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Bill· HRH.R. 2119 (103rd)open
United States · United States Congress · 13 May 1993
Immigration Enforcement Review Commission Act - Establishes the Immigration Enforcement Review Commission, composed of a Board of Commissioners, an Investigations Office, and a Community Outreach Office. States that the Commission shall: (1) investigate civil rights abuse complaints against the Immigration and Naturalization Service and the Customs Service or their employees; and (2) make policy recommendations as appropriate.
Bill· HRH.R. 2115 (103rd)referred
United States · United States Congress · 12 May 1993
Waives certain naturalization requirements under the Immigration and Nationality Act with regard to a named individual.
Bill· HRH.R. 2084 (103rd)passed
United States · United States Congress · 11 May 1993
Declares a named individual to have been lawfully admitted to the United States for permanent residence under the Immigration and Nationality Act.
Bill· SS. 926 (103rd)referred
United States · United States Congress · 7 May 1993
Declares three named individuals to have been lawfully admitted to the United States for permanent residence under the Immigration and Nationality Act.
Bill· HRH.R. 2041 (103rd)open
United States · United States Congress · 6 May 1993
Terrorist Interdiction Act of 1993 - Directs the Secretary of State to implement an automated visa lookout system (system). Gives the Department of State access to the National Crime Information Center and other Federal Bureau of Investigation criminal records for passport, visa, and other immigration related matters. Amends the Immigration and Nationality Act to make membership in a terrorist organization a ground for exclusion from admission into the United States. Requires a U.S. consular official, before issuing a visa to an alien for U.S. admission, to certify that a check of the system has been made and that there is no basis for such alien's exclusion.
Bill· HRH.R. 2018 (103rd)referred
United States · United States Congress · 6 May 1993
Prohibits an eligible State from receiving State Legalization Impact Assistance Grants until the Immigration and Naturalization Service and the United States Border Patrol certify that the State is cooperating in the apprehension, detention, and transfer of illegal immigrants.
Bill· HRH.R. 1999 (103rd)open
United States · United States Congress · 5 May 1993
Amends the Legislative Branch Appropriations Act, 1993 to make State workers' compensation laws the exclusive remedy for agricultural worker injuries under the Migrant and Seasonal Agricultural Worker Protection Act for all cases in which a final judgment has not been entered before October 6, 1992.
Bill· HRH.R. 1975 (103rd)referred
United States · United States Congress · 4 May 1993
Authorizes the granting of a visa and admission to the United States for permanent residence pursuant to the Immigration and Nationality Act to a named individual.
Bill· SS. 835 (103rd)referred
United States · United States Congress · 28 April 1993
Declares a named individual to have been lawfully admitted to the United States for permanent residence under the Immigration and Nationality Act.
Law· HRH.R. 1758 (103rd)enacted
United States · United States Congress · 21 April 1993
Codifies existing Federal transportation law relating to: (1) the Department of Transportation; (2) the National Transportation Safety Board; (3) general and intermodal programs; (4) interstate commerce; (5) rail programs; (6) motor vehicle and driver programs; (7) aviation programs; (8) pipelines; (9) commercial space transportation; (10) bills of lading; (11) contraband; (12) damage to transported property; (13) transportation of animals; (14) payments for inspection and quarantine services; and (15) medals of honor. Sets forth provisions relating to: (1) ports of entry for civil aircraft; (2) customs violations, including public health, immigration, and controlled substances violations; (3) animal and plant quarantines; and (4) exempting mass transportation from Interstate Commerce Commission jurisdiction. Repeals various Acts of Congress relating to Federal transportation law.
Bill· HRH.R. 1690 (103rd)referred
United States · United States Congress · 5 April 1993
Directs the Secretary of the Interior to establish and administer a Yakima River Basin Water Conservation Program for the purpose of evaluating and implementing measures to improve the availability of water supplies for irrigation and the protection and enhancement of fish and wildlife resources, including wetlands, while improving the quality of water in the Yakima River basin. Authorizes the Secretary to make grants to eligible entities for the purpose of carrying out this Act. Directs the Secretary to establish the Yakima River Basin Conservation Advisory Group to provide assistance with respect to the Program. Authorizes appropriations to carry out the Program. Provides for the implementation by the Yakima Indian Nation of: (1) an irrigation demonstration project on the Yakima Indian Reservation that shall provide for the construction of distribution and on-farm irrigation facilities to use water savings resulting from system improvements to the Wapato Irrigation Project; and (2) a Toppenish Creek corridor enhancement project to demonstrate integration of management of agricultural, fish, wildlife, and cultural resources to meet tribal objectives. Authorizes appropriations to the Secretary for initiation, operation, and maintenance of such projects and for implementation of system improvements to the Wapato Irrigation Project. Details the instream flows the Secretary is required to provide through the Yakima Project Superintendent, requiring flow increases (obtained through voluntary sale and leasing of water or water rights) to facilitate anadromous fish migration. Dedicates water savings resulting from improvements to the Wapato Irrigation Project to fish, wildlife, and on-reservation irrigation. Authorizes appropriations for Chandler Power Canal operations for the delivery of water to the Kennewick Division. Authorizes appropriations for: (1) modifying the radial gates at Cle Elum Dam to provide additional storage capacity in Lake Cle Elum; (2) providing for shoreline protection of the Lake; (3) constructing juvenile fish passage facilities at the Dam; (4) operation and maintenance responsibilities of the Federal Government for the Dam; and (5) environmental mitigation. Provides for the enhancement of water supplies for Yakima River Basin tributaries for fish and wildlife and irrigation purposes. Requires a study to determine the measures to be implemented to enhance water supplies for such purposes on Taneum Creek. Authorizes appropriations for such enhancement and for the Taneum Creek study. Makes implementation of this Act contingent upon compliance by the Secretary with the National Environmental Policy Act of 1969. Authorizes appropriations for environmental compliance activities.
Bill· SS. 760 (103rd)referred
United States · United States Congress · 2 April 1993
Provides for the classification of a named individual as a child within the meaning of the Immigration and Nationality Act.
Bill· HRH.R. 1679 (103rd)open
United States · United States Congress · 2 April 1993
Asylum Reform Act of 1993 - Amends the Immigration and Nationality Act with respect to nonrefoulement and asylum.
Bill· HRH.R. 1623 (103rd)referred
United States · United States Congress · 1 April 1993
Applies the immigration laws of the United States to the Northern Mariana Islands.
Bill· HRH.R. 1644 (103rd)referred
United States · United States Congress · 1 April 1993
Authorizes the granting of a visa and admission to the United States for permanent residence pursuant to the Immigration and Nationality Act to two named individuals.
Bill· HRH.R. 1620 (103rd)referred
United States · United States Congress · 1 April 1993
Prohibits direct Federal financial benefits and unemployment assistance to illegal aliens and eliminates Federal requirements for provision of State benefits to such persons.
Bill· SS. 684 (103rd)referred
United States · United States Congress · 31 March 1993
TABLE OF CONTENTS: Title I: National Health Care Program Title II: Benefits and Provision of Services Subtitle A: Scope of Services Subtitle B: Provision of Services Title III: Revenue Subtitle A: Budget Process Subtitle B: Payments to Health Care Providers Subtitle C: Sources of Revenue Title IV: Administration Subtitle A: Federal Administration Subtitle B: State and Local Administration Title V: Transition and Relationship to Other Programs Title VI: Miscellaneous Provisions National Health Care Act of 1993 - Title I: National Health Care Program - Establishes a national health care program involving payments to States for State programs that provide covered services to individuals. Provides for approval or disapproval of State programs by the Administrator of the National Health Care Administration (established under title IV of this Act). Makes eligible for enrollment an individual who: (1) maintains a primary residence in the State; and (2) is a U.S. citizen or national, a lawful resident alien, or an eligible alien nonimmigrant. Requires each State program to provide an enrollment mechanism, including: (1) a process for automatic enrollment at birth or immigration; and (2) issuance of a card for identification and claims processing. Provides for portability of coverage and reimbursement. Title II: Benefits and Provision of Services - Subtitle A: Scope of Services - Declares that covered services are all medically necessary services, except as provided, that contribute to the physical, mental, or psychosocial health of an individual or family. Lists included and excluded services. Prohibits States from limiting covered services on the basis of preexisting conditions. Sets forth eligibility criteria for: (1) long-term care services; (2) hospice care services; and (3) services provided in schools, work places, and assisted living programs. Allows State programs to provide, at non-Federal expense, additional services not specifically excluded. Prohibits duplicative private insurance. Allows private insurance for uncovered services. Subtitle B: Provision of Services - Requires States to: (1) include procedures for certification and licensing of participating health care providers; (2) regulate providers and ensure compliance with quality assurance standards, consumer protection standards, and other Federal and State law; and (3) debar providers from payment for repeated violations or convictions for an offense involving medical malpractice. Allows State programs to implement innovative delivery systems. Requires State approval or disapproval of health plans as Integrated Health Service Plans (IHSPs). Defines an IHSP as a nonprofit, consumer-controlled health plan that provides all covered services and operates as a single organization in the health care facilities of the organization. Mandates establishment of State long-term care coordination agencies (LTCCAs) to ensure a continuum of care. Makes LTCCAs responsible for screening all potential long-term care recipients and authorizing services. Sets forth requirements for the services provided. Applies specified provisions