officers for retirement purposes. (Sec. 13705) Revises COBRA congressional reporting requirements respecting Account reimbursements. Requires additional General Accounting Office reports to the Congress concerning the financing of overtime inspectional services through user fees. Subtitle B: (sic) Human Resources Amendments - Chapter 1: Child Welfare Services, Foster Care, and Adoption Assistance - Amends SSA title IV part B (Child-Welfare Services) to: (1) create a capped entitlement program to provide child welfare services designed to strengthen and preserve families; (2) repeal provisions linking the payment of certain SSA title IV part B funds to the implementation of certain protections for children in foster care; (3) require that the State part B plan provide for the foster care protections currently outlined in such provisions as well as for State review of its procedures in effect for children abandoned at or shortly after birth, as well as enactment of any procedures necessary to enable permanent child placement decisions to be made expeditiously; (4) provide that the funds withheld or recovered from a State owing to its failure to comply with such protections may not be reallotted among other States; (5) require State part B plans to contain a description of the specific measures taken by the State to comply with the Indian Child Welfare Act; and (6) provide for child welfare traineeships. (Sec. 13212) Directs the Secretary to provide grants for State courts to assess and improve proceedings relating to foster care placement and adoption. (Sec. 13216) Amends SSA title IV part E (Foster Care and Adoption Assistance) (FCAA) to: (1) change the reimbursement policy with respect to foster care maintenance payments made on behalf of certain children whose adoption has been set aside by a court or whose voluntary placement in foster care has been judicially determined to be in the best interests of the child; (2) provide for 90 (and later 50) percent matching of State expenditures for planning, design, development, or installation of statewide mechanized data collection and information retrieval systems, and 50 percent matching of State expenditures for operation of the systems; (3) require States to review periodically their foster care maintenance payment and adoption assistance levels to ensure their continuing appropriateness; (4) revise the case review system to provide that hearings after the initial dispositional hearing take place at least every 12 months, rather than periodically; (5) require the health and education records in each child's case plan to include a record that the foster care provider was advised (where appropriate) of the child's eligibility for early and periodic Medicaid screening, diagnostic, and treatment services; (6) provide for the treatment of assets of youths participating in the independent living program; (7) make permanent the authorization for the independent living program; (8) repeal authority to transfer unused foster care funds to the child welfare services program; (9) require the Secretary to promulgate regulations for on-site reviews and audits of State expenditures for foster care maintenance and adoption assistance payments; (10) set forth case plan requirements for children placed in foster care a substantial distance from their homes or in a different State; (11) require the dispositional hearing for a child placed in foster care in a different State to determine whether the out-of-State placement continues to be appropriate and in the child's best interests; (12) require the adoption and foster care data collection system to provide information on the number and characteristics of children placed in foster care outside the State; and (13) codify Federal regulations providing a timetable for the treatment of State claims for foster care and adoption assistance. (Sec. 13218) Directs the Secretary to study and report to the Congress on the ways in which States implement the reasonable efforts requirements for State SSA title IV part E plans. (Sec. 13225) Amends the Omnibus Budget Reconciliation Act of 1989 (OMBRA '89) to extend permanently (and retroactively to October 1, 1992) the level of Federal reimbursement under SSA title IV part E for the training of personnel employed or preparing for employment by the State or local child welfare agency, and for the training of foster and adoptive parents. (Sec. 13227) Amends SSA title XI part A to: (1) bar the Secretary from imposing financial penalties on States for the failure of State programs under SSA title IV parts B and E to comply with State plan requirements, except pursuant to final regulations meeting specified requirements; (2) provide for certain demonstration projects to promote the objectives of such parts; and (3) overturn certain limitations in Suter v. Artist M. on private enforceability of State plan requirements. (Sec. 13232) Prohibits the Secretary: (1) until October 1, 1994, from reducing any payment to, withholding any payments from, or seeking any repayments from any State under SSA title IV parts B or E by reason of a determination in connection with a review of State compliance with SSA title IV part B foster care protections; and (2) from reducing any payments to, withholding any payments from, or seeking any repayments from any State under SSA title IV part E by reason of a determination in connection with any on-site Federal financial review, or any audit conducted by the Inspector General using similar methodologies. (Sec. 13233) Requires the Secretary to make grants to eligible institutions to train individuals to deliver culturally sensitive and bilingual child welfare services in border areas with Mexico. Authorizes appropriations. Chapter 2: Child Support Enforcement - Amends SSA title IV part D (Child Support and Establishment of Paternity) to: (1) set up new paternity establishment performance standards and procedures for State child support enforcement programs; (2) outline State SSA title IV part D plan requirements applicable to health insurers, employers, and State Medicaid agencies with regard to health insurance coverage for children of parents subject to a support order; and (3) require State child support enforcement agencies to periodically report, at no charge, the names of obligors at least two months delinquent in child support payments to bona fide consumer reporting agencies capable of making accurate use of such information. Chapter 3: Supplemental Security Income - Amends SSA title XVI (Supplemental Security Income) (SSI) and other Federal law to: (1) require the Social Security Administration to charge States fees for the Federal cost of administering State supplemental SSI payments; and (2) require the Secretary to charge fees for additional services requested by the State that are beyond the level customarily provided in administering such payments. (Sec. 13252) Amends OMBRA '90 to make permanent the exclusion of State and local relocation assistance from countable income under SSI. (Sec. 13253) Amends SSA title XVI to: (1) deem to be living in a household a spouse or parent of family members on SSI who is absent from the household solely because of active duty military assignment; (2) exclude hazardous duty pay received while on active military duty from countable income; (3) continue SSI benefits to children who are U.S. citizens if they received SSI in the United States and then accompany their parents on military assignment to any U.S. territory or possession; and (4) extend the SSI definition of disability for children under 18 to any person under 18. (Sec. 13257) Amends Federal law to exempt income of up to $2,000 per year received by individual Indians that is derived from leases on individually-owned trust or restricted Indian lands in determining eligibility and benefit levels under AFDC (SSA title IV part A) and SSI. Chapter 4: Aid to Families with Dependent Children - (Sec. 13261) Amends SSA title IV part A to: (1) reduce to 50 percent the enhanced Federal matching available for certain categories of State administrative expenses; (2) make optional a State's verification of an individual's immigration status with the Immigration and Naturalization Service through an immigration status verification system; (3) delay Federal requirements regarding AFDC-UP participation rates; and (4) increase the amount of stepparent earnings disregarded in determining the eligibility and benefit amounts of AFDC recipients and applicants. (Sec. 13263) Amends SSA title IV part F (Job Opportunities and Basic Skills Training Program) (JOBS) to require the Secretary to develop criteria for performance standards in the JOBS program, rather than performance standards themselves, by a certain date. (Sec. 13264) States that the Congress hereby declares that: (1) it is the policy and responsibility of the Federal Government to reduce the rate and degree to which families depend on income from welfare programs, to assist them toward self-sufficiency, and to increase the living standards of low-income families; and (2) the Federal Government should help welfare recipients as well as individuals at risk of welfare participation to improve their education and job skills, to obtain access to high quality child care and other necessary support services, and to take such other steps as may assist them to meet their responsibilities to become financially independent. Directs the Secretary to develop welfare participation measures and predictors, and report annually on welfare participation to specified congressional committees. Establishes the Advisory Board on Welfare Participation to assist the Secretary in the development of such measures and predictors. (Sec. 13265) Directs the Secretary to provide for a demonstration project offering low-income residents of Milwaukee, Wisconsin, employment, wage supplements, health and child care, and counseling and training for job retention or advancement. (Sec. 13266) Amends the Family Support Act of 1988 to: (1) delay the requirement for implementation of the Unemployed Parent program in Puerto Rico, Guam, the Virgin Islands, and American Soma until the limitations on Federal matching payments to these jurisdictions with respect to AFDC and FCAA maintenance payments are repealed; and (2) extend the authorization for early childhood development projects. (Sec. 13269) Amends the Omnibus Budget Reconciliation Act of 1987 (OMBRA '87) to extend New York State's Child Assistance Program demonstration. (Sec. 13267) Amends SSA title XI to provide that, with respect to AFDC, one adult member of a family or household may sign, under penalty of perjury, a declaration attesting to the citizenship or satisfactory immigration status of other family or household members. Permits an adult to sign a declaration on behalf of a newly born child no later than the next eligibility redetermination date. Chapter 5: Unemployment Insurance - Amends IRC and SSA title III (Unemployment Compensation) to provide for the treatment of short-time compensation programs under which individuals whose workweeks have been reduced by at least ten percent (especially as an alternative to a temporary layoff) are eligible for unemployment compensation, under certain conditions. (Sec. 13275) Amends the Federal-State Extended Unemployment Compensation Act of 1970 to increase the reimbursement rate and repeal special eligibility requirements under the extended unemployment program. (Sec. 13276) Amends IRC to: (1) extend the current Federal unemployment tax rate; and (2) require disclosure of information about certain taxes to the Railroad Retirement Board for purposes of its administration of the Railroad Retirement and Railroad Unemployment Insurance Acts. Chapter 6: Technical Provisions - Makes technical corrections related to the income security and human resources provisions of OMBRAs '89 and '90. (Sec. 13283) Amends SSA title XVI to repeal certain obsolete provisions relating to treatment of the earned income tax credit. Subtitle C: Medicare Program - Chapter 1: Provisions Relating to Part A - Subchapter A: Elimination of Inflation Update for Services Provided under Part A: - Amends SSA title XVIII (Medicare) to eliminate updates for inpatient hospital services and hospice care under Medicare part A in FY 1994 and 1995. (Sec. 13402) Prohibits the Secretary from applying an update factor to the cost limits for skilled nursing facility cost reporting periods beginning in FY 1994 and 1995. Subchapter B: Other Provisions Relating to Part A - Amends SSA title XVIII to: (1) provide that a change in classification of hospitals from one area to another cannot result in a reduction in the wage index for an urban area if the area has a wage index below the rural wage index for the State or if the area is the only urban area in a State with no rural areas; (2) change certain requirements with respect to the standards for designating metropolitan statistical areas that are used in determining treatment of certain hospitals in rural counties adjacent to one or more urban areas; (3) require the Secretary to phase out payments for day outlier cases starting in FY 1995; (4) revise and authorize appropriations for the Essential Access Community Hospital (EACH) demonstration program; (5) provide for a prospective payment system for determining payments for outpatient rural primary care hospital services; (6) continue special payments for Medicare-dependent, small rural hospitals for discharges occurring through FY 1994, with reduced payments for certain discharges; (7) extend the regional floor provision with respect to certain hospital discharges the payment for which is set at 85 percent of the national amount and 15 percent of the regional amount; (8) allow to participate in Medicare hospitals where the care of patients receiving qualified psychologist services is under a clinical psychologist; (9) provide for additional medical education payments for interns and residents providing services at a community heath center under a hospital's ownership or control; (10) require skilled nursing facilities to inform beneficiaries of the hospice benefit under Medicare, except under certain conditions; (11) reduce the part A premium, on a phase-in basis, for individuals with 30 or more quarters of social security coverage (and their spouses); (12) require the Secretary to update periodically the salary equivalency guidelines for physical therapy and respiratory therapy services using the most recent available data; and (13) provide that diagnosis-related group (DRG) window provisions will not apply to hospitals that are not paid on a DRG basis. (Sec. 13414) Amends OMBRA '87 to: (1) reauthorize and extend the rural health transition grant program; and (2) provide that all hospitals classified as regional referral centers on September 30, 1992, shall retain such status through FY 1994. (Sec. 13415) Requires the Secretary to: (1) make a lump sum retroactive payment to any such hospital for payments lost as a result of the loss of its regional referral center status; and (2) provide any hospital which fails to qualify as a rural referral center as a result of its urban reclassification with the opportunity to decline such reclassification and retain rural referral center status. (Sec. 13418) Amends OMBRA '90 to require the Secretary to continue limited-service rural hospital demonstration projects through calendar 1995. (Sec. 13419) Amends