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101 records in US in 1994
United States · United States Congress · 9 June 1994
Amends the Immigration and Nationality Act to permit a State agency under specified circumstances to request waiver of the foreign country residence requirement with respect to foreign medical graduates.
United States · United States Congress · 9 June 1994
TABLE OF CONTENTS: Title I: Grants to Encourage Establishment of Community Rural Health Networks Title II: Incentives for Health Professionals to Practice in Rural Areas Subtitle A: National Health Service Corps Program Subtitle B: Incentives Under Other Programs Title III: Assistance for Institutional Providers Subtitle A: Community and Migrant Health Centers Subtitle B: Emergency Medical Systems Subtitle C: Assistance to Rural Providers Under Medicare Subtitle D: Demonstration Projects to Encourage Primary Care and Rural-Based Graduate Medical Education Title IV: United States-Mexico Border Health Commission Title V: Hospital Antitrust Fairness Title VI: Financing Rural Health Delivery System Development Act of 1994 - Title I: Grant to Encourage Establishment of Community Rural Health Networks - Directs the Secretary of Health and Human Services to make grants to an eligible State for the development of plans to increase access to health care services for residents of areas in the State designated as chronically underserved areas. Provides for technical assistance for entities establishing or enhancing a community rural health network in an underserved rural area. Provides financial assistance to entities to provide for the development and implementation of community rural health networks. Authorizes appropriations. Title II: Incentives for Health Professionals to Practice in Rural Areas - Subtitle A: National Health Service Corps Program - Amends the Internal Revenue Code to exclude National Health Service Corps Loan Repayments from gross income. (Sec. 202) Amends the Public Health Service Act to take into consideration, when designating an area as a health professional shortage area, the number of individuals in the area paying through Medicare or Medicaid, the number of individuals who are uninsured, and the number of physicians who will accept additional Medicare and Medicaid patients. (Sec. 203) Increases the authorization of appropriations for the National Health Service Corps Scholarship and Loan Repayment Programs. Subtitle B: Incentives Under Other Programs - Amends title XVIII (Medicare) of the Social Security Act and the Higher Education Act of 1965 to provide incentives under those Acts to physicians informer shortage areas and to primary care physicians, in addition to those provided in Subtitle A. Directs the Secretary to develop and publish a model law for adoption by States to increase the access of individuals residing in underserved rural areas to health care services by expanding the services which non-physician health care professionals may provide in such areas. Title III: Assistance for Institutional Providers - Subtitle A: Community and Migrant Health Centers - Extends and increases the authorizations of appropriations for migrant health centers and community health centers. Subtitle B: Emergency Medical Systems - Revises title XII (Trauma Care) of the Public Health Service Act. Renames such title Emergency Health Services. Directs the Secretary to establish the Office of Emergency Medical Services to: conduct and support research and demonstration projects; (2) foster development of appropriate modern systems of services; (3) assist States; and (4) coordinate and sponsor related activities. Requires that activities meet the unique needs of underserved innercity and rural areas. Authorizes grants to States in order to improve the availability and quality of emergency medical services through the operation of State offices of emergency medical services. Authorizes appropriations for emergency medical services and trauma care. (Sec. 312) Directs the Secretary to make grants to assist States in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas with access to treatments for injuries resulting from such emergencies. Authorizes appropriations. Subtitle C: Assistance to Rural Providers Under Medicare - Amends title XVIII (Medicare) of the Social Security Act to: (1) increase by two the number of States eligible to participate in the essential access community hospital program; and (2) make other revisions concerning such program, including permitting the participation of hospitals in urban areas and the participation of hospitals in States adjoining participating States. Extends, by three years, the deadline for the development of prospective payment systems for both inpatient and outpatient rural primary care hospital services. (Sec. 331) Defines a rural emergency access care hospital and rural emergency access care hospital services for purposes of title XVIII. Provides for the coverage of such services under part B (Supplementary Medical Insurance) of title XVIII. Subtitle D: Demonstration Projects to Encourage Primary Care and Rural-Based Graduate Medical Education - Directs the Secretary to establish and conduct a demonstration project to increase the number and percentage of medical students entering nonprimary care practice. Authorizes appropriations. Title IV: United States - Mexico Border Health Commission - Authorizes the President to conclude an agreement with Mexico to establish a binational commission known as the United-States-Mexico Border Health Commission which shall: (1) conduct a needs assessment in the United States-Mexico border area to identify, evaluate, prevent, and resolve health problems that affect the general population of the area; (2) implement actions recommended by the assessment; and (3) formulate recommendations concerning payment for such health care. Title V: Hospital Antitrust Fairness - Exempts the merger or attempted merger of hospitals from the application of the antitrust laws; if specified conditions are met, including that: (1)a hospital be located outside of a city or in a city of less than 150,000; and (2) consumer costs would not increase and access would not be reduced if there was a merger. Title VI: Financing - Amends the Internal Revenue Code to impose a tax based on the Medicare part B premium for individuals with a modified adjusted gross income exceeding $100,000 or $125,000 in the case of a joint return.
United States · United States Congress · 9 June 1994
Access to Community Health Care Act of 1994 - Amends the Public Health Service Act to require community health centers (CHC's) to provide: (1) outreach workers to help determine eligibility for Federal, State, and local health programs; and (2) enabling services that promote access to necessary health and other human and social services. (Sec. 2) Permits CHC's to provide their services at schools and other appropriate places. Authorizes the Secretary of Health and Human Services to make grants to CHC's, or to Federally qualified health centers, to support the development and operation of a community health service network (a consortium of health care providers) or plan. Allows the Secretary to waive certain grant requirements for good cause. Prohibits approval of a grant application unless the network or plan will at a minimum assure significant community involvement, including a board of directors at least one-third of whom are registered patients or representatives of all entities providing health services. Requires a network or plan, also, to establish a patient advisory council. Authorizes appropriations. Specifies funding preferences. (Sec. 3) Authorizes the Secretary to make loans and guarantee payment of principal and interest to Federal and non-Federal lenders for loans to grantees for facility acquisition or modernization, major equipment purchases, and other specified purposes. Establishes a loan and loan guarantee fund. Authorizes appropriations. (Sec. 4) Requires migrant health centers (MHC's) to provide: (1) outreach workers to help determine eligibility for Federal, State, and local health programs; and (2) enabling services that promote access to necessary health and other human and social services. Declares that any grant to an MHC may include building acquisition or modernization and new building construction. Declares that health services include supplemental health services and enabling services. Authorizes appropriations. (Sec. 5) Authorizes additional appropriations for the National Health Service Corps. (Sec. 6) Requires preference in the award of grants or contracts to CHC's, MHC's, certified Federally qualified health centers, and certain nurse training program applicants. Provides for Federal payment of direct and indirect costs of graduate medical education (GME) to hospitals incurring any of the costs for training programs at a Federally qualified health center if the hospitals reimburse the center for any costs it incurs. (Sec. 7) Amends title XI of the Social Security Act (SSA) with respect to demonstration projects to deny the Secretary authority to waive compliance of State plans with certain Medicaid requirements for provision of, payment for, and allowance of freedom of choice to select the provider of care and services at rural health clinics and Federally qualified health centers. Amends SSA title XIX (Medicaid) to provide for payments to rural health clinics and Federally qualified health centers operating in the same geographic area as certain health maintenance organizations (HMO's). (Sec. 8) Amends SSA title XI to exempt from criminal penalties for acts involving Medicare or State health care programs certain patient referral activities conducted as specified collaborative efforts that benefit medically underserved persons.
United States · United States Congress · 12 May 1994
Access to Community Health Care Act of 1994 - Amends the Public Health Service Act to allow community health centers to provide: (1) services at schools and other appropriate locations; and (2) specified enabling and outreach services. (Sec. 2) Authorizes the Secretary of Health and Human Services to make grants (including planning and development grants) to one or more community health centers receiving medically underserved population grants, or to one or more federally qualified health centers, to support development of a community health service network or plan. Requires such a network or plan to be governed by individuals a majority of whom are registered network or plan patients, or representatives of entities providing health services under grants, or a combination of such individuals. Authorizes the Secretary to make grants for planning, developing, and operating health networks and plans that will provide or enhance the provision and accessibility of specified services to medically underserved populations and health professional shortage areas in the network or plan's service area. Requires a network or plan, as a condition of grant approval, to assure significant community involvement, including: (1) a board of governors one-third of whom are registered patients or representatives of entities providing health services under grants, or a combination of both; or (2) a patient advisory board. Authorizes appropriations. (Sec. 3) Authorizes the Secretary to make and guarantee loans to grant-receiving entities for: (1) acquisition, modernization, expansion, conversion, or construction of facilities with respect to medically underserved populations; (2) major equipment purchases; (3) establishment of reserves required for furnishing services on a prepaid basis; and (4) other necessary capital costs. Sets forth preferences and priorities in the making of such loans and loan guarantees. Establishes a Loan and Loan Guarantee Fund (Fund) in the Treasury. Authorizes appropriations. Amends the Internal Revenue Code to preserve tax-exempt status for any State or local bonds guaranteed by the Fund. (Sec. 4) Allows migrant health centers to provide: (1) services at schools and other appropriate locations; and (2) specified enabling and outreach services. Authorizes a homeless health services grant to include the acquisition, modernization, or expansion of existing buildings, or construction of new buildings. Authorizes appropriations for migrant and homeless health centers. (Sec. 5) Authorizes additional appropriations for the National Health Service Corps. (Sec. 6) Sets forth preferences for certain health professions program and nurse training program applicants. Revises specified requirements with respect to payment for direct and indirect costs of graduate medical education. (Sec. 7) Amends title XI (General Provisions and Peer Review) of the Social Security Act (SSA) with respect to specified safeguards (including freedom of choice of care and services provider) for rural health clinics and federally qualified health centers in Medicaid demonstrations. (Sec. 8) Amends SSA title XI to exempt from specified criminal penalties for acts involving Medicare and State health programs any remuneration paid by or to a Federal grant recipient or subrecipient in connection with an arrangement for goods or services procurement, if certain requirements are met. Requires, among other things, that such an arrangement will: (1) result in the savings of Federal grant funds or increased revenues to the recipient or subrecipient that will be used to increase the availability of or improve services to a medically underserved population; and (2) not result in private inurement to any current employees or members of the Board of Directors of the recipient or subrecipient, or to agents involved in recommending or negotiating the arrangement. Exempts from such criminal penalties any arrangement failing to meet such requirements which is approved by the Secretary because it will produce substantial benefit to a medically underserved population that outweighs any failure to meet those requirements.
United States · United States Congress · 12 May 1994
Amends the Immigration and Nationality Act to: (1) make the visa waiver program permanent; and (2) authorize the designation of a qualifying European Union nation as a visa waiver program country.
United States · United States Congress · 12 May 1994
TABLE OF CONTENTS: Title I: Federal Responsibilities Subtitle A: Federal Workforce Preparation and Development Council Subtitle B: National Commission for Employment Policy Subtitle C: Federal Waiver Authority for Provisions of Workforce Preparation and Development Programs Subtitle D: Implementation Grants and Technical Assistance Title II: State Responsibilities Subtitle A: State Human Resource Investment Council Subtitle B: Unified Single State Plan Subtitle C: Unified Service Areas Subtitle D: Local Workforce Development Boards Subtitle E: Community Job Resource Centers Title III: Consolidation of Federal Workforce Preparation and Development Programs Subtitle A: Adult Education and Literacy State Block Grant Programs Subtitle B: Vocational and Technical Education State Block Grant Program Subtitle C: State Vocational Rehabilitation Block Grant Program Subtitle D: Adult Employment and Training System Subtitle E: Youth Employment and Training Block Grant Program Subtitle F: Native Americans' Employment, Training, and Education Block Grant Program Subtitle G: Migrant and Seasonal Farmworkers Employment, Training, and Education Block Grant Program Title IV: Miscellaneous Provisions Title V: Effective Dates and Transition Consolidated and Reformed Education, Employment, and Retraining Systems Act (CAREERS Act) - Establishes a comprehensive workforce preparation and development (WPD) system. Title I: Federal Responsibilities - Subtitle A: Federal Workforce Preparation and Development Council - Establishes the Federal Workforce Preparation and Development Council, consisting of the Secretaries of Labor, Education, Health and Human Services, and Commerce, the Director of the Office of Management and the Budget, and any other Federal agency heads the President may designate. Requires the Federal Council to develop a strategic WPD plan for the United States and report to the President and the Congress. Subtitle B: National Commission for Employment Policy - Amends the Job Training Partnership Act to establish a National Commission for Employment Policy. Directs the Commission to study existing WPD programs and develop recommendations on reforms necessary for a comprehensive WPD system for the President, the Congress, and the Federal Council. Subtitle C: Federal Waiver Authority for Provisions of Workforce Preparation and Development Programs - Authorizes the Federal Council to waive provisions of law or regulations relating to State planning and reporting, performance standards, or other provisions with respect to WPD programs under unified State plans. Sets forth provisions for waiver applications, review, approval or disapproval, and revocation. Subtitle D: Implementation Grants and Technical Assistance - Authorizes the Federal Council to provide grants and technical assistance to States that have an approved application to carry out the single State plan. Requires a State to provide at least 70 percent of such a grant to the Local Boards. Authorizes appropriations. Title II: State Responsibilities - Subtitle A: State Human Resource Investment Council - Requires any participant State to establish a State human resource investment council to assist the Governor in developing a coordinated State strategy for WPD programs, including school-to-work transition and lifelong learning programs. Subtitle B: Unified Single State Plan - Requires any participant State to: (1) establish a unified single State plan to coordinate services under WPD programs; and (2) report annually to the Federal Council on progress in achieving plan goals. Expresses the sense of the Congress that States and unified service areas should use cost-effective methods for collecting data for post-program follow-up of participants of WPD programs. Subtitle C: Unified Service Areas - Requires any participant State to ensure establishment of unified service areas throughout the State to provide community-wide WPD services. Subtitle D: Local Workforce Development Boards - Requires any participant State to ensure establishment of a Local Workforce Development Board in each unified service area. Requires a participant Local Board, in partnership with local governments, to submit an annual unified local plan to the State Council for approval. Subtitle E: Community Job Resource Centers - Requires any participant State to ensure that each Local Board designates or establishes a network of community job resource centers in its unified service area, to be composed of specified entities. Title III: Consolidation of Federal Workforce Preparation and Development Programs - Subtitle A: Adult Education and Literacy State Block Grant Programs - Amends the Adult Education Act (AEA) to authorize appropriations for FY 1995 and 1996 for: (1) the State Block Grant program authorized under the State Adult Education and Literacy Program, with a limited portion for certain additional State activities; and (2) national activities, including the National Institute for Literacy. (Sec. 302) Allows a portion of such block grants to States to also be used for the following additional programs: correctional education, State literacy resource centers, workplace literacy, English literacy, and training of literacy teachers and volunteers. (Sec. 303) Revises four-year State plan provisions to require description of steps to be taken in continuing programs for correctional education, State literacy resource centers, workforce literacy, and the homeless. Focuses on use and training of adult and elderly volunteers. (Sec. 304) Repeals specified AEA provisions, including: (1) a reservation of funds for national activities; (2) mandatory reserved funds for programs for corrections education and education of other institutionalized individuals; (3) mandatory reserved funds for special experimental demonstration projects and teacher training; (4) grants for State literacy resource centers; (5) grants for adult literacy volunteer training from certain reserved funds; and (6) workplace literacy and English literacy grants. (Sec. 306) Repeals provisions of the: (1) National Literacy Act relating to literacy for incarcerated individuals; (2) Domestic Volunteer Service Act of 1973 relating to the Vista Literacy Corps; and (3) Stewart B. McKinney Homeless Assistance Act relating to literacy initiatives for adult homeless individuals. Subtitle B: Vocational and Technical Education State Block Grant Program - Amends the Carl D. Perkins Vocational and Applied Technology Education Act to authorize appropriations for FY 1995 and 1996 for: (1) the State Block Grant program, with certain amounts for territories and for employment and training block grant programs for Native Americans under the Job Training Partnership Act (JTPA); and (2) national activities, with a certain amount for the National Council on Vocational Education. (Sec. 312) Revises provisions for State allotments and within-State allocation. Repeals provisions relating to State administration and for authorization of appropriations for State councils on vocational education. (Sec. 313) Requires State plans to describe the extent to which the State Vocational Education Block Grant provides for programs for single parents, displaced homemakers, single pregnant women, sex equity, and tech prep. Adds to authorized activities under State programs: business-labor-education partnerships, corrections education, and support for consumer and homemaking education. Includes under authorized activities for other State-administered programs: comprehensive career guidance and counseling and consumer and homemaking education. (Sec. 314) Revises provisions for mandatory use of funds for programs for single parents, displaced homemakers, and single pregnant women, and for sex equity. Repeals provisions for programs for criminal offenders. (Sec. 315) Eliminates a special rule for minimal allocation. Establishes a tech-prep education program. Directs State Boards to award grants for four-year tech-prep education programs to consortia of specified secondary and higher education entities. (Sec. 316) Repeals provisions for various Special Programs. (Sec. 317) Revises provisions for demonstration programs to authorize the Secretary of Education to make demonstration grants to improve vocational education programs. (Currently requires such grants to be made for specific types of programs.) Repeals provisions for Bilingual Vocational Training. Subtitle C: State Vocational Rehabilitation Block Grant Program - Amends the Rehabilitation Act of 1973 (RA) to consolidate certain employment-related programs, including supported employment for individuals with most severe disabilities, special recreation activities and services, and projects with industry. Reserves certain RA funds for Native American employment and training block grant programs under JTPA. Subtitle D: Adult Employment and Training System - Allows a State or eligible unified service area to combine funds received under one or more programs described in this subtitle or the Wagner-Peyser Act to develop and implement an integrated adult employment and training system. Requires a single application and State plan to combine such funds. Allows an eligible unified service area to combine such funds, with State approval and consistent with the State plan approved by the Secretary of Labor, if it has adopted a one-stop delivery system. Chapter 1: Disadvantaged Adult Employment and Training Block Grant Program - Amends the Job Training Partnership Act (JTPA) to revise allocation and allotment provisions, including State reservations of funds, limitations, and State activities. (Sec. 342) Requires each service delivery area to ensure equitable provision of training and placement opportunities for older individuals in private sector jobs. (Sec 343) Renames JTPA title II part A as the Disadvantaged Adult Employment and Training Block Grant Program. Authorizes appropriations. Repeals: (1) incentive grants for certain JTPA title II programs that exceed performance standards; and (2) certain program design provisions for services for older individuals. Repeals specified provisions for job training for the homeless under the Stewart B. McKinney Homeless Assistance Act (except homeless veterans' reintegration projects). Chapter 2: Dislocated Worker Employment and Training Block Grant Program - Amends JTPA title III dislocated worker provisions to include skills upgrading under authorized retraining services. (Sec. 352) Requires that special consideration for eligibility for needs-related payments be given to workers dislocated due to Federal policies, including trade policy, in particular the North American Free-Trade Agreement, or reductions of defense spending or closures of military facilities. (Sec. 353) Authorizes appropriations for the JTPA title III Dislocated Worker Employment and Training Block Grant Program for FY 1995 and thereafter. Repeals JTPA provisions relating to programs for: (1) defense conversion adjustment; (2) defense diversification; and (3) clean air employment transition assistance. Repeals the program of adjustment assistance for workers under the Trade Act of 1974. Renames JTPA title III as the Dislocated Worker Employment and Training Block Grant Program. (Sec. 354) Makes funds from such aforementioned repealed programs under JTPA and the Trade Act of 1974 available for JTPA title III. Chapter 3: Veterans' Employment and Training Block Grant Program - Renames and revises JTPA title IV part C veterans' employment programs provisions as the Veterans' Employment and Training Block Grant Program. (Sec. 362) Makes available for such JTPA program any unobligated or unexpended funds under the Service Members Occupational Conversion and Training Act of 1992 and specified provisions of Federal laws relating to: (1) disabled veterans outreach; (2) local veterans employment representatives; (3) homeless veterans' reintegration projects; (4) veterans' vocational rehabilitation; and (5) job counseling, training and placement service for veterans. (Sec. 363) Directs the Secretary of Labor, through the Assistant Secretary of Veterans Employment and Training and in cooperation with the Secretary of Defense, to provide for orderly implementation of the Veterans' Employment and Training Block Grant Program under JTPA. (Sec. 364) Repeals, after a transition period, the Service Members Occupational Conversion and Training Act of 1992 and specified provisions of Federal law relating to: (1) veterans' employment and training opportunities and employment assistance; (2) disabled veterans outreach, local veterans employment representatives, and their performance; and (3) homeless veterans' reintegration projects. (Sec. 365) Authorizes appropriations. Chapter 4: Job Opportunities and Basic Skills Act - Amends the Social Security Act to transfer authority over the Job Opportunities and Basic Skills (JOBS) program to the Secretary of Labor. Directs the Secretary to develop performance standards for such program and issue regulations to coordinate administration of such program at Federal, State, and local levels with JTPA programs. Subtitle E: Youth Employment and Training Block Grant Program - Amends JTPA title II part C youth training program provisions to provide for a comprehensive range of integrated education, training, employment and social services to disadvantaged and at risk disadvantaged youth not currently served, or underserved, by existing Federal education and training programs particularly in areas of high poverty or crime. (Sec. 373) Sets age 14 through 21 as part of eligibility criteria. (Sec. 374) Includes under authorized services specified outreach and recruitment efforts. Requires use of strategies and practices based on comprehensive and integrated service delivery, innovative approaches to serving hardest-to-serve youths, and programs with community support that make use of various resources and entities. Allows a portion of youth training funds to be used for specified summer youth employment and training activities. (Sec. 375) Adds to JTPA youth training program linkages the School-to-Work Opportunities Act of 1994. (Sec. 376) Renames JTPA title II part C youth training programs provisions as the Disadvantaged Youth Employment and Training Block Grant Program. Authorizes appropriations. Repeals JTPA title II part B summer youth employment and training program and title IV part H Youth Fair Chance program. Subtitle F: Native Americans' Employment, Training, and Education Block Grant Program - Amends JTPA title IV part A Native American programs to include tribally controlled postsecondary vocational institutions among program providers. (Sec. 383) Adds to comprehensive plan requirements, including strategic overviews and coordination with similar programs. (Sec 384) Directs the Native American Employment and Training Council to advise the Secretaries of Education and of the Interior, as well as the Secretary of Labor, and to recommend ways of consolidating other Native American employment and training programs into the JTPA program. (Sec 385) Makes available for the JTPA Native American Block Grant program unobligated or unexpended funds under the specified Act and portions of Acts which are repealed in the following section. (Sec. 386) Repeals the Indian Employment, Training, and Related Services Act of 1992 and specified provisions under the Indian Education Act, the Social Security Act, the Carl D. Perkins Vocational and Applied Technology Education Act, and the Rehabilitation Act of 1973. (Sec. 387) Renames the JTPA program as the Native American Block Grant program. Authorizes appropriations. Subtitle G: Migrant and Seasonal Farmworkers Employment, Training, and Education Block Grant Program - Amends JTPA title IV part A migrant and seasonal farmworker programs to require their being designed to help such farmworkers complete a secondary education and begin and successfully complete the first year of postsecondary education. (Sec. 392) Makes available for the JTPA farmworker block grant program unobligated or unexpended funds under the specified provisions repealed under other Acts in the following section. (Sec. 393) Repeals: (1) special programs for students whose families are engaged in migrant and seasonal farmwork, under the Higher Education Act of 1965; and (2) the adult migrant farmworker and immigrant education program, under the Adult Education Act. (Sec. 394) Renames the JTPA program as the Migrant and Seasonal Farmworker Block Grant program. Authorizes appropriations. Title IV: Miscellaneous Provisions - Amends JTPA to revise and rename State education coordination and grants provisions as State workforce preparation and development coordination and innovation grants. Requires program coordination and linkages with specified other JTPA programs and with the Elementary and Secondary Education Act of 1965, Carl D. Perkins Vocational and Applied Technology Act, Individuals with Disabilities Education Act, Adult Education Act, JOBS program, Goals 2000: Educate America Act, School-to-Work Opportunities Act of 1994, and National and Community Service Act of 1990. (Sec. 402) Amends the Wagner-Peyser Act to require the local employment service office to participate in the operation of the community job resource centers established under this Act based on the plan developed by the Local Board. Allows such offices to apply to be designated as such centers. Repeals specified provisions under the Food Stamp Act of 1977, Immigration Reform and Control Act of 1986, Domestic Volunteer Service Act of 1973, Internal Revenue Code, Higher Education Act of 1965, and Appalachian Regional Development Act of 1965. Title V: Effective Dates and Transition - Sets forth effective dates and transition provisions.
United States · United States Congress · 12 May 1994
TABLE OF CONTENTS: Title I: Restrictions for Aliens Title II: Restrictions for Drug Addicts and Alcoholics Title III: Benefits for Children Title IV: Fraud Title I: Restrictions For Aliens - Amends title XVI (Supplemental Security Income) (SSI) of the Social Security Act (SSA) to make certain aliens ineligible for SSI benefits. Amends SSA title IV part A (Aid to Families with Dependent Children) (AFDC) to require State AFDC plans to require the State agency to provide the Immigration and Naturalization Service (INS) with identifying information on any unlawful alien with any children who are U.S. citizens. Title II: Restrictions for Drug Addicts and Alcoholics - Amends SSA title XVI, among other things, to: (1) suspend SSI benefits for certain recipients who test positive for illegal drugs or alcohol until such time that the recipient tests negative; and (2) make various specified representative payee changes, including requiring SSI disability payments based on substance abuse to be paid through representative payees. Title III: Benefits for Children - Amends SSA title XVI to: (1) replace the current cash benefit with a medical voucher for children below 18 to use for items associated with treating child blindness or disability the costs of which are not covered under SSA title XIX (Medicaid); and (2) require disability reviews for SSI recipients upon reaching 18. Title IV: Fraud - Amends SSA title XVI to add additional requirements for: (1) foreign language translation under provisions for filing of applications and furnishing of information; (2) preventing fraud in the SSI program, for example, by establishing civil monetary penalties and assessments, and by making SSI fraud a felony; and (3) developing profiles of cases involving a high probability of fraud. Directs the Secretary of Health and Human Services to request INS and the Centers for Disease Control to provide any relevant medical information for determining alien eligibility for SSI. Directs the Secretary to report annually to appropriate congressional committees on reviews of SSI cases.
United States · United States Congress · 11 May 1994
TABLE OF CONTENTS: Title I: Interdiction Title II: Alien Smuggling Title III: INS Investigators Title IV: Government Benefits Title V: Criminal Aliens Title VI: Terrorist Aliens Title VII: Inspections Title VIII: Asylum Title IX: Funding Illegal Immigration Control Act of 1994 - Title I:Interdiction - Directs the Attorney General to install additional physical barriers in high illegal-entry border areas. (Sec. 102) Authorizes appropriations for additional Border Patrol personnel. (Sec. 103) Directs the Attorney General and the Commissioner of the Immigration and Naturalization Service (INS) to: (1) implement an interior repatriation program for illegal aliens who have been deported at least three times; and (2) increase border detention facilities. (Sec. 104) Authorizes the transfer of closed military bases to be used as Federal incarceration facilities for illegal aliens. (Sec. 105) Authorizes the Attorney General to require vessels to provide INS with port of entry notification. Title II: Alien Smuggling - Amends the Immigration and Nationality Act (the Act) to expand INS forfeiture authority for smuggling or harboring illegal aliens. (Sec. 202) Brings alien smuggling operations under the purview of the Racketeer Influenced and Corrupt Organizations (RICO) provisions. (Sec. 203) Amends the Act to increase penalties for certain alien smuggling offenses. (Sec. 204) Amends Federal law to authorize INS wiretaps for alien smuggling investigations. Title III: INS Investigators - Authorizes additional appropriations for additional INS investigators. Title IV: Government Benefits - Prohibits direct Federal benefits (except for emergency medical care) or housing assistance to an alien who is not a permanent resident, a refugee, an asylee, or a parolee. (Sec. 402) Prohibits unemployment benefits to an alien who has not been granted INS work authorization. (Sec. 404) Authorizes appropriations for the Save System. (Sec. 405) Reduces Federal assistance by 20 percent to any locality that refuses to cooperate in the arrest and deportation of illegal aliens. (Sec. 406) Establishes a uniform vital statistics pilot program for three States with high numbers of undocumented aliens. Authorizes appropriations. Title V: Criminal Aliens - Amends the Act to include aliens on criminal probation or criminal parole among the categories of aliens subject to special registration. (Sec. 502) Expands the definition of "aggravated felony." (Sec. 503) Expedites deportation proceedings for specified criminal aliens. (Sec. 504) Provides for judicial deportation of aliens convicted of an aggravated felony. (Sec. 505) Restricts specified deportation defenses. (Sec. 508) Directs the Commissioner to operate a criminal alien tracking center. Authorizes appropriations. (Sec. 509) Directs the Secretary of State and the Attorney General to study the use and effectiveness of the Prisoner Transfer Treaty with Mexico to remove convicted aliens from the United States. (Sec. 511) Directs the Attorney General, upon State or local request, to: (1) incarcerate convicted alien felons; or (2) compensate States or localities for such incarceration costs. Title VI: Terrorist Aliens - Amends the Act to establish procedures for the removal of alien terrorists, including a special court to hear such cases. (Sec. 602) Makes membership in a terrorist organization a basis for U.S. exclusion. Title VII: Inspections - Directs the Attorney General to establish: (1) specified numbers of preinspection stations at foreign airports identified as last departure points for the greatest numbers of U.S.-arriving passengers and at those with the greatest numbers of U.S.-arriving undocumented aliens; and (2) an air carrier consultant program. (Sec. 702) Provides for the training of airline personnel in fraudulent document detection. (Sec. 703) Amends Federal law to increase specified passport and visa penalties. Title VIII: Asylum - Amends the Act to revise asylum procedures. (Sec. 802) Sets forth mandatory and discretionary conditions for granting provisional asylum. Title IX: Funding - Provides overhead cost reductions incurred in federally sponsored research.
United States · United States Congress · 4 May 1994
Community Improvement Volunteer Act of 1994 - Provides for waivers of the prevailing-wage-setting requirements of the Davis-Bacon Act with respect to volunteers who perform services under the Library Services and Construction Act, the Indian Self-Determination and Education Assistance Act, or migrant health centers or community health centers provisions of the Public Health Service Act. Prohibits approval of any expense, benefit, or fee being paid to such volunteers which has the effect of undermining labor standards by creating downward pressure on prevailing wages in the local construction industry. Directs the Secretary of Labor to report to the appropriate congressional committees on such waivers for volunteers on such projects and make recommendations with respect to other Davis-Bacon-related Acts that could be addressed to permit volunteer work.
United States · United States Congress · 4 May 1994
Amends the Immigration and Nationality Act to extend preferential immigration treatment to certain children fathered by U.S. citizens and born in the Philippines or Japan.
United States · United States Congress · 28 April 1994
Prohibits the refugee admission into the United States of persons who served in the Iraqi armed forces during the Persian Gulf conflict. Revokes refugee status and provides for deportation of such persons already admitted to the United States.
United States · United States Congress · 28 April 1994
Grants temporary protected status under the Immigration and Nationality Act to qualifying Rwandan students in the United States.
United States · United States Congress · 21 April 1994
Labor Law Enforcement Act of 1994 - Increases, within the Wage and Hour Division of the Employment Standards Administration of the Department of Labor, the number of full-time positions assigned to investigate violations of the Fair Labor Standards Act of 1938. Amends the Service Contract Act to make applicable to contracts subject to liability for specified violations certain enforcement provisions of Federal law and regulations of the Secretary of Labor under the Copeland Act. Amends the Fair Labor Standards Act of 1938 to increase damages for violations of information and recordkeeping requirements. Amends the Migrant and Seasonal Agricultural Worker Protection Act to increase damages for violations of information and recordkeeping requirements.
United States · United States Congress · 20 April 1994
States that it shall be U.S. policy to: (1) favor the return and reinstatement of President Aristide of Haiti; (2) extend humanitarian assistance to fleeing Haitians; and (3) cease their forcible return to Haiti. Grants temporary protected status under the Immigration and Nationality Act to qualifying Haitians. Directs the President to terminate the bilateral migrant interdiction agreement with Haiti.