of title XVIII (Medicare) of the Social Security Act to this Act. Prohibits discrimination in the provision of services on the basis of race, color, religion, sex, national origin, age, health condition, sexual preference, income, language, or geographic residence in an urban or rural area within the State. Title III: Revenue - Subtitle A: Budget Process - Requires the Administrator to annually establish a national health budget and, for each State, a State health budget. Specifies factors on which State budgets must be based, including population and price differences. Prohibits expenditures in the national budget from exceeding expenditures for the preceding year, adjusted by the percentage increase in the gross national product. Requires inclusion of amounts in national and State budgets for capital expenditures and direct medical education expenses. Subtitle B: Payments to Health Care Providers - Requires State programs: (1) to provide for a timely and administratively simple mechanism for provider payment; (2) in order to avoid fragmented care and promote a continuum of services, to develop financial incentives in payment methods; (3) to limit acquisition of highly specialized or expensive medical equipment; and (4) to establish schedules and incentives to encourage the provision of services in rural and health professional shortage areas. Requires providers who receive program payments to accept the amount recognized under the State program as payment in full. Requires: (1) payment for institutional care through annual prospective budgeting; and (2) each hospital to receive prospectively a global budget developed through negotiations. Allows hospitals to raise private funds. Requires subsidies in health professional shortage areas. Allows: (1) States to determine whether to pay other health care facilities by prospective global budget or per capita fee; and (2) per diem reimbursement for certain services. Requires subsidies for rural essential facilities. Requires that payment to individual providers be on a fee-for-service basis based on State-established (after negotiations) payment schedules and on a national relative value scale. Allows alternative payment mechanisms not exceeding the standard method. Allows group practices to elect to be paid prospectively on a per capita basis. Requires payment to IHSPs (except for inpatient and hospital services) to be paid prospectively on a per capita basis or by a negotiated global budget, as determined by the State agency. Provides for the establishment, by the Administrator, of a list of approved prescription drugs and biologicals, as well as a list of approved durable medical equipment and devices, that are necessary for the maintenance or restoration of health. Requires the head of each State agency to establish a State Payment Grievance Board, allowing use by providers denied payment and to consumers for whom a provider has determined that a requested service is not medically necessary. Subtitle C: Sources of Revenue - Amends the Internal Revenue Code to increase individual, estate and trust, corporate, and minimum tax rates. Increases tax rates on, and imposes taxes on floor stocks of, cigarettes, distilled spirits, certain wines, and beer. Imposes additional: (1) payroll taxes on employees and employers; and (2) taxes on self-employment income. Makes similar changes to railroad retirement tax provisions. Provides for the treatment of: (1) the applicable contribution base; and (2) certain State and local employees. Terminates certain hospital insurance taxes currently applicable to employees, employers, and self-employed individuals. Imposes a tax equal to the amount an employer would have paid for individual or family coverage of retired employees under group health plans in existence on a specified date. Terminates the tax after 2012. Excludes from gross income amounts received for injuries or sickness through the national program (currently, through accident or health insurance). Terminates the exclusion from gross income of amounts received through such insurance. Repeals provisions excluding from gross income employer-provided accident or health plan coverage. Removes provisions specifying the circumstances in which a cafeteria plan shall not be treated as discriminatory. Replaces provisions regarding health insurance costs of self-employed individuals with provisions allowing a deduction for employer expenses for on-site employee first aid. Repeals provisions: (1) allowing deductions for medical expenses; and (2) relating to the provision by pension or annuity plans of medical benefits for retired employees and their spouses and dependents. Terminates the deduction for health insurance which includes at least one child. Increases the portion of social security benefits and tier 1 railroad retirement benefits which must be included in gross income. Reduces related income thresholds. Mandates a national health care program premium for persons over 64 years old, determined according to certain provisions of title XVIII (Medicare) of the Social Security Act plus a specified amount. Reduces the premium for low-income persons. Makes each State responsible for establishing a financing program for the State program. Declares that, notwithstanding any other provision of this Act, no individual is eligible for services under this Act unless the State of residence makes available amounts, determined under a specified formula, in addition to State health block grant funds. Requires each State to make available all State health block grant funds, including funds made available under title V (Maternal and Child Health Services Block Grants) of the Social Security Act. Requires each State program to impose cost-sharing for specified services, except for low-income consumers. Establishes the National Health Care Trust Fund (Fund) and transfers to it: (1) the additional revenues resulting from this Act; and (2) unobligated amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Authorizes additional appropriations. Authorizes and appropriates payments to each State. Declares that amounts in the Fund shall be available for grant programs relating to health care services. Prohibits inclusion of the receipts and disbursements of the Fund and the additional taxes resulting from this Act in the Federal budget and exempts such amounts from any general budget limit. Title IV: Administration - Subtitle A: Federal Administration - Establishes a National Health Care Administration as an independent establishment, mandating an Administrator appointed by the President with the advice and consent of the Senate. Mandates establishment, directly or through grants or contracts, of ombudsman programs, complaint hotlines, and consumer and provider information and education programs. Establishes a national health care data base, requiring it to include information on the quality, effectiveness, utilization, and cost of covered services. Establishes the National Health Board to advise the Administrator. Requires appointment of the Board by the President, with the advice and consent of the Senate. Establishes the National Council on Quality Assurance and Consumer Protection to conduct studies and oversight and prepare recommendations. Authorizes appropriations. Establishes the Medical Malpractice Commission to conduct a study and prepare recommendations. Authorizes appropriations. Amends title XI (General Provisions and Peer Review) of the Social Security Act to require that utilization and quality control peer review organizations be composed of: (1) health care providers (currently, doctors of medicine and osteopathy) engaged in providing covered services under this Act (currently, engaged in the practice of medicine or surgery); and (2) health care providers representative of the groups of health care providers providing services under the Act, with no group providing a majority. Requires such organizations to make recommendations regarding quality assurance standards under this Act. Establishes Peer Review Organization Consumer Boards (Consumer Boards) within geographic regions specified by the Administrator to: (1) conduct annual evaluations of such peer review organizations, including making recommendations for awards of contracts; and (2) carry out consumer education programs. Authorizes appropriations. Replaces certain references to titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, or to the Social Security Act as a whole, with references to this Act. Establishes the Public Health Functions and Activities Commission to study and report to the Administrator regarding: (1) public health functions and activities that should remain separate from the national health care program; and (2) integration of public health programs into the national health care program. Authorizes appropriations. Requires provision on a regional basis, directly or through contracts, of technical assistance centers. Subtitle B: State and Local Administration - Requires a State to designate a State agency (agency) to be the sole State agency to carry out the State program under this Act. Requires each: (1) agency to establish a State planning board; and (2) State to establish local planning boards. Title V: Transition and Relationship to Other Programs - Repeals titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Repeals certain provisions of Federal law concerning: (1) the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); (2) medical care and medical facilities relating to veterans; and (3) Federal employees' health benefits. Requires provision of covered services to eligible individuals not enrolled in the program through the Indian Health Service in lieu of health services provided by the Service on the date of enactment of this Act. Mandates grants to States planning and developing State programs. Authorizes appropriations. Requires a study of strategies for accomplishing transitions under this Act. Gives the study's recommendations the force of law unless the Congress disapproves within a specified time. Provides for the rules governing congressional consideration of a disapproval resolution, specifying that these provisions are enacted as an exercise in the rule making power of the House of Representatives and the Senate and retaining the right of either House to change the rules as any other rule of that House. Supersedes provisions of the Employee Retirement Income Security Act to the extent they are inconsistent with this Act. Title VI: Miscellaneous Provisions - Declares that it is the sense of the Congress that consumers in the national health care program shall have specified rights set forth in a bill of rights. Requires the Administrator to make grants for research projects. Mandates grants to establish: (1) innovative statewide or local prevention and health promotion programs; and (2) health awareness programs in schools, work places, and health and social agencies. Amends the Job Training Partnership Act to include within the definition of "eligible dislocated workers" individuals who have been terminated from their jobs as a result of reductions in health insurance industry jobs due to the establishment of the national health care program under the National Health Care Act of 1993.