OMBRA' 89 to extend the hemophilia pass-through program. (Sec. 13420) Declares that, in the case of a State with a Medicare-approved payment system, no other provision of law shall be construed as preventing the system from providing that payment for covered services be made on the basis of rates provided for under such system. (Sec. 13423) Prohibits the Secretary from taking action to recover certain amounts paid by Medicare to uniformed services treatment facilities in Boston, Baltimore, and Seattle for services that were provided between October 1, 1986, and December 31, 1989, except to the extent that funds are made available for that purpose under the Department of Defense Appropriations Act, 1993. Requires a study and report to the Congress by the Secretary on establishment of joint medical facilities among the Department of Defense, the Department of Veterans Affairs, and other public and private entities. (Sec. 13424) Requires the Secretary to: (1) review ]the DRGs assigned to discharges of patients with intractable epilepsy; (2) revise, for discharges occurring on or after October 1, 1994, the assignment of discharges to such groups as the Secretary considers appropriate to account for the resource requirements of such patients; and (3) begin collecting the data necessary to compute a skilled nursing facility wage index adjustment to the routine service cost limits required under Medicare. Requires the Prospective Payment Assessment Commission to study and report to the Congress on the impact of applying routine per diem cost limits for skilled nursing facilities on a regional basis. (Sec. 13429) Allows hospitals that have been reclassified from urban to rural as a result of revisions to metropolitan statistical area definitions issued by the Office of Management and Budget on December 28, 1992, to apply to the Medicare Geographic Classification Review Board for reclassification in FY 1994. Chapter 2: Provisions Relating to Part B: Subchapter A: Elimination of Inflation Update - Amends SSA title XVIII part B to eliminate the inflation update for physician and related professional services and other specified items and services. (Sec. 13432) Freezes payments for enteral and parenteral nutrients, supplies and equipment, rural health clinic, federally-qualified health center, and comprehensive outpatient rehabilitation facility services, dialysis services, and other part B items and services. Subchapter B: Physicians' Services - Amends SSA title XVIII part B to: (1) repeal the OMBRA '90 prohibition on separate payments for EKG interpretations; (2) repeal the reductions in payments to new physicians and practitioners; (3) prohibit the Secretary from changing the methodology in effect as of January 1, 1992, for calculating anesthesia time in the fee schedules for anesthesia services; (4) revise requirements with respect to geographic adjustment factors and beneficiary liability for amounts billed above the limiting charge; (5) require pre-payment screening by carriers of unassigned claims submitted by nonparticipating physicians; (6) require the Explanation of Benefits form to contain information on amounts billed in excess of the applicable limiting charge; (7) specify the practitioners who may only bill for services on an assignment-related basis; (8) include antigens prepared by a physician on the physician fee schedule; (9) prohibit the imposition of user fees in specified circumstances in the administration of claims relating to physicians' services; and (10) specify the conditions under which the Secretary can recognize substitute billing arrangements between two physicians. (Sec. 13444) Requires the Secretary to: (1) study and report to specified congressional committees on the data necessary to review and revise geographic indices; and (2) review and revise such indices and the geographic index values applied for all fee schedule areas by a certain date. Requires the Physician Payment Review Commission to conduct a study to develop criteria for use in redefining the localities used within States for adjusting physicians' fees. (Sec. 13446) Requires the Secretary to: (1) fully develop, by not later than July 1, 1994, relative values for the full range of pediatric physicians' services; and (2) study and report to the Congress on the relative values for pediatric and other services. Subchapter C: Ambulatory Surgical Center Services - Amends SSA title XVIII to extend special payment rates for certain eye or eye and ear hospitals to any hospital that otherwise meets current law criteria but, on October 1, 1987, operated as a physically separate or distinct eye or ear unit of a general acute care hospital which has since disposed of a substantial portion of its other acute care operations. (Sec. 13452) Amends OMBRA '90 to extend the cap on payments for intraocular lenses through 1994. Requires the Secretary to study and report to the Congress on the costs to providers of intraocular lenses provided to individuals enrolled under Medicare part B. Subchapter D: Durable Medical Equipment - Amends SSA title XVIII to: (1) remove aspirators and nebulizers from the category of durable medical equipment (DME) items requiring frequent and substantial servicing; (2) specifically provide for payment of accessories relating to aspirators and nebulizers; (3) set forth requirements which suppliers of medical equipment and supplies must satisfy in order to qualify for Medicare reimbursement; (4) require the Secretary to develop standardized certificates of medical necessity forms for use in documenting the medical necessity of DME items and supplies; (5) require DME suppliers to submit claims to the carrier having jurisdiction over the geographic area that includes the permanent residence of the patient to whom the item is furnished; (6) place restrictions on certain marketing and sales practices by DME suppliers; (7) specify the circumstances under which Medicare beneficiaries are not financially liable for covered items and services furnished by a supplier on an unassigned basis; (8) address adjustments made to final DME payment amounts for inherent reasonableness generally and require adjustments for certain items where the final payment amounts are found reasonable; and (9) subject ostomy supplies, tracheostomy supplies, and urologicals to national payment limits. Subchapter E: Other Provisions - Amends SSA title XVIII to: (1) freeze at the 1992 level the conversion factor used to determine payments to medically directed certified registered nurse anesthetists; (2) provide that in subsequent years such factor shall be the previous year's conversion factor increased by the update for physician anesthesia services for that year; (3) provide for Medicare coverage of oral cancer drugs, under certain conditions; (4) provide for uniform coverage of "off-label" anti-cancer drugs; (5) cap the part B premium penalty for late enrollment for Federal employees who meet certain conditions; (6) authorize the Secretary to enter into agreements with States to allow them to pay the late enrollment premium increases of eligible individuals; (7) establish statutory definitions for speech-language pathologists and audiologists consistent with current coverage guidelines; and (8) provide for the treatment of certain Indian health programs and facilities as federally-qualified health centers. (Sec. 13473) Requires a study and report to specified congressional committees by the Secretary on Medicare coverage of patient care costs associated with clinical trials of new cancer therapies. (Sec. 13476) Amends the Consolidated Omnibus Budget Reconciliation Act of 1985 to extend municipal health service demonstration projects. Subchapter F: Part B Premium - Amends SSA title XVIII to extend current law provisions for establishing the monthly Medicare part B premium for beneficiaries enrolled in Medicare. Chapter 3: Provisions Relating to Parts A and B - Subchapter A: Elimination of Updates - Amends SSA title XVIII to eliminate updates in payments to hospitals for the direct costs of graduate medical education for cost reporting periods beginning during FY 1994 and 1995. (Sec. 13502) Prohibits the Secretary from providing any update in the cost limits for home health services for cost reporting periods beginning during FY 1994 and 1995. Subchapter B: Medicare Secondary Payer Provisions - Specifies numerous changes with regard to Medicare as secondary payor. Subchapter C: Physician Ownership and Referral - Amends SSA title XVIII to: (1) apply the ban on certain referrals by physicians to all payers, extending it to cover additional specified health services as well as new exceptions; (2) expand current standards used to define a group practice; and (3) provide that Federal law shall not preempt State laws that relate to referrals not covered under the ban, or that relate to referrals covered under the ban but are even more restrictive. Subchapter D: Other Provisions - Requires the Secretary to: (1) redetermine the full-time-equivalent (FTE) resident amount to reflect the amount that would be allowed if the hospital had been liable to pay FICA taxes or make other specified retirement contributions for residents during the base year, but did not make such payments, yet now must do so as a result of OMBRA '90; and (2) establish outreach to Medicare beneficiaries who may qualify for Medicaid payment of their out-of-pocket Medicare expenses. (Sec. 13551) Amends SSA title XVIII to: (1) reduce payments for erythropoientin; (2) require home health agencies to inform Medicare beneficiaries of their entitlement to hospice care under Medicare; (3) provide for interest payments to be made on clean claims if payment is not made within 30 days of receipt; (4) provide for adjustment in Medicare capitation payments to account for regional variations in application of Medicare secondary payer provisions; (5) provide for adjustments for certain publicly- funded family practice residency programs; (6) extend on a graduated basis to three years (after 1997) the current one-year period following a transplant procedure during which Medicare covers immunosuppressive drug therapy for beneficiaries who have received organ transplants; and (7) provide that user fees imposed under the Clinical Laboratories Improvement Act of 1967 are not subject to the general ban on user fees for determining compliance with any requirement of Medicare. (Sec. 13555) Amends OMBRA '87 and the Deficit Reduction Act of 1984 to: (1) extend social health maintenance organization demonstration projects for an additional two years; and (2) permit one of the projects to enroll Medicare end-stage renal disease beneficiaries. Increases the limit on the number of individuals who pay participate in such projects. (Sec. 13558) Amends SSA title XI to repeal the requirement that peer review organizations precertify selected surgical procedures. (Sec. 13560) Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide that to the extent that appropriations are enacted providing budget authority for Medicare administrative costs above a base level of spending in FY 1992 of $1.526 billion, the appropriate discretionary spending limits shall be adjusted to accommodate additional budget authority in FY 1994 and 1995. Chapter 4: Medicare Supplemental Insurance Policies - Amends OMBRA '90 and Medicare to make specified changes to Federal standards respecting the sale and regulation of Medicare supplemental insurance policies. Chapter 5: Treatment of Certain State Health Care Programs - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to provide that: (1) the Hawaii Prepaid Health Care Act will not be preempted by ERISA unless the Secretary of Labor notifies the Governor of Hawaii that, as a result of any amendment to such Act, the proportion of the population covered would be less than the current proportion or the level of coverage would be less than the actuarial equivalent of the current level of coverage; and (2) State tax laws relating to employee benefit plans will continue to be preempted. Title XIV: Revenue Provisions - Revenue Reconciliation Act of 1993 - Subtitle A: Training and Investment Incentives - Part I: Provisions Relating to Education and Training - Makes permanent after June 30, 1992: (1) the tax exclusion of employer-provided educational assistance; and (2) the targeted jobs credit. Allows the use of the targeted jobs credit, with limitations, for the hiring of a qualified participant in an approved school-to-work program. Part II: Investment Incentives - Subpart A: Research Credit - Makes permanent the credit for increasing research activities. Modifies the fixed base percentage of such credit for startup companies for taxable years after 1993. Subpart B: Capital Gain Provisions - Allows a taxpayer other than a corporation to exclude from gross income 50 percent of gain from the sale or exchange of qualified small business stock held for more than five years. Set forth rules and limitations for such exclusion. Treats one-half of such exclusion as an item of tax preference for minimum tax purposes. (Sec. 14114) Allows the rollover of gain from the sale of publicly traded securities into specialized small business investment companies. Subpart C: Modifications to Minimum Tax Depreciation Rules - Modifies the method of determining the depreciation deduction for certain personal property placed in service after 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subpart D: Increase in Expense Treatment for Small Business - Increases the dollar limitation on the election to expense certain depreciable small business assets. Part III: Tax-Exempt Bond Provisions - Provides a complete tax exemption (currently a 75 percent tax exemption) for bonds used to finance high-speed intercity rail facilities. (Sec. 14122) Permanently extends the authority to issue qualified small issue bonds to finance manufacturing facilities and farm property. Part IV: Expansion and Simplification of Earned Income Tax Credit - Repeals certain interaction rules with respect to the medical expense deduction, the deduction for health insurance, and the dependent care credit. Revises credit and phaseout percentages for 1994. Part V: Incentives for Investment in Real Estate - Subpart A: Extension of Qualified Mortgage Bonds and Low-Income Housing Credit - Makes permanent: (1) the authority to issue qualified mortgage bonds and qualified mortgage credit certificates; and (2) the low-income housing credit. (Sec. 14142) Provides that assistance under the HOME Investment Partnerships Act should not result in certain buildings being federally subsidized. Subpart B: Modification of Passive Loss Rules - Provides for the treatment of rental real estate activities under the limitations on losses from passive activities. Subpart C: Provisions Relating to Real Estate Investments by Pension Funds - Modifies exceptions to the exclusion of real property acquired by a qualified organization from the meaning of acquisition indebtedness. Makes certain exceptions inapplicable to sales out of foreclosure by a financial institution. (Sec. 14145) Repeals the special rule for publicly traded partnerships with respect to the treatment of unrelated business taxable income. (Sec. 14146) Permits a tax-exempt title-holding company to receive unrelated business taxable income if the unrelated income is incidentally derived from the holding of real property. (Sec. 14147) Excludes from unrelated