United States · United States Congress · 19 April 1994
TABLE OF CONTENTS: Title I: Head Start Programs Title II: Community Services Block Grant Amendments Title III: Low-Income Home Energy and Assistance Amendments Title IV: Community-Based Family Resource Programs Title I: Head Start Programs - Head Start Act Amendments of 1994 - Amends the Head Start Act to reauthorize and revise its provisions. (Sec. 103) Includes parental involvement among Head Start program services. (Sec. 104) Extends the authorization of appropriations to carry out such Act and its Head Start program. Reserves specified amounts for a longitudinal study of Head Start participants, the Head Start Transition Project Act, and transition coordination with schools and parent involvement activities. (Sec. 105) Allocates at least 25 percent of certain excess funds to specified quality improvement activities. Includes, under discretionary payments, payments for the costs of reviewing Head Start agencies and programs and of developing and implementing quality improvement plans. Authorizes the Secretary of Health and Human Services (HHS) (the Secretary) to make collaboration grants, from certain reserved funds, to States to facilitate collaboration between Head Start activities and other activities targeted to low-income children and families. Directs the Secretary to take certain factors into consideration in allocating funds for program expansion. Provides for flexibility in satisfying the requirement that a certain number of hours be provided to children in Head Start programs. Requires migrant Head Start programs to give priority to eligible children of migrant families whose work requires them to relocate most frequently. (Sec. 106) Repeals outdated provisions for a comprehensive report to the Congress. (Sec. 107) Revises provisions for designation of Head Start agencies to provide that those on Indian reservations include members of Indian tribes living near the reservation. Revises conditions for giving priority in designations. Revises parental involvement considerations with respect to designation of new Head Start agencies. Requires agencies to offer family literacy services and parenting skills training to parents of participating children. Allows agencies also to opt to offer such parents social self-sufficiency training, substance abuse counseling, or other partnership in education activities. Requires a family needs assessment, including consultation with the parents, for each participating family. (Sec. 108) Requires the Secretary to establish quality standards for Head Start agencies and programs, including standards for performance in providing required health, education, parental involvement, nutritional, social, and other services, for administrative and financial management, and for facilities' condition and location. Provides for monitoring and for corrective actions or terminations if minimum standards are not met. (Sec. 109) Requires each Head Start agency to coordinate with schools and promote parental involvement to facilitate children's transition from program to school. Directs the Secretaries of HHS and of Education to assess results of demonstration projects under the Head Start Transition Project Act and provide technical assistance to communities to implement promising practices from those demonstrations. (Sec. 110) Authorizes the Secretary to use certain reserved funds to purchase facilties owned by Indian tribes and make necessary capital expenditure to provide suitable Head Start facilities for such tribes. Provides for personnel preferences for and recruitment of Indian tribe members for the American Indian Programs Branch of the Head Start Bureau of the Administration for Children and Families. (Sec. 111) Revises participation provisions. Allows Indian tribes to enroll additional children who do not meet low-income criteria if the Head Start program predominantly serves children who do meet such criteria. (Sec. 112) Establishes programs for families with infants and toddlers. Directs the Secretary to make grants for: (1) programs providing family-centered services for low-income families with very young children, designed to promote child development, parental role fulfillment, and movement toward self-sufficiency; and (2) evaluation of, and training and technical assistance for, projects under the Comprehensive Child Development Act. Gives time-limited priority to certain entities, including Parent-Child Centers receiving assistance under the Head Start Act and programs receiving assistance under the Comprehensive Child Development Act, and provides for selection of other grant recipients. (Repeals the Comprehensive Child Development Centers Act of 1988 and the Comprehensive Child Development Act because their functions are being consolidated under the Head Start Act.) (Sec. 113) Provides for mediation of disputes with delegate agencies to avoid the need for administrative hearing. Eliminates a provision freezing regulations. Provides that terminations, reductions, or suspensions of financial assistance upheld in administrative hearings shall not be stayed pending any judicial appeal. (Sec. 114) Sets forth goals and priorities for training and technical assistance. (Sec. 115) Revises classroom teacher qualifications and waiver requirements. Directs the Secretary to: (1) provide technical assistance and training to enable Head Start agencies to establish positions for mentor teachers; and (2) review and revise standards for family service workers, and promote model curricula and credentials for such workers. Authorizes the Secretary to establish a program of Head Start Fellowships for staff in local Head Start programs and other individuals working in the field of child development and family services. Provides for placement in appropriate settings. Directs the Secretary to develop model staffing pattern plans to guide local Head Start agencies and programs. (Sec. 116) Directs the Secretary to carry out a continuing program of research, demonstrations, and evaluations of Head Start programs, including longitudinal studies, and to report on such activities. (Sec. 117) Repeals provisions for certain announcements, a longitudinal study, and poverty line criteria (a definition of which is added elsewhere). Revises provisions on reports, adding a study of availability and delivery of Head Start programs to Indian children living on or near reservations and children of migrant and seasonal farmworkers. (Sec. 120) Directs the Secretary to consult with the Chief Executive Officer of the Corporation for National and Community Service regarding the dissemination of information on the Corporation's programs to Head Start programs. (Sec. 121) Directs the Secretary to study, and report to the appropriate congressional committees on, benefits available to Head Start employees. (Sec. 122) Amends the State Dependent Care Development Grants Act to extend the authorization of appropriations. (Sec. 123) Amends the Child Development Associate Scholarship Assistance Act of 1985 to extend the authorization of appropriations. Title II: Community Services Block Grant Amendments - Community Services Block Grant Amendments of 1994 - Amends the Community Services Block Grant Act to extend the authorization of appropriations to carry out such Act and its community services block grant program. (Sec. 202) Reserves certain funds for training, technical assistance, planning, and evaluation. Revises provisions for applications and requirements, community action agency plans, public inspections of plans, audits, and evaluations involving waivers. (Sec. 203) Authorizes the Secretary of HHS to provide grants for a Community Initiatives Program for community and economic development of economically distressed areas and rural areas. (Sec. 204) Extends the authorization of appropriations for community food and nutrition programs. (Sec. 205) Authorizes the Secretary to make grants to service providers to administer national or regional programs to provide instructional activities for low-income youth. Authorizes appropriations. (Sec. 206) Amends the Stewart B. McKinney Homeless Assistance Act to extend the authorization of appropriations for the emergency community services homeless grant program. (Sec. 207) Amends the Human Services Reauthorization Act of 1986 to revise providions and extend the authorization of appropriations for demonstration partnership agreements addressing the needs of the poor. Authorizes the Secretary also to make competitive grants to community action agencies to demonstrate new approaches to dealing with the problems associated with urban gangs or similar antisocial activities of urban youth. Title III: Low-Income Home Energy and Assistance Amendments - Low-Income Home Energy Assistance Amendments of 1994 - Amends the Low-Income Home Energy Assistance Act of 1981 to extend the authorization of appropriations for: (1) such Act and its low-income home energy assistance program (LIHEAP); and (2) the incentive program for leveraging non-Federal resources. (Sec. 304) Authorizes appropriations for additional payments to meet the additional home energy assistance needs of one or more States arising from a natural disaster or other emergency. Designates such funds as emergency requirements, but makes them available only after submission of a formal budget request by the President. Set forth considerations for allotment of such emergency funds by the Secretary of HHS. (Sec. 305) Provides that LIHEAP funds may be used for: (1) outreach activities and assistance to low-income households in meeting their home energy costs, particularly if such costs are a high proportion of household income; (2) intervention in energy crisis situations; (3) low-cost residential weatherization and other cost-effective energy-related home repair; and (4) State program planning, development, and administration, including leveraging programs. Exempts from certain limitations on use of program funds services that encourage and enable households to reduce their home energy needs. (Sec. 306) Authorizes States to give priority to households with the highest home energy costs or needs in relation to household income. Requires State plans to describe additional steps to target assistance to households with high home energy burdens. (Sec. 307) Revises audit requirements and matters to be described in annual applications. Provides for use of Department of Energy weatherization rules to achieve program consistency. Requires reports on any amount of a State's allotment that will not be obligated for the fiscal year. Lowers the maximum amount that the Secretary may reserve for technical assistance and training. (Sec. 312) Expresses the sense of the Congress that LIHEAP maintenance should be a higher priority, all FY 1995 appropriations for LIHEAP should be expended, and LIHEAP expenditures for FY 1996 should ensure provision of services at or above the FY 1995 level. Title IV: Community-Based Family Resource Programs - Amends the Claude Pepper Young Americans Act of 1990 to change the Family Resource and Support Program to Community-Based Family Resource Programs. Directs the Commissioner on Children, Youth, and Families (in the Department of HHS) to make formula grants to States for: (1) statewide networks of community-based family resource programs; (2) promoting child abuse and neglect prevention activities; (3) promoting State trust funds or other mechanisms for integrating child and family services funding streams; (4) community-based collaboration to develop a continuum of preventive services for children and families; and (5) encouraging public and private partnerships in family resource programs. Revises provisions for grant eligibility, amounts, State applications, and local program requirements. Provides that a State which has an existing grant under the Family Resource and Support Program or the Temporary Child Care and Crisis Nurseries Program shall continue to receive such funds through the end of the grant cycle. Extends the authorization of appropriations for State coordination of services for children, youth, and families. (Does not extend such authorization of appropriations for the Administration on Children, Youth, and Families or for supportive services.) Authorizes appropriations for Community-Based Family Resource Programs. Repeals: (1) community-based child abuse and neglect prevention grants and emergency child abuse prevention services grants under the Child Abuse Prevention and Treatment act; and (2) the Temporary Child Care for Children with Disabilities and Crisis Nurseries Act of 1986. (Sec.402) Extends the authorization of appropriations and the termination date for the Federal Council on Children, Youth, and Families. Adds to Council duties. (Sec. 403) Extends the authorization of appropriations for the National Center on Family Resource and Support Programs and for evaluation of family resource and support programs.
United States · United States Congress · 19 April 1994
Amends the Immigration and Nationality Act to extend: (1) the land border inspection fee program for the California southern border of the United States; and (2) the related quarterly reporting requirement.
United States · United States Congress · 19 April 1994
Haitian Adjustment Equity Act of 1994 - Amends Federal law to extend specified Cuban adjustment provisions to Haitians. Directs the Attorney General to report on any disparate immigration-related treatment between Haitians and Cubans.
United States · United States Congress · 13 April 1994
Waives certain naturalization requirements under the Immigration and Nationality Act with regard to a named individual.
United States · United States Congress · 12 April 1994
Amends the Immigration and Nationality Act to authorize FY 1995 and 1996 appropriations for refugee and entrant assistance.
United States · United States Congress · 25 March 1994
Health Centers Reauthorization Act of 1994 - Amends the Public Health Service Act to reauthorize migrant, community, and homeless health center programs, and health services programs for residents of public housing.
United States · United States Congress · 25 March 1994
TABLE OF CONTENTS: Title I: Labor Exploitation Task Force Title II: Citizenship Promotion Title III: Immigration Enforcement Practices Immigration Enforcement Reform Act of 1994 - Title I: Labor Exploitation Task Force - Directs the Secretary of Labor to establish within the Employment Standards Administration the Labor Exploitation Task Force. Title II: Citizenship Promotion - Establishes within the Department of Justice a Citizenship Promotion Bureau to assist in the rapid naturalization of eligible immigrants. Transfers citizenship and naturalization functions and personnel of the Immigration and Naturalization Service (INS) to such Bureau. Authorizes the establishment of a national citizenship advisory board. Establishes in the Treasury a Naturalization Fee Account. Redesignates the INS as the Immigration Service. Title III: Immigration Enforcement Practices - Establishes in the Department of Justice the Office of Immigration Enforcement Complaints. Authorizes appropriations.
United States · United States Congress · 24 March 1994
Includes Ireland in the visa waiver pilot program under the Immigration and Nationality Act.
United States · United States Congress · 23 March 1994
Governors Island Reinforcement Act of 1994 - Sets forth trade, assistance, and air transport sanctions against Haiti, and against other nations not cooperating with U.S. or international sanctions. Terminates such sanctions upon the reinstatement of the democratically elected President of Haiti and the military's meeting its obligation under the Governors Island Agreement. States congressional support for: (1) the return of human rights observers to Haiti; (2) the creation of a multinational border patrol between Haiti and the Dominican Republic; and (3) socioeconomic and peacekeeping assistance to Haiti. Directs the President to terminate the bilateral migrant interdiction agreement with Haiti. Provides for the nonrefoulement of Haitians by the United States. Grants temporary protected status under the Immigration and Nationality Act to qualifying Haitians. Excludes from U.S. admission, and blocks U.S. assets of, certain Haitians connected with the military or related activities.
United States · United States Congress · 23 March 1994
Criminal Alien Deportation and Native Country Confinement Act of 1994 - Requires the Federal Government to incarcerate, or to reimburse State and local governments for the cost of incarcerating, specified criminal aliens. Amends the Immigration and Nationality Act to provide for the expedited deportation or exclusion of convicted criminal aliens. Expresses the sense of the Congress with respect to prisoner transfer and in-country incarceration agreements.
United States · United States Congress · 21 March 1994
Waives a specified requirement under the Immigration and Nationality Act to allow a named individual, if otherwise qualified, to be eligible for naturalization.
United States · United States Congress · 18 March 1994
TABLE OF CONTENTS: Title I: Levels and Amounts Title II: Budgetary Procedures Title III: Sense of Congress Provisions Title I: Levels and Amounts - Establishes the budget for FY 1995 and sets forth appropriate budgetary levels for FY 1996 through 1999. (Sec. 2) Sets forth recommended budgetary levels of Federal revenues, new budget authority, budget outlays, deficits, public debt, and credit activity. (Sec. 3) Sets forth the increase in the public debt subject to limitation. Displays Federal retirement trust fund balances. Sets forth Social Security trust fund revenues and outlays for Senate enforcement purposes. (Sec. 6) Sets forth funding levels for each major functional category. Title II: Budgetary Procedures - Expresses the sense of the Congress that: (1) the Government should sell assets from time to time; and (2) the amounts realized from such sales will not recur on an annual basis and do not reduce the demand for credit. (Sec. 22) Limits the levels of social security outlays and revenues for this resolution to the current services levels. (Sec 23) Establishes Senate enforcement procedures to continue pay-as-you-go enforcement procedures through FY 2003. (Sec. 24) Allows budget authority and outlay allocations for legislation that increases funding for certain purposes when legislation has been reported that will not, if enacted, increase the deficit for FY 1995 through 1999. Describes such purposes as funding: (1) to improve the well-being of families through welfare or other reforms, to provide for services to support or protect children, or to improve the health, nutrition or care of children; (2) to provide comprehensive training or job search assistance or to reform unemployment compensation; (3) to make continuing improvements in ongoing health care programs and comprehensive health care reform; (4) to preserve and rebuild the United States maritime industry; (5) to reform the financing of Federal elections; (6) to implement trade-related legislation; (7) for reforms relating to the Pension Benefit Guaranty Corporation; (8) to provide for simplified collection of employment taxes on domestic services; (9) to reform the Comprehensive Environmental Response, Compensation, and Liability Act of 1980; (10) to consolidate the supervision of depository institutions insured under the Federal Deposit Insurance Act; and (11) to preserve United States energy security. (Sec. 25) Establishes Senate enforcement procedures to extend the system of discretionary spending limits to budget resolutions for FY 1996 through 1998 and enforce pay-as-you-go spending. Title III: Sense of Congress Provisions - Expresses the sense of the Senate with respect to budgetary accounting of health care reform, reimbursing State and local governments for illegal immigration costs, using Blue Chip projections for economic assumptions, and the cost to State and local governments of unfunded Federal mandates.
United States · United States Congress · 18 March 1994
TABLE OF CONTENTS: Title I: Victims of Crime Subtitle A: Victims of Crime Subtitle B: Crime Victims' Fund Subtitle C: Report on Battered Women's Syndrome Title II: Applicability of Mandatory Minimum Penalties in Certain Cases Title III: Assaults Against Children Title IV: Consumer Protection Title V: Mandatory Life Imprisonment for Persons Convicted of Certain Felonies Title VI: Violent Repeat Offender Incarceration Title VII: Death Penalty Title VIII: Habeas Corpus Reform Title IX: Racially Discriminatory Capital Sentencing Title X: Crime Prevention and Community Justice Subtitle A: Model Intensive Grant Programs Subtitle B: Ounce of Prevention Grant Programs Subtitle C: Police Partnerships for Children Subtitle D: Midnight Sports Subtitle E: Drug Courts Subtitle F: Assistance for Delinquent and At-Risk Youth Subtitle G: Police Recruitment Subtitle H: National Triad Program Subtitle I: Local Partnership Act Subtitle J: Employment and Skills Crime Prevention Subtitle K: Miscellaneous Title XI: Youth Violence Title XII: Child Sexual Abuse Prevention Act of 1994 Title XIII: Jacob Wetterling Crimes Against Children Registration Act Title XIV: Community Policing Title XV: DNA Identification Title XVI: Violence Against Women Subtitle A: Safe Streets for Women Subtitle B: Safe Homes for Women Subtitle C: Domestic Violence Subtitle D: Miscellaneous Provisions Subtitle E: Equal Justice for Women in the Courts Title XVII: Hate Crimes Sentencing Enhancement Title XVIII: Use of Formula Grants to Prosecute Persons Driving While Intoxicated Title XIX: Youth Handgun Safety Title XX: Substance Abuse Treatment in Federal Prisons Title XXI: Alternative Punishments for Young Offenders Title XXII: Juvenile Drug Trafficking and Gang Prevention Grants Title XXIII: Residential Substance Abuse Treatment for State Prisoners Violent Crime Control and Law Enforcement Act of 1994 - Title I: Victims of Crime - Subtitle A: Victims of Crime - Amends Rule 32 of the Federal Rules of Criminal Procedure to give victims of violent crimes and sexual abuse the right to address the court concerning the sentence to be imposed on convicted offenders. Permits such right to be exercised by a parent or guardian if the victim is under 18, or by one or more family members if the victim is deceased or incapacitated. Subtitle B: Crime Victims' Fund - Amends the Victims of Crime Act of 1984 to revise the formula for allocation of sums in the Crime Victims Fund for costs and grants. Requires the retention of any portion of the Fund that was deposited during a fiscal year that is in excess of 110 percent of the total amount deposited in the Fund during the preceding fiscal year as a reserve for use in a year in which the Fund falls below the amount available in the previous year. Limits such reserve to $20,000,000. Allows any sums awarded as part of a grant that remains unspent at the end of a fiscal year in which the grant is made to be expended for grant purposes at any time during the succeeding two fiscal years, at the end of which year any remaining unobligated funds shall be returned to the Fund. (Sec. 112) Provides that if the compensation paid by an eligible crime victim compensation program would cover costs that a Federal, or a federally financed State or local, program would otherwise pay: (1) such victim compensation program shall not pay such compensation; and (2) the other program shall make its payments without regard to the existence of the crime victim compensation program. (Sec. 113) Limits to five percent of: (1) a grant the amount that may be used for the administration of the State crime victim compensation program receiving the grant; and (2) sums received for the State crime victim assistance program for the administration of such program. (Sec. 114) Authorizes grants for demonstration projects. (Sec. 116) Requires each entity receiving sums made available under the Act for administrative purposes to certify that such sums will not be used to supplant State or local funds, but to increase the amount of such funds that would, in the absence of Federal funds, be made available for such purposes. Subtitle C: Report on Battered Women's Syndrome - Directs the Attorney General and the Secretary of Health and Human Services to report to specified congressional committees on the medical and psychological basis of "battered women's syndrome" and the extent to which evidence of the syndrome has been considered in a criminal trial. Title II: Applicability of Mandatory Minimum Penalties in Certain Cases - Amends the Federal criminal code to require the court, with respect to specified drug-related offenses, to impose a sentence pursuant to U.S. Sentencing Commission guidelines, without regard to any statutory minimum sentence, if the court finds at sentencing that: (1) the defendant does not have more than one criminal history point under the Commission's Guidelines Manual; (2) the defendant did not use violence or credible threats of violence, or possess a firearm or other dangerous weapon (or induce another participant to do so), in connection with the offense; (3) the offense did not result in death or serious bodily injury to any person; (4) the defendant was not an organizer, leader, manager, or supervisor of others (as