Bill· HRH.R. 1521 (103rd)open
United States · United States Congress · 30 March 1993
TABLE OF CONTENTS: Title I: Political Relationship Title II: Applicability of Federal Law Title III: Foreign Affairs and Defense Title IV: Courts Title V: Trade Title VI: Taxation Title VII: Immigration Title VIII: Labor Title IX: Transportation and Telecommunications Title X: Land, Natural Resources and Utilities Title XI: United States Financial Assistance Title XII: Technical Amendments and Interpretation Guam Commonwealth Act - Title I: Political Relationship - (Sec. 101) Creates the Commonwealth of Guam. Grants the people of Guam the right of full self-government through adoption of a Constitution and within specified guidelines. (Sec. 102) Recognizes the right of self-determination of the people of Guam. Directs the U.S. Government to promote preservation of the Chamorro culture, enhanced economic, social, and educational opportunities for Chamorros, and training of Chamorros for employment. Directs Guam to establish a land trust for the benefit of the indigenous Chamorro people and to establish residency requirements under the Constitution of Guam for voting and holding elective office. (Sec. 103) Allows this Act to be modified only with the mutual consent of the Governments of the United States and Guam. Title II: Applicability of Federal Law - (Sec. 201) Makes specified provisions of, and amendments to, the U.S. Constitution applicable to Guam. (Sec. 202) Makes Federal laws, rules, or regulations passed after the date of this Act inapplicable unless mutually consented to by the Governments of the United States and Guam. (Sec. 203) Creates the Joint Commission on the Applicability of Federal Law. (Sec. 204) Authorizes the President to delegate to the Governor of Guam performance of functions now vested in Federal administrative agencies. Title III: Foreign Affairs and Defense - (Sec. 301) Grants the United States responsibility for authority with respect to matters relating to foreign affairs and defense that affect Guam. (Sec. 302) Prohibits the establishment of military security zones or the stationing of foreign military personnel on the Island of Guam without the approval of the Government of Guam except in time of declared war, or the establishment of military bases without consultation with the Governor. (Sec. 304) Prohibits the United States from using Guam or the water surrounding it for the dumping or storage of nuclear waste or hazardous chemicals. Provides for the clean up by the United States of chemical dump sites used by the military. Requires the United States to compensate any person injured as a result of hazardous materials stored, used, or disposed of by the U.S. Government in Guam or its waters. Title IV: Courts - (Sec. 401) Specifies provisions governing the relations between U.S. courts and the local courts of Guam, the jurisdiction of the District Court of Guam, and the applicable district court rules. (Sec. 404) Provides for the appointment of a judge for the District Court of Guam, a U.S. attorney, and a U.S. marshal for Guam. Title V: Trade - (Sec. 501) Establishes a Guam-United States free trade area. Authorizes Guam to impose, increase, reduce, or eliminate duties and other restrictions on certain imports and exports. Title VI: Taxation - (Sec. 601) Makes U.S. income tax laws applicable to Guam. Deems such laws to impose a separate tax to be known as the Guam Commonwealth income tax. (Sec. 603) Allows the Government of Guam to provide for the rebate or reduction of taxes in order to assist new industries or economic development. (Sec. 604) Grants Guam the power to determine the nature and amount of taxes imposed upon the income and property of persons within its jurisdiction. Repeals applicable U.S. tax laws one year after Guam has enacted a replacement comprehensive local income tax. (Sec. 605) Exempts all bonds or other obligations issued by Guam from taxation by Federal, State, or local governments of the United States. Title VII: Immigration - (Sec. 701) Applies the Immigration and Nationality Act and pertinent Federal regulations to Guam for two years from enactment of this Act. Directs Guam to enact a comprehensive law on immigration to become effective at the end of the two-year period. (Sec. 702) Authorizes U.S. consular officials to issue visas for travel only to Guam for any alien seeking to enter Guam as a non-immigrant in order to encourage investors and tourists to come to Guam. Title VIII: Labor - (Sec. 801) Grants preference to qualified residents of Guam in all Federal civil service vacancies occurring in Guam. (Sec. 802) Grants Guam the authority to enact and enforce all laws regulating or affecting employment in Guam. Title IX: Transportation and Telecommunications - (Sec. 901) Precludes application of any U.S. law barring the U.S. registration and use of any foreign-built vessel within the waters around Guam for any purpose. Exempts from the coastwise laws of the United States any shipment of fish or fish products from Guam to any U.S. coastwise destination. Directs the Commission to examine the applicability of such laws and to recommend their termination upon determining that such laws constrain Guam's economic development. (Sec. 902) Authorizes the Governor of Guam to sponsor any qualified air service carrier to come to Guam, subject to presidential consultation concerning U.S. foreign policy and security interests. Exempts Guam from all bilateral treaties between the United States and foreign states with respect to scheduling and technical specifications of aircraft, other than safety requirements. (Sec. 903) Defines Guam as "domestic" for Federal Communications Commission rate setting purposes. Title X: Land, Natural Resources and Utilities - (Sec. 1001) Grants the Government of Guam the power of eminent domain. (Secs. 1001, 1002) Sets limits on U.S. acquisition of real property on Guam. Exempts Guam from Federal regulations governing the transfer or sale of excess Federal real property. Provides for the transfer of all excess Federal property to Guam, with specified exceptions. (Sec. 1003) Provides for access and use by the residents of Guam of certain retained Federal property, subject to military security requirements. (Sec. 1004) Directs the United States to transfer ownership of island utilities to Guam. Title XI: United States Financial Assistance - (Secs. 1101, 1102) Provides for the return of U.S. revenues from taxes and fees collected in Guam to the Government of Guam. Makes U.S. laws providing Federal benefits and financial assistance which are applicable to the States equally applicable to Guam. (Sec. 1104) Directs the Governor of Guam, in preparing an annual budget, to identify the costs and benefits to Guam brought about by its role as one of the principal U.S. military bases. (Sec. 1105) Provides for assistance to aid Guam's transition to a Commonwealth. Title XII: Technical Amendments and Interpretation - (Sec. 1203) Makes technical and conforming amendments. (Sec. 1204) Requires this Act to be submitted to the registered voters of Guam for ratification after being passed by the Congress. Repeals the Organic Act of Guam.
Bill· SS. 667 (103rd)open
United States · United States Congress · 29 March 1993
Port of Entry Inspections Improvement Act of 1993 - Amends the Immigration and Nationality Act to create grounds for exclusion of an alien who: (1) uses or attempts to use a fraudulent document to enter the United States, or to board a common carrier for such purpose; or (2) uses a document to board a common carrier and then fails to present such document to an immigration official upon arrival at a U.S. port of entry. Prohibits the granting of asylum to an alien who is found to be using fraudulent entry documents or who fails to present entry-related documents, unless a specially trained immigration officer determines such actions were pursuant to departure from a country: (1) in which the alien had a credible fear of persecution; or (2) from which there was a significant danger that the alien would be returned to a country in which he or she would have a credible fear of persecution. Provides for port of entry exclusion and deportation without administrative or judicial appeal (except by a limited petition of habeas corpus) for such admission document fraud. Increases penalties for certain alien smuggling offenses. Creates a separate offense and penalty for an alien smuggler who seriously injures or jeopardizes the life of an alien.
Bill· SS. 665 (103rd)referred
United States · United States Congress · 26 March 1993
Provides special immigrant status for certain nationals of Hong Kong or China working as journalists in Hong Kong.
Bill· HRH.R. 1496 (103rd)open
United States · United States Congress · 25 March 1993
Amends the Immigration and Nationality Act to include aliens on criminal probation or criminal parole among the categories of aliens subject to special registration.
Bill· SS. 644 (103rd)referred
United States · United States Congress · 24 March 1993
Declares a named individual to have been lawfully admitted to the United States for permanent residence under the Immigration and Nationality Act.
Bill· HRH.R. 1459 (103rd)open
United States · United States Congress · 24 March 1993
Criminal Aliens Deportation Act of 1993 - Amends the Immigration and Nationality Act to expand the definition of "aggravated felony." Provides for the expedited deportation of aliens convicted of aggravated felonies. Authorizes U.S. district courts, upon the Attorney General's request, to issue a deportation order at such an alien's sentencing. Restricts certain deportation defenses. Revises penalties for failing to depart, or reentering, after a final deportation order. Expands forfeiture provisions for smuggling or harboring illegal aliens.
Bill· HRH.R. 1478 (103rd)referred
United States · United States Congress · 24 March 1993
Authorizes the granting of visas and admission to the United States for permanent residence pursuant to the Immigration and Nationality Act to five named individuals.
Bill· SS. 631 (103rd)open
United States · United States Congress · 23 March 1993
TABLE OF CONTENTS: Title I: Managed Competition in Health Care Plans Subtitle A: Health Plan Purchasing Cooperatives Subtitle B: Accountable Health Plans (AHPs) Subtitle C: Federal Health Board Title II: Primary and Preventive Care Services Title III: Tax Incentives to Increase Health Care Access Title IV: Disclosure of Certain Information to Beneficiaries Under the Medicare and Medicaid Programs Title V: Cooperative Agreements Between Hospitals Title VI: Patient's Right to Decline Medical Treatment Title VII: Insurance Administration Simplification Title VIII: Child Health Care Title IX: Improving Access to Health Care for Rural and Underserved Areas Subtitle A: Revenue Incentives for Practice in Rural Areas Subtitle B: Public Health Service Act Provisions Title X: Primary and Preventive Care Providers Title XI: Malpractice Reform Title XII: Medicare Preferred Provider Demonstration Projects Title XIII: Treatment and Outcomes Research Title XIV: Long-Term Care Subtitle A: Tax Treatment of Qualified Long-Term Care Insurance Policies Subtitle B: Tax Incentives for Purchase of Qualified Long-Term Care Insurance Subtitle C: Medicaid Amendments Title XV: Financing Title XVI: Responsibilities Under Uniform Set of Effective Benefits Title XVII: Enforcement Provisions Comprehensive Access and Affordability Health Care Act of 1993 - Title I: Managed Competition in Health Care Plans - (Sec. 100) Mandates grants to States for the costs under this title. Authorizes appropriations. (Sec. 101) Requires States to establish Health Plan Purchasing Cooperatives (HPPCs) to: (1) make agreements with Accountable Health Plans (AHPs); (2) make agreements with small employers; (3) enroll individuals in AHPs; (4) receive premiums and forward the premiums to AHPs; and (5) coordinate with other HPPCs. (Sec. 104) Requires HPPCs to: (1) distribute comparative AHP information; and (2) add a percentage to premiums to cover the HPPCs' budgets. (Sec. 111) Requires that an AHP: (1) offer the uniform set of effective benefits specified by the Federal Health Board; (2) not discriminate on the basis of health status, claims, or lack of evidence of insurability (regulates preexisting condition exclusions); (3) establish standard premiums; (4) meet solvency protection requirements; and (5) have a grievance procedure for enrollees, restrict physician incentive plans, and meet requirements regarding advance directives. (Sec. 118) Sets forth additional requirements for open AHPs: (1) an agreement with a HPPC; (2) open enrollment; and (3) for "eligible organizations" under title XVIII (Medicare) of the Social Security Act, having a Medicare risk sharing contract for offering benefits to Medicare beneficiaries. Amends the Omnibus Budget Reconciliation Act of 1990 to make existing provisions relating to Medicare select policies effective after a specified date. (Currently, the provisions apply only in 15 States and only during a specified period.) Requires open AHPs to participate in the Federal Employees Health Benefits Program (FEHBP). Prohibits enrollment in a plan under FEHBP unless it is an AHP. Regulates the Federal FEHBP contribution. (Sec. 119) Requires an AHP