business taxable income: (1) gains from the sale, exchange or other disposition of real property acquired from financial institutions that are in conservatorship or receivership; and (2) loan commitment fees and certain option premiums. Provides for the tax treatment of pension fund investments in real estate investment trusts. Subpart D: Discharge of Indebtedness - Excludes from gross income the income from the discharge of qualified real property business indebtedness. Subpart E: Increase in Recovery Period for Nonresidential Real Property - Increases the depreciation recovery period for nonresidential real property. Part VI: Luxury Tax - Repeals the luxury excise tax on boats, aircraft, jewelry, and furs. (Sec. 14162) Modifies the luxury excise tax on automobiles to index the threshold for inflation occurring after 1990 and make such tax applicable to the first retail sale. Exempts from the luxury excise tax parts for accessories installed for use of passenger vehicles by disabled individuals. (Sec. 14163) Extends the current diesel fuel excise tax to diesel fuel used by noncommercial motorboats. Retains such taxes in the General Fund of the Treasury. Part VII: Other Changes - Repeals the tax preference for the appreciated property charitable deduction. Disallows an adjustment related to the earnings and profits effects of any charitable contribution from being made in computing adjusted current earnings. Requires the Secretary of the Treasury to report to specified congressional committees on the development of a procedure for taxpayers to seek an agreement with the Secretary on the value of tangible personal property prior to the donation of such property to a qualifying charitable organization. (Sec. 14172) Amends the Railroad Retirement Solvency Act of 1983 to make permanent the treatment of certain railroad retirement benefits as received under employer plans. (Sec. 14173) Provides for the temporary extension of the deduction of health insurance costs of self-employed individuals. Subtitle B: Revenue Increases - Part I: Provisions Affecting Individuals- Subpart A: Rate Increases - Lowers the tax rates for certain taxpayers and increases the tax rate for certain higher incomes. Imposes a surtax on certain higher incomes. (Sec. 14203) Increases the tentative minimum tax for taxpayers other than corporations. (Sec. 14204) Makes permanent the overall limitation on itemized deductions and the phaseout of personal exemptions for high-income taxpayers. (Sec. 14206) Sets forth provisions to prevent the conversion of ordinary income to capital gain in certain financial transactions. Repeals certain exceptions to market discount rules. Provides for the treatment of purchases of stripped preferred stock after April 30, 1993. Revises the methods of: (1) computing the limitation on the deductibility of investment interest; and (2) determining substantial appreciation of partnership inventory items. Subpart B: Other Provisions - Repeals the limitation on the amount of wages subject to the health insurance employment tax. (Sec. 14208) Increases and makes permanent the highest estate and gift tax rate. (Sec. 14209) Reduces the deduction for business meals and entertainment expenses. (Sec. 14210) Disallows a tax deduction for social club membership dues, except for employee recreational expenses. (Sec. 14211) Disallows a deduction as a trade or business expense remuneration to certain employees in excess of $1 million. (Sec. 14212) Reduces the compensation taken into account in determining contributions and benefits under qualified retirement plans. (Sec. 14213) Removes qualified residence sales, purchases, or leases and meals from the deduction for moving expenses. (Sec. 14214) Revises the limitation on using the preceding year's tax to calculate an individual's estimated tax payments. (Sec. 14215) Increases the amount of social security and tier 1 railroad retirement benefits to be included in the gross income of certain taxpayers. Part II: Provisions Affecting Business - Increases the tax rate for corporate income in excess of $10 million and the tax rate on personal service corporations. (Sec. 14222) Denies a tax deduction for lobbying expenses. Subjects lobbying organizations to special reporting requirements. (Sec. 14223) Requires any security which is inventory in the hands of the dealer to be included in inventory at its fair market value. Requires any dealer in securities that holds any security which is not in inventory at the close of any taxable year to: (1) recognize gain or loss as if the security were sold on the last business day of the taxable year; and (2) take into account any such gain or loss for such year (the mark-to-market requirement). (Sec. 14224) Requires taking into account: (1) certain Federal Savings and Loan Insurance Corporation (FSLIC) assistance as compensation for loss; and (2) any FSLIC assistance for any debt for determining whether such debt is worthless and in determining the amount of any addition to a reserve for bad debts arising from such worthlessness or partial worthlessness. (Sec. 14225) Increases the required annual payment for corporations that fail to pay estimated income tax. Modifies the periods for applying such annualization. (Sec. 14226) Limits the Puerto Rico and possession tax credit to 60 percent of the possession corporation's qualified possession wages. (Sec. 14227) Modifies the limitation on corporate deductions for interest paid to related persons to take into account disqualified guarantees of indebtedness and the imposition of a gross basis tax. Part III: Foreign Tax Provisions - Subpart A: Current Taxation of Certain Earnings of Controlled Foreign Corporations - Requires U.S. shareholders of controlled foreign corporations to include in gross income a pro rata share of the corporations excess passive assets. Sets forth rules for determining such amounts. Modifies the rule on taxation of investment in United States property and takes into account excessive passive assets. Requires a report to specified congressional committees on a study of investments by controlled foreign corporations in U.S property. (Sec. 14233) Excepts from foreign personal holding income any dividends attributable to earnings and profits of the distributing corporation accumulated during any period during which the person receiving such dividend did not hold such stock. Requires the establishment of an excess limitation account by taxpayers who receive foreign tax credits in a year they receive previously taxed earnings and profits. Subpart B: Allocation of Research and Experimental Expenditures - Reduces the amount allowed as allocation and apportionment of research and experimental expenditures from sources within the United States. Subpart C: Other Provisions - Excludes passive dividends or interest income from foreign oil and gas income. (Sec. 14236) Modifies accuracy-related penalties for tax underpayments. (Sec. 14237) Denies the inclusion of certain contingent interest in the exemption for portfolio interest for nonresident aliens. (Sec. 14238) Authorizes the Secretary of the Treasury to prescribe regulations recharacterizing any multiple-party financing transaction as a transaction directly among any two or more of such parties where appropriate to prevent any tax avoidance. Part IV: Energy Tax Provisions - Subpart A: Energy Tax Based on Btu Content - Imposes an excise tax on the following energy products: (1) taxable refined petroleum products removed from a U.S. refinery or terminal entered into the United States for consumption, use, or warehousing, and sold to a nonregistered person; (2) natural gas removed from any pipeline in the United States, entered into the United States for consumption, use, or warehousing, and entered into any nonregistered pipeline; (3) coal received at any facility for use as a fuel at such facility; and (4) the sale of electricity to ultimate users in the United States and the use of electricity which was not subject to such tax. Bases the rate of tax on such products on the applicable Btu factor and content. Provides for refunding certain amounts to ultimate vendors of petroleum used for heating oil and international commercial transportation. Repays certain sums to persons who use petroleum to produce calcined coke. Provides exemptions from such excise tax for certain uses. Refunds the tax paid by certain users of methane recovered from biomass or coal mining. Imposes a tax on the use of any fossil fuel: (1) in the manufacture or production of a fuel other than at a U.S. refinery; or (2) as a fuel. Specifies the application of such tax and exceptions. Imposes a tax on floor stock of taxable fuels held on the date of the tax increase. Allows a credit against such tax. Provides for such tax increases to begin July 1, 1994. Imposes an imported Btu tax on certain imported products that contain significant levels of direct energy inputs that would be taxable if the products were manufactured in the United States. Imposes a penalty on persons who sell dyed fuel for taxable uses. Subpart B: Modifications to Tax on Diesel Fuel - Imposes an excise tax on diesel fuel (separate from the gasoline tax and the tax on aviation). Exempts from such tax diesel fuel: (1) used by trains and intercity, local, or school buses; and (2) which is dyed or marked in accordance in regulations prescribed by the Secretary of the Treasury. Provides that the Airport and Airway Trust Fund financing rate does not apply to aviation fuel sold by a producer or importer for use by the purchaser in a nontaxable use. Imposes a civil penalty on persons who use reduced-rate fuel for a taxable use. (Sec. 14243) Imposes a floor stocks tax on any person holding diesel fuel April 1, 1994. Subpart C: Extension of Motor Fuel Tax Rates; Increased Deposits Into Highway Trust Fund - Increases the tax on gasoline and diesel fuels for purposes of the Highway Trust Fund financing rate. Increases the amount to be transferred to the Mass Transit Account from such Fund. Part V: Compliance Provisions - Requires information reporting on payments to corporations for services. (Sec. 14252) Modifies provisions concerning substantial understatement and return-preparer penalties to allow reasonable cause exceptions. (Sec. 14253) Requires certain financial entities (including the Federal Deposit Insurance Corporation, the Resolution Trust Corporation, and the National Credit Union Administration, and their successors or subunits) to file information returns regarding discharges of indebtedness of $600 or more. Part VI: Treatment of Intangibles - Allows an amortization deduction with respect to certain intangible property, including goodwill, that is acquired and held by a taxpayer in connection with the conduct of a trade or business or an activity engaged in for the production of income. Part VII: Miscellaneous Provisions - Establishes substantiation requirements for charitable contributions of $750 or more. (Sec. 14272) Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. (Sec. 14273) Expands the 45-day interest-free period for refunding tax overpayments to all returns, as well as to amended returns and claims for refunds. Provides that if interest is not refunded within 45 days after the taxpayer files an amended return or claim for refund, interest will be paid only for periods after the date on which the return or claim is filed. (Sec. 14274) Denies the business travel expense deduction for spouses, dependents, or others. (Sec. 14275) Increases the withholding rate for supplemental wage payments. Subtitle C: Empowerment Zones and Enterprise Communities- Part I: Empowerment Zones and Enterprise Communities, Etc. - Provides for the designation of 100 tax enterprise communities and ten empowerment zones during calendar years after 1993 and before 1996: (1) by the Secretary of Housing and Urban Development, in the case of an urban area; (2) by the Secretary of Agriculture in the case of a rural area; and (3) the Secretary of the Interior for an Indian reservation. Sets forth eligibility criteria for such designations. Makes certain buildings in such communities or zones eligible for the low-income housing credit applicable to buildings in high-cost areas. Provides for the issuance of enterprise zone facility bonds in enterprise communities and empowerment zones in a manner similar to exempt facility bonds. Excludes enterprise zone facility bonds from the interest deduction limitations on financial institutions. Provides States an additional housing credit ceiling for each zone and community through 1996. Allows an empowerment zone employment credit to employers for a percentage of qualified zone wages paid during calendar years 1994 through 2004. Limits the amount of such credit. Allows businesses a zone resident empowerment savings credit of 50 percent of the qualified savings contributions made by an employer to a defined contribution plan on behalf of a zone employee. Limits the amount of such credit based on the employee's compensation. Increases the limitation on expensing certain depreciable business assets. Increases the volume cap applicable to enterprise zone facility bonds if the business owners meet specified ownership requirements with regard to abiding in such zones. (Sec. 14302) Allows the use of the targeted jobs credit for hiring empowerment zone residents. Part II: Credit for Contributions to Certain Community Development Corporations - Allows a general business tax credit for contributions to selected community development corporations to provide employment of, and business opportunities for low-income individuals who are residents of the operational area of the community. Subtitle D: Other Provisions - Part I: Disclosure Provisions - Extends the authority to disclose tax return information to the Department of Veterans Affairs through September 30, 1998. (Sec. 14402) Authorizes the disclosure of certain tax return information to: (1) the Department of Education to implement the direct student loan program; and (2) to the Department of Housing for income verification under certain housing programs. Part II: User Fee Provisions - Requires the establishment of a program requiring the payment of user fees for the processing of applications for certificates of alcohol label approval and exemption, formula reviews, and statements of process (including laboratory tests and analyses). (Sec. 14412) Removes authority to use the Harbor Maintenance Trust Fund for administrative expenses of certain customs fee collections. (Sec. 14413) Increases the tax on fuel used on commercial transportation on inland waterways. Part III: Public Debt Limit - Increases the public debt limit and repeals the temporary limit on such increase. Part IV: Vaccine Provisions - Makes permanent: (1) the excise tax on certain vaccines; and (2) the authority to pay compensation from the Vaccine Trust Fund under the National Vaccine Injury Compensation Program for certain damages resulting from vaccines administered after September 30, 1988. Directs the Secretary of the Treasury to report to specified congressional committees on various uses of such Fund. Imposes a floor stocks tax on taxable vaccines. (Sec. 14432) Requires continuation coverage under group health plans of the costs of pediatric vaccines. (Sec. 14433) Establishes the Childhood Immunization Trust Fund for the childhood immunization entitlement program under the Public Health Service Act.