determined under the Manual) in the offense; and (5) no later than the time of the sentencing hearing, the defendant has provided to the Government all information the defendant has concerning the offense or offenses that were part of the same course of conduct or of a common scheme or plan (without regard to whether the defendant has relevant or useful information). Authorizes the Commission to: (1) make such amendments as deemed necessary to harmonize the sentencing guidelines and policy statements with, and the amendment made by, such provisions; and (2) promulgate policy statements to assist in the application of such provisions and such amendment. (Sec. 202) Directs the Commission to promulgate or amend existing sentencing guidelines with respect to cases where statutory minimum sentences would apply but for such provisions to carry out the purposes of such provisions, so that the lowest sentence in the guideline range is not less than two years in those cases where a five-year minimum would otherwise apply. (Sec. 203) Specifies that, with respect to a prisoner the court determines has demonstrated good behavior while in prison, the changes in sentencing made as a result of this Act shall be deemed to be changes in the sentencing ranges by the Commission pursuant to provisions of the Federal judicial code regarding revision of the sentencing guidelines. Title III: Assaults Against Children - Increases penalties for simple assault. Sets penalties for assault resulting in substantial bodily injury. Removes dollar limitations on various types of assaults. Includes assaults against individuals under age 16 committed in Indian country among offenses which are subject to the same law and penalties as all other persons committing such offenses within the exclusive jurisdiction of the United States. Title IV: Consumer Protection - Sets penalties for insurance industry crimes, including embezzling from insurance companies, making false entries in insurance company books with intent to deceive, and corruptly influencing or obstructing proceedings before State insurance regulatory agencies or insurance examiners. Prohibits persons convicted of criminal felonies involving dishonesty or breach of trust from engaging in the insurance business without the written consent of an insurance regulatory official authorized to regulate the insurer. Title V: Mandatory Life Imprisonment for Persons Convicted of Certain Felonies - Requires that a person convicted in a court of the United States of a serious violent felony be sentenced to life imprisonment if: (1) the person has been convicted (and those convictions have become final) on two or more prior occasions in a court of the United States or of a State of a serious violent felony, or of one or more serious violent felonies and one or more serious drug offenses; and (2) each serious violent felony or serious drug offense used as a basis for sentencing under such provision, other than the first, was committed after the defendant's conviction of the preceding serious violent felony or serious drug offense. (Sec. 502) Limits the authority of a court to modify an imposed term of imprisonment to include a requirement that the defendant be at least age 70 and have served at least 30 years in prison for the offense or offenses for which the defendant is currently imprisoned, and that a determination has been made by the Director of the Bureau of Prisons that the defendant is not a danger to the safety of any other person or the community. Title VI: Violent Repeat Offender Incarceration - Authorizes the Attorney General to make grants to individual States and to States organized as multi-State compacts to develop, expand, modify, or improve correctional facilities and programs to ensure that prison cell space is available for the confinement of violent repeat offenders. Sets forth provisions regarding State eligibility and matching requirements, technical assistance and training, and evaluation. Authorizes appropriations. Title VII: Death Penalty - Amends the Federal criminal code to provide for the imposition of the death penalty for specified drug-related offenses committed as part of a continuing criminal enterprise, and where a defendant has been found guilty of treason or espionage, or of specified other offenses involving the intentional: (1) killing of the victim; (2) infliction of serious bodily injury resulting in death; (3) participation in an act contemplating that the life of a person would be taken or intending that lethal force would be used and the victim died as a direct result; or (4) specifically engaging in an act of violence, knowing that the act created a grave risk of death, that constituted a reckless disregard for human life and the victim died as a direct result of the Act. Sets forth provisions regarding: (1) mitigating and aggravating factors to be considered in determining whether a sentence of death is justified; (2) the conduct of a special hearing to make such determination; (3) procedures for the imposition, review, and implementation of such sentence; (4) use of State facilities to carry out such sentence; and (5) special provisions for Indian country. (Sec. 703) Authorizes the death penalty for various offenses, including, where death results: (1) hostage taking; (2) murder for hire; (3) racketeering; (4) genocide; (5) carjacking; (6) rape and child molestation murders; (7) sexual exploitation of children; (8) homicides involving firearms in Federal facilities; (9) murder of Federal witnesses; (10) foreign murder of U.S. nationals; (11) civil rights murders; (12) murder by a Federal prisoner, or by escaped prisoners; (13) drive-by shootings; (14) gun murders during Federal crimes of violence and drug trafficking crimes; (15) murder of State or local officials assisting Federal law enforcement officials and State correctional officers; (16) use of weapons of mass destruction; (17) violence at international airports; (18) violence against maritime navigation or fixed platforms; (19) torture; and (20) genocide. (Sec. 715) Makes an exception to the requirement that the court furnish to a defendant a list of the veniremen and witnesses if the court finds by a preponderance of the evidence that providing the list may jeopardize the life or safety of any person. Title VIII: Habeas Corpus Reform - Amends the Federal judicial code to impose a one-year period for the filing of Federal habeas corpus petitions for applicants under sentence of death, beginning after the date of: (1) denial of a writ of certiorari, if a petition for such writ to the highest court of the State on direct appeal or unitary review of the conviction and sentence is filed, within the time limits established by law, in the Supreme Court; (2) issuance of the mandate of the highest court of the State on direct appeal or unitary review of the conviction and sentence, if a petition for a writ of certiorari is not filed within such time limits in such Court; or (3) issuance of the mandate of the Supreme Court, if on a petition for a writ of certiorari the Supreme Court grants the writ and disposes of the case in a manner that leaves the capital sentence undisturbed. Tolls such time limits during: (1) any period in which the State has failed to provide counsel as required by this Act; (2) the period from the date the applicant files an application for State postconviction relief until final disposition of the application by the State appellate courts, if all filing deadlines are met; and (3) an additional period not to exceed 90 days, if counsel moves for an extension in the district court that would have jurisdiction of a habeas corpus application and makes a showing of good cause. (Sec. 802) Provides an automatic stay of execution through the consideration of the first Federal habeas corpus petition. Permits a stay of execution to be granted thereafter only if the petition on its face satisfies the requirements for successive petitions. (Sec. 803) Prohibits a Federal court from applying a new rule to grant relief to a habeas corpus petitioner, except where the new rule places the claimant's conduct beyond the power of the criminal law-making authority to proscribe or punish with the sanction imposed or requires the observance of procedures without which the likelihood of an accurate conviction or valid capital sentence is seriously diminished. (Sec. 804) Prohibits the court from either presuming a finding of fact made in a State court proceeding to be correct or declining to consider a claim on the ground that it was not raised in such proceeding at the time or in the manner prescribed by State law unless: (1) the relevant State maintains a mechanism for providing legal services to indigents which meets specified requirements; (2) the applicant was eligible for the appointment of counsel and did not waive such appointment, and the State actually appointed counsel to represent the applicant in the State proceeding in which the finding of fact was made or the default occurred; and (3) the attorney or attorneys so appointed substantially met specified qualification and performance standards. Sets forth provisions regarding: (1) State establishment of a counsel authority; (2) claims of the ineffectiveness or incompetence of counsel; and (3) attorney compensation, reimbursement for expenses incurred in representing clients, and support services for staff attorneys of a defender organization or resource center. (Sec. 805) Requires that a claim presented in a second or successive application be dismissed unless: (1) the applicant shows that the basis of the claim could not have been discovered by the exercise of reasonable diligence before the applicant filed the prior application, or the failure to raise the claim in the prior application was due to action by State officials in violation of the U.S. Constitution; and (2) the facts underlying the claim would be sufficient, if proven, to undermine the court's confidence in the applicant's guilt of the offense or offenses for which the capital sentence was imposed, or in the validity of that sentence under Federal law. (Sec. 806) Prohibits an appeal from being taken to the court of appeals from the final order in a habeas corpus proceeding where the detention complained of arises out of process issued by a State court, unless the justice or judge who rendered the order or a circuit justice or judge issues a certificate of probable cause. Grants an applicant under sentence of death a right of appeal without a certification of probable cause, except after denial of a second or successive application. (Sec. 807) Sets forth duties of the district court in adjudicating the merits of claims, in handling claims of innocence, and in declining to consider claims under specified circumstances. Title IX: Racially Discriminatory Capital Sentencing - Amends the Federal judicial code to prohibit the execution of a sentence of death imposed on the basis of race. Specifies that: (1) an inference that race was the basis of a death sentence is established if valid evidence is presented demonstrating that, at the time the sentence was imposed, race was a statistically significant factor in decisions to seek or to impose the death sentence in the jurisdiction in question; and (2) evidence relevant to establish such an inference may include proof that death sentences were, at the pertinent time, being imposed significantly more frequently in the jurisdiction in question upon, or as punishment for capital offenses against, persons of one race than persons of another race. Sets forth provisions regarding: (1) validity of evidence presented to establish such inference, and rebuttal of such inference; and (2) access to data on death eligible cases. Title X: Crime Prevention and Community Justice - Subtitle A: Model Intensive Grant Programs - Authorizes the Attorney General to award grants to not more than 15 chronic high intensive crime areas to develop comprehensive model crime prevention programs that: (1) involve and utilize a broad spectrum of community resources and appropriate State and Federal agencies; (2) attempt to relieve conditions that encourage crime; and (3) provide meaningful and lasting alternatives to involvement in crime. (Sec. 1002) Sets forth provisions regarding: (1) uses of grant funds; and (2) program, application, and reporting requirements. Authorizes appropriations. Subtitle B: Ounce of Prevention Grant Programs - Part I: Ounce of Prevention Grant Programs - Directs: (1) the Secretary of Health and Human Services (Secretary) to convene an interagency task force to be known as the Ounce of Prevention Council, chaired by the Attorney General, the Secretary of Education, and the Secretary; (2) the Council to advise and counsel the Secretary regarding administration of the programs established by this title; and (3) the Secretary to adopt regulations or guidelines to ensure that funding under this title shall be used primarily for assistance in distressed communities and for individuals in any area who are particularly in need of assistance. (Sec. 1011) Requires the Secretary to make grants to States, local governments, and other public and private entities for: (1) summer and after-school programs; (2) mentoring, tutoring, and other programs involving participation by adult role models; (3) programs assisting and promoting employability and job placement; and (4) substance abuse treatment and prevention, including outreach programs for at-risk families. Part II: Family and Community Endeavor Schools Grant Program - Authorizes grants for community-based organizations to assist in carrying out programs in public school facilities, where appropriate, and in certain other locations, for specified uses, including: (1) supervised sports programs and extracurricular and academic programs, offered after school and on weekends and holidays during the school year, and as daily full-day or part-day programs, during the summer months, including curriculum-based supervised education programs, health education and service programs, tutorial and mentoring programs, and other related activities (required use of funds by such organizations); and (2) renovation of facilities and development or expansion of school programs designed to improve academic and social development of at-risk children (permissible use of such funds). (Sec. 1017) Sets forth provisions regarding: (1) eligible community identification (to be eligible to receive a grant, a community-based organization shall identify an eligible community to be assisted, meeting criteria such as significant poverty and juvenile delinquency); (2) application requirements and priorities in awarding grants; and (3) participant eligibility. (Sec. 1020) Directs the Secretary of Education to: (1) establish a peer review panel comprised of individuals with demonstrated experience in designing and implementing community-based programs; and (2) conduct such investigations and inspections as necessary to ensure compliance under this part. (Sec. 1022) Sets forth provisions regarding the Federal share and regarding program evaluation. Part III: Administration - Authorizes the Secretary of Education to: (1) provide technical assistance, training, and evaluations to further the purposes of this subtitle through grants, contracts, or other cooperative agreements with other entities; and (2) conduct or support evaluations of programs that receive support under this subtitle. (Sec. 1026) Authorizes appropriations. Subtitle C: Police Partnerships for Children - Authorizes the Attorney General to make grants to partnerships (defined as cooperative arrangements or associations involving one or more law enforcement agencies (LEAs), and one or more public or private agencies that provide child or family services) for: (1) teams or units involving participants from both the law enforcement and child or family services components of the partnership that respond to or deal with violent incidents in which a child is involved as a perpetrator, witness, or victim; (2) training for law enforcement officers in behavior, psychology, family systems, and community culture and attitudes that is relevant to dealing with children who are involved in violent incidents or at risk of involvement in such incidents, or with families of such children; and (3) programs for children and families that are designed jointly by the law enforcement and child or family services components of the partnership. Authorizes the Secretary of Housing and Urban Development (HUD) to make grants to units of State or local government, public housing authorities, owners of federally assisted housing, and owners of housing in high crime areas in order to provide dwelling units to law enforcement officers without charge or at or substantially reduced rent for the purpose of providing greater security for residents of high crime areas. (Sec. 1032) Sets forth provisions regarding: (1) administration; and (2) technical assistance, training, and evaluation. (Sec. 1033) Authorizes appropriations. Subtitle D: Midnight Sports - Directs the Secretary of HUD to make grants, to the extent that sums are approved in appropriations Acts pursuant to this subtitle, to eligible entities (i.e., certain entities under the Cranston-Gonzalez National Affordable Housing Act, and nonprofit organizations providing crime prevention, employment counseling, job training, or other educational services, or federally-assisted low-income housing) to assist such entities in carrying out midnight sports league programs. Sets forth program, application, selection, and reporting requirements. Directs the Secretary of HUD to make a grant to one qualified entity to carry out a study of the effectiveness of midnight sports league programs and require such entity to report its conclusions and recommendations to the Congress, the Secretary of HUD, and the Attorney General. Authorizes appropriations. Subtitle E: Drug Courts - Authorizes the Attorney General to make grants to units of State and local government, and to other public and private entities, for programs that involve continuing judicial supervision over specified categories of persons with substance abuse problems, and that involve the integrated administration of other sanctions and services including: (1) testing for the use of controlled substances or other addictive substances; (2) substance abuse treatment; (3) diversion, probation, or other supervised release involving the possibility of prosecution, confinement, or incarceration based on noncompliance with program requirements or failure to show satisfactory progress; and (4) programmatic or health related aftercare services. (Sec. 1043) Authorizes the Attorney General to provide technical assistance and training in furtherance of the purposes of, and to carry out or make arrangements for evaluations of programs that receive support under, this subtitle. (Sec. 1044) Authorizes appropriations. Subtitle F: Assistance for Delinquent and At-Risk Youth - Authorizes the Attorney General to make grants to public or private nonprofit organizations to support the development and operation of projects to provide residential services to youth aged 11 to 19 who have dropped out of school, come into contact with the juvenile justice system, or are at risk of doing so. Requires that such services include, with respect to such youth, activities designed to increase self-esteem, assist in making healthy and responsible choices, improve academic performance pursuant to a plan jointly developed by the applicant and the school which each such youth attends or should attend, and provide vocational and life skills. Sets forth application and reporting requirements. Authorizes appropriations. Subtitle G: Police Recruitment - Authorizes the Attorney General to make grants to qualified community organizations to assist in meeting the costs of qualified programs designed to recruit and retain applicants of police departments. Sets forth requirements regarding qualified community organizations, qualified programs, applications, grant disbursement, grant period, and grantee reporting. Directs the Attorney General to prescribe guidelines on content and results for programs receiving grants under this subtitle. Authorizes appropriations. Subtitle H: National Triad Program - Requires the Director of the National Institute of Justice (NIJ) to conduct a qualitative and quantitative national assessment of: (1) the nature and extent of crimes committed against older Americans and the effect of such crimes on the victims; (2) the numbers, extent, and impact of violent crimes and nonviolent crimes against older Americans and the extent of unreported crimes; (3) the collaborative needs of law enforcement, health, and social service organizations, focusing on prevention of crimes against older Americans, to identify, investigate, and provide assistance to victims of those crimes; and (4) the development and growth of strategies to respond effectively to such matters. (Sec. 1068) Requires the Director of the Bureau of Justice Assistance (BJA) to make grants to coalitions of local LEAs and older Americans to assist in the development of programs and execute field tests of particularly promising strategies for crime prevention and related services based on the Triad model (which calls for the participation of the sheriff, at least one police chief, and a representative of at least one older Americans' organization within a county, and which may include participation by general service coalitions of law enforcement, victim service, and senior citizen advocate second service organizations), which can then be evaluated and serve as the basis for further demonstration and education programs. Sets forth provisions regarding application requirements, distribution of grant awards, and post-grant period reporting. (Sec. 1069) Requires, in conjunction with the national assessment, the Director of: (1) the BJA to make awards to organizations with demonstrated ability to provide training and technical assistance in establishing crime prevention programs based on the Triad model for purposes of aiding in the establishment and expansion of pilot programs under this subtitle, and to public service advertising coalitions for purposes of mounting a program of public service advertisements to increase public awareness and understanding of the issues surrounding crimes against older Americans and promoting ideas or programs to prevent them; and (2) NIJ to make awards to research organizations for purposes of evaluating the effectiveness of selected pilot programs and conducting the research and development identified through the national assessment as being critical. (Sec. 1070) Sets forth reporting requirements. (Sec. 1071) Authorizes appropriations. Subtitle I: Local Partnership Act - Directs the Secretary of the Treasury to make specified payments to units of local government to carry out programs related to education to prevent crime or substance abuse treatment to prevent crime. Requires that, of such payments, not less than ten percent of the total combined amounts obligated by the unit for contracts and subcontracts be expended with small business concerns controlled by socially and economically disadvantaged individuals and women, and colleges and universities which are historically Black and which have a student body in which more than 20 percent of the students are Hispanic Americans or Native Americans, with exceptions. Authorizes appropriations to a Local Government Fiscal Assistance Fund of the Department of the Treasury. Sets forth provisions regarding: (1) qualification for payment; (2) State area allocations, and allocations and payments to territorial governments; (3) local government allocations; (4) income gap multipliers; (5) State variation of local government allocations; (6) adjustments of local government allocations; (7) information used in allocation formulas; (8) public participation; (9) prohibited discrimination; (10) discrimination proceedings and related issues (including enforcement by the Attorney General of prohibitions against discrimination and civil actions by adversely affected persons); (11) judicial review; (12) audits, investigations, and reviews; and (13) reporting requirements. Subtitle J: Employment and Skills Crime Prevention - Authorizes the Secretary of Labor to make grants to local governments to fund targeted youth employment and skills development projects to help reduce crime in target areas (defined as neighborhoods which are high crime areas with high unemployment among young adults and other serious economic and social problems). (Sec. 1084) Makes young adults residing or attending school in target areas eligible to participate in programs funded under this subtitle if they are between 16 and 25 years of age (and, in certain circumstances, young adults up to age 30 and youth age 14 and 15). Sets conditions for continued participation in such programs, including avoiding crime, regular attendance and satisfactory performance at work, paying child support when paternity has been established and the participant has income, in-school young adults remaining in school until graduation, and requiring young adults ages 16-17 who have dropped out of high school and who have not obtained a General Equivalency Diploma to return to school or an