that does not meet specified requirements of this title to pay the Board amounts as required to put the AHP in the same financial position as the AHP would have been in if it had meet the requirement. (Sec. 120) Preempts State laws or regulations regarding AHPs. (Sec. 121) Limits State restrictions on network plans (plans that: (1) limit coverage to benefits provided by participating providers; or (2) allow the use of non-participating providers, imposing higher cost sharing). (Sec. 122) Preempts State laws or regulations prohibiting or regulating activities under a utilization review program. (Sec. 131) Establishes the Federal Health Board, to be appointed by the President with the advice and consent of the Senate. (Sec. 132) Requires that the uniform set of effective benefits specified by the Board include the full range of: (1) treatment for any condition if the treatment reasonably improves or significantly ameliorates the condition; and (2) preventive services, including counseling. Mandates guidelines concerning nondiscrimination towards individuals with, and coverage for treatment of, severe mental illnesses. Requires uniform deductibles and cost-sharing. (Sec. 133) Requires the Board to establish as nonprofit corporations the Health Benefits and Data Standards Board and the Health Plan Standards Board to make recommendations to the Board. Provides funding through annual AHP registration fees. (Sec. 135) Provides for waivers to permit a State to use funds under title XIX (Medicaid) of the Social Security Act to enroll individuals in an AHP. (Sec. 136) Mandates: (1) rules for risk adjustment of premiums among AHPs by HPPCs; and (2) standards for information reporting by AHPs. (Sec. 138) Requires analysis, rating, and publication regarding the quality of care provided by specialized centers of care. (Sec. 139) Mandates a report on: (1) the extent that AHP enrollees have greater health service needs than the population of those eligible to enroll; (2) methods for reducing adverse impacts resulting from such adverse selection; and (3) the impact of requiring all eligible individuals to enroll. Title II: Primary and Preventive Care Services - (Sec. 201) Authorizes grants: (1) to States for coordinated, multidisciplinary, and comprehensive primary health care and social services for pregnant women and infants; and (2) for the development of model health and nutrition curricula for children in primary and secondary education. Authorizes appropriations. (Sec. 202) Amends the Public Health Service Act to authorize appropriations for: (1) immunization programs; (2) tuberculosis and sexually transmitted disease prevention programs; (3) migrant and community health centers; (4) health services for the homeless; (5) family planning services; (6) breast and cervical cancer prevention; (7) preventive health and health services block grants; and (8) early intervention services regarding human immunodeficiency virus (HIV) disease. Amends title V (Maternal and Child Health Services Block Grant) of the Social Security Act to authorize appropriations to improve the health of all mothers and children. (Sec. 203) Amends the Elementary and Secondary Education Act of 1965 to replace provisions relating to school health education with provisions mandating grants to States for local programs of comprehensive health education and prevention, early health intervention, and health education in elementary and secondary schools. Establishes the Office of Comprehensive School Health Education. Authorizes appropriations. (Sec. 204) Mandates grants to Head Start training agencies for training and technical assistance regarding health education to Head Start teachers and other child care providers. Reserves funds for the development of innovative model health education programs or curricula. Authorizes appropriations. (Sec. 205) Considers, for purposes of Internal Revenue Code provisions relating to medical care deductions, qualified expenditures for disease prevention and health promotion programs to be amounts paid for medical care. (Sec. 206) Mandates grants to States for assistance to businesses with not over 100 employees for the establishment and operation of work site employee wellness programs. Authorizes appropriations. Title III: Tax Incentives to Increase Health Care Access - (Sec. 301) Amends the Internal Revenue Code to allow a credit for a percentage of accountable health plan costs (amounts paid by individuals for insurance which constitutes Medicare) limited to the reference premium amount applicable in a HPPC area. Allows employers to make advance payments of such costs for employees with eligibility certificates. Coordinates such credit with other health insurance credits and deductions. Terminates the health insurance credit under earned income provisions. (Sec. 302) Disallows a deduction for the excess health plan expenses of any employer. (Sec. 303) Increases and makes permanent the deduction for health insurance costs of self-employed individuals from 25 percent to 100 percent. Limits such deduction to accountable health plan costs. (Sec. 304) Sets forth special rules for the deduction for health plan premium expenses. (Sec. 305) Excludes from the gross income of an employee employer-provided basic coverage under an accountable health plan. Title IV: Disclosure of Certain Information to Beneficiaries under the Medicare and Medicaid Programs - (Sec. 401) Amends title II (Old Age, Survivors, and Disability Insurance) (OASDI) of the Social Security Act to mandate regulations requiring each provider receiving payment under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to: (1) make available to service recipients an annual report regarding rates of mortality and nosocomial infection, frequently-performed tests, and malpractice claims; (2) make certain information available before an invasive procedure or treatment is performed; and (3) inform individuals of their right to refuse information and treatment, to refuse provider attendance, and to leave the premises. (Sec. 402) Authorizes grants for outreach activities to inform Medicare beneficiaries of the information. Authorizes appropriations. Mandates a Medicaid outreach program. Title V: Cooperative Agreements Between Hospitals - (Sec. 502) Amends the Public Health Service Act to authorize the Attorney General to waive antitrust laws to permit hospitals to enter into cooperative agreements to share medical or high technology equipment or services, including drugs, devices, medical and surgical procedures, and organizational and support systems. Title VI: Patient's Right to Decline Medical Treatment - (Sec. 601) Prohibits State restrictions, except to protect a third party, on the right of: (1) a competent person to consent to or decline medical treatment; or (2) an incompetent person to consent to or decline medical treatment through mandated national forms containing advance directives and durable powers of attorney. Requires all health care providers to honor the forms. Shields providers who act in good faith from criminal or civil liability or professional discipline. Denies Medicare and Medicaid payment for services contrary to advance directives. (Sec. 603) Declares that this title does not permit, condone, authorize, or approve suicide or mercy killing or any affirmative act to end a human life. (Sec. 605) Requires conforming changes to policies relating to Medicare and Medicaid advance directives provisions. (Sec. 606) Requires that information on an individual's right to consent to or decline treatment be provided periodically to beneficiaries under titles II (Old Age, Survivors, and Disability Insurance) (OASDI), XVI (Grants to States for Aid to the Aged, Blind, or Disabled), XVIII (Medicare), and XIX (Medicaid) of the Social Security Act. (Sec. 607) Mandates recommendations to the Congress concerning the medical, legal, ethical, social, and educational issues related to this title. Title VII: Insurance Administration Simplification - (Sec. 701) Amends the Social Security Act to create a new title on health insurance. Establishes the Health Insurance Standards Commission, requiring it to: (1) make recommendations regarding implementation of the title; and (2) develop a long-term plan for computerized billing and eligibility and uniform standards for electronic data interchange. Requires that the resulting system: (1) not be mandatory for a provider in a whole-county nonmetropolitan Health Professional Shortage Area; and (2) apply to participants under titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act. Title VIII: Children's Health Care - (Sec. 801) Establishes a program under which local educational agencies receiving Federal assistance are required to offer basic health insurance coverage to eligible students in schools. Sets forth student eligibility requirements, including: (1) being uninsured for at least six months; and (2) not being covered by title XIX (Medicaid) of the Social Security Act. Authorizes withholding from a noncomplying local educational agency a specified percentage of Federal educational assistance. (Sec. 802) Amends the Internal Revenue Code to allow a tax credit for qualified amounts paid for policies under this Act. Phases out the credit as income goes from 100 percent to 200 percent of the poverty line. (Sec. 803) Requires development of a single model uniform application form and process for benefits under the Special Supplemental Food Program (WIC Program) of the Child Nutrition Act of 1966, the Maternal and Child Health Service Block Grant Program (title V) of the Social Security Act, and Medicaid (the Programs). (Sec. 804) Mandates grants to not more than five States for demonstration projects to encourage women to obtain prenatal and well-baby care under the Programs. (Sec. 805) Authorizes appropriations to carry out this title. Title IX: Improved Access to Health Care for Rural and Underserved Areas - (Sec. 901) Amends the Internal Revenue Code to allow a tax credit for service by a physician, physician assistant, or nurse practitioner who: (1) provides primary health services to individuals in a rural health professional shortage area; and (2) is not receiving a National Health Service Corps scholarship or loan repayment and is not fulfilling service obligations under those programs. Excludes National Health Service Corps loan repayments from gross income. Allows, with regard to elections to expense depreciable business assets, a higher aggregate cost to be taken into account for rural health care property in a rural health professional shortage area. Allows a deduction for interest paid on medical education loans by an individual performing services under an agreement to perform professional services in a rural community. Allows use of the deduction in computing adjusted gross income. (Sec. 911) Amends the Public Health Service Act to authorize appropriations to carry out provisions relating to the National Health Service Corps scholarship and loan repayment program. Earmarks certain portions to carry out provisions of this Act relating to federally qualified health centers (FQHCs). (Sec. 912) Mandates: (1) allotments to States for community based primary health care entities providing services to pregnant women and children to age three; and (2) grants to FQHCs and other entities for providing services for medically underserved populations or in high impact areas not currently served by an FQHC. Authorizes appropriations. Requires a study of the relationship and interaction between community health centers and hospitals in medically underserved areas. Authorizes appropriations. (Sec. 914) Authorizes grants for development and implementation of a plan for rural mental health outreach. Authorizes appropriations. (Sec. 915) Requires giving priority, in making grants under provisions of the Public Health Service Act relating to health professions education or to nurse education, to factors relating to medically underserved areas. Mandates grants to: (1) health professions institutions to expand training for individuals desiring to practice in or serve medically underserved communities; and (2) regional consortia to enhance and expand coordination among health professions programs, particularly in medically underserved rural areas. Authorizes appropriations. (Sec. 916) Authorizes grants for the development of networks among rural and urban health care providers to preserve and share resources and enhance the quality and availability of rural health care. Authorizes appropriations. (Sec. 917) Authorizes grants to develop and administer rural cooperatives to establish a case management and reimbursement system supporting the economic viability of essential public or private health services, facilities, health care systems, and resources. Requires the cooperative to: (1) facilitate negotiations among member providers and third party payers concerning reimbursement rates; (2) identify and implement a malpractice insurance program and pay a portion of the premiums of provider members; and (3) establish joint case management and patient care practice standards programs that members must meet in order to participate in the negotiations. Allows employers to join the cooperative in order to provide, through a third party payer, health insurance