Bill· HRH.R. 2145 (103rd)referred

National Senior Citizens Pet Ownership Protection Act

United States · United States Congress · 18 May 1993

National Senior Citizens Pet Ownership Protection Act - Amends the Housing and Urban-Rural Recovery Act of 1983 to prohibit owners and managers of federally assisted rental housing from preventing elderly and disabled tenants from owning or having household pets.

Bill· HRH.R. 2138 (103rd)open

Medicare and Medicaid Budget Reconciliation Act of 1993

United States · United States Congress · 17 May 1993

TABLE OF CONTENTS: Title I: Short Title Title II: Table of Contents Title III: References to Omnibus Budget Reconciliation Act of 1993 Title IV: Other References in Act Title V: Reconciliation Provisions Relating to Medicare, Medicaid, and Other Health Programs Subtitle A: Medicare Program Subtitle B: Medicaid Program and Other Care Provisions Title I: Short Title - Medicare and Medicaid Budget Reconciliation Act of 1993. Title II: Table of Contents - (Sec. 201) Sets forth the table of contents of this Act. Title III: References to Omnibus Budget Reconciliation Act of 1993 - (Sec. 301) Declares that any references to the Omnibus Budget Reconciliation Act of 1993 shall be references to this Act. Title IV: Other References in Act - (Sec. 401) Declares that, except as otherwise specifically provided, whenever in this Act an amendment is expressed in terms of an amendment to or repeal of a section or other provision, it shall be considered a reference to the Social Security Act (SSA). States that, in this Act, the terms "OBRA-1986," "OBRA-1987," "OBRA-1989", and "OBRA-1990" refer to the Omnibus Budget Reconciliation Act of 1986 (Public Law 99-509), the Omnibus Budget Reconciliation Act of 1987 (Public Law 100-203), the Omnibus Budget Reconciliation Act of 1989 (Public Law 101-239), and the Omnibus Budget Reconciliation Act of 1990 (Public Law 101-508), respectively. Title V: Reconciliation Provisions Relating to Medicare, Medicaid, and Other Health Programs - Subtitle A: Medicare Program - Chapter 1: Provisions Relating to Part B - Subchapter A: Physicians' Services - (Sec. 5001) Amends part B (Supplementary Medical Insurance) of SSA Title XVIII (Medicare) to reduce the default update for physicians' services (except primary care services) in 1994. (Sec. 5002) Revises certain formulae to increase: (1) the Medicare Volume Performance Standards (MVPS) performance standard factor; and (2) the maximum reduction permitted in the annual default update to the Medicare Fee Schedule. (Sec. 5003) Classifies primary care services as a separate category of services for purposes of setting volume performance standards and annual updates. (Sec. 5004) Provides for a phased-in reduction in practice cost relative value units for certain services. (Sec. 5005) Provides for phased-in limitations on payment for anesthesia services where concurrent services are provided under the supervision of an anesthesiologist. (Sec. 5006) Requires that payments for anesthesia services be based on actual time. (Sec. 5007) Requires separate payment for the interpretation of electrocardiograms. (Sec. 5008) Repeals the requirement that payments for new physicians and practitioners be reduced during their first four years of practice. (Sec. 5009) Requires: (1) consultation with representatives of physicians in the review of geographic adjustment factors for medicare physicians' services; and (2) use of the most recent data in determining such adjustment. (Sec. 5010) Revises extra-billing limits with respect to Medicare beneficiaries overcharged by nonparticipating physicians or suppliers that do not accept payment on an assignment-related basis. (Sec. 5011) Directs the Secretary of Health and Human Services (HHS) to develop relative values for use in payment of pediatric services. (Sec. 5012) Revises the coverage of antigens under the Medicare Fee Schedule. (Sec. 5013) Prohibits fee charges for certain claims administration functions. Revises requirements for permissible substitute billing arrangements. Subchapter B: Outpatient Hospital Services and Ambulatory Surgical Services - (Secs. 5021 and 5022) Extends: (1) the ten percent reduction in payments for capital-related costs of outpatient hospital services; and (2) the current 5.8 percent reduction in payments for other costs of outpatient hospital services. (Sec. 5023) Provides for a one-year freeze in ambulatory surgery rates. (Sec. 5024) Revises the definition of eye or eye and ear hospitals. (Sec. 5025) Extends the cap on payments for intraocular lenses. Subchapter C: Durable Medical Equipment - (Sec. 5031) Revises the payment rules for durable medical equipment (DME), including prosthetic and orthotic items, by substituting the national median for the national weighted average. (Sec. 5032) Provides for a one-year freeze on payments for parenteral and enteral nutrients, supplies, and equipment. (Sec. 5033) Revises the categorization of nebulizers and aspirators under the DME fee schedules. (Sec. 5034) Establishes a certification program for DME suppliers. Prohibits DME suppliers for distributing, for commercial purposes, completed or partially completed certificates of medical necessity to physicians or individuals entitled to benefits. (Sec. 5035) Requires DME suppliers to use the part B carrier for the area in which the Medicare beneficiary lives. Prohibits carrier shopping. (Sec. 5036) Prohibits unsolicited telephone contacts from DME suppliers to Medicare beneficiaries. (Sec. 5037) Prohibits kickback arrangements between DME suppliers and entities that refer patients for covered items. (Sec. 5038) Revises the treatment of beneficiary liability for noncovered DME services. (Sec. 5039) Authorizes the Secretary of HHS to adjust DME payments in accordance with a policy of inherent reasonableness. (Sec. 5040) Sets forth a formula for lump-sum payments for surgical dressings. (Sec. 5041) Provides for a reduction in payments for TENS devices. Subchapter D: Part B Premium - (Sec. 5051) Extends the authority for the determination of the part B premium. Subchapter E: Other Provisions - (Sec. 5061) Reduces to the 76th percentile the national limitation of fee schedules for clinical diagnostic laboratory tests. Limits the annual update to fees to two percent. (Sec. 5062) Includes inpatient hospital services and diagnostic and therapeutic X-ray services among those covered by rural health clinics and federally qualified health centers. (Sec. 5063) Applies specified mammography certification requirements to Medicare standards for screening mammography facilities. (Sec. 5064 and 5066) Extends the Alzheimer's disease demonstration program and certain municipal health service demonstration projects. (Sec. 5065) Provides Medicare coverage for certain oral cancer drugs. (Sec. 5067) Provides for treatment of certain Indian health programs and facilities as Federally-qualified health centers. (Sec. 5068) Revises the ceilings for payment of "clean claims" under Medicare and the circumstances under which interest payments may be made on delayed claims. (Sec. 5069) Provides for Medicare coverage of certified nurse-midwife services performed outside the maternity cycle. (Sec. 5069A) Increases the annual cap on the amount of Medicare payments for outpatient physical therapy and occupational therapy services. Requires the Physician Payment Review Commission (PPRC) to study and report to specified congressional committees on the appropriateness of continuing an annual limitation on the amount of such payments. Chapter 2: Provisions Relating to Parts A and B - (Sec. 5071) Repeals the requirement for a special overhead add-on for the overhead of hospital-based home health agencies. (Sec. 5072) Directs the Secretary of HHS to study the methodology used to determine payments to hospitals under the Medicare program for the costs of medical residency training, including analysis of the causes of variation among such programs in the per-resident costs of direct graduate medical education, especially the support for them from non-hospital sources. (Sec. 5073) Revises specified aspects of the Medicare-as-secondary-payer program. (Sec. 5074) Extends the ban on physician self-referrals to additional designated health services, including home infusion therapy services. Revises specified exceptions to such ban. (Sec. 5075) Reduces Medicare payments for erythropoietin. (Sec. 5076) Requires any hospital with organ donors to make an agreement only with the designated organ procurement organization for the geographic area in which the hospital is located. (Sec. 5077) Amends OBRA-1986 to extend the health maintenance organization (HMO) waiver for the Watts Health Foundation. (Sec. 5078) Directs the Secretary of HHS to undertake certain outreach activities to increase participation in the Qualified Medicare Beneficiary program. (Sec. 5079) Amends OBRA-1987 to extend and expand the social health maintenance organization demonstration program. (Sec. 5080) Amends SSA to repeal the Peer Review Organization (PRO) precertification (second opinion) requirement for certain surgical procedures. (Sec. 5081) Grants home health agency beneficiaries the right to be informed about Medicare hospice benefits. (Sec. 5082) Provides, with respect to health maintenance organizations, for: (1) adjustments in Medicare capitation payments to account for regional variations in the application of secondary payor requirements; and (2) revision of the payment methodology for risk contractors. Chapter 3: Provisions Relating to Medicare Supplemental Insurance Policies - (Sec. 5091) Revises OBRA-1990 with respect to standards for Medicare supplemental insurance policies. Subtitle B: Medicaid Program and Other Health Care Provisions - Chapter 1: Medicaid Program - Subchapter A: Program Savings Provisions - Part I: Repeal of Mandate - (Sec. 5101) Amends SSA Title XIX (Medicaid) to: (1) repeal the mandate for inclusion of certain personal care services among home health care services in State medical assistance programs; and (2) allow States to provide an optional benefit for personal care services furnished outside the home. Part II: Outpatient Prescription Drugs - (Sec. 5106) Authorizes States to establish formularies limiting the coverage of prescription drugs under their Medicaid programs. (Sec. 5107) Repeals the prohibition on the imposition of prior authorization controls on new drugs for the first six months after Food and Drug Administration (FDA) approval. Part III: Restrictions on Divestiture of Assets and Estate Recovery - (Sec. 5111) Revises the restrictions on the transfer of assets by an individual subsequently applying for Medicaid benefits as an institutionalized individual. Extends the look-back period and repeals the limit on the period of ineligibility because of prohibited transfers, providing for cumulative periods for multiple transfers. Provides for a waiver of eligibility penalties because of undue hardship, and exempts certain trusts for the benefit of disabled individuals from the transfer rules. (Sec. 5112) Requires States to establish a program for identifying and recovering Medicaid benefits from estates of deceased beneficiaries who have received nursing home or other long-term care services. (Sec. 5113) Prohibits a State plan from disregarding any assets: (1) to the extent that payments are made under a long-term care insurance policy; or (2) because an individual has received (or is entitled to receive) benefits for a specified period of time under such a policy. Part IV: Improvement in Identification and Collection of Third Party Payments - (Sec. 5116) Requires States to prohibit insurers, HMOs, and self-funded plans (under the Employee Retirement Income Security Act of 1974 (ERISA) from denying payment for health services to insured individuals who are also Medicaid beneficiaries. (Sec. 5117) Directs the Secretary of HHS to establish a Health Coverage Clearinghouse to identify insurers, HMOs, ERISA plans, and other third parties which may be liable for payment for services to Medicaid or Medicare beneficiaries. Requires employers to include group health coverage information on employees' W-2 forms. (Sec. 5118) Requires States to have in effect certain medical child support laws, including a requirement that an insurer (including an HMO or ERISA plan) enroll under family health coverage any child whose parent (otherwise eligible for such coverage) is required by court or administrative order to provide the child with medical support. Part V: Assuring Proper Payments to Disproportionate Share Hospitals - (Sec. 5121) Prohibits States from designating a hospital as a Medicaid disproportionate share hospital unless at least one percent of its inpatient days were attributable to Medicaid patients. Limits payment adjustments to State or locally-owned or operated hospitals to the costs incurred in providing services to Medicaid-eligible patients and uninsured (indigent without health care coverage) patients, less certain payments received. Subchapter B: Miscellaneous Provisions- Part I: Anti-fraud and Abuse Provisions - (Sec. 5131) Revises the Medicare rules limiting certain physician referrals for clinical laboratory services. (Sec. 5132) Provides for intermediate sanctions for kickback violations. (Sec. 5133) Requires States to expend a certain minimum amount of funds annually for Medicaid fraud control units. Part II: Managed Care Provisions - (Sec. 5135) Sets forth with respect to Medicaid managed care organizations: (1) prohibitions against affiliations with individuals debarred by Federal agencies; (2) requirements for State conflict-of-interest safeguards in Medicaid risk contracting; (3) financial information disclosure requirements; (4) marketing fraud prohibitions; (5) adequate equity requirements for for-profit entities; (6) requirements for adequate provision against risk of insolvency; and (7) net earnings and additional benefits reporting requirements. Requires the Secretary of HHS to report to the Congress on the earnings of organizations with contracts to receive Medicaid payments on a prepaid capitation or any other risk basis. (Sec. 5136) Revises the treatment of HMO enrollees in computing the Medicaid inpatient utilization rate in qualifying hospitals as disproportionate share hospitals. (Secs. 5137 and 5138) Extends: (1) the period of applicability of the enrollment mix requirement to certain HMOs providing services under the Dayton Area Health Plan; and (2) the Medicaid waiver for the Tennessee Primary Care Network. (Sec. 5139) Waives application of the Medicaid enrollment mix requirement to the District of Columbia Chartered Health Plan, Inc. (Sec. 5140) Extends the Minnesota Prepaid Medicaid Demonstration Project. Part III: Emergency Services to Undocumented Aliens - (Sec. 5141 and 5142) Increases the Federal financial participation for emergency medical assistance to undocumented aliens. (Sec. 5142) Limits Federal Medicaid matching payments to bona fide emergency services for undocumented aliens. Part IV: Miscellaneous Provisions - (Sec. 5144) Increases the limit on Federal Medicaid matching payments to Puerto Rico and other territories. (Sec. 5145) Sets forth criteria for Departmental Appeals Board determinations of whether disallowances of Federal Medicaid matching payments to States should be reduced. (Sec. 5146) Renews the unfunded demonstration project for low-income pregnant women and children. (Sec. 5147) Provides for optional Medicaid coverage of TB-related services for certain TB-infected individuals. (Sec. 5148) Specifies the application of mammography certification requirements under the Medicaid program. (Sec. 5149) Repeals the termination date on the extension of eligibility for working families. (Sec. 5150) Extends the moratorium on the treatment of certain facilities as institutions for mental diseases. (Sec. 5150A) Deems as a federally-qualified health center any entity treated as a comprehensive federally funded health center as of January 1, 1990. (Sec. 5150B) Revises specified nursing facility requirements. Subchapter C: Miscellaneous and Technical Corrections Relating to OBRA-1990 - (Secs. 5151-5174) Makes technical and conforming amendments to specified sections of OBRA-1990. Chapter 2: Universal Access to Childhood Immunizations - (Sec. 5181) Amends the Public Health Service Act to establish entitlement and monitoring programs with respect to childhood immunizations. Directs the Secretary of HHS, acting through the Director of the Centers for Disease Control and Prevention (CDC), to provide for the purchase and delivery on behalf of any applicant State of sufficient quantities of pediatric vaccines to immunize each eligible child in the State who is a Medicaid beneficiary or is uninsured. Entitles: (1) each State to receive from the Secretary sufficient free vaccine to provide to all eligible children in the State; (2) each health care provider to receive from the State sufficient free vaccine to provide to all eligible children in his or her practice; and (3) each eligible child to receive free vaccine from any willing provider licensed to administer immunizations in the State. Requires participant States to agree to such entitlements. Authorizes eligible children to enforce the rights of the provider if the State fails to carry out its obligation. Requires States to make health care provider participation voluntary only. Prohibits providers from charging for free vaccine. Allows charges for immunization itself. Directs the Secretary to publish in the Federal Register criteria for the delivery on behalf of the States of federally-supplied pediatric vaccines to program-registered providers in the State. Sets forth general State compliance requirements. Allows States to purchase pediatric vaccine for the immunization of additional categories of otherwise ineligible children. Requires the Secretary to negotiate with manufacturers of pediatric vaccines for a reasonable purchase price, which would also be available to States that wished to purchase vaccine for otherwise ineligible children. Requires the Secretary to enter into multi-source contracts with multiple manufacturers of vaccine. Allows such contracts to be for more than one year. Requires the Secretary to establish: (1) a list of pediatric vaccines recommended for administration to all children for immunization (subject to any established contraindications); and (2) a schedule of nonbinding recommendations for administration of such immunizations. Establishes the National Childhood Immunization Trust Fund for the immunization program. Directs the Secretary, acting through the CDC Director, to make formula grants to States annually to establish and maintain a national system, composed of State registries, for monitoring the immunization status of children. Prescribes kinds of data to be collected. Authorizes appropriations. Authorizes the Secretary, acting through the CDC Director, to make grants to States for carrying out specified activities with respect to achieving certain objectives established by the Secretary for the year 2000 for the immunization status of children in the United States. Authorizes appropriations. (Sec. 5182) Amends OBRA-1989 and the Public Health Service Act with respect to the National Vaccine Injury Compensation Program. (Sec. 5183) Amends SSA title XIX (Medicaid) to provide for: (1) immunization outreach through the early and periodic screening, diagnostic, and treatment (EPSDT) services program; (2) coordination with the maternal and child health block grant programs and WIC (Women, Infants, and Children) programs; (3) coverage of public housing health centers as federally-qualified health centers; (4) adequate payment rates for vaccine administration to children; (5) denial of Federal financial participation for administration of single-antigen vaccines if combined-antigen vaccines are medically appropriate; and (6) Medicaid managed care plan compliance with immunization and other EPSDT requirements. (Sec. 5184) Authorizes a State plan to pay a vaccine manufacturer directly under a volunteer replacement program following certain guidelines. (Sec. 5185) Amends the Public Health Service Act to authorize the Secretary to make operating grants for up to 21 demonstration projects to provide specified Healthy Start for Infants services in order to meet year 2000 health status objectives for the U.S. population. Prescribes project requirements. Authorizes appropriations. (Sec. 5186) Increases the authorization of appropriations for the Maternal and Child Health Services Block Grant Program.