alternative education program. (Sec. 1085) Authorizes the expenditure of funds for crime prevention related activities (subject to specified requirements), such as: (1) apprenticeship programs linking work and learning; (2) youth conservation and service corps; (3) work experience in private nonprofit organizations and public agencies; (4) initiatives to increase educational attainment, occupational skills, and career aspirations of target area young adults; and (5) job placement and related case management, followup, and other supportive services. (Sec. 1086) Sets forth requirements regarding: (1) grant applications; (2) award priorities; and (3) grant duration and number. (Sec. 1087) Directs the Secretary of Labor to establish a system of performance measures for assessing programs established pursuant to this subtitle. Authorizes the Secretary to provide appropriate technical assistance to carry out youth employment and skills crime prevention programs under this subtitle. (Sec. 1090) Authorizes appropriations. (Sec. 1091) Authorizes the Secretary of Labor to terminate or suspend financial assistance, in whole or in part, to a recipient or refuse to extend a grant for a recipient, if the Secretary determines that the recipient has failed to meet specified requirements. (Sec. 1092) Makes labor standards under the Job Training Partnership Act applicable to programs under this subtitle. (Sec. 1093) Sets forth provisions regarding: (1) regulations or guidelines; (2) waivers; (3) private rights of action; and (4) acceptance of gifts. Subtitle K: Miscellaneous - Amends the Omnibus Crime Control and Safe Streets Act of 1968 (Omnibus Act) to permit the award of drug control and system improvement grants to State and local governments for the purpose of participating in multijurisdictional gang task forces. Title XI: Youth Violence - Amends the Federal criminal code to provide for the prosecution as adults of juveniles age 13 or older for specified crimes of violence and crimes where the juvenile possessed a firearm during the offense, with exceptions regarding persons subject to the criminal jurisdiction of an Indian tribal government. Repeals restrictions on the Attorney General proceeding in Federal court against such juveniles with respect to such crimes. (Sec. 1102) Specifies that a juvenile shall not be transferred to adult prosecution nor shall a hearing be held under section 5037 (disposition after a finding of juvenile delinquency) (currently, proceedings against a juvenile or as an adult shall not be commenced) until specified conditions are met. (Sec. 1103) Provides that no juvenile committed, whether pursuant to an adjudication of delinquency or conviction for an offense (currently, no juvenile committed) to the custody of the Attorney General may be placed or retained in an adult jail or correctional institution in which he has regular contact with adults incarcerated because they have been convicted of a crime or are awaiting trial on criminal charges. Title XII: Child Sexual Abuse Prevention Act of 1994 - Sets penalties for: (1) international trafficking in child pornography; and (2) traveling in interstate or foreign commerce with intent to engage in a sexual act with a juvenile. (Sec. 1202) Expresses the sense of the Congress that each State that has not yet done so should enact legislation prohibiting the production, distribution, receipt, or simple possession of materials depicting a person under age 18 engaging in sexually explicit conduct and providing for a maximum imprisonment of at least one year and for the forfeiture of assets used in the commission or support of, or gained from, such offenses. Title XIII: Jacob Wetterling Crimes Against Children Registration Act - Directs the Attorney General to establish guidelines for State programs requiring any person convicted of a criminal offense against a victim who is a minor to register a current address with a designated State law enforcement agency for ten years after release from prison, or being placed on parole, supervised release, or probation. Subjects to criminal penalties a person required to register under a State program who knowingly fails to register and keep such registration current. Title XIV: Community Policing - Amends the Omnibus Act to authorize the Attorney General to make grants and provide technical assistance to units of State and local government, and to other public and private entities, to increase police presence (including the rehiring of law enforcement officers laid off as a result of State and local budget reductions, as well as the hiring and training of new, additional career law enforcement officers, for deployment in community-oriented policing), expand and improve cooperative efforts between LEAs and members of the community, and otherwise enhance public safety. Sets forth matching fund, application, and related requirements. Authorizes appropriations. Title XV: DNA Identification - DNA Identification Act of 1994 - Amends the Omnibus Act to authorize the use of drug control and system improvement grants to develop or improve in a forensic laboratory a capability to analyze deoxyribonucleic acid (DNA) for identification purposes. Authorizes appropriations. (Sec. 1503) Requires the Director of the FBI to appoint in advisory board on DNA quality assurance methods and issue standards for quality assurance. Authorizes the Director to establish an index of DNA identification records of persons convicted of crimes, and of analyses of DNA samples recovered from crime scenes and from unidentified human remains. (Sec. 1505) Sets forth proficiency testing and privacy protection requirements, and penalties for violations. (Sec. 1506) Authorizes appropriations. Title XVI: Violence Against Women - Violence Against Women Act of 1994 - Subtitle A: Safe Streets for Women - Safe Streets for Women Act of 1994 - Amends the Omnibus Act to: (1) authorize the Director of the BJA to make grants to reduce the rate of violent crime against women to States, Indian tribes, units of local government, tribal organizations, and nonprofit nongovernmental domestic violence and sexual assault victims services programs in the States or Indian country; and (2) the Attorney General to request any Federal agency, with or without reimbursement, to use its authorities and resources to support such State, tribal, and local efforts. Authorizes appropriations. (Sec. 1603) Specifies that no State is entitled to funds under this title unless the State: (1) incurs the full cost of forensic medical exams for victims of sexual assault; (2) certifies that their laws, policies, and practices do not require, in connection with the prosecution of any domestic violence offense, that the abused bear costs associated with the filing of criminal charges or with the issuance or service of a warrant, protection order, or witness subpoena; and (3) can certify that its laws and policies treat sex offenses committed by offenders who are known to, cohabitants or social companions of, or related by blood or marriage to, the victim no less severely than sex offenders committed by offenders who are strangers to the victim. (Sec. 1606) Authorizes the Director to make education and prevention grants to reduce sexual assaults against women. Authorizes appropriations. (Sec. 1607) Directs: (1) the NIJ to establish criteria and develop training programs to assist probation and parole officer and other personnel who work with released sex offenders in the areas of case management, supervision, and relapse prevention; and (2) the Attorney General to compile information regarding sex offender treatment programs and ensure that information regarding treatment programs in the community into which a convicted sex offender is released is made available to persons imprisoned in Federal penal or correctional institutions for sexual abuse offenses, including halfway houses and psychiatric institutions. (Sec. 1609) Amends the Federal criminal code to require that a court order restitution for violations of Federal sexual abuse laws, with exceptions. (Sec. 1610) Directs the Attorney General to provide for a baseline study to examine the scope of the problem of campus sexual assaults and the effectiveness of institutional and legal policies in addressing such crimes and protecting victims. Authorizes appropriations. Subtitle B: Safe Homes for Women - Safe Homes for Women Act - Amends the Federal criminal code to establish penalties for traveling across a State line with intent to: (1) contact that person's spouse or intimate partner and, in the course of such contact, intentionally committing a crime of violence causing bodily injury to such spouse or partner; and (2) engage in conduct that violates a protection order, any portion of which involves protection against credible threats of violence, repeated harassment, or bodily injury, to the person or persons for whom the protection order was issued and violates that portion of such order, or that would violate such order if the conduct occurred in the jurisdiction in which the order was issued and engaging in such conduct. Requires that, in any proceeding for the purpose of determining whether a defendant charged shall be released pending trial, or the conditions of such release, the alleged victim be given an opportunity to be heard regarding the danger posed by the defendant. Mandates that a court order restitution to the victim of an offense under this Act, with exceptions. Requires, provided that certain conditions are met, that a protection order issued by the court of one State or Indian tribe be accorded full faith and credit by the court of another State or tribe. (Sec. 1623) Amends the Omnibus Act to authorize the Director to make grants to eligible States, Indian tribes, or units of local government to encourage arrest policies in domestic violence cases, including mandatory arrest programs for protective order violations and improving judicial handling of such cases. Authorizes appropriations. Subtitle C: Domestic Violence - Amends the Federal criminal code to prohibit the sale or other disposal of firearms or ammunition to, or the receipt of firearms of ammunition by, persons convicted of offenses involving domestic abuse. (Sec. 1626) Amends the Immigration and Nationality Act to allow an alien spouse to self-petition for immediate relative or second preference status if the alien demonstrates to the Attorney General that the alien is residing in the United States: (1) the marriage between the alien and the spouse was entered into in good faith by the alien, and during the marriage the alien or child of the alien has been battered by or has been the subject of extreme cruelty perpetrated by the alien's spouse; or (2) with the alien's spouse, the alien has been married to and residing with the spouse for not less than three years, and the alien's spouse has failed to file such a petition on behalf of the alien. Provides that, in the case of abused spouses and abused children who are self-petitioning, divorce may not be the basis for revocation of the petition. (Under current law and regulations, divorce results in the automatic revocation of an immediate relative and a second preference petition.) (Sec. 1627) Directs the Attorney General, in acting on spousal waiver applications, to consider any credible evidence submitted in support of the application (whether or not the evidence is supported by an evaluation of a licensed mental health professional). Specifies that the determination of what evidence is credible and the weight to be given the evidence shall be within the sole discretion of the Attorney General. (Sec. 1628) Waives the current seven-year residence requirement to apply for suspension of deportation. Makes suspension of deportation available to alien spouses and children who have been battered or subjected to extreme cruelty in the United States by a spouse or parent who is a citizen or lawful permanent resident, provided that the alien spouse or child proves that he or she is a person of good moral character and that deportation would result in extreme hardship. Subtitle D: Miscellaneous Provisions - Directs the Attorney General to: (1) conduct a study of the means by which abusive spouses may obtain information concerning the addresses or locations of estranged or former spouses, and transmit to the Congress a report based on the study; and (2) submit to the Congress a report and recommendations on problems of recordkeeping of criminal complaints involving domestic violence. (Sec. 1643) Directs the Attorney General to establish an Attorney General's Task Force on Violence Against Women to review Federal, State, and local strategies for preventing and punishing violent crimes against women and to make recommendations to improve the response to such crimes. Authorizes appropriations. (Sec. 1652) Amends the Victims' Rights and Restitution Act of 1990 to direct the Attorney General to authorize the Director of the Office of Victims of Crime to provide for the payment of the cost of up to two tests of the victim for sexually transmitted diseases during the 12 months following sexual assaults that pose a risk of transmission, and the cost of a counseling session by a medically trained professional on the accuracy of such tests and the risk of transmission of such diseases to the victim as the result of the assault. (Sec. 1653) Directs the Attorney General to provide a grant to a nonprofit private organization to establish and operate a national, toll-free telephone hotline to provide information and assistance to victims of domestic violence. Authorizes appropriations. (Sec. 1654) Amends the Omnibus Act to require the Director of the BJA to provide grants to establish projects in local communities involving many sectors of each community to coordinate intervention and prevention of domestic violence. Authorizes appropriations. Subtitle E: Equal Justice for Women in the Courts - Authorizes the State Justice Institute (SJI) to award grants for the purpose of developing, testing, presenting, and disseminating model programs to be used by States in training judges and court personnel in the laws of the State on rape, sexual assault, domestic violence, and other crimes of violence motivated by gender. (Sec. 1663) Directs the SJI to ensure that such model programs are developed with the participation of law enforcement officials, public and private nonprofit victim advocates, legal experts, prosecutors, defense attorneys, and recognized experts on gender bias in the courts. (Sec. 1664) Authorizes appropriations. (Sec. 1665) Encourages the circuit judicial councils to conduct studies of the instances of gender bias in their respective circuits. Directs the: (1) Judicial Conference of the United States to designate an entity within the judicial branch to act as a clearinghouse to disseminate any reports and materials issued by gender bias task forces; and (2) Federal Judicial Center to disseminate information on issues relating to gender bias in the courts. (Sec. 1666) Authorizes appropriations to the: (1) Salaries and Expenses Account of the Courts of Appeals, District Courts, and other Judicial Services; (2) Federal Judicial Center; and (3) Administrative Office of the U.S. Courts. Directs the Judicial Conference to allocate funds to Federal circuit courts that undertake their own studies of gender bias or implement reforms recommended as a result of such studies in their own or other circuits. Expresses the sense of the Congress that the executive branch, working through the SJI, should examine programs which would allow the States to consider whether expert testimony regarding battered women's syndrome should be admissible by the defendant in criminal trials and specified related issues. Title XVII: Hate Crimes Sentencing Enhancement - Directs the Sentencing Commission to promulgate or amend existing guidelines to provide sentencing enhancements of not less than three offense levels for offenses that the finder of fact at trial determines beyond a reasonable doubt are hate crimes (assuring reasonable consistency with other guidelines, avoiding duplicative punishments for substantially the same offense, and taking into account any mitigating circumstances which might justify exceptions). Title XVIII: Use of Formula Grants to Prosecute Persons Driving While Intoxicated - Amends the Omnibus Act to permit the use of drug control and system improvement grant funds for programs for the prosecution of driving while intoxicated and the enforcement of other laws relating to alcohol use and the operation of motor vehicles. Title XIX: Youth Handgun Safety - Amends the Federal criminal code to prohibit the possession of a handgun or ammunition by, or the private transfer of a handgun or ammunition to, a juvenile, with exceptions. Sets penalties for violations. Directs the Attorney General to: (1) evaluate existing and proposed juvenile handgun legislation in each State; (2) develop model juvenile handgun legislation that is constitutional and enforceable; (3) prepare and disseminate to State authorities the findings made as the result of the evaluation; and (4) report to the Congress findings and recommendations concerning the need or appropriateness of further Federal action. Title XX: Substance Abuse Treatment in Federal Prisons - Amends the Federal criminal code to direct the Bureau of Prisons to provide residential substance abuse treatment for not less than 50 percent of eligible prisoners by the end of FY 1995, for not less than 75 percent by the end of FY 1996, and for all eligible prisoners by the end of 1997 and thereafter. Grants priority for such treatment based on an eligible prisoner's proximity to release date. Permits sentence reductions of up to a year for a prisoner's successful completion of a residential substance abuse treatment program. Sets forth reporting requirements. Authorizes appropriations. Title XXI: Alternative Punishments for Young Offenders - Amends the Omnibus Act to authorize the Director of the BJA to make grants to States, for use by States and local government, for the purpose of developing alternative methods of punishment for young offenders to traditional forms of incarceration and probation. Sets forth provisions regarding State and local applications, review of State applications, allocation and distribution of funds, and evaluation. (Sec. 2102) Authorizes appropriations. (Sec. 2103) Expresses the sense of the Congress that States should impose mandatory sentences for crimes involving the use of a firearm or other weapon on, or within a 100-yard radius of, school property. Title XXII: Juvenile Drug Trafficking and Gang Prevention Grants - Amends the Omnibus Act to authorize the Director of the BJA to make grants to States and units of local government, or combinations thereof, to assist them in planning, establishing, operating, coordinating, and evaluating projects for the development of more effective programs to reduce the formation or continuation of juvenile gangs and the use and sale of illegal drugs by juveniles. Sets forth provisions regarding permissible uses of grant funds and application requirements. Authorizes appropriations. Title XXIII: Residential Substance Abuse Treatment for State Prisoners - Amends the Omnibus Act to authorize the Director of the BJA to make grants to States, for use by States and local government, for the purpose of developing and implementing residential substance abuse treatment programs within State correctional facilities in which inmates are incarcerated for a period of time sufficient to permit substance abuse treatment. Sets forth provisions regarding State application requirements, review of applications, allocation and distribution of funds, and evaluation. Authorizes appropriations.
United States · United States Congress · 16 March 1994
TABLE OF CONTENTS: Title I: Deportation of Criminal Aliens Title II: Local Cooperation with Federal Officials and Procedures Title III: Miscellaneous Criminal Alien Control Act of 1994 - Title I: Deportation of Criminal Aliens - Amends the Immigration and Nationality Act to provide that an alien who is convicted of any felony, not just specified felonies as under current law, may be deported. (Sec. 102) Presumes conclusively that an alien convicted of a felony is deportable. Eliminates the administrative hearing process for criminal aliens not lawfully admitted for permanent residence or those with conditional permanent resident status. (Sec. 103) Permits a U.S. district court or a State court to enter a judicial order of deportation at the time of sentencing an alien. (Sec. 105) Restricts certain defenses to deportation available for certain criminal aliens. (Sec. 106) Requires the deportation of a criminal alien after the issuance of the deportation order, even if an appeal is made. Permits review of the order by such alien while outside the United States. (Sec. 107) Increases penalties for deported criminal aliens who return to the United States. (Sec. 108) Places restrictions on asylum claims for criminal aliens. (Sec. 109) Requires the Federal incarceration of an undocumented criminal alien under specified circumstances. Title II: Local Cooperation with Federal Officials and Procedures - Denies funding under the Violent Crime Control and Law Enforcement Act of 1993 to a State or local government that will not provide requested information to Federal immigration officials. Title III: Miscellaneous - Provides for the detention of undocumented criminal aliens on closed military installations.
United States · United States Congress · 16 March 1994
Hmong Veterans' Naturalization Act of 1994 - Waives the English language naturalization requirement for certain aliens (or their spouses or widows) who served with special guerrilla units in Laos. Provides for naturalization under the Immigration and Nationality Act through such service.
United States · United States Congress · 16 March 1994
Amends the Immigration and Nationality Act to provide for the Federal incarceration of undocumented criminal aliens, with priority given to aliens convicted of aggravated felonies.
United States · United States Congress · 16 March 1994
Directs the Commissioner of Immigration and Naturalization to report on the timeliness of processing naturalization applications.
United States · United States Congress · 16 March 1994
Immigration Reform Act of 1994 - Amends the Immigration and Nationality Act to: (1) provide for expedited deportation and exclusion of convicted aliens; (2) expand the grounds for health-related alien exclusions; (3) prohibit direct Federal financial benefits to unlawful aliens; and (4) provide for detention of aliens applying for asylum.
United States · United States Congress · 16 March 1994
Immigration-Related Employment Anti-Discrimination Enhancement and Enforcement Act of 1994 - Amends the Immigration and Nationality Act to expand the scope of unfair immigration related employment provisions, including: (1) disparate impact claims; (2) compensatory and punitive damage remedies; and (3) back pay limitations. Authorizes appropriations for related enforcement and outreach activities.
United States · United States Congress · 16 March 1994
Confers citizenship posthumously on a named individual.
United States · United States Congress · 16 March 1994
Constitutional Amendment - Provides that a person born in the United States shall not be a U.S. citizen unless the person's mother or father at the time of birth is a U.S. citizen, is lawfully in the United States, or has lawful immigration status.
United States · United States Congress · 11 March 1994
TABLE OF CONTENTS: Title I: Reporting and Staggered Issuance for Households on Reservations Title II: Access to Retail Food Stores by Food Stamp Households Food Stamp Program Improvements Act of 1994 - Title I: Reporting and Staggered Issuance for Households on Reservations - Amends the Food Stamp Act of 1977 to: (1) permit a State to require periodic reporting by migrant or seasonal farmworker households; and (2) set forth conditions under which a State may require such reporting for reservation households. Provides for staggered food stamp issuances on reservations. Requires a General Accounting Office study and report on tribal organization administration of the food stamp program. Title II: Access to Retail Food Stores by Food Stamp Households - Amends the Food Stamp Act of 1977 to: (1) redefine "retail food store"; and (2) define "staple foods." Expands the use and disclosure of information provided by retail and wholesale food concerns to include Federal and State law enforcement and investigative agencies. Requires demonstration projects to test innovative activities directed at coupon trafficking. Continues program eligibility for establishments or house-to-house trade routes currently authorized to accept food stamps. Requires a report on the impact of this Act on retail store program participation.
United States · United States Congress · 11 March 1994
Immigration Enforcement Act of 1994 - Increases: (1) Border Patrol personnel and funding levels; and (2) personnel levels for the Immigration and Naturalization Service antismuggling program. Amends the Immigration and Nationality Act to direct the Attorney General to provide cultural awareness training for Border Patrol personnel. Authorizes appropriations.