to their employees. Authorizes appropriations. Title X: Primary and Preventive Care Providers - (Sec. 1001) Amends Medicare provisions to modify or establish payment requirements regarding certified nurse midwives, nurse practitioners, clinical nurse specialists, and physician assistants. Mandates bonus payments for such individuals and for certified registered nurse anesthetists for service in health professional shortage areas. (Sec. 1002) Includes physician assistants, nurse practitioners, clinical nurse specialists, and certified registered nurse anesthetists in the Medicaid definition of "medical assistance" for which payment will be made. (Sec. 1003) Amends the Public Health Service Act to establish grants programs to: (1) provide medical (including osteopathic medical) students for programs to interest high school or college students in careers in general medical practice; and (2) develop strategies for recruiting and placing medical students interested in practicing general medicine. Authorizes appropriations. (Sec. 1004) Amends Medicare provisions to allow entities with approved medical residency training programs (as well as hospitals) to receive payments for direct medical education costs. Mandates payments for indirect costs of medical education. Modifies requirements regarding payments to hospitals for such indirect costs. Title XI: Malpractice Reform - Amends the Public Health Service Act to establish a program of grants to assist States in establishing prelitigation panels that identify claims of professional negligence that merit compensation, encourage resolution of meritorious claims prior to suit, and encourage withdrawal or dismissal of nonmeritorious claims. Authorizes appropriations. Title XII: Medicare Preferred Provider Demonstration Projects - (Sec. 1201) Provides for up to ten demonstration projects to test the effectiveness of providing payment under Medicare for primary and specialty procedures and services furnished by preferred provider organizations. Allows waiver of Medicare requirements as necessary. Title XIII: Treatment and Outcomes Research - (Sec. 1301) Authorizes establishment of a program for the conduct of clinical trials regarding promising new drugs and disease treatments. Authorizes appropriations. (Sec. 1302) Authorizes appropriations for the Agency for Health Care Policy and Research. Amends the Internal Revenue Code to impose a tax on health insurance premiums. Establishes the Trust Fund for Medical Treatment Outcomes Research and deposits the revenue from the tax in the Fund, making those amounts available for outcomes research. (Sec. 1303) Amends the Public Health Service Act to prohibit use of guidelines established by the Office of the Forum for Quality and Effectiveness in Health Care in any Federal or State action arising from health care services, except by a provider who is a party to the action. Requires, if introduced, that the guidelines establish a rebuttable presumption that the service prescribed by the guidelines is the appropriate standard of medical care. Title XIV: Long-Term Care - Subtitle A: Tax Treatment of Qualified Long-Term Care Insurance Policies - (Sec. 1403) Amends the Internal Revenue Code to provide for the treatment of qualified long-term care insurance as accident and health insurance for purposes of insurance company taxation. (Sec. 1404) Provides for the exclusion as a death benefit of any amount paid to an individual under a life insurance contract because such individual is terminally ill, has a dread disease, or has been permanently confined to a nursing home. Subtitle B: Tax Incentives for Purchase of Qualified Long-Term Care Insurance - (Sec. 1411) Allows a tax credit for a percentage of qualified long-term care premiums. (Sec. 1412) Allows a deduction for expenses relating to long-term care and an exclusion from gross income of benefits received from long-term care insurance. (Sec. 1414) Allows a deduction for employers of contributions made for long-term care insurance if any refund or premium is applied to reduce the future costs of the plan or increase its benefits. (Sec. 1415) Allows the inclusion of such insurance in cafeteria plans. (Sec. 1416) Excludes from gross income amounts withdrawn from individual retirement accounts and certain employer cash or deferred arrangements to pay long-term care premiums and expenses. Increases the amounts of deductible contributions to individual retirement plans. (Sec. 1417) Excludes from gross income amounts received from the surrender, cancellation, or exchange of any life insurance contract if such amounts are used to pay premiums for long-term care insurance. (Sec. 1418) Authorizes the tax-free use of the gain from the sale of a principal residence for the purchase of long-term health care insurance. Subtitle C: Medicaid Amendments - (Sec. 1421) Amends title XIX of the Social Security Act (Medicaid) to set forth eligibility requirements for long-term care benefits and to require coverage of home and community-based long-term care. Title XV: Financing - (Sec. 1501) Repeals the dollar limitation on the amount of wages subject to hospital insurance tax. Title XVI: Responsibilities Under Uniform Set of Effective Benefits - (Sec. 1601) Requires that employment-related health plans not: (1) deny or condition coverage based on health, claims, or lack of evidence of insurability of an individual; (2) discourage coverage of preexisting conditions; (3) impose waiting periods; and (4) apply differently to employees of different income levels. Requires employer contributions to be the same or higher for employees of a specified low income as for higher-income employees. (Sec. 1602) Requires that, to be eligible for Federal benefits, an individual possess health insurance meeting the standards of this title, except for enrollment under title XVIII (Medicare) of the Social Security Act, the veterans' health care program, the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS), the Indian health service program, and the Federal employees program. (Sec. 1603) Specifies the matters a self-insured health benefit plan must demonstrate in order to obtain certification as a health plan. (Sec. 1604) Requires providers, as a condition of participation in the health plan, to accept any payment specified by the Federal Health Board as full payment for the service performed. Title XVII: Enforcement Provisions - (Sec. 1701) Amends the Internal Revenue Code to set forth enforcement provisions for health plan carriers, providers, employers, and employees.
Bill· SS. 618 (103rd)referred
United States · United States Congress · 18 March 1993
Amends the Immigration and Nationality Act to authorize the nonimmigrant admission into the United States of certain alien students and visitors who are the spouses and children of U.S. permanent resident aliens.
Bill· SS. 584 (103rd)referred
United States · United States Congress · 16 March 1993
Authorizes the Attorney General to transfer equipment, artifacts, and memorabilia held by the Immigration and Naturalization Service, as well as real property held by the United States, to the Border Patrol Museum and Memorial Library Foundation (incorporated in the State of Texas).
Bill· HRH.R. 1355 (103rd)open
United States · United States Congress · 16 March 1993
Exclusion and Asylum Reform Amendments of 1993 - Amends the Immigration and Nationality Act to create grounds for exclusion of an alien who: (1) uses or attempts to use a fraudulent document to enter the United States, or to board a common carrier for such purpose; or (2) uses a document to board a common carrier and then fails to present such document to an immigration official upon arrival at a U.S. port of entry. Prohibits the granting of asylum to an alien who is found to be using fraudulent entry documents or who fails to present entry-related documents, unless a specially trained immigration officer determines such actions were pursuant to departure from a country in which: (1) the alien had a credible fear of persecution; or (2) there was a significant danger that the alien would be returned to a country in which he or she would have a credible fear of persecution. Provides for port of entry exclusion and deportation without administrative or judicial appeal (except by a limited petition of habeas corpus) for such admission document fraud. Increases penalties for certain alien smuggling offenses.
Bill· SS. 581 (103rd)referred
United States · United States Congress · 15 March 1993
Declares two named individuals to have satisfied certain requirements of the Immigration and Nationality Act relating to eligibility for naturalization and to have been lawfully admitted to the United States for permanent residence under such Act, respectively.
Bill· SS. 580 (103rd)referred
United States · United States Congress · 11 March 1993
TABLE OF CONTENTS: Title I: Illegal Immigration Control and Enforcement Title II: Illegal Immigration Incentive Reduction Title III: Enhanced Smuggling Control and Penalties Title IV: Admissions and Document Fraud Control Title V: Border Crossing User Fee Illegal Immigration Control and Enforcement Act of 1995 - Title I: Illegal Immigration Control and Enforcement - Part A: Increased Border Patrol, Support, Training, and Resources - Provides for: (1) increased Border Patrol personnel levels; (2) deployment in areas of high-illegal entry; (3) bilingual hiring preference; (4) improved training; and (5) technology and equipment transfer to the Department of Justice; and (6) land border infrastructure improvements. Part B: Expanded Border Inspection Personnel, Support, and Facilities - Provides for: (1) increased border inspection personnel levels; and (2) deployment in areas of high-illegal entry. Part C: Detention and Deportation - Amends the Immigration and Nationality Act (Act) to limit collateral attacks on deportation hearings. (Sec. 132) Permits the use of electronic and telephonic media in deportation hearings. (Sec. 133) Amends Federal criminal law to permit deportation as a condition of probation. Part D: Enhanced Criminal Alien Deportation and Transfer - Amends the Act to expand the definition of "aggravated felony." (Sec. 142) Restricts certain deportation defenses. (Sec. 144) Provides for judicial review of an alien convicted of an aggravated felony. (Sec. 145) Authorizes the Secretary of State, with the Attorney General, to negotiate agreements with foreign countries for home- country incarceration of aliens subject to U.S. deportation. Authorizes appropriations. (Sec. 147) Amends the Act to permit the use of videotaped witness testimony under specified circumstances in a case of bringing in and harboring certain illegal aliens. Title II: Illegal Immigration Incentive Reduction - Part A: Public Benefits Control - Authorizes States and localities to limit general public assistance to aliens or classes of aliens. (Sec. 212) Increases penalties for forging or counterfeiting the seal of a Federal department of agency to facilitate benefit fraud by an unlawful alien. (Sec. 213) Revises alien sponsorship and related provisions. (Sec. 214) Amends title XIX (Grants to States for Medical Assistance Programs) of the Social Security Act to permit high illegal immigration States to place Medicaid anti-fraud investigators in State, county, and private hospitals. (Sec. 215) Directs the Attorney General to make grants to States for ports-of-entry benefits task force demonstration projects. Authorizes appropriations. Part B: Employer Sanctions Support - Authorizes the hiring of additional Immigration and Naturalization Service (INS) investigators and staff to enforce employer sanctions. (Sec. 222) Increases certain penalties for unlawful employment or related extortion of aliens. (Sec. 223) Amends the Internal Revenue Code to 1986 to require a person to have a social security number (and a spouse's number) in order to claim the earned income tax credit. (Sec. 225) Requires the Attorney General and the Secretary of Health and Human Services to develop and implement a counterfeit- resistant system to verify work and public assistance eligibility. Part C: Enhanced Wage and Hour Laws - Authorizes additional Department of Labor hiring to enforce employer wage and hour law sanctions. (Sec. 232) Authorizes the hiring of additional Assistant United States Attorneys to help preclude illegal immigration. Title III: Enhanced Smuggling Control and Penalties - Amends Federal criminal law to revise alien smuggling penalties. (Sec. 302) Amends the Act to expand INS forfeiture authority for smuggling or harboring illegal aliens. (Sec. 303) Amends Federal criminal law to authorize INS wiretaps for alien smuggling investigations. Title IV: Admissions and Document Fraud Control - Amends Federal criminal law to revise and increase document fraud penalties. Title V: Border Crossing User Fee - Establishes in the Treasury the Immigration Law Enforcement Fund. Imposes a $1 border crossing user fee.
Bill· HRH.R. 1279 (103rd)open
United States · United States Congress · 10 March 1993
Amends the Immigration and Nationality Act to provide that members of Hamas (commonly known as the Islamic Resistance Movement) be considered to be engaged in a terrorist activity and ineligible to receive visas and excluded from admission into the United States.