Law· HRH.R. 2118 (103rd)enacted

Supplemental Appropriations Act of 1993

United States · United States Congress · 13 May 1993

TABLE OF CONTENTS: Title I: Supplemental Appropriations Title II: General Provisions Supplemental Appropriations Act of 1993 - Makes emergency supplemental appropriations for FY 1993. Title I: Supplemental Appropriations - Makes additional appropriations available to the Department of Agriculture for the Food Safety and Inspection Service and the Farmers Home Administration. Rescinds certain amounts available to the Rural Development Administration for salaries and expenses. Makes additional funds available to: (1) the Department of Health and Human Services for the Food and Drug Administration; (2) the Courts of Appeals, District Courts, and Other Judicial Services; and (3) the Small Business Administration for the business loans program account. Makes supplemental amounts available to the Department of Defense for military personnel, operation and maintenance, the Defense Business Operations Fund, and the Defense Health Program. Appropriates funds out of the National Security Education Trust Fund for scholarships, fellowships, and grants. Makes additional appropriations available to the Department of the Interior for the Bureau of Indian Affairs and the Alaska resupply program. Requires the United States Fish and Wildlife Service to use available funds for a grant to Ducks Unlimited, Inc., for a construction project in the Ottawa National Wildlife Refuge, Ohio. Makes additional funds available to the Department of Health and Human Services for the Health Resources and Services Administration and the Social Security Administration. Makes additional funds available for the Department of Education for student financial assistance. Makes additional funds available for construction by the Department of Defense. Rescinds certain other amounts from the Homeowners Assistance Fund, Defense. Reorganizes the Office of the Secretary of the Department of Transportation and makes certain fund transfers. Makes additional funds available to the Executive Office of the President through fund transfers. Provides additional amounts to the National Archives and Records Administration and the General Services Administration for allowances and office staff of former Presidents. Makes additional amounts available to the Department of Veterans Affairs for veterans benefits and the Department of Housing and Urban Development for certain housing programs. Makes additional amounts available by fund transfer to the Environmental Protection Agency and the National Aeronautics and Space Administration. Title II: General Provisions - Provides for the utilization of sums collected and deposited into the Central Valley Project Restoration Fund.

Bill· SS. 939 (103rd)referred

Tax Simplification for Families Act of 1993

United States · United States Congress · 12 May 1993

TABLE OF CONTENTS: Title I: Definition of Dependent Title II: Definition of Child Tax Simplification for Families Act of 1993 - Title I: Definition of Dependent - Amends the Internal Revenue Code to revise the definition of "dependent" for purposes of the personal exemption deduction by replacing the present-law support test with a residency test similar to that used in the determination of the earned income tax credit. Redefines a dependent to be a qualifying child or relative (eliminating the requirement that the taxpayer provide over half the dependent's support). Revises provisions concerning divorced or separated parents. Provides an exception for pre-1994 divorce or separation agreements. Modifies the dependent care credit to require a dependent to have the same place of abode as the taxpayer. Modifies the earned income credit to conform its requirements to those for the personal exemption. Makes an exception of the residency test for members of the armed forces stationed outside the United States while serving on extended active duty. Requires employers of members of the armed forces and ministers of the gospel to report to their employees the amount of excludable income received in the form of allowances for housing. Authorizes the Secretary of the Treasury to prescribe a simplified valuation method for determining the value of housing allowances of members of the armed forces and the rental value of parsonages. Modifies provisions defining surviving spouse status and head of household status to require that such taxpayers be eligible for a dependency exemption for the one or more individuals. Requires dependents of a surviving spouse or head of household to live with the taxpayer. Repeals the requirement that certain married individuals living apart maintain a household which constitutes the principal place of abode of a child. Repeals the provision which requires a reduction in the medical expense deduction based on the health insurance credit allowable under the earned income credit. Title II: Definition of Child - Establishes a definition of "child" to mean: (1) a son, daughter, stepson, or stepdaughter; (2) an adopted child; and (3) any individual for whom a taxpayer cares as the taxpayer's own child, and who has the same principal place of abode as the taxpayer.

Bill· HRH.R. 2061 (103rd)referred

United States Health Service Act

United States · United States Congress · 11 May 1993

TABLE OF CONTENTS: Title I: Establishment and Operation of the United States Health Service Title II: Delivery of Health Care and Supplemental Services Title III: Health Labor Force Title IV: Other Functions of Health Boards Title V: Financing of the Service Title VI: Miscellaneous Provisions United States Health Service Act - Title I: Establishment and Operation of the United States Health Service - Part A: Initial Organization - Establishes, as an independent entity within the executive branch, the United States Health Service (Service). Vests authority of the Service in the appropriate National Health Board and area health boards. Grants the Service the power of eminent domain. Directs the President to appoint individuals to serve as members of the Interim National Health Board of the Service. Declares that the members of the Interim National Board shall serve until the National Health Board holds its initial meeting in accordance with certain provisions of this Act. Sets forth the duties of the Interim National Board. Authorizes appropriations. Part B: Organization of Area Health Boards - Requires the Interim National Board to establish health care delivery regions throughout the United States which meet specified requirements. Sets forth procedures regarding election and appointment of members and certain officers of: (1) interim national, interim regional, and interim district health boards; and (2) initial and subsequent national, regional, district, and community health boards. Part C: General Provisions Regarding Health Boards - Sets forth the membership and terms of office of health boards. Provides for recall of board members for specified reasons and for filling vacancies on health boards. Sets forth procedures for the establishment by the National Board of guidelines and standards required by or in furtherance of the objectives of this Act. Requires each regional board to provide orientation, education, and technical assistance to district and community boards. Requires the appropriate national board to provide such assistance to regional boards. Title II: Delivery of Health Care and Supplemental Services - Part A: Patients' Rights in Health Care Delivery - Requires the Service to ensure that every user is given the right to receive high quality care and supplemental services without charge and without discrimination. Sets forth a list of other basic health rights. Amends the Fair Labor Standards Act of 1973 to entitle certain employees to health leave compensation, subject to specified exceptions which exist in current law as exceptions to minimum wage and maximum hours provisions. Part B: Eligibility for, Nature of, and Scope of Services Provided by the Service - Declares all individuals, while within the United States, to be eligible to receive health care and supplemental services under this Act. Excludes personal comfort or cosmetic services unless they are necessary for health-related reasons. Requires the Service to provide in the United States specified services in or through facilities established by the Service. Prohibits the Service from providing such services in a region, district, or community other than under the auspices of a regional, district, or community board established in accordance with this Act. Requires the Service to provide specified supplemental services in or through health care facilities established by the Service. Provides for reimbursement by the Service of the cost of emergency health care services under certain circumstances. Part C: Health Care Facilities and Delivery of Health Care Services - Requires each community board to establish and maintain such health care facilities as are necessary for efficient and effective delivery of comprehensive primary health care services, specialized health care services, special services, and community-oriented health measures which are provided, as much as possible, through a single comprehensive health center. Requires each district board to establish and maintain in its district a general hospital, such other health care facilities as are necessary, and such health care services of a specialized nature as may be provided most effectively and efficiently at the district level. Requires each regional board to establish and maintain: (1) a regional medical facility for highly specialized health care services; (2) health care and supplemental services for individuals whose needs cannot be met by community or district boards; and (3) such other facilities as are necessary. Requires each area health board to: (1) hire health workers; (2) purchase or lease necessary premises; and (3) seek to minimize fragmentation and duplication in delivery of health care. Requires each regional board to provide for affiliation and coordination within its region and with adjacent regions. Requires the National Board to establish guidelines for distribution and coordination of the delivery of health care services and plan and transition to the new facilities for affected workers. Requires regional boards, if a community or district board fails to provide health services, to provide the services. Requires each health board to establish policies and organizational plans consistent with provisions of this Act. Requires such boards, in establishing, implementing, and modifying such policies and plans, to seek participation of affected workers and users. Provides for a health board, if it determines that it cannot itself effectively manage the operation of all facilities, to establish a health care facility board or boards. Specifies elements to be provided for in the policies and organizational plans established by health boards. Prohibits a health board, on and after three years after the effective date of health services, from permitting its health care facilities to be used for the private delivery of health services. Prohibits individuals employed by a health board from engaging in the private delivery of health services. Requires each health board to ensure that health facilities it operates which provide outpatient services are open during hours which permit all users to make use of such services. Sets forth requirements for facilities providing inpatient services for 30 continuous days or longer. Requires each health board to provide that, at least once each year, the inpatients of facilities providing inpatient services for 30 continuous days or longer shall elect, from among themselves and representatives of certain user associations, a review committee of not less than three members. Provides for recall and proxies with respect to such committees. Requires various health boards to conduct regular inspections of specified facilities. Requires area health boards to provide: (1) contraception information and materials; (2) evaluation and treatment for venereal diseases and diseases of the reproductive organs; (3) information and counseling regarding pregnancy, child bearing, and possible genetically induced anomalies; (4) pregnancy testing; (5) prenatal services; (6) abortion services; and (7) counseling by women for specified services and counseling by men for specified services. Requires all such services to be delivered without coercion or harassment, with confidentiality, and without prior approval of individuals other than the individual receiving the services. Requires that individuals be permitted to be accompanied by a person of their choice during the provision of such services, subject to exception. Sets forth restrictions and requirements for informed consent regarding: (1) treatments or procedures which could affect an individual's reproductive capacity; and (2) mastectomy or other breast cancer treatment. Requires that women giving birth have the right to choose from a complete range of childbirth options. Title III: Health Labor Force - Part A: Job Categories and Certification - Declares that, notwithstanding State laws to the contrary, the Service shall be the sole judge of the qualifications of its employees. Requires each area health board to insure that work is performed by certified health workers. Requires the National Board to establish guidelines for classification, certification, and employment of health workers. Requires that such guidelines: (1) permit alternative approaches to healing, when such approaches have not been shown to be injurious to health; (2) have both flexibility and uniformity to meet stated objectives; and (3) require that each health worker employed by a community board work part of the time in a facility operated by a district or regional board and each health worker employed by a district or regional board work part of the time in a health care facility operated by a community board. States that each regional board, for job categories requiring advanced specialty training, shall establish certification standards. Part B: Education of Health Workers - Requires each regional board, in consultation with community and district boards, to establish a health team school (school) to provide initial and continuing basic education in health care delivery and initial and continuing advanced education in health care specialties and health science specialty fields. Requires that the schools be funded exclusively by the Service, prohibits them from charging or accepting tuition or fees, and requires them to provide each student with an allowance for living expenses, educational supplies, and any child care. Requires each regional board to establish and implement for the school: (1) admissions policies with certain required elements; (2) curriculum policies with stated elements; (3) faculty hiring procedures which will create a faculty which approximates the population of the region by race, sex, and language; and (4) a governance plan for the management of its school which gives significant decision making powers to staff and students. Prohibits enrolling any individual unless the individual agrees to perform health care services as an employee of the Service, in a job category for which training is being provided, for a period of time equal to the period of enrollment, but not less than two years, and subject to other terms and conditions. Entitles the Service, if an individual fails to start or fails to complete such service, to recover damages. Mandates that each area board periodically assess the ratio of the health workers employed by the board in each job category to the number of residents in the area. Gives priority in hiring individuals obligated to perform service to health worker shortage areas and, as a second level of priority, to the regional, district, or community board for the region, district, or community in which the program was completed. States that the National Board shall establish a program to match the preferences graduates have for locations with the needs and preferences of various boards. Requires the National Board to make payments of principal and interest on certain loans incurred by individuals for an educational program in health care delivery, health care specialties, or health science fields which is outstanding on the day that individual begins to work for the Service. Establishes a schedule for such payments. Part C: Employment and Labor-Management Relations Within the Service - Requires health boards to employ, classify, and fix the salaries and benefits of all employees of the Service. States that health boards shall give hiring preference to individuals employed as health workers before enactment of this Act. Requires the National Board to ensure that all such individuals desiring employment in the Service find appropriate employment in the Service. Places restrictions on hiring relating to the: (1) ratio of health workers to residents; and (2) existence of a health worker shortage area in the same region. Declares that employees of the Service are covered by specified Federal laws. Requires compensation, benefits, and other terms and conditions of employment to be the same on the effective date of health services as for Federal Government employees until changed by the Service. Prohibits changes in fringe benefits which result in a program which is less favorable to employees of the Service than fringe benefits for employees of the Federal Government on the effective date of health services. Declares that the provisions of the National Labor Relations Act shall apply to the Service and its employees, subject to specified exceptions. Declares that provisions of Federal law relating to participation in a strike shall not apply to employees of the Service. Amends the Labor-Management Reporting and Disclosure Act of 1959 to include the Service in the definition of the term "employer" under that Act. Provides that the remedies provided by stated Federal laws regarding jurisdiction and tort claims shall be exclusive of any other civil action or proceeding. Declares that assault or battery arising out of negligence in various health care functions is not an exception under specified Federal law to tort claims and jurisdiction provisions of Federal law. Authorizes the National Board to hold harmless or provide liability insurance for any employee of the Service under certain circumstances. Title IV: Other Functions of Health Boards - Part A: Advocacy, Grievance Procedures, and Trusteeships - Requires each area health board to establish a program of health advocacy with specified elements. Requires the National Board to establish a health rights legal services program, for users and health workers, providing specified elements. Requires each appropriate regional board to provide that any user, health worker, user association, or specified health board may commence grievance proceedings before specified health boards with respect to alleged violations of this Act. Provides for review of adverse decisions. Authorizes, in certain circumstances, the entity before which a grievance proceeding is commenced or reviewed to: (1) set aside an election of a community board and require a new election; and (2) if not involving a community board, require that a new election be conducted or a new appointment be made. Requires such entity to transfer such functions as necessary to the appropriate higher health board until a new election is conducted or a new appointment is made. Authorizes a health board which receives functions under such a transfer to appoint a trustee or trustee committee to carry out transferred functions. Part B: Occupational Safety and Health Programs - Requires the National Board to oversee occupational safety and health programs conducted at the regional level and to participate in the establishment and administration of occupational safety and health standards under the Occupational Safety and Health Act of 1970, with the advice and comments of regional occupational safety and health action councils established under this Act. Amends the Occupational Safety and Health Act of 1970 to substitute references to the National Health Board for references to the Secretary of Health and Human Services throughout such Act, with one specified exception. Adds references to the National Health Board to existing provisions in such Act regarding promulgation, modification, and revocation of safety and health standards. Requires the National Board to establish guidelines for: (1) its participation in the establishment and administration of safety and health standards; (2) the election of community occupational safety and health action councils; (3) the establishment of regional occupational safety and health programs; (4) the establishment and operation of work place health facilities; and (5) the provision of assistance by various health boards to various safety and health councils, and to work place safety and health committees. Requires each community board to provide for the operation of a community occupational safety and health action council (COSHAC). Gives a formula for election of the members of COSHACs. Specifies the duties of each COSHAC. Requires each regional board to establish an occupational health and safety program for its region with specified elements, including staffing and supporting the operation of the regional occupational safety and health action council (ROSHAC). Specifies the responsibilities of each ROSHAC. Requires the employer in each work place to establish and maintain a health facility in or near the work place to meet occupational and emergency health care needs of employees, to be operated either by the community board or by the employer, and the cost, in either case, to be borne by the employer. Grants employees in each work place having 25 or more employees the right to establish work place occupational safety and health committees. Grants the members of such committees rights to engage in certain activities relating to inspections without loss of pay or other job rights. Authorizes employees to monitor conditions and to remove themselves from the site of any hazard without loss of pay or other job rights. Requires employers to minimize hazards and furnish employees with or reimburse employees for needed equipment or clothing. Specifies rights of employees regarding: (1) inspection of medical records maintained by their employers; (2) provision to employees of copies of all reports, studies, and data concerning health and safety in that work place; and (3) the seeking, through collective bargaining, of standards more restrictive than those established under the Occupational Safety and Health Act of 1970. Part C: Health and Health Care Delivery Research - Requires the Service to conduct a program of research concerning health and health care delivery. Transfers the National Institutes of Health from the Department of Health and Human Services to the National Health Board. States that the National Board shall establish five new national institutes: Epidemiology, Evaluative Clinical Research, Health Care Services, Pharmacy and Medical Supply, and Sociology of Health and Health Care. Specifies the duties of each such institute. Part D: Health Planning, Distribution of Drugs and Other Medical Supplies, and Miscellaneous Functions - Requires each area board to collect data on supply and demand regarding health workers and health care delivery. Requires each regional board to coordinate the planning and administration of health care delivery, health worker education, and health research in its region. Requires the National Board to formulate one-year and five-year national plans and budgets. Requires the National Board, after consultation with regional boards, to publish, and regularly update, a National Pharmacy and Medical Supply Formulary. Specifies the contents of the Formulary. Requires each regional board to establish a program for the purchase and distribution of drugs and other medical supplies. Authorizes the National Board to establish and operate drug and medical supply manufacturing facilities in certain circumstances. Title V: Financing of the Service - Part A: Health Service Taxes - Amends the Internal Revenue Code to add a new part imposing on individuals and corporations an additional tax of specified percentages of the normal tax and surtax imposed by a specified section of such code. Ends the income tax exclusion from gross income of amounts paid by third parties for medical care. Excludes from gross income employer contributions to accident or health plans to the extent that such contributions do not provide for health care available to such employees under the Health Service Act. Prohibits income tax deductions for: (1) health care expenses as a trade or business expense; and (2) contributions to certain medical and hospital facilities. Repeals provisions of the Internal Revenue Code relating to: (1) medical and dental expenses; (2) hospital insurance tax imposed on employment and self-employment income; and (3) receipts for railroad employees. Declares that no contractual or other nonstatutory obligation of any employer to pay or provide for health care for present or former employees and their dependents and survivors shall apply on or after the effective date of health services under this Act to the extent such individuals are eligible to receive such services under this Act. Prohibits Federal, State, or private workers' compensation programs from paying for or providing any health care on or after the effective date of health services under this Act to the extent such care is available under this Act. Part B: Health Service Trust Fund - Creates in the Treasury the Health Service Trust Fund (Trust Fund). Appropriates to the Trust Fund amounts equal to 100 percent of the expected net receipts from specified provisions of the Internal Revenue Code. Appropriates to the Trust Fund a Government contribution equal to 40 percent of the amount appropriated under such 100 percent provision. Transfers to the Trust Fund all assets and liabilities of the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Creates the Board of Trustees of the Trust Fund. Requires the investment of specified portions of the Trust Fund. Extends the purposes for which obligations of the United States may be issued under the Second Liberty Bond Act, to authorize the issuance at par of public debt obligations for purchase by the Trust Fund. Part C: Preparation of Plans and Budgets - Requires the National Board to annually fix the maximum amount of funds which may be expended from the Trust Fund during the fiscal year. Specifies criteria to be considered in determining such amount's maximum value. Authorizes the National Board to refix such maximum amount in certain circumstances. Authorizes the National Board to exceed such maximum amount as necessary because of epidemic, disaster, or other occurrence which was not and could not have been planned for. Authorizes the National Board to allocate, in addition to such maximum amount, funds borrowed under specified provisions of this Act. Requires each community, district, and regional board to annually submit fiscal year and five-year plans and budgets to the next higher level health board. Part D: Allocation and Distribution of Funds - Requires the National Board to annually transmit to regional boards a national health budget dividing the total funds available into funds for ordinary operating expenses, preventive health measures, capital expenses, research expenses, and special operating expenses. Requires funds for ordinary operating expenses, preventive health measures, and research expenses to be allocated to the regional boards on the basis of population. Requires funds for capital expenses to be allocated according to stated criteria. Declares the budget submitted to the regional boards by the National Board to be adopted upon the approval by a majority of the regional boards. Sets forth requirements, similar to those for the national health budget, for preparation and adoption of regional and district budgets. Defines "special operating expenses" to mean operating expenses associated with: (1) care and treatment for users 65 years of age and older; (2) care and treatment of persons confined to full-time residential institutions, including nursing homes and facilities for the treatment of mental illness; (3) the special health care needs of low-income users; (4) the special health care needs of rural users; (5) special health care needs arising from environmental or occupational health conditions; (6) special health care needs arising from unexpected occurrences, including epidemics and natural disasters; and (7) the conduct of environmental health inspection and monitoring services. Sets forth rules for allocation of special operating expenses. Requires funds allocated under the national health budget to be distributed by the National Board from the Trust Fund. Prohibits health boards from requesting or receiving funds from any other source. Mandates annual financial statements by area health boards. Part E: General Provisions - Authorizes the National Board to borrow money and to issue and sell obligations as necessary for this Act, but only in amounts specified in appropriations Acts. Limits the aggregate amount of such obligations outstanding at any one time. Authorizes the National Board to pledge the assets of the Trust Fund and pledge its revenues and receipts for various purposes related to such obligations. Authorizes the National Board to enter into a variety of covenants as necessary or desirable to enhance the marketability of such obligations. Declares that such obligations: (1) shall be negotiable or nonnegotiable, bearer or registered; (2) shall contain a recital that they are issued under a specified provision of this Act; (3) shall be lawful investments; (4) shall be exempt from State taxes; and (5) shall not, subject to exception, be obligations of the U.S. Government. Requires the National Board to advise the Secretary of the Treasury of the proposed sale of obligations. Authorizes such Secretary to elect to purchase the obligations. Authorizes the National Board, if the Secretary elects not to buy such obligations, to issue and sell them to a party or parties other than the Secretary, upon notice to the Secretary and consultation regarding various terms and conditions. Empowers the National Board to require the Secretary of the Treasury to purchase obligations of the Service. Prohibits any required purchase which would result in a holding by the Secretary in excess of a specified amount. Makes obligations issued by the Service obligations of the U.S. Government under certain circumstances. Authorizes the Secretary of the Treasury, for the purpose of any purchase of the obligations of the Service, to use as a public debt transaction the proceeds from the sale of any securities issued under the Second Liberty Bond Act. Extends the purposes of such Act to include any purchases of the obligations of the Service under this part. Title VI: Miscellaneous Provisions - Repeals, on the effective date of health services, the Public Health Service Act, except for specified provisions relating to: (1) its short title and definitions; (2) licensing, quarantine, and inspections authority; and (3) safety of public water systems. Delays, until four years after the effective date of health services, repeal of portions of the Public Health Service Act regarding provision of assistance to educational institutions and their students, in areas which have not established health team schools under part A of title III of this Act. Repeals specified provisions of the Social Security Act relating to maternal and child health, Medicare, Medicaid, professional standards review, entitlement to hospital insurance benefits, uniform health reporting systems, limitation on Federal participation for capital expenditures, the program for determining qualification for certain health care personnel, disclosure of ownership and related information, disclosure of certain convictions, and payments to States for health care and supplemental services. Repeals specified provisions of Federal law relating to health insurance for Federal employees, medical benefits and programs relating to veterans, and the civilian health and medical program of the uniformed services. Repeals the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act of 1970, the Comprehensive Alcohol Abuse and Alcoholism Prevention, Treatment, and Rehabilitation Act Amendments of 1974, and a specified provision of the Comprehensive Drug Abuse Prevention and Control Act of 1970 relating to medical treatment of narcotic addiction. Repeals Federal law relating to hospitals, community hospitals, and other health facilities for Indians. Repeals the District of Columbia Medical Facilities Construction Act of 1968 and the District of Columbia Medical and Dental Manpower Act of 1970. Repeals specified provisions of the National Housing Act relating to mortgage insurance for nursing homes, hospitals, and group practice facilities. Repeals the Mental Retardation Facilities and Community Mental Health Centers Construction Act of 1963, the Family Planning Services and Population Research Act of 1970, the National Arthritis Act of 1974, and the National Diabetes Mellitus Research and Education Act. Repeals specified provisions of the Lead-Based Paint Poisoning Prevention Act relating to grant, demonstration, and research programs for lead-based paint poisoning prevention. Repeals the Act of March 2, 1897, relating to tea importation. Repeals specified provisions of the Occupational Safety and Health Act of 1970 relating to the National Institute for Occupational Safety and Health. Requires the President to prepare and submit to the Congress legislation to repeal or amend provisions of laws which are inconsistent with this Act, including the transfers of authority of the Secretary of Health and Human Services, under specified provisions of Federal law, to the Service. Sets forth various requirements regarding review and reporting to the President and the Congress concerning how the Service is carrying out the purposes of the various programs authorized to be conducted by provisions repealed by this Act. Transfers to the Health Service Trust Fund amounts appropriated to carry out the purposes of any law repealed by this Act. Provides transition rules regarding contracts entered into or rights or obligations arising before the effective date of such repeals. Amends the Budget and Accounting Act, 1921 to require that each budget submitted by the President set forth items relating to the Health Service Trust Fund separately from other operations of the Government. Declares that, if any provisions of this Act are declared invalid, the remainder of the Act shall not be affected.

Bill· HRH.R. 2070 (103rd)referred

Abandoned Land Reuse Act of 1993

United States · United States Congress · 11 May 1993

Abandoned Land Reuse Act of 1993 - Amends the Housing and Community Development Act of 1974 to add a new title designated as the Abandoned Land Reuse Act of 1993. Directs the Secretary of Housing and Urban Development to select appropriate States in which to carry out a program to provide grants to local community development organizations for programs to demonstrate: (1) the economic feasibility of the redevelopment or reuse of abandoned industrial or commercial property or facilities within the community; (2) the employment, economic, social, and other benefits to distressed local communities resulting from such redevelopment or reuse; (3) the beneficial impacts on community development and use of public resources of such redevelopment or reuse; and (4) the feasibility of timely and cooperative action between Federal, State, and local departments and agencies and private parties in the appropriate development or reuse of such land. Provides for: (1) the allocation of grant funds; (2) grant selection procedures; (3) site selections by State Governors; and (4) grant awards. Authorizes the Secretary to award a grant to a State in lieu of a local grantee in order to allow the State to conduct its own abandoned land redevelopment or reuse program. Provides for recovery of appropriate grant amounts if a State or local grantee fails to initiate and complete the redevelopment or reuse action within one year. Specifies criteria for selection of abandoned industrial or commercial sites for the program and for award allocation, including the degree of economic and social distress in the local community in which the site is located. Prohibits the awarding of a grant for a reuse action on a site that is federally controlled. Requires the Secretary to conduct and report to the Congress on an initial evaluation of the demonstration program using data collected from participants. Authorizes the Secretary to use up to five percent of the amounts appropriated to implement this title to fund technical assistance grants to local grantees to facilitate their participation in the demonstration program. Authorizes appropriations.

Bill· HRH.R. 2030 (103rd)referred

To designate Homestead Air Force Base, Florida, and the county within which the military installation is located, as an enterprise zone for purposes of title VII of the Housing and Community Development Act of 1987.

United States · United States Congress · 6 May 1993

Designates Homestead Air Force Base, Florida, and a specified portion of Dade County, Florida, as an additional enterprise zone for purposes of title VII of the Housing and Community Development Act of 1987.

Bill· HRH.R. 2027 (103rd)referred

Hurricane Andrew Supplemental Appropriations Act for Fiscal Year 1993

United States · United States Congress · 6 May 1993

Hurricane Andrew Supplemental Appropriations Act for Fiscal Year 1993 - Makes emergency supplemental appropriations available to the following entities due to disasters in Florida resulting from Hurricane Andrew: (1) the Farmers Home Administration of the Department of Agriculture; (2) the Economic Development Administration of the Department of Commerce; (3) the Substance Abuse and Mental Health Services Administration of the Department of Health and Human Services; (4) the Department of Education; and (5) housing and community development programs of the Department of Housing and Urban Development.

Bill· SS. 876 (103rd)referred

Revenue Reconciliation Act of 1993

United States · United States Congress · 4 May 1993

TABLE OF CONTENTS: Title I: Training and Investment Inventives Subtitle A: Provisions Relating to Education and Training Subtitle B: Investment Incentives Subtitle C: Tax-Exempt Bond Provisions Subtitle D: Expansion and Simplification of Earned Income Tax Credit Subtitle E: Incentives for Investment in Real Estate Subtitle F: Other Changes Title II: Revenue Increase Subtitle A: Provisions Affecting Individuals Subtitle B: Provisions Affecting Businesses Subtitle C: Foreign Tax Provisions Subtitle D: Energy Tax Provisions Subtitle E: Compliance Provisions Subtitle F: Miscellaneous Provisions Title III: Empowerment Zones and Enterprise Communities Revenue Reconciliation Act of 1993 - Title I: Training and Investment Incentives - Subtitle A: Provisions Relating to Education and Training - Amends the Internal Revenue Code to make permanent after June 30, 1992: (1) the tax exclusion of employer-provided educational assistance; and (2) the targeted jobs credit. Allows the use of the targeted jobs credit, with limitations, for the hiring of a qualified participant in an approved school-to-work program. Subtitle B: Investment Incentives - Part I: Investment Tax Credit - Allows a small business regular tax credit for eligible small businesses of five percent of their qualified investment in depreciable property. Allows such credit to offset a percentage of the minimum tax. Increases the investment tax credit for 1993 and 1994 for qualified investments. Provides for ratably including the current year business credit in gross income. Part II: Research Credit - Makes permanent the credit for increasing research activities. Modifies the fixed base percentage of such credit for startup companies for taxable years after 1993. Part III: Incentive For Investment in Small Business Stock - Allows a taxpayer other than a corporation to exclude from gross income 50 percent of gain from the sale or exchange of qualified small business stock held for more than five years. Sets forth rules and limitations for such exclusion. Treats one-half of such exclusion as an item of tax preference for minimum tax purposes. Part IV: Modifications to Minimum Tax Depreciation Rules - Modifies the method of determining the depreciation deduction for certain personal property placed in service after 1993. Eliminates the depreciation adjustment for computing adjusted current earnings for such property. Subtitle C: Tax-Exempt Bond Provisions - Provides a complete tax exemption (currently a 75 percent tax exemption) for bonds used to finance high-speed intercity rail facilities. Permanently extends the authority to issue qualified small issue bonds to finance manufacturing facilities and farm property. Subtitle D: Expansion and Simplification of Earned Income Tax Credit - Repeals certain interaction rules with respect to the medical expense deduction, the deduction for health insurance, and the dependent care credit. Revises credit and phaseout percentages for 1994. Subtitle E: Incentives for Investment in Real Estate - Part I: Extension of Qualified Mortgage Bonds and Low-Income Housing Credits - Makes permanent: (1) the authority to issue qualified mortgage bonds and qualified mortgage credit certificates; and (2) the low-income housing credit. Part II: Modification of Passive Loss Rules - Provides for the treatment of rental real estate activities under the limitations on losses from passive activities. Part III: Provisions Relating to Real Estate Investments by Pension Funds - Modifies exceptions to the exclusion of real property acquired by a qualified organization from the meaning of acquisition indebtedness. Makes certain exceptions inapplicable to sales out of foreclosure by a financial institution. Repeals the special rule for publicly traded partnerships with respect to the treatment of unrelated business taxable income. Permits a tax-exempt title-holding company to receive unrelated business taxable income if the unrelated income is incidentally derived from the holding of real property. Excludes from unrelated business taxable income: (1) gains from the sale, exchange or other disposition of real property acquired from financial institutions that are in conservatorship or receivership; and (2) loan commitment fees and certain option premiums. Part IV: Increase in Recovery Period for Nonresidential Real Property - Increases the depreciation recovery period for nonresidential real property. Subtitle F: Other Changes - Repeals the tax preference for the appreciated property charitable deduction. Disallows an adjustment related to the earnings and profits effects of any charitable contribution from being made in computing adjusted current earnings. Amends the Railroad Retirement Solvency Act of 1983 to make permanent the treatment of certain railroad retirement benefits as received under employer plans. Provides for the temporary extension of the deduction of health insurance costs of self-employed individuals. Title II: Revenue Increases - Subtitle A: Provisions Affecting Individuals - Part I: Rate Increases - Lowers the tax rates for certain taxpayers and increases the tax rate for certain higher incomes. Imposes a surtax on certain higher incomes. Increases the tentative minimum tax for taxpayers other than corporations. Makes permanent the overall limitation on itemized deductions and the phaseout of personal exemptions for high-income taxpayers. Sets forth provisions to prevent the conversion of ordinary income to capital gain in certain financial transactions. Repeals certain exceptions to market discount rules. Provides for the treatment of purchases of stripped preferred stock after April 30, 1993. Revises the methods of: (1) computing the limitation on the deductibility of investment interest; and (2) determining substantial appreciation of partnership inventory items. Part II: Other Provisions - Repeals the limitation on the amount of wages and subject to the health insurance employment tax. Increases and makes permanent the highest estate and gift tax rate. Reduces the deduction for business meals and entertainment expenses. Disallows a tax deduction for social club membership dues, except for employee recreational expenses. Disallows a deduction as a trade or business expense remuneration to certain employees in excess of $1 million. Reduces the compensation taken into account in determining contributions and benefits under qualified retirement plans. Removes qualified residence sales, purchases, or leases and meals from the deduction for moving expenses. Subtitle B: Provisions Affecting Businesses - Increases the tax rate for corporate income in excess of $10 million and the tax rate on personal service corporations. Denies a tax deduction for lobbying expenses. Subjects lobbying organizations to special reporting requirements. Requires any security which is inventory in the hands of the dealer to be included in inventory at its fair market value. Requires any dealer in securities that holds any security which is not in inventory at the close of any taxable year to: (1) recognize gain or loss as if the security were sold on the last business day of the taxable year; and (2) take into account any such gain or loss for such year (the mark-to-market requirement). Requires taking into account, for certain tax purposes: (1) certain Federal Savings and Loan Insurance Corporation (FSLIC) assistance as compensation for loss; and (2) any FSLIC assistance for any debt for determining whether such debt is worthless and in determining the amount of any addition to a reserve for bad debts arising from such worthlessness or partial worthlessness. Increases the required annual payment for corporations that fail to pay estimated income tax. Limits the Puerto Rico and possession tax credit to 60 percent of the possession corporation's qualified possession wages. Modifies the limitation on corporate deductions for interest paid to related persons to take into account disqualified guarantees of indebtedness and the imposition of a gross basis tax. Subtitle C: Foreign Tax Provisions - Part I: Current Taxation of Certain Earnings of Controlled Foreign Corporations - Requires U.S. shareholders of controlled foreign corporations to include in gross income a pro rata share of the corporations' excess passive assets. Sets forth rules for determining such amounts. Modifies the rule on taxation of investment in United States property and takes into account excessive passive assets. Excepts from foreign personal holding income dividends attributable to earnings and profits of the distributing corporation accumulated during any period during which the person receiving such dividend did not hold such stock. Requires the establishment of an excess limitation account by taxpayers who receive foreign tax credits in a year they receive previously taxed earnings and profits. Part II: Allocation of Research and Experimental Expenditures; Treatment of Certain Royalties - Requires a complete allocation and apportionment of research and experimental expenditures from sources within the United States and bases such expenditures attributable to activities conducted outside the United States on gross sales. Treats royalties as passive income for purposes of the foreign tax credit. Part III: Other Provisions - Excludes passive dividends or interest income from foreign oil and gas income. Modifies accuracy-related penalties for tax underpayments. Denies the inclusion of certain contingent interest in the exemption for portfolio interest for nonresident aliens. Authorizes the Secretary of the Treasury to prescribe regulations recharacterizing any multiple-party financing transaction as a transaction directly among any two or more of such parties where appropriate to prevent any tax avoidance. Subtitle D: Energy Tax Provision - Imposes an excise tax on the following energy products: (1) taxable refined petroleum products removed from a U.S. refinery or entered into the United States for consumption, use, or warehousing; (2) natural gas removed in the United States from any pipeline (not part of a local distribution system) for transmission to ultimate users through a local distribution system or for use prior to entry into a local distribution system; (3) coal received at any facility for use as a fuel at such facility; and (4) certain electricity generated in or outside the U.S. Bases the rate of tax on such products on the applicable Btu factor. Declares that no tax is imposed on any taxable energy source which is exported by the person otherwise liable for such tax. Provides for refunds to: (1) ultimate vendors of home heating oil and international commercial transportation; (2) ultimate users in cases of exempt petroleum products; and (3) certain users of methane recovered from biomass or coal mining. Imposes a tax on the use of any fossil fuel (other than coal): (1) in the manufacture or production of a fuel other than at a U.S. refinery; or (2) as a fuel. Specifies the application of such tax and exceptions. Imposes a tax on floor stock of taxable fuels held on the date of the tax increase. Allows a credit against such tax. Provides for such tax increases to begin July 1, 1994. Increases the tax on gasoline and diesel fuels for purposes of the Highway Trust Fund financing rate. Increases the amount to be transferred to the Mass Transit Account from such Fund. Subtitle E: Compliance Provisions - Requires information reporting on payments to corporations for services. Modifies provisions concerning substantial understatement and return-preparer penalties to allow reasonable cause exceptions. Subtitle F: Miscellaneous Provisions - Establishes substantiation requirements for charitable contributions of $750 or more. Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. Expands the 45-day interest-free period for refunding tax overpayments to all returns, as well as to amended returns and claims for refunds. Provides that if interest is not refunded within 45 days after the taxpayer files an amended return or claim for refund, interest will be paid only for periods after the date on which the return or claim is filed. Denies the business travel expense deduction for spouses, dependents, or others. Increases the withholding rate for supplemental wage payments. Title III: Empowerment Zones and Enterprise Communities - Provides for the designation of 100 tax enterprise communities and ten empowerment zones during calendar years after 1993 and before 1996: (1) by the Secretary of Housing and Urban Development, in the case of an urban area; (2) by the Secretary of Agriculture in the case of a rural area; and (3) the Secretary of the Interior for an Indian reservation. Sets forth the eligibility criteria for such designations. Allows a zone resident empowerment savings credit to employers as a general business credit of 50 percent of the qualified savings contributions made to a defined contribution plan on behalf of an employee. Limits the amounts of such contributions. Makes buildings in such communities or zones eligible for the low-income housing credit applicable to buildings in high-cost areas. Provides for the issuance of enterprise zone facility bonds in enterprise communities and empowerment zones in a manner similar to exempt facility bonds. Excludes enterprise zone facility bonds from the interest deduction limitations on financial institutions. Allows an empowerment zone employment credit to employers for a percentage of qualified zone wages paid during calendar years 1994 through 2004. Limits the amount of such credit. Increases the limitation on expensing certain depreciable business assets. Increases the volume cap applicable to enterprise zone facility bonds if the business owners meet specified ownership requirements with regard to abiding in such zones. Allows the use of the targeted jobs credit for hiring empowerment zone residents.

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