United States · United States Congress · 10 March 1994
TABLE OF CONTENTS: Title I: Admission of Immigrants Title II: Admission of Refugees Title III: Asylum Reform Title IV: Criminal Aliens Title V: Financial Responsibility Title VI: Employer Sanctions Title VII: Border Security Title VIII: Alien Smuggling Title IX: Effective Date Immigration Stabilization Act of 1994 - Title I: Admission of Immigrants - Amends the Immigration and Nationality Act to reduce annual immigration ceilings. (Sec. 103) Revises immigration preference allocations. Title II: Admission of Refugees - Limits nonemergency refugee admissions in any fiscal year to 50,000. (Sec. 202) Requires congressional approval for additional emergency refugee admissions. (Sec. 203) Repeals the Cuban Adjustment Act (P.L. 94-571). Title III: Asylum Reform - Amends provisions with respect to: (1) alien inspection and exclusion by immigration officers; (2) asylum; and (3) judicial review. Title IV: Criminal Aliens - Expands the definition of "aggravated felony." (Sec. 402) Provides for the expedited deportation of certain nonpermanent resident aliens convicted of an aggravated felony. (Sec. 403) Authorizes judicial deportation for an alien convicted of a felony. (Sec. 405) Increases penalties for reentry or failure to depart. (Sec. 406) Authorizes the deportation of an alien prisoner prior to sentence completion under specified circumstances. (Sec. 407) Amends Federal criminal law to require the issuance of a judicial order of deportation in the case of an alien being sentenced for an aggravated felony. (Sec. 408) Authorizes Federal incarceration and deportation of certain State-convicted aliens. (Sec. 409) Amends Federal criminal law to increase penalties for specified visa and passport related crimes. (Sec. 410) Requires State or local law enforcement agencies to notify the district Immigration and Naturalization Service office upon the felony arrest of an alien. (Sec. 412) Authorizes the exclusion of an alien in violation of any immigration law or any Federal or State fraud law, including income tax evasion. Title V: Financial Responsibility - Authorizes the admission of an alien otherwise excludable as a public charge (as defined by this Act) if such alien has a sponsor guarantee of financial responsibility. (Sec. 503) Limits benefits, including unemployment benefits, for illegal aliens. Title VI: Employer Sanctions - Revises employer sanction provisions, including: (1) work eligibility documents; and (2) social security telephone verification. (Sec. 603) Directs the Secretary of Health and Human Services to establish a national electronic network linking State vital statistics records. Title VII: Border Security - Increases Border Patrol personnel levels. Establishes: (1) a border crossing fee; and (2) a Border Control Trust Fund. (Sec. 704) Amends the Act to establish increased penalties or a required pilot program for international carriers that bring in more than specified numbers of undocumented aliens. Title VIII: Alien Smuggling - Directs the Secretary of State to enter into cooperative foreign arrangements to prevent the unlawful entry of aliens into the United States. (Sec. 802) Directs the Secretary of Defense to instruct the Coast Guard with respect to preventing the illegal entry of aliens into the United States by sea. (Sec. 803) Amends Federal criminal law to bring specified alien related activities under the purview of the Racketeer Influenced and Corrupt Organizations (RICO) provisions. (Sec. 804) Increases alien smuggling penalties. (Sec. 805) Expands forfeiture provisions for smuggling or harboring aliens. (Sec. 806) Amends Federal criminal law to authorize wiretaps for alien smuggling investigations. Title IX: Effective Date - Sets forth the effective date for provisions of this Act.
United States · United States Congress · 10 March 1994
Waives the two-year foreign residence requirement for a named individual and deems him eligible to apply for any benefit under the Immigration and Nationality Act for which he qualifies.
United States · United States Congress · 8 March 1994
Establishes the congressional budget for FY 1995 and sets forth appropriate budgetary levels for FY 1996 through 1999. Sets forth recommended budgetary levels of Federal revenues, new budget authority, budget outlays, deficits, public debt, and credit activity, including funding for each major functional category. Provides for adjusting total levels of budget authority, outlays, and revenues if health care reform legislation is reported. Expresses the sense of the Congress that the following legislation should be enacted: (1) enforceable limits to control the growth of entitlement or mandatory spending; (2) a regular procedure to provide assistance for disasters and other emergencies without adding to the deficit; and (3) expedited rescission authority over appropriations measures for the President. Expresses the sense of the Committee on the Budget that all financial transactions associated with health reform legislation relying on mandated payments to a Government entity be treated as part of the Federal budget. Expresses the concerns of the Committee on the Budget with respect to the costs to State and local government because of the Federal Government's failure to enforce immigration laws. Expresses the sense of the Congress on the need for reserve funds for emergencies. Expresses the sense of the Congress on imposing unfunded mandates on State and local government. Expresses the sense of the Congress that: (1) the President should submit a budget that compares proposed spending levels for the budget year with the current year; and (2) the starting point for deliberations on a budget resolution should be the current year.
United States · United States Congress · 3 March 1994
TABLE OF CONTENTS: Title I: Insurance Reform Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families Subtitle B: Reform of Health Insurance Marketplace for Small Business Subtitle C: Preemption Subtitle D: Health Deduction Fairness Title II: Preventing Fraud and Abuse Subtitle A: Establishment of All-Payer Health Care Fraud and Abuse Control Program Subtitle B: Revisions to Current Sanctions for Fraud and Abuse Subtitle C: Administrative and Miscellaneous Provisions Subtitle D: Amendments to Criminal Law Title III: Malpractice Reform Subtitle A: Findings; Purpose; Definitions Subtitle B: Uniform Standards for Malpractice Claims Subtitle C: Requirements for State Alternative Dispute Resolution Systems (ADE) Title IV: Paperwork Reduction and Administrative Simplification Title V: Expanding Access/Preventive Care Subtitle A: Expanding Access Through Community Health Authorities Subtitle B: Expansion of Public Health Programs on Preventive Health Title VI: Antitrust Provisions Title VII: Prefunding Government Health Benefits for Certain Annuitants Health Reform Consensus Act of 1994 - Title I: Insurance Reform - Subtitle A: Increased Availability and Continuity of Health Coverage for Employees and Their Families - Requires each employer to make available to each eligible employee a group health plan under which: (1) coverage of each eligible individual with respect to such employee may be elected on an annual basis; (2) coverage is provided for at least the required coverage specified; and (3) employees may elect to have premiums collected through payroll deduction. Does not require employer contributions to the cost of coverage under such a plan. Provides for the exclusion of: (1) employers who have been employers for less than two years or who have no more than two eligible employees or no more than two eligible employees not covered under any group health plan; and (2) family members under specified circumstances. Specifies that a group health plan shall not be treated as failing to meet the requirements of this Act solely because a period of service by an eligible employee of not more than 60 days is required for coverage. Specifies that the required coverage is standard coverage, except that in the case of a small employer that has not contributed during the previous plan year to the cost of coverage for any eligible employee under any group health plan, the required coverage for the plan year is coverage under a standard plan and a catastrophic plan. Provides for a five-year transition for existing group health plans. (Sec. 1002) Sets forth provisions regarding: (1) compliance with applicable requirements through multiple employer health arrangements; and (2) coverage options under a State medical health allowance program. (Sec. 1011) Prohibits a group health plan from imposing (and an insurer from requiring an employer from imposing through a waiting period for coverage under a plan or similar requirement) a limitation or exclusion of benefits relating to treatment of a preexisting condition if: (1) the condition relates to a condition that was not diagnosed or treated within three months before the date of coverage under the plan; or (2) the limitation or exclusion extends over more than six month after the date of coverage, applies to an individual who, as of the date of birth, was covered under the plan, or relates to pregnancy. Specifies that, in the case of an individual who is eligible for coverage under a plan but for a waiting period imposed by the employer, the individual shall be treated as having been covered under the plan as of the earliest date of the beginning of the waiting period. (Sec. 1012) Requires each group health plan to waive any period applicable to a preexisting condition for similar benefits with respect to an individual to the extent that the individual, prior to enrollment in such plan, was covered for the condition under any other health plan. (Sec. 1013) Prohibits: (1) a multiemployer plan and an exempted multiple employer health plan from canceling or denying renewal of coverage under such a plan for an employer other than for nonpayment of contributions, fraud or other misrepresentation, noncompliance with plan provisions, failure to maintain minimum participation rates (in the case of a small employer) misuse of a provider network provision, or because the plan is ceasing to provide any coverage in a geographic area; (2) an insurer from canceling a health insurance plan or denying renewal of coverage other than as prescribed above; and (3) an insurer who terminates the offering of health insurance plans in an area from offering such a plan to any employer in the area until five years after the date of the termination. (Sec. 1021) Makes provisions of the Employee Retirement Income Security Act of 1974 applicable with respect to enforcement of this Act (by the Department of Labor). Imposes a civil penalty ($100 per day for each individual involved, subject to specified limitations) on the failure of an insurer to comply with the requirements of sections 1011 through 1013, unless the Secretary of Health and Human Services (Secretary) determines that the State has in effect a regulatory enforcement mechanism that provides adequate sanctions. Subtitle B: Reform of Health Insurance Marketplace for Small Business - Requires each insurer that makes available a health insurance plan to a small employer in a State to make available to each small employer in the State a standard plan and a catastrophic plan, with exceptions for health maintenance organizations (HMOs) and if a State provides for guaranteed availability (rather than guaranteed issue). Requires each insurer that offers a standard or catastrophic plan to a small employer in a State to accept: (1) every small employer in the State that applies for coverage; and (2) every eligible individual who applies for enrollment on a timely basis. Sets forth provision regarding: (1) special rules for HMOs; (2) timely enrollment requirements; and (3) enrollment of spouses and dependents. Makes such requirements inapplicable in a State that has provided (in accordance with specified standards) a mechanism under which each insurer offering a health insurance plan to a small employer in the State must participate in a program for assigning high-risk small employer groups (or individuals within such a group) among some or all such insurers, if the insurers comply. (Sec. 1102) Defines "health plan" as a health insurance plan that: (1) is designed to provide standard coverage with substantial cost-sharing or only catastrophic coverage; (2) meets applicable requirements relating to guaranteed issue; (3) meets specified consumer protection standards; and (4) meets any participation requirements with respect to an applicable reinsurance or allocation of risk mechanism. States that standard coverage includes: (1) inpatient and outpatient hospital care; (2) inpatient and outpatient physicians' services; (3) diagnostic tests; (4) specified preventive services; and (5) specified inpatient hospital care for mental disorders. Sets forth coverage scope, including that there be no limits on the amount, scope, or duration of items number one, two, and three in the preceding sentence. Sets forth exceptions. Sets forth limitations on deductibles, copayments and coinsurance, and out-of-pocket expenses. Defines a catastrophic benefits package. Provides for the determination of target actuarial values for standard and catastrophic coverage. (Sec. 1103) Directs the Secretary to request NAIC to develop model regulations that specify standards with respect to requirements: (1) that insurers make available health plans; (2) of guaranteed availability of health plans to small employers; (3) relating to limits on premiums and certain consumer protections; (4) relating to limitation of annual premium increases; and (5) for standard and catastrophic coverage. Requires the Secretary to review such standards and, if NAIC fails to specify standards meeting such requirements, to promulgate standards. Sets forth provisions regarding: (1) the application of health plan standards and consumer protection standards by the States; (2) the Federal role; and (3) consumer protection standards. (Sec. 1104) Sets forth provisions: (1) regarding limits on premiums and annual premium increases; and (2) requiring an insurer, at the time of offering a health insurance plan to a small employer, to fully disclose rating practices for health insurance plans, including rating practices for different populations and benefit designs. (Sec. 1106) Directs the Secretary to: (1) request NAIC to develop models for reinsurance or allocation of risk mechanisms for health insurance plans made available to small employers for whom an insurer is at risk of incurring high costs under the plan; and (2) review such models or specify models. Sets forth provisions regarding implementation of reinsurance or allocation of risk mechanisms by the States and the Federal role. (Sec. 1108) Directs the Secretary to establish an Office of Private Health Care Coverage. Requires the Office Director to submit to the Congress annual reports evaluating health care coverage reform. (Sec. 1109) Authorizes the Director to conduct: (1) research on the impact of this subtitle on the availability of affordable health coverage for employees and dependents in the small employers group health care coverage market and other specified topics; and (2) demonstration projects relating to such topics. Requires the Director to develop: (1) methods for measuring the relative health risks of eligible individuals in terms of the expected costs of providing benefits under health insurance plans and, in particular, health plans; (2) a model for equitably distributing health risks among insurers in the small employer health care coverage market. Authorizes appropriations. Subtitle C: Preemption - Prohibits: (1) State benefit mandates for group health plans; and (2) State or local law prohibitions against two or more employers obtaining coverage under an insured multiple employer health plan. (Sec. 1203) Preempts State restrictions concerning: (1) reimbursement rates or selective contracting; (2) differential financial incentives; and (3) utilization review methods. Directs the Comptroller General to conduct a study of the benefits and cost effectiveness of the use of managed care in the delivery of health services. (Sec. 1211) Amends the Employee Retirement Income Security Act of 1974 (ERISA) to allow a limited exemption under preemption rules for multiple employer plans providing health benefits subject to certain Federal standards. Relieves exempted multiple employer plans providing medical care benefits of certain restrictions on preemption of State law. Treats such plans as employee welfare benefit plans. Allows commencement of new arrangements only if such exemption is in effect or an application is pending and the Secretary of Labor determines that provisional protection is appropriate. Sets forth exemption procedures, eligibility requirements, and additional requirements applicable to exempted arrangements. Requires certain disclosures to participating employers, maintenance of reserves, and corrective actions. Provides for expiration, suspension, and revocation of exemptions, and for review of actions by the Secretary. (Sec. 1213) Revises provisions relating to scope of preemption rules, and to treatment of single employer arrangements and of certain collectively bargained arrangements. (Sec. 1215) Establishes special rules for employee leasing healthcare arrangements. Treats such arrangements as multiple employer welfare arrangements except when they are multiple employer health plans. (Sec. 1216) Sets forth enforcement provisions relating to multiple employer welfare arrangements and employee leasing health care arrangements. (Sec. 1217) Sets forth filing requirements for multiple employer welfare arrangements. (Sec. 1218) Provides for cooperation between Federal and State authorities in enforcing ERISA requirements for multiple employer welfare arrangements with the limited exemption. (Sec. 1221) Amends the Internal Revenue Code to eliminate the commonality of interest or geographic location requirement for tax exempt trust status for multiple employer health plans and insured multiple employer health plans if they meet certain requirements under ERISA and this Act. (Sec. 1231) Amends ERISA to direct the Secretary of Labor to prescribe an alternative method providing for a single annual report with respect to all employers who are covered under the same insured multiple employer health plan. (Sec. 1241) Provides for compliance with applicable coverage requirements through multiemployer plans and other multiple employer health arrangements. Subtitle D: Health Deduction Fairness - Amends the Internal Revenue Code to provide for a permanent extension and increase in the health insurance tax deduction for self-employed individuals. Title II: Preventing Fraud and Abuse - Subtitle A: Establishment of All-Payer Health Care Fraud and Abuse Control Program - Directs the Attorney General to establish a program to: (1) coordinate Federal, State, and local law enforcement programs to control health care fraud and abuse; (2) conduct investigations, audits, and inspections relating to the delivery of payment for health care; and (3) facilitate enforcement of provisions of the Social Security and other Acts applicable to health care fraud and abuse. Authorizes additional appropriations as necessary. (Sec. 2003) Establishes the Anti-Fraud and Abuse Trust Fund. Subtitle B: Revisions to Current Sanctions for Fraud and Abuse - Excludes from participation in Medicare and State health care programs any individual or entity convicted of: (1) fraud in connection the delivery of a health care item or service; or (2) a felony related to a controlled substance. (Sec. 2103) Subjects to a civil monetary penalty any individual or entity offering inducements to individuals to receive any service or supply from a particular provider. (Sec. 2104) Permits the imposition of intermediate sanctions in addition to the current option of termination, for Medicare health maintenance organizations. Subtitle C: Administrative and Miscellaneous Provisions - Directs the Secretary to establish a national health care fraud and abuse data collection program for the reporting of final adverse actions against health care providers, suppliers, or practitioners. Requires each government agency and health care plan to report to the Secretary any final adverse action taken against a health care provider, supplier, or practitioner. Subtitle D: Amendments to Criminal Law - Establishes a penalty of up to five years' imprisonment for knowingly: (1) defrauding any health care plan; or (2) fraudulently obtaining money or property in connection with the delivery of health care items, benefits, or services. Permits a payment of up to $10,000 to any person furnishing information relating to any such crime. Title III: Malpractice Reform - Subtitle A: Findings; Purpose; Definitions - Sets forth, for this title, findings, purposes, and definitions. Subtitle B: Uniform Standards for Malpractice Claims - Makes this subtitle applicable to any medical malpractice liability action brought in a Federal or State court and to any medical malpractice claim subject to an alternative dispute resolution system. (Sec. 3102) Prohibits bringing a medical malpractice liability action in either a State or Federal court unless there has been an initial resolution of the action under an alternative dispute resolution system. Directs the Attorney General to establish an alternative dispute resolution process for medical malpractice liability claims brought against the United States. (Sec. 3104) Sets limits on both noneconomic damages and punitive damages. (Sec. 3105) Provides for the periodic payment of future losses. (Sec. 3106) Limits attorney's fees. (Sec. 3108) Sets forth special provisions for certain obstetric services. Subtitle C: Requirements for State Alternative Dispute Resolution System (ADR) -Requires a State's alternative dispute resolution system, among other things to: (1) apply to all medical malpractice liability claims within the jurisdiction of the State's courts; (2) issue a written opinion resolving the dispute within six months of a defendant receiving notice; (3) qualify individuals who hear and resolve claims under the system; and (4) notify the appropriate State agency if there is a finding of malpractice, unless the provider contests the ADR decision. (Sec. 3202) Directs the Secretary to establish an Alternative Dispute Resolution Advisory Board in order to advise the Secretary regarding the establishment of State and Federal ADR systems. Provides for the certification of State ADR systems by the Board. Title IV: Paperwork Reduction and Administrative Simplification - Preempts State quill pen laws. (Sec. 4102) Provides for the confidentiality of electronic health care information. (Sec. 4003) Directs the Secretary to establish national goals for the health care industry concerning: (1) standardization for the electronic receipt and transmission of health plan information; (2) use of uniform health claims forms and identification numbers; (3) priority of insurers when benefits are payable under two or more health plans; and (4) availability of information among health plans when benefits are payable under two more plans. Requires the Secretary to promulgate requirements if the industry does not meet the goals. Provides for monetary penalties on any health plan that does not meet the Secretary's requirements. Title V: Expanding Access/Preventive Care - Subtitle A: Expanding Access Through Community Health Authorities - Amends title XIX (Medicaid) of the Social Security Act to direct the Secretary to operate a program under which States establish projects to demonstrate the effectiveness of various innovative health care delivery approaches through the operation of community health authorities. Requires a community health authority to be a nonprofit entity that: (1) serves a geographic area that includes those designated by the Public Health Service Act as medically underserved or as being in a health professions shortage area; (2) enrolls the Medicaid eligible; and (3) provides for the provision of at least preventive services, primary care services, inpatient and outpatient hospital services, and other services. (Sec. 5002) Authorizes the Secretary to make grants to migrant and community health centers for the development of health service networks to serve high impact areas, medically underserved areas, or medically underserved populations. Authorizes appropriations through FY 1999. Subtitle B: Expansion of Public Health Programs on Preventive Health - Authorizes appropriations, under the Public Health Service Act, for the following: (1) immunizations against vaccine-preventable diseases; (2) prevention, control, and elimination of tuberculosis; (3) lead poisoning prevention; (4) preventive health measures with respect to breast and cervical cancers; (5) the Office of Minority Health Disease Prevention and Health Promotion; and (6) the Office of Minority Health; and (7) the preventive health and health services block grant. Title VI: Antitrust Provisions - Directs the Attorney General to: (1) provide for the development and publication of explicit guidelines on the application of antitrust laws to the activities of health plans; and (2) establish a review process under which the administrator or sponsor of a health plan may submit a request to the Attorney General to obtain a prompt opinion from the Department of Justice on the plan's conformity with Federal antitrust laws. (Sec. 6002) Authorizes the issuance of a certificate of public advantage by the Attorney General to each eligible health care collaborative activity if there is a finding that the benefits that are likely to result from carrying out the activity outweigh any reduction in competition that is likely to result and such reduction is reasonably necessary. Title VII: Prefunding Government Health Benefits for Certain Annuitants - Requires certain executive branch agencies to prefund government health benefits contributors for their annuitants.
United States · United States Congress · 3 March 1994
TABLE OF CONTENTS: Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care Title III: Provider Participation Title IV: Administration Subtitle A: General Administrative Provisions Subtitle B: Control Over Fraud and Abuse Title V: Quality Assessment Title VI: National Health Security Budget; Payments; Cost Containment Measures Subtitle A: Budgeting and Payments to States Subtitle B: Payments by States to Providers Subtitle C: Mandatory Assignment and Administrative Provisions Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved Subtitle A: Promotion and Expansion of Primary Care Professional Training Subtitle B: Direct Health Care Delivery Subtitle C: Primary Care and Outcomes Research Subtitle D: School-Related Health Services Title VIII: Financing Provisions; American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Taxes Based on Income and Wages Subtitle C: Increase in Excise Taxes on Tobacco Products Subtitle D: Increase in Taxes on Firearms and Ammunition Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 American Health Security Act of 1994 - Title I: Establishment of a State-Based American Health Security Program; Universal Entitlement; Enrollment - Establishes in the United States an American Health Security Program (AHSP) to be administered by the States (including the District of Columbia and, if they so choose, U.S. territories) in accordance with Federal standards established under this Act. Requires a State to establish a State health security program (program) in accordance with this Act to receive Federal health care funding. (Sec. 102) Entitles every individual who is a resident of the United States and is a U.S. citizen or national or a lawful resident alien to benefits for health care services under this Act under the appropriate State program. Sets forth provisions regarding the treatment of nonimmigrants and other individuals. (Sec. 103) Requires each State program to: (1) provide a mechanism for the enrollment of individuals entitled or eligible for benefits (which includes a process for the automatic enrollment of individuals at the time of birth, immigration, or other acquisition of lawful resident status in the United States and provides for the enrollment of all individuals who are eligible to be enrolled as of January 1, 1995); and (2) issue a health security card to enrolled individuals. (Sec. 104) Makes benefits portable when enrollees move or travel between States. Prohibits imposition of a minimum residence or waiting period in excess of three months for program benefit eligibility. Allows reciprocal arrangements between programs in adjacent States for coverage for enrollees residing in the border region. (Sec. 105) Makes benefits available under this Act for items and services furnished on or after January 1, 1996. (Sec. 106) Supersedes Medicare, Medicaid, the Federal Employee Health Benefits Program, and CHAMPUS, which must pay for completion of services they covered before January 1, 1996. Specifies that nothing in this Act affects the eligibility of veterans for Veterans Administration health benefits and services, or of Indians for benefits and services of the Indian Health Service. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles all eligible individuals to have payment made (if medically necessary and appropriate for the maintenance of health or for the diagnosis, treatment, or rehabilitation of a health condition) for inpatient and outpatient hospital services, professional services of State-authorized practitioners, community-based primary health services, preventive services, long-term and chronic care services, prescription drugs, biologicals, insulin, and medical foods, dental services, mental health services, substance abuse treatment services, diagnostic tests, and other specified items and services, including outpatient therapy, durable medical equipment, home dialysis, ambulance, prosthetic devices, and other items and services specified by the American Health Security Standards Board (Board) (established by title IV of this Act). Specifies that: (1) no deductibles, coinsurance, or copayments may be charged for acute care benefits; (2) no provider may charge a patient for covered services; (3) no private insurance may duplicate program benefits; and (4) States and employers may provide additional benefits at their own expense. (Sec. 203) Covers home and community-based long-term care services for persons unable to perform at least two of five listed activities of daily living without assistance. Limits the cost of such services to 65 percent (or an alternative percentage determined by the Board) of the cost of nursing home care for an individual in the same area in which the services were provided. (Sec. 204) Makes mental health, substance abuse, nursing facility, and home health services subject to utilization review. Directs the Board to make national determinations on coverage of experimental services, with professional and public input. Specifies that where the Board has recognized practice guidelines, coverage is limited to services provided according to the guidelines or any established exception process. Allows the Board to limit quantities of eyeglasses, contact lenses, hearing aids, and durable medical equipment that will be covered. Excludes from coverage cosmetic procedures, personal comfort items, and services furnished in non-participating facilities. (Sec. 205) Specifies that: (1) States may require providers to certify that covered services were provided according to program requirements; (2) quality review programs must meet Federal standards; and (3) States may require plans of care for coverage of certain services. Title III: Provider Participation - Requires providers, to receive payment, to agree: (1) not to discriminate based on race, national origin, income, religion, age, sex or sexual orientation, disability, handicapping condition, or (subject to the professional qualifications of the provider) illness; (2) not to charge patients for covered services; (3) to furnish necessary information to the Board or program; (4) not to employ other providers whose participation has been terminated for cause; and (5) to submit bills within a specified time frame. (Sec. 302) Considers a health care provider to be qualified if it is licensed or certified and meets State law requirements, applicable Federal requirements, and additional standards that the Board may specify. Requires: (1) the Board to establish, evaluate, and update national minimum standards to assure the quality of services provided and to monitor efforts by programs to assure such quality; (2) a reasonable transition period for any new standards; and (3) the Board to provide for an exchange of information among programs with respect to quality assurance and cost containment. (Sec. 303) Defines a "comprehensive health service organization" (CHSO) as a public or private organization which, in return for a capitated payment amount, furnishes or arranges a full range of health services and out-of-area coverage in the case of urgently needed services to an identified population in a specified service area which enrolls voluntarily in the organization. Sets forth various CHSO requirements regarding enrollment, withdrawal for cause, accessibility of services, continuity of care, consumer and provider representation on the board of directors, a patient grievance program, medical standards committees, premiums, utilization and bonus information, provision of services to enrollees at institutions operating under global budgets, marketing of services, and provision of emergency services to nonenrollees. (Sec. 304) Extends current Medicare prohibitions on physician self-referrals for clinical laboratory services to other services and applies such prohibitions to AHSP. Title IV: Administration - Subtitle A: General Administrative Provisions - Establishes the American Health Security Standards Board to develop policies and procedures for enrollment, benefits, provider participation, national and State funding levels, assisting programs with planning for capital expenditures and service delivery, and other functions and to establish uniform reporting standards for health services and programs. Authorizes the Board to make statistical and other studies, test alternative payment methods, and develop and test information and budget systems. Provides for the appointment of an Executive Director of the Board and an Inspector General. (Sec. 402) Directs the Board to provide for an American Health Security Advisory Council to advise the Board on matters of general policy, in the formulation of regulations, and in the performance of the Board's duties and to study the operation of, and utilization of health services under, this Act. (Sec. 403) Directs the Board to appoint advisory committees on benefits, cost containment, primary care and the medically underserved, mental health and substance abuse treatment, and prescription drugs. Authorizes the Board to appoint other temporary advisory committees. (Sec. 404) Establishes an American Health Security Quality Council which shall be responsible for quality review activities (under title V). Directs the Quality Council to report to the Board annually on activities and findings from outcomes research and development of practice guidelines that may affect the Board's determination of coverage of services. (Sec. 405) Requires: (1) each State to submit to the Board a plan for a program for providing health care services to residents of the State (but allows neighboring States to join in regional plans); (2) the Board to provide incentives for States to develop regional planning mechanisms to promote the rational distribution of, adequate access to, and efficient use of, tertiary care facilities, equipment, and services; (3) State programs to meet Federal standards, including single-agency administration, a State health security budget, provider payment and quality review methodologies consistent with Federal standards, freedom to choose providers, a consumer ombudsman, an annual report, and a fraud and abuse prevention and control unit; and (4) the Governor of each State to provide for appointment of a State Health Security Advisory Council to advise and make recommendations to the Governor and State regarding program implementation. Allows: (1) programs not meeting Federal requirements, after notice, to be placed in receivership under the Board's jurisdiction; and (2) States to use fiscal agents, after competitive bidding, to process claims. (Sec. 406) Requires the Secretary of Health and Human Services (Secretary) to direct all activities of the Department of Health and Human Services toward contributions to health of the people in a manner complementary to this Act. Subtitle B: Control Over Fraud and Abuse - Authorizes the Board to exclude providers from participation, impose civil monetary penalties, and seek criminal prosecution for fraud or abuse, based on current Medicaid standards. Requires providers to disclose relevant information about their ownership interest in health facilities and services, based on current Medicaid standards. (Sec. 412) Requires the Board: (1) through the Inspector General, to establish a national health care fraud and abuse data base, including the identity of any provider who has been convicted, had a license revoked, has been excluded or suspended from participation, or has been subjected to a civil penalty with respect to a State program, Medicare, Medicaid, or any other federally funded health program; and (2) to establish rules to protect the confidentiality of information in the data base. Requires States to provide relevant information for this purpose and to periodically inquire of the data base to determine provider qualifications to participate in programs. Sets penalties for submitting false information. (Sec. 413) Requires each program to establish and maintain a health care fraud and abuse unit. (Sec. 414) Directs the Board to provide for the assignment of a unique identifier to each participating provider and to each individual eligible for services, which shall be used for claims and payment. Title V: Quality Assessment - Directs the Quality Council to: (1) collect data from outcomes research on an ongoing basis and develop practice guidelines on the basis of such data and existing clinical knowledge; (2) adopt methodologies for profiling the patterns of practice of health care professionals and for identifying outliers (i.e., health care providers whose patterns of practice suggest quality deficiencies); (3) develop standards for the development of centers of excellence for designated procedures and for education of and sanctions for outliers; and (4) disseminate all quality guidelines and standards to the States for implementation. (Sec. 502) Requires each participating State to establish an entity to conduct quality reviews of persons providing covered services under its program which meet Federal standards for the adoption of practice guidelines, identification of outliers, development of remedial programs and monitoring for outliers, and the application of sanctions. Allows the State to adopt alternative methodologies to those adopted by the Quality Council provided that the State can demonstrate that the efficacy of such review and education programs meets Federal standards. Mandates that the quality review entity be administratively independent of the individual or board that administers the program and not provide any financial incentive to reviewers to favor one pattern of practice over another. (Sec. 503) Expresses the intent to replace random utilization controls with a systematic review of patterns of practice that compromise the quality of care by January 1, 1998. Supersedes all existing Federal utilization review programs, including random case-by-case reviews and programs requiring pre-certification of medical procedures on a case-by-case basis, with exceptions. Specifies that nothing in this section shall preclude case management of catastrophic, mental health, or substance abuse cases where necessary to achieve appropriate, cost-effective, and beneficial comprehensive medical care. (Sec. 504) Requires: (1) each State program to develop and use a uniform electronic data base which uses software designated by the Board and which assures confidentiality for all patient records to enable systematic quality review and outcomes analysis; and (2) the Board to designate such software and establish standards designed to protect the privacy of patients. Limits access by government agencies to patient records. Title VI: Health Security Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Directs the Board to establish a national health security budget which specifies the total expenditures to be made by the Federal Government and the States for covered health care services, and allocates those expenditures among the States. Prohibits such budget from exceeding the budget for the preceding year increased by the percentage increase in gross domestic product. Divides the budget into quality assessment, professional education, administrative, and operating components. (Sec. 602) Provides for the allocation of funds in the budget by the Board to the States, based on the national average per capita costs of covered services adjusted for differences among the States in costs and the health status of populations. Permits the use of statistical models to estimate State capitation amounts. Sets forth State adjustment factors to reflect differences in relative needs for funds and directs that such factors be applied in a budget-neutral manner resulting in no change in total Federal expenditures from the national per capita average. (Sec. 603) Requires each program to submit to the Board a proposed and final annual budget broken into quality assessment, professional training, administrative, and operating components, with the operating component broken into facility-based services, individual practitioner payments, payments to CHSOs, and payments for other items and services. Sets forth provisions regarding proposed and final budget deadlines, adjustments in allocations, and expenditure limits. Permits programs to provide for a process for the approval of capital expenditures based on information derived from regional planning agencies. (Sec. 604) Provides for programs to receive Federal funds equal to a weighted average of 86 percent of their population-based share of the budget, which the Board may adjust between 81 and 91 percent based on State economic conditions. (Sec. 605) Requires each program to establish a separate budget account for health professional education expenditures and to distribute funds consistent with the achievement of specified national and program goals, including the receipt by the Board of reports to monitor compliance, and taking into account the potentially higher costs of placing health professional students in clinical education programs in health professional shortage areas. Subtitle B: Payments by States to Providers - Directs that: (1) payment for operating expenses for institutional and facility-based care under State programs be made directly to each institution or facility under an annual prospective global budget approved under the program; (2) such budgets take into account discharges by diagnosis-related group, prior expenditures, the extent to which debt service for capital expenditures has been included in the proposed operating budget, change in the consumer price index and other price indices, compensation, occupancy levels, past financial and clinical performance, training, technological changes, and incentives to maintain costs without reducing care; and (3) facility budgets be adjusted to reflect payments made by CHSOs. Allows programs to permit institutions and facilities to raise funds from private sources to pay for newly constructed facilities, major renovations, and equipment. (Sec. 612) Requires: (1) State programs to pay individual practitioners on a fee-for-service basis, as negotiated between States and practitioner representatives; (2) the Board to establish models for such payment and for global fee payment methodologies to encourage payment for combinations of services; and (3) practitioners to bill State programs within 30 days of providing services. Permits States to require electronic billing. (Sec. 613) Authorizes programs to pay CHSOs based on annual budgets or risk-adjusted capitation payments, reduced by the costs of covered services not provided by the CHSO. (Sec. 614) Directs that programs pay for community-based primary health services based on global budgets, basic primary care capitation amounts for enrollees, or fee-for-service, taking into account costs of serving non-covered patients, providing case management, transportation, and translation, and providing health professional education programs. (Sec. 615) Requires: (1) the Board to establish a list of approved prescription drugs based on the recommendations of the Advisory Committee on Prescription Drugs and to negotiate maximum prices with manufacturers; and (2) each program to pay for such drugs based on such maximum prices and to pay separate dispensing fees to pharmacies. (Sec. 616) Directs the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment and programs to pay for such items based on maximum prices determined by the Board. (Sec. 617) Requires State programs to pay for other items and services based on methodologies to be adopted by the Board, consistent with the State health security budget. (Sec. 618) Directs the Board to establish model payment methodologies and other incentives to promote the provision of services in medically underserved areas. Permits programs to adjust payments amounts within their budgets to encourage provision of appropriate services in underserved areas. (Sec. 619) Authorizes programs to utilize alternative payment methodologies, provided that such methodologies do not affect the entitlement of individuals to coverage, the weighting of fee schedules to encourage an increase in the number of primary care providers, the ability of individuals to choose among qualified providers, the benefits covered under the Program, or compliance with the State health security budget. Requires States to report on the operation and effectiveness of alternative methodologies to enable the Board to evaluate the appropriateness of applying such methodologies to other States. Subtitle C: Mandatory Assignment and Administrative Provisions - Specifies that participating providers: (1) must accept payment from a program as full payment for covered services; and (2) may not impose additional charges on patients. Permits the Board to exclude from participation and subject to civil penalties violators of such provision. (Sec. 632) Requires programs to establish: (1) procedures for reimbursing providers within 60 days of bill submission; and (2) an appeals process to handle grievances pertaining to provider payments. Title VII: Promotion of Primary Health Care; Development of Health Service Capacity; Programs to Assist the Medically Underserved - Subtitle A: Promotion and Expansion of Primary Care Professional Training - Makes the Board responsible for: (1) coordinating health professional education policies and goals to achieve national goals; (2) overseeing program health professional education expenditures; (3) developing and maintaining a system to monitor the number and specialties of individuals through their health professional education, any postgraduate training, and professional practice; and (4) developing, coordinating, and promoting other policies that expand the number of primary care practitioners. Sets as national goals that: (1) at least 50 percent of graduate medical residencies be in primary care within five years of this Act's enactment; and (2) there be a certain number, specified by the Board, of midlevel primary care practitioners employed in the health care system as of January 1, 2000. Directs the Board to: (1) establish a method of applying such goals to program goals for each medical residency program or consortium of programs and reducing payments for residency programs failing to meet their goals; (2) advise the Public Health Service on allocations of funding under specified programs to increase the supply of midlevel primary care practitioners; and (3) commission a study of the potential benefits and disadvantages of expanding the scope of practice authorized under State laws for any class of midlevel primary care practitioners. (Sec. 702) Requires the Board to establish an Advisory Committee on Health Professional Education to advise the Board concerning graduate medical education policies under this title. (Sec. 703) Directs the Board to transfer specified revenues from the American Health Security Trust Fund (Trust Fund) for specified existing programs supporting health professional education and nursing education and for the National Health Service Corps. Subtitle B: Direct Health Care Delivery - Requires the Board to transfer specified Trust Fund revenues to the Public Health Service for: (1) maternal and child health block grants, preventive health block grants, grants to States for community mental health services and prevention and treatment of substance abuse, and grants for HIV health care services; and (2) grants to nonprofit community health centers and similar facilities. (Sec. 713) Directs the Board to make grants to primary care centers (i.e., nonprofit community health centers, migrant health centers, and other federally qualified health centers) to serve medically underserved populations in urban and rural areas. Specifies that grant funds may be used to plan, develop, and deliver primary care in such areas. Subtitle C: Primary Care and Outcomes Research - Requires the Board to transfer specified Trust Fund revenues to the Agency for Health Care Policy and Research for health outcomes research. (Sec. 722) Amends the Public Health Service Act to establish within the Office of the Director of the National Institutes of Health (NIH) an Office of Primary Care and Prevention Research to be headed by a Director who shall identify and coordinate research activities relating to primary care and prevention, including care provided by multidisciplinary teams. Authorizes appropriations. Requires the Director of NIH to establish a national data system and clearinghouse on primary care and prevention research. Subtitle D: School-Related Health Services - Authorizes appropriations through FY 2001 for this subtitle. (Sec. 734) Directs the Secretary to make grants to State health agencies or to local community partnerships to develop and operate school health service sites. Requires preference in making grants to be given to those communities showing the most substantial level of need. Title VIII: Financing Provisions; American Health Security Trust Fund - Subtitle A: American Health Security Trust Fund - Amends the Internal Revenue Code to create the American Health Security Trust Fund. Appropriates to the trust fund the increase in tax liabilities attributable to the application of amendments made by this title and receipts from the following programs: Medicare, Medicaid, Federal employees' health benefits program, and the CHAMPUS program, Maternal and Child Health program (under title V of the Social Security Act), vocational rehabilitation programs, drug abuse and mental health services programs under the Public Health Service Act, programs providing general hospital or medical assistance, and certain other Federal programs. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Taxes Based on Income and Wages - Creates a health care excise tax on every employer with respect to each employee equal to the following percentages of wages paid: (1) four percent for each small employer; and (2) 8.4 percent for other employers. Defines a small employer as one who: (1) employs less than 75 full-time employees; and (2) pays less than $24,000 in average annual wages. Imposes the tax on the self-employed, railroad employers, and railroad employee representatives. Imposes an individual health care income tax equal to 2.1 percent of taxable income. Prohibits credits against the tax and any effect on the minimum tax in relation to the individual health care income tax. Subtitle C: Increase in Excise Taxes on Tobacco Products - Increases the excise taxes on tobacco products. Subtitle D: Increase in Taxes on Firearms and Ammunition - Imposes a tax upon the sale by the manufacturer or importer of any pistol, revolver, firearm, shell, or cartridge equal to 50 percent of its price. Title IX: Conforming Amendments to the Employee Retirement Income Security Act of 1974 - Makes ERISA inapplicable to health coverage arrangements under State health security programs. Exempts State health security programs from ERISA preemption. Prohibits employee benefits duplicating State health security program benefits. Repeals continuation coverage requirements under ERISA.
United States · United States Congress · 2 March 1994
TABLE OF CONTENTS: Title I: Alien Smuggling Control Title II: Port of Entry Inspections Title III: Penalties for Document Fraud and Misrepresentation Title IV: Asylum Reform Title V: Illegal Immigration and Border Security Title VI: Border Crossing User Fee Title VII: Detention of Illegal Aliens Title VIII: Public Benefits Abuse Title IX: Work Authorization Verification Title X: Numerical Limitations on Admission of Aliens into the United States Title XI: Miscellaneous Provisions Comprehensive Immigration and Asylum Reform Act of 1994 - Title I: Alien Smuggling Control - Amends the Immigration and Nationality Act to: (1) increase the penalty for alien smuggling; (2) provide an additional penalty for a smuggler who subjects an alien to a substantial risk of death or bodily harm; and (3) subject any smuggler to the death penalty for causing the death of an alien. (Sec. 103) Makes it a crime to smuggle aliens for the purpose of committing crimes in the United States. (Sec. 104) Adds smuggling to RICO. (Sec. 105) Expands Immigration and Naturalization Service (INS) seizure authority to permit the seizure of any property used for smuggling or harboring aliens. (Sec. 106) Grants the INS wiretap authority for alien smuggling investigations. (Sec. 111) Expands the definition of aggravated felony for purposes of the immigration laws to include firearms violations, child pornography, RICO violations, and specified other crimes. (Sec. 112) Presumes deportable any alien convicted of an aggravated felony. Provides for the elimination of an administrative hearing for an alien convicted of an aggravated felony who is not lawfully admitted for permanent resident or is a conditional permanent residence. Eliminates other specified deportation procedures for such aliens. (Sec. 113) Permits a U.S. district court to enter a judicial order of deportation at the time of sentencing an alien. (Sec. 114) Restricts certain defenses to deportation available for certain criminal aliens. (Sec. 115) Increases criminal and civil penalties for failing to depart. Title II: Port of Entry Inspections - Makes excludable any alien who presents forged, stolen, altered, or counterfeit documents. Excepts those with a credible fear of persecution or of return to persecution who used such documents. Defines credible fear of persecution or of return to persecution. (Sec. 203) Restricts judicial review to limited habeas corpus proceedings. Title III: Penalties for Document Fraud and Misrepresentation - Increases penalties for fraud and misuse of immigration documents and government issued identification documents. (Sec. 302) Establishes civil and criminal penalties for the preparers of false documents. (Sec. 303) Makes it unlawful to present fraudulent documents before boarding a common carrier or upon arrival. Title IV: Asylum and Reform - Places limits on an asylum applicant's authority to work. (Sec. 403) Grants the Attorney General authority for two years for a program to address the asylum backlog. (Sec. 405) Precludes counting any time in deportation proceedings towards the seven consecutive years defense. Title V: Illegal Immigration and Border Security - Provides for the hiring of 125 additional INS investigators and support staff. Provides additional funding for deportation costs. Title VI: Border Crossing User Fee - Providers for the imposition of fees at ports of entry sufficient to cover the INS's costs of maintaining and operating port of entry facilities. Requires fees to be deposited in the Land Border User Fee Account. Provides for the funding of 100 additional Border Patrol agents and support personnel from the Account. Title VII: Detention of Illegal Aliens - Provides for a two year pilot program of using closed military bases for the detention of illegal aliens. Title VIII: Public Benefits Abuse - Prohibits any unlawful alien from receiving any financial benefits under any Federal program except for specified emergency health care or child nutrition programs. (Sec. 802) Attributes sponsor income to family preference aliens. Title IX: Work Authorization Verification - Provides for the development and implementation of a counterfeit-resistant system to verify work eligibility and Federally-funded public assistance benefits eligibility for all individuals within the United States. Prohibits any document which may be issued under such program from being used as a national identification card. Title X: Numerical Limitations on Admission of Aliens into the United States - Reduces worldwide immigration during FY 1995 through 1999. Limits numerically the number of refugees that may be admitted in any year, unless the Congress enacts an exception. Title XI: Miscellaneous Provisions - Provides for the availability of information for use in criminal prosecutions. Provides for communications between Federal agencies and the INS.
United States · United States Congress · 1 March 1994
Requires: (1) each federally-subsidized health care provider that provides health care services to an illegal alien to identify such person to the Immigration and Naturalization Service; (2) the Attorney General to give such alien deportation priority; and (3) withholding of specified U.S. assistance to such alien's home country to cover the cost of any unpaid health services.
United States · United States Congress · 24 February 1994
Community Health Improvement Act of 1994 - Amends title XIX (Medicaid) of the Social Security Act to provide for State-operated community health authorities demonstration projects for testing the effectiveness of various innovative health care approaches in providing access to cost-effective prevention and primary care and related services for low-income residents of medically underserved areas. Amends the Public Health Service Act to: (1) authorize grants for the development of health service networks in medically underserved areas; and (2) extend the authorization of appropriations for migrant and community health centers.
United States · United States Congress · 24 February 1994
Hmong Veterans' Naturalization Act of 1994 - Waives the English language naturalization requirement for certain aliens (or their spouses or widows) who served with special guerilla units in Laos. Provides for naturalization under the Immigration and Nationality Act through such service.
United States · United States Congress · 11 February 1994
TABLE OF CONTENTS: Title I: Office of Minority Health Title II: Primary Health Services Title III: Health Professions Programs Title IV: Research Title V: Native Hawaiian Health Care Title VI: Miscellaneous Provisions Title VII: General Provisions Minority Health Improvement Act of 1994 - Title I: Office of Minority Health - Amends the Public Health Service Act to revise the duties of the Office of Minority Health. Provides for the establishment of the Advisory Committee on Minority Health to advise the Secretary of Health and Human Services concerning minority health. Authorizes appropriations through FY 1997. (Sec. 102) Requires each of the following agencies to establish its own Office of Minority Health: (1) Centers for Disease Control and Prevention; (2) Agency for Health Care Policy and Research; (3) Health Resources and Services Administration; (4) Substance Abuse and Mental Health Services Administration; and (5) National Institutes of Health. Reserves 0.5 percent of an agency's appropriation for such Office. Title II: Primary Health Services - Provides for the treatment of pregnant women for substance abuse by migrant health centers and community health centers. Authorizes the development and operation of more than one migrant or community health center in a catchment area if specified circumstances exist. Permits such centers to offer offsite services. Authorizes appropriations. (Sec. 202) Extends, through FY 1998, authorizations of appropriations for health services for: (1) the homeless; and (2) residents of public housing. (Sec. 204) Sets forth provisions concerning grants for: (1) loan repayment programs regarding obligated service of health professionals; (2) the operation of State offices of rural health; and (3) demonstrations for community scholarship programs regarding obligated services of health professionals. (Sec. 207) Revises provisions concerning programs regarding birth defects. (Sec. 208) Authorizes grants for up to 19 demonstration prjects for the purpose of reducing the incidence of: (1) infant mortality; (2) fetal deaths; (3) maternal mortality; (4) fetal alcohol syndrome; and (5) low-birthweight births. Authorizes appropriations. (Sec. 209) Provides for demonstration projects regarding diabetic-retinopathy. Authorizes appropriations. Title III: Health Professions Programs - Revises provisions concerning scholarships for students of exceptional financial need. Requires students receiving such a scholarship to be from a disadvantaged background. Authorizes appropriations. (Sec. 304) Revises provisions concerning Centers of Excellence. Requires grants to be made only to designated health professions schools. Authorizes appropriations. (Sec. 305) Revises provisions concerning educational assistance regarding undergraduates. Authorizes grants to assist disadvantaged students who are interested in a career in the health professions who are students of either elementary, secondary, or higher level schools. Authorizes appropriations. Title IV: Research - Directs the Director of the Office of Research on Minority Health to establish the Advisory Committee on Research on Minority Health. (Sec. 402) Revises activities of the Agency for Health Care Policy and Research. (Sec. 403) Authorizes appropriations for the National Center for Health Statistics for health statistical and epidemiological activities. Title V: Native Hawaiian Health Care - Revises the Native Hawaiian Health Care Improvement Act completely, including: (1) the findings, declaration of policy, and intent of the Congress; (2) the comprehensive health care master plan for Native Hawaiians; (3) functions of Papa Ola Lokahi; (4) provisions concerning Native Hawaiian health care systems; (5) administration of grants and contracts; (6) scholarship provisions; (7) assignment of personnel; and (8) definitions. Authorizes appropriations through FY 2000 to carry out the Act. Title VI: Miscellaneous Provisions - Authorizes appropriations through FY 1997 for health services for Pacific Islanders under the Disadvantaged Minority Health Improvement Act of 1990. (Sec. 604) Provides for the establishment of such technical and scientific peer review groups and scientific program advisory committees as are necessary to carry out the functions of the Centers for Disease Control and Prevention. Title VII: General Provisions - Sets forth effective date provisions.
United States · United States Congress · 10 February 1994
Head Start Act Amendments of 1994 - Amends the Head Start Act to reauthorize and revise Head Start programs. (Sec. 2) Requires the Secretary of Health and Human Services (HHS) to establish quality standards for Head Start agencies and programs, including standards for performance in providing required health, education, parental involvement, social, and other services, for administrative and financial management, and for facilities' condition and location. Provides for monitoring and for corrective actions or terminations if minimum standards are not met. (Sec. 3) Eliminates a provision freezing regulations. Provides that terminations, reductions, or suspensions of financial assistance upheld in administrative hearings shall not be stayed pending any judicial appeal. (Sec. 4) Revises classroom teacher qualifications and waiver requirements. Directs the Secretary to: (1) provide technical assistance and training to enable Head Start agencies to establish positions for mentor teachers; and (2) review and revise standards for family service workers, and promote model curricula and credentials for such workers. Authorizes the Secretary to establish a program of Head Start Fellowships for staff in local Head Start programs and other individuals working in the field of child development and family services. Provides for placement in appropriate settings. Directs the Secretary to develop model staffing pattern plans to guide local Head Start agencies and programs. (Sec. 5) Sets forth goals and priorities for training and technical assistance. (Sec. 6) Allocates funds for program expansion. (Sec. 7) Authorizes the Secretary to allow certain amounts to be allocated to quality improvement activities (in addition to the required 25 percent portion of appropriations). Sets forth goals and authorized activities for which quality improvement funds are to be used. (Sec. 8) Requires each Head Start agency to coordinate with schools and promote parental involvement to facilitate children's transition from program to school. Directs the Secretaries of HHS and of Education to assess results of demonstration projects under the Head Start Transition Project Act and provide technical assistance to communities to implement promising practices from those demonstrations. Extends the set-aside for the Head Start Transition Project Act. (Sec. 9) Directs the Secretary to carry on a continuing program of research, demonstrations, and evaluations of Head Start programs, and to report on such activities. (Sec. 10) Establishes programs for families with infants and toddlers. Directs the Secretary to make grants for: (1) programs providing family-centered services for low-income families with very young children, designed to promote child development, parental role fulfillment, and movement toward self-sufficiency; and (2) evaluation of, and training and technical assistance for, projects under the Comprehensive Child Development Centers Act of 1988. (Repeals the latter Act because its functions are being consolidated under the Head Start Act.) (Sec. 11) Revises parental involvement considerations with respect to designation of new Head Start agencies well as functions of such agencies. Requires agencies to offer family literacy services and parenting skills training to parents of participating children. Allows agencies also to opt to offer such parents parental social self-sufficiency training, substance abuse counseling, or other partnership in education activities. Requires a family needs assessment, including consultation with the parents, for each participating family. (Sec. 12) Authorizes appropriations. (Sec. 13) Revises the poverty line definition. Updates hold-harmless provisions for Indian and Migrant programs. Specifies that each Head Start program may use Head Start funds for full-day and full-year services and shall be permitted to provide more than one year of services to eligible children in the State.
United States · United States Congress · 10 February 1994
Repeals the Cuban Adjustment Act.
United States · United States Congress · 10 February 1994
TABLE OF CONTENTS: Title I: Interdiction Title II: Alien Smuggling Title III: Employment Title IV: Government Benefits Title V: Criminal Aliens Title VI: Terrorist Aliens Title VII: Inspections Title VIII: Asylum Illegal Immigration Control Act of 1994 - Title I:Interdiction - Directs the Attorney General to install additional physicial barriers in high illegal-entry border areas. (Sec. 102) Authorizes appropriations for additional Border Patrol personnel. (Sec. 103) Directs the Attorney General and the Commissioner of the Immigration and Naturalization Service (INS) to: (1) implement an interior repatriation program for illegal aliens who have been deported at least three times; and (2) increase border detention facilities. (Sec. 104) Authorizes the transfer of closed military bases to be used as Federal incarceration facilities for illegal aliens. (Sec. 105) Authorizes the Attorney General to require vessels to provide INS with port of entry notification. (Sec. 106) Directs the Commissioner to collect a user fee for each U.S. land entry. (Sec. 107) Establishes a Border Control Trust Fund. Title II: Alien Smuggling - Amends the Immigration and Nationality Act (the Act) to expand INS forfeiture authority for smuggling or harboring illegal aliens. (Sec. 202) Brings alien smuggling operations under the purview of the Racketeer Influenced and Corrupt Organizations (RICO) provisions. (Sec. 203) Amends the Act to increase penalties for certain alien smuggling offenses. (Sec. 204) Amends Federal law to authorize INS wiretaps for alien smuggling investigations. Title III: Employment - Amends the Act to revise alien employment documentation and employer verification provisions, including social security card enhancements. (Sec. 302) Authorizes appropriations for additional INS investigators. Title IV: Government Benefits - Prohibits direct Federal benefits (except for emergency medical care) or housing assistance to an alien who is not a permanent resident, a refugee, an asylee, or a parolee. (Sec. 402) Prohibits unemployment benefits to an alien who has not been granted INS work authorization. (Sec. 404) Authorizes appropriations for the Save System. (Sec. 405) Reduces Federal assistance by 20 percent to any locality that refuses to cooperate in the arrest and deportation of illegal aliens. (Sec. 406) Establishes a uniform vital statistics pilot program for three States with high numbers of undocumented aliens. Authorizes appropriations. Title V: Criminal Aliens - Amends the Act to include aliens on criminal probation or criminal parole among the categories of aliens subject to special registration. (Sec. 502) Expands the definition of "aggravated felony." (Sec. 503) Expedites deportation proceedings for specified criminal aliens. (Sec. 504) Provides for judicial deportation of aliens convicted of an aggravated felony. (Sec. 505) Restricts specified deportation defenses. (Sec. 508) Directs the Commissioner to operate a criminal alien tracking center. Authorizes appropriations. (Sec. 509) Directs the Secretary of State and the Attorney General to study the use and effectiveness of the Prisoner Transfer Treaty with Mexico to remove convicted aliens from the United States. Title VI: Terrorist Aliens - Amends the Act to establish procedures for the removal of alien terrorists, including a special court to hear such cases. (Sec. 602) Makes membership in a terrorist organization a basis for U.S. exclusion. Title VII: Inspections - Directs the Attorney General to establish: (1) specified numbers of preinspection stations at foreign airports identified as last departure points for the greatest numbers of U.S.-arriving passengers and at those with the greatest numbers of U.S.-arriving undocumented aliens; and (2) an air carrier consultant program. (Sec. 702) Provides for the training of airline personnel in fraudulent document detection. (Sec. 703) Amends Federal law to increase specified passport and visa penalties. Title VIII: Asylum - Amends the Act to revise asylum procedures. (Sec. 802) Sets forth mandatory and discretionary conditions for granting provisional asylum.