Bill· HRH.R. 1301 (103rd)referred
United States · United States Congress · 10 March 1993
TABLE OF CONTENTS: Title I: Domestic Terrorism Title II: Explosives Title III: Illegal Immigration Title IV: International Terrorism Title V: Authorizations to Expand Counter-Terrorist Operations Terrorism Prevention and Protection Act of 1993 - Title I: Domestic Terrorism - Amends the Federal criminal code to provide for imposition of the death penalty if death results from: (1) the commission of terrorist acts; and (2) using, or attempting or conspiring to use, weapons of mass destruction under specified circumstances. (Sec. 102) Enhances penalties for specified violations of the International Economic Emergency Powers Act and passport and visa provisions of the Federal criminal code. (Sec. 104) Extends the statute of limitations for specified terrorism offenses. (Sec. 105) Revises provisions regarding Federal Bureau of Investigation access to telephone subscriber information to increase such access under specified circumstances involving counterintelligence investigations and international terrorism. (Sec. 106) Sets penalties for: (1) violence at airports serving international civil aviation; and (2) violation of Federal aviation security regulations. (Sec. 108) Establishes an Economic Terrorism Task Force. (Sec. 109) Revises the Immigration and Nationality Act (INA) concerning alien witness cooperation with Federal or State law enforcement authorities or courts. (Sec. 110) Sets penalties regarding: (1) providing material support to terrorists; (2) homicides and attempted homicides involving firearms in Federal facilities; and (3) specified explosives offenses. (Sec. 113) Directs the United States Sentencing Commission to amend sentencing guidelines to increase the base offense level for a felony that involves international terrorism. Title II: Explosives - Amends the Federal criminal code to prohibit the: (1) manufacture of explosive material which does not contain an identification taggant and a detection taggant which meet standards to be promulgated by the Secretary of the Treasury; and (2) transport, shipment, distribution, receipt, or other disposition or importation of explosive materials not containing such taggants. Title III: Illegal Immigration - Immigration Preinspection Act of 1993 - Amends the INA to: (1) require the Attorney General to establish and maintain preinspection stations in at least three of the ten foreign airports which the Attorney General identifies as serving as last points of departure for the greatest number of passengers who arrive from abroad by air at ports of entry within the United States; and (2) convert the visa waiver pilot program for certain visitors into a permanent program, subject to specified revisions. (Sec. 304) Revises INA provisions regarding passenger manifests (including authorizing the use of electronic manifests), inspection by immigration officers, and immigration inspection and preinspection services to expedite airport immigration processing. Directs the Attorney General to implement an expedited process for the inspection of U.S. citizens upon arrival from abroad by air at ports of entry within the United States. Title IV: International Terrorism - Amends the State Department Basic Authorities Act to provide that whenever an alien furnishes information leading to the conviction of an international terrorist, or the prevention, frustration, or favorable resolution of an international terrorist act, and the Secretary of State and the Attorney General jointly determine that the protection of such alien or the alien's immediate family requires admission, such alien and immediate relatives may be issued visas and admitted for permanent residence, subjects to specified limitations. (Sec. 402) Amends the Federal criminal code to: (1) increase penalties for international terrorist acts; and (2) prohibit specified offenses of violence against maritime navigation or fixed platforms. (Sec. 406) Sets forth provisions regarding: (1) extension of the territorial sea and assimilated crimes in such areas; and (2) jurisdiction over crimes against U.S. nationals on foreign ships. (Sec. 409) Sets penalties for: (1) torture; (2) counterfeiting U.S. currency abroad; and (3) foreign murders of U.S. nationals. Provides for the imposition of the death penalty for terrorists under specified circumstances. Title V: Authorizations to Expand Counter-Terrorist Operations - Authorizes appropriations to specified departments and agencies for counter-terrorist operations and programs.
Bill· HRH.R. 1291 (103rd)referred
United States · United States Congress · 10 March 1993
Directs the Attorney General to adjust the status of certain Polish and Hungarian parolees to permanent resident.
Bill· HRH.R. 1292 (103rd)referred
United States · United States Congress · 10 March 1993
Immigration Anti-Discrimination Improvement Act of 1993 - Expresses congressional approval of a specified General Accounting Office immigration employment discrimination report. Increases budget authority for Department of Justice regional offices of the Special Counsel for Immigration-Related Unfair Employment Practices. Amends the Immigration and Nationality Act with regard to unfair immigration-related employment provisions to: (1) authorize penalties collected under such provisions to be used in carrying out enforcement activities; (2) require inclusion of enforcement and related activities in certain reports to the Congress; (3) establish a national toll-free telephone hotline; (4) subject persons who engage in pervasive violations of such provisions to a one-year Federal contract disqualification; and (5) provide for District Office receipt of charges. Directs the Attorney General to appoint a citizens and community group panel, including members of specified Mexican-American organizations, to monitor the application of such anti-discrimination provisions and to report annually to the Attorney General and to the Congress.
Law· SS. 537 (103rd)enacted
United States · United States Congress · 9 March 1993
Classifies a named individual as a child for immediate relative status purposes under the Immigration and Nationality Act.
Bill· HRH.R. 1265 (103rd)referred
United States · United States Congress · 9 March 1993
Provides special immigrant status for certain nationals of Hong Kong or China working as journalists in Hong Kong.
Bill· SS. 503 (103rd)referred
United States · United States Congress · 4 March 1993
Amends the Immigration and Nationality Act to provide that members of Hamas (commonly known as the Islamic Resistance Movement) be considered to be engaged in a terrorist activity and ineligible to receive visas and excluded from admission into the United States.
Bill· HRH.R. 1238 (103rd)referred
United States · United States Congress · 4 March 1993
TABLE OF CONTENTS: Title I: Terrorism Death Penalty Act of 1993 Title II: Terrorist Alien Removal Title III: Counterintelligence Access to Telephone Toll and Transactional Records Protection Against Terrorism Act of 1993 - Title I: Terrorism Death Penalty Act of 1993 - Amends the Federal criminal code to authorize the imposition of the death penalty upon any individual who kills a person while inside the United States, or kills a U.S. national while such national is outside the United States, if the killing is a first degree murder. Makes penalties with respect to homicide, attempt or conspiracy to commit homicide, and engaging in physical violence with the intent or result of causing serious bodily harm applicable to persons inside the United States or U.S. nationals while outside the United States. (Current law only applies where such person was a U.S. national.) Increases penalties for: (1) killings other than first degree murders; and (2) attempted murder and for engaging in physical violence with the intent or result of causing serious bodily harm. Title II: Terrorist Alien Removal - Terrorist Alien Removal Act of 1991 - Amends the Immigration and Nationality Act to make terrorist activity (as defined by this Act) grounds for deportation. Establishes removal procedures for alien terrorists, including a special removal hearing. Includes as excludable aliens those with respect to whom an appropriate consular officer or the Attorney General knows or has reasonable ground to believe are engaging in, have engaged in, or probably would, after entry, engage in terrorist activity. Grants exclusive jurisdiction to the U.S. Court of Appeals for the Federal Circuit to review excludability orders. Provides for a ten-year prison sentence, to run concurrently with any other sentence, and a fine, for entering (or attempting to enter) the United States subsequent to exclusion or removal. Title III: Counterintelligence Access to Telephone Toll and Transactional Records - Authorizes the Director of the Federal Bureau of Investigation to obtain (after submitting a written request) from a wire or electronic communications service provider subscriber information regarding a person or entity which is relevant to an authorized foreign counterintelligence investigation.
Bill· SS. 491 (103rd)open
United States · United States Congress · 3 March 1993
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: 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 Title VIII: Financing Provisions; American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Increases in Corporate and Individual Income Tax Rates; Health Security Premium; and Surtax on Individuals with Income Over $1,000,000 Subtitle C: Employment Tax Changes Subtitle D: Other Revenue Increases Primarily Affecting Individuals Subtitle E: Other Revenue Increases Primarily Affecting Businesses Subtitle F: Estimated Tax Provisions Subtitle G: Alternative Taxable Years Subtitle H: Deduction for Charitable Contribution of Appreciated Property Limited to Adjusted Basis Subtitle I: Minimum 5 Percent Rate of Tax on Interest Paid to Foreign Persons American Health Security Act of 1993 - 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 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, 1995. (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, 1995. 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, 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 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 qualifying individuals 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 exceptions process established by the Board. 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. Specifies that: (1) nursing facility and home health services (other than post-hospital services) furnished to an individual who is not qualifying are not covered services unless the services are determined to meet specified standards and, with respect to nursing facility services, to be provided in the least restrictive and most appropriate setting; and (2) benefits are not available under this Act with respect to services involving unapproved capital expenditures. 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 expend any amounts on, or bill the program for any services for which benefits are not available because of, unapproved capital expenditures; (5) not to employ other providers whose participation has been terminated for cause; and (6) 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 fee for service, 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, marketing of services, accessibility of services, continuity of care, consumer and provider representation on the board of directors, a patient grievance program, health education, medical standards committees, use of allied health professionals, premiums, utilization and bonus information, provision of services to enrollees at institutions operating under global budgets, limitation on capital expenditures, 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, determination of medical necessity and appropriateness (including the coverage of new technologies and the application of medical practice guidelines), quality assurance, 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, prescription drugs, and rehabilitation and chronic care management. 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. (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 establishment of a State Health Security Advisory Council (SHSAC), single-agency administration, a State health security budget and establishment of an approval process for capital expenditures, provider payment and quality review methodologies consistent with Federal standards, freedom to choose providers, a procedure for carrying out long-term regional management and planning functions, including establishment of District Health Advisory Councils (DHACs), 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 SHSAC 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) Directs each program to establish DHACs covering distinct geographic areas for purposes of: (1) advising and making recommendations to the State with respect to implementation of the program in that geographic area; (2) receiving and investigating complaints by eligible persons and service providers concerning program administration and taking corrective action; and (3) carrying out district management and planning functions with the program. Sets forth provisions regarding: (1) DHAC assistance and technical support to community organizations and agencies submitting applications for funding under appropriate State and Federal public health programs; and (2) waiver of the requirement that a State establish DHACs under specified circumstances. (Sec. 407) 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 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 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) Permits a State program to: (1) require, as a condition of payment for institutional health care and other specified services, periodic professional certification; (2) establish a utilization review program and deny coverage and payment for services to the extent the services are determined under such a program not to meet specified coverage standards under certain circumstances; and (3) require, consistent with standards established by the Board, that payment for services exceeding specified levels or duration be provided only as consistent with a plan of care or treatment formulated by providers of the services or other qualified professionals (and such a plan may include utilization review at specified intervals as a further condition of payment for services). Directs the Board to provide for the establishment of Federal standards for utilization review programs conducted by State programs, designed to assure cost-effective and medically appropriate use of services consistent with such standards. (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 an American 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 capital expenditures, 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 capital expenditure, 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. (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 provide for a process for the approval of capital expenditures to: (1) meet the need for covered health care services consistent with State budgets and the development of medical technology; (2) establish an efficient balance between the need for services and the delivery of services; and (3) expand the delivery of services in medically underserved areas. Prohibits approval of expenditures by programs to the extent that they are attributable to a capital expenditure which was subject to, but not approved under, such process. Directs the Board to specify standards for the capital approval process which meet specified requirements. Subtitle B: Payments by States to Providers - Directs that: (1) payment for operating expenses for hospital and nursing facility services under State programs be made directly to each hospital or nursing facility under an annual prospective global budget approved under the program; (2) such budgets take into account discharges by diagnosis-related group, prior expenditures, 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; (3) capital expenditures be subject to prior approval; (4) a budget of a hospital or nursing facility be subject to prior review by the SHSAC and appropriate DHAC; (5) facility budgets be adjusted to reflect payments made by CHSOs; and (6) the Board promulgate regulations permitting hospitals and nursing facilities to raise funds from private sources to pay for newly constructed facilities, major renovations, and equipment. (Sec. 612) Directs that payments under a program for home health services, hospice care, home and community-based long-term care services, and certain facility-based outpatient services be based on a global budget, a capitation amount, a specified fee schedule, or an alternative prospective payment method approved by the program. (Sec. 613) Entitles every independent health care practitioner to be paid a fee for each billable covered service. Directs the Board to establish models and encourage programs to implement alternative payment methodologies that incorporate global fees for related services or for a basic group of services furnished to an individual over a period of time. Permits a program to deny payment for any service for which it did not receive a bill and supporting documentation from such a practitioner within 30 days. Requires denial of payment for any service attributable to a capital expenditure subject to approval which has not been approved. Prohibits a practitioner from imposing a charge for a service for which such payment is denied. Directs the program to establish, on a prospective basis, a payment schedule for any payment method for a class of services of practitioners, after negotiations with organizations representing the practitioners involved. Sets forth guidelines regarding such schedules based on a national relative value scale. (Sec. 614) Authorizes programs to pay CHSOs based on annual budgets or risk-adjusted capitation payments, plus an amount equal to the amount of capital expenditures approved, reduced by the costs of covered services not provided by the CHSO. Requires that, in the case of a for-profit CHSO, the total amount of capitation payments in a period be reduced by operating profit for the period less a reasonable rate of return on equity capital and that such profit be additionally limited to such amounts as the Board determines are attributable to operating efficiencies and not to any reduction of care provided. (Sec. 615) Directs that programs pay for community-based primary health services based on global budgets, basic primary care capitation amounts for enrollees, a fee schedule (under section 613), or an alternative prospective payment method approved by the program. (Sec. 616) Requires: (1) the Board to establish classifications of 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. 617) Directs: (1) the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment; and (2) State programs to pay for such items based on maximum prices determined by the Board. (Sec. 618) 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. 619) Directs the Prospective Payment Assessment Commission to advise the Board concerning the approval of prospective global budgets for hospitals and nursing facilities. Renames and continues the Physician Payment Review Commission as the Practitioner Payment Review Commission. Requires the Director of the Office of Technology Assessment to provide for the appointment of a: (1) General Health Care Payment Review Commission; and (2) Long-Term Care Payment Review Commission. (Sec. 620) 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 payment amounts within their budgets to encourage provision of appropriate services in underserved areas. (Sec. 621) Authorizes programs to utilize alternative payment methodologies, provided that such methodologies do not affect the entitlement of individuals to coverage, the weighing 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 the alternative methodology. 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) 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 (3) 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 Services 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 plan, develop, and operate 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. 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 to establish: (1) a Coordinating Committee on Research on Primary Care and Prevention Research; and (2) an Advisory Committee on Research on Primary Care and Prevention Research. Requires the Director of NIH to establish a national data system and clearinghouse on primary care and prevention research. 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 employee health benefit program, and the CHAMPUS program. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Increases in Corporate and Individual Income Tax Rates; Health Security Premium, Surtax on Individuals With Incomes Over $1,000,000 - Increases individual and corporate income tax rates, including the imposition of a health premium on such increased rates. Imposes a surtax on individuals with incomes over $1 million. Subtitle C: Employment Tax Changes - Increases the tax on employers for hospital insurance. Modifies self-employment and railroad retirement tax provisions. Makes State and local employees subject to the hospital insurance tax. Subtitle D: Other Revenue Increases Primarily Affecting Individuals - Makes permanent the overall limitation on itemized deductions for high-income taxpayers. Makes permanent the phaseout of the deduction for personal exemptions for such taxpayers. Removes residence sale, purchase, or lease expenses and meals while traveling from the deduction for moving expenses. Increases the overall dollar limitation for moving expenses in connection with the commencement of work. Makes the highest estate and gift tax rates permanent. Denies any deduction for club membership fees as an entertainment expense. Includes increased social security benefits in gross income. Provides for the collection of a monthly long-term health care premium for the elderly (other than the low-income elderly) for deposit into the American Health Security Trust Fund. Subtitle E: Other Revenue Increases Primarily Affecting Businesses - Applies mark-to-market accounting method rules for certain securities held by dealers in securities (with specified exceptions for certain types of securities such as those held for investment or as a hedge). Increases the applicable recovery period for depreciation of nonresidential real property under the accelerated cost recovery system. Includes imported property income of a controlled foreign corporation or related person as foreign base company income. Requires the separate application of the limitation on the foreign tax credit on imported property income. Applies the look-thru rules in the case of controlled foreign corporations to such income. Repeals: (1) the deduction for intangible drilling and development costs in the case of oil and gas wells and geothermal wells; (2) the percentage depletion for oil and gas wells; and (3) the application of like-kind exchange rules to real property. Disallows the capitalization of a percentage of advertising expenses. Allows the amortization of such disallowed amount. Subtitle F: Estimated Tax Provisions - Increases individual and corporate estimated tax payments. Repeals special rules which denied the use of a previous year's liability safe harbor for certain individuals with significant increases in tax liability from one year to the next. Modifies corporate annualized income installment provisions. Subtitle G: Alternative Taxable Years - Provides that the taxable year for an S corporation or partnership must be the same as an entity's reporting period if an entity has annual reports or statements which ascertain income profit or loss and are provided to shareholders or used for credit purposes. Revises computation of the amount of the required payment that must be made by a partnership or S corporation that elects a taxable year other than the required taxable year. Subtitle H: Deduction for Charitable Contribution of Appreciated Property Limited to Adjusted Basis - Limits the deduction for charitable contribution of appreciated property to the amount which would have been gained had the property been sold by the taxpayer at its fair market value. Subtitle I: Minimum 5 Percent Rate of Tax on Interest Paid to Foreign Persons - Sets a minimum rate of tax on interest paid to foreign persons notwithstanding any treaty obligations.
Bill· HRH.R. 1200 (103rd)open
United States · United States Congress · 3 March 1993
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 Title VIII: Financing Provisions, American Health Security Trust Fund Subtitle A: American Health Security Trust Fund Subtitle B: Increases in Corporate and Individual Income Tax Rates; Health Security Premium; and Surtax on Individuals with Incomes Over $1,000,000 Subtitle C: Employment Tax Changes Subtitle D: Other Revenue Increases Primarily Affecting Individuals Subtitle E: Other Revenue Increases Primary Affecting Businesses Subtitle F: Estimated Tax Provisions Subtitle G: Alternative Taxable Years Subtitle H: Deduction for Charitable Contribution of Appreciated Property Limited to Adjusted Basis Subtitle I: Minimum 5 Percent Rate of Tax on Interest Paid to Foreign Persons American Health Security Act of 1993 - 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, 1995. (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, 1995. 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. Supercedes 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. 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 benefit program, and the CHAMPUS program. Transfers to such trust fund amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund. Subtitle B: Increases in Corporate and Individual Income Tax Rates; Health Security Premium; Surtax on Individuals With Incomes Over $1,000,000 - Increases individual and corporate income tax rates, including the imposition of a health premium on such increased rates. Imposes a surtax on individuals with incomes over $1 million. Subtitle C: Employment Tax Changes - Increases the tax on employers for hospital insurance. Modifies self-employment and railroad retirement tax provisions. Makes State and local employees subject to the hospital insurance tax. Subtitle D: Other Revenue Increases Primarily Affecting Individuals - Makes permanent the overall limitation on itemized deductions for high-income taxpayers. Makes permanent the phaseout of the deduction for personal exemptions for such taxpayers. Removes residence sale, purchase, or lease expenses and meals while traveling from the deduction for moving expenses. Increases the overall dollar limitation for moving expenses in connection with the commencement of work. Makes the highest estate and gift tax rates permanent. Denies any deduction for club membership fees as an entertainment expense. Includes increased social security benefits in gross income. Provides for the collection of a monthly long-term health care premium for the elderly (other than the low-income elderly) for deposit into the American Health Security Trust Fund. Subtitle E: Other Revenue Increases Primarily Affecting Businesses - Applies mark-to-market accounting method rules for certain securities held by dealers in securities (with specified exceptions for certain types of securities such as those held for investment or as a hedge). Increases the applicable recovery period for depreciation of nonresidential real property under the accelerated cost recovery system. Includes imported property income of a controlled foreign corporation or related person as foreign base company income. Requires the separate application of the limitation on the foreign tax credit on imported property income. Applies the look-thru rules in the case of controlled foreign corporations to such income. Repeals: (1) the deduction for intangible drilling and development costs in the case of oil and gas wells and geothermal wells; (2) the percentage depletion for oil and gas wells; and (3) the application of like-kind exchange rules to real property. Disallows the capitalization of a percentage of advertising expenses. Allows the amortization of such disallowed amount. Subtitle F: Estimated Tax Provisions - Increases individual and corporate estimated tax payments. Repeals special rules which denied the use of a previous year's liability safe harbor for certain individuals with significant increases in tax liability from one year to the next. Modifies corporate annualized income installment provisions. Subtitle G: Alternative Taxable Years - Provides that the taxable year for an S corporation of partnership must be the same as an entity's reporting period if an entity has annual reports or statements which ascertain income profit or loss and are provided to shareholders or used for credit purposes. Revises computation of the amount of the required payment that must be made by a partnership or S corporation that elects a taxable year other than the required taxable year. Subtitle H: Deduction for Charitable Contribution of Appreciated Property Limited to Adjusted Basis - Limits the deduction for charitable contribution of appreciated property to the amount which would have been gained had the property been sold by the taxpayer at its fair market value. Subtitle I: Minimum 5 Percent Rate of Tax on Interest Paid to Foreign Persons - Sets a minimum rate of tax on interest paid to foreign persons notwithstanding any treaty obligations.
Bill· HRH.R. 1191 (103rd)open
United States · United States Congress · 3 March 1993
Amends the Immigration and Nationality Act to limit citizenship at birth to persons born in the United States to a mother who is a U.S. citizen or legal resident.
Bill· HRH.R. 1202 (103rd)referred
United States · United States Congress · 3 March 1993
TABLE OF CONTENTS: Title I: Urban School Improvement Title II: School Building Repair And Renovation Title III: Urban School Research Title IV: General Provisions Urban Schools of America (USA) Act of 1993 - Title I: Urban School Improvement - Authorizes appropriations and sets forth funds allocation factors. Requires LEAs to use funds under this title to meet national education goals through programs designed to: (1) increase the academic achievement and graduation rates of urban school children to at least the national average; (2) prepare urban school graduates to enter higher education, pursue careers, and exercise their responsibilities as citizens; (3) recruit and retain qualified teachers; and (4) decrease the use of drugs and alcohol by urban students, and enhance their physical and emotional health. Sets forth program accountability requirements. Authorizes the Secretary to make competitive incentive awards to individual participating schools that demonstrate exemplary progress in meeting specified program requirements. Directs the Secretary to report on the impact of Federal regulations, guidelines, and policies on urban public schools. Requires LEAs desiring to receive an allotment to establish (or designate) a local advisory group. Sets forth special rules relating to ranking of schools to determine relative need, in general, on the basis of achievement, poverty, and racial isolation. Requires each LEA receiving a grant to serve between ten and 20 percent of its schools. Requires eligible LEAs to have flexibility to serve homeless children, desegregating students, immigrants, migrants, or other highly mobile populations, within the program assisted under this title. Title II: School Building Repair and Renovation - Authorizes appropriations to assist eligible LEAs in repairing and renovating instructional facilities in city schools and for programs for school environmental concerns and safety improvement. Limits the period covered by a grant application to three years, and requires annual review by the Secretary. Title III: Urban School Research - Authorizes appropriations for the National Institute for Urban Education (the Institute), established in the Department of Education by this title. Amends the Department of Education Organization Act to create an Assistant Secretary for Urban Education (the Assistant Secretary), who is to establish the Institute in the Department. Requires the Institute and allows LEAs to use funds for specified functions involving research, information, and evaluation relating to urban education and title I programs. Title IV: General Provisions - Establishes the Interagency Council on Urban Schools to: (1) review Federal programs to determine effects on urban schools' ability to meet national education goals; (2) track school progress toward such goals; (3) solicit advice and information from urban education experts and urban school representatives on improvement of Federal programs; (4) review Federal regulations for duplication or contradiction; (5) report annually to the Congress and the President on urban school progress; (6) review and recommend improvement or streamlinig of Federal data collection in urban schools; and (7) conduct research to help urban school practitioners improve school performance. Directs the President to conduct a White House Conference on Urban Education. Authorizes appropriations. Establishes a National Commission on Urban Education, which shall: (1) study specified issues relating to urban schools; and (2) report, and recommend changes in Federal legislation, to the President and appropriate congressional committees. Authorizes appropriations.
Bill· HJRESH.J.Res. 129 (103rd)open
United States · United States Congress · 3 March 1993
Constitutional Amendment - Limits citizenship at birth to persons born in the United States to a mother who is a U.S. legal resident or citizen.
Bill· HRH.R. 1184 (103rd)passed
United States · United States Congress · 2 March 1993
Classifies a named individual as a child for immediate relative status under the Immigration and Nationality Act.
Bill· HRH.R. 1173 (103rd)open
United States · United States Congress · 2 March 1993
Agricultural Worker Protection Reform Act of 1993 - Amends the Migrant and Seasonal Agricultural Worker Protection Act to eliminate the family business and small business coverage exemptions. Requires a farm labor contractor to be bonded in order to receive a certificate of registration. Makes existing discretionary grounds for registration refusal mandatory. Establishes discretionary grounds for registration suspension and revocation. Sets forth certain employment disclosure requirements. Extends housing and vehicle safety protections to a worker's accompanying family members. Requires an agricultural employer who uses a farm labor contractor's services to take reasonable steps to determine whether the contractor has a certificate of registration. Increases administrative sanctions for violations of such Act. Establishes a private right of action on a bond. Authorizes an agricultural worker or his or her representative to file a complaint alleging a violation of such Act. Requires an agricultural employer to provide protection against heat stress, field sanitation, and child care (in the case of an employer of at least 25 employees).
Bill· HRH.R. 1153 (103rd)open
United States · United States Congress · 1 March 1993
Immigration Preinspection Act of 1993 - Amends the Immigration and Nationality Act to direct the Attorney General to: (1) establish preinspection stations in at least three of the ten foreign airports identified as last departure points for the greatest numbers of passengers arriving at U.S. entry ports; (2) maintain records of aliens arriving by air at U.S. ports of entry without valid documentation; (3) establish three inspection stations at foreign airports for the purpose of achieving maximum prevention of illegal immigration into the United States; (4) assign additional immigration officers to foreign airports without preinspection stations when significant numbers of aliens without valid documentation depart for the United States; and (5) establish an expedited inspection process for U.S. citizens returning by air from aboard. Makes the pilot visa waiver program permanent. Authorizes arriving vessels or aircraft to submit electronic passenger manifests to the Immigration and Naturalization Service. Reduces the required length of time for the provision of immigration inspection and preinspection services.
Bill· SS. 457 (103rd)referred
United States · United States Congress · 25 February 1993
Prohibits the payment of: (1) direct Federal financial or social insurance benefits to illegal aliens; or (2) unemployment benefits to aliens without employment authorization.
Bill· HRH.R. 1133 (103rd)open
United States · United States Congress · 24 February 1993
TABLE OF CONTENTS: Title I: Safe Streets For Women Subtitle A: Law Enforcement and Prosecution Grants to Reduce Violent Crimes Against Women Subtitle B: Rape Prevention Programs Subtitle C: Victim Compensation Subtitle D: National Board on Violent Crime Against Women Subtitle E: Safe Campuses for Women Title II: Safe Homes for Women Subtitle A: Interstate Enforcement Subtitle B: Arrest in Domestic Violence Cases Subtitle C: Safe Homes for Immigrant Women Subtitle D: Confidentiality for Abused Persons Title III: Civil Rights Title IV: Equal Justice for Women in the Courts Subtitle A: New Evidentiary Rules Subtitle B: Education and Training for Judges and Court Personnel in State Courts Subtitle C: Education and Training for Judges and Court Personnel in Federal Courts Violence Against Women Act of 1993 - Title I: Safe Streets for Women - Safe Streets for Women Act of 1993 - Subtitle A: Law Enforcement and Prosecution Grants to Reduce Violent Crimes Against Women - Amends the Omnibus Crime Control and Safe Streets Act of 1968 (Omnibus Act) to authorize the Director of the Bureau of Justice Assistance to: (1) make grants to reduce the rate of violent crimes against women to States and nonprofit nongovernmental victim services programs, and to Indian tribes, tribal organizations, or nongovernmental domestic violence and sexual assault victim services programs on Indian reservations; and (2) request any Federal agency, with or without reimbursement, to use its authorities and resources to support such State and local efforts. (Sec. 112) Specifies that no State is entitled to funds under this title unless the State or other grantee incurs the full cost of forensic medical exams for victims of sexual assault. Subtitle B: Rape Prevention Programs - Chapter 1: Rape Prevention Grants - Authorizes the Director to make education and prevention grants to reduce sexual assaults against women. Chapter 2: Offender Training and Information Programs - Directs the: (1) National Institute of Justice 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) 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 for sexual abuse offenses. Subtitle C: Victim Compensation - Amends the Federal criminal code to require that a court order restitution for violations of Federal sexual abuse laws. Subtitle D: National Board on Violent Crime Against Women - Establishes an Interagency Advisory Board on Violent Crime Against Women to assess and review, and make recommendations regarding, policies and practices of the Government regarding violence against women. Subtitle E: Safe Campuses for Women - Directs the Attorney General to provide for a national 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. Title II: Safe Homes for Women - Safe Homes for Women Act - Subtitle A: Interstate Enforcement - Amends the Federal criminal code to establish penalties for traveling across a State line with the 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, 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. Requires, provided that certain conditions are met, that a protection order issued by the court of one State be accorded full faith and credit by the court of another State. Subtitle B: Arrest in Domestic Violence Cases - Amends the Omnibus Act to authorize the Director to make grants to eligible States, Indian tribes, municipalities, or local governmental entities to encourage arrest policies in domestic violence cases, including mandatory arrest programs for protective order violations and improving judicial handling of domestic violence cases. Subtitle C: Safe Homes for Immigrant Women - Amends the Immigration and Nationality Act to: (1) permit an alien to petition for preference or immediate relative status under the Act (currently, only a U.S. citizen may petition claiming that an alien is entitled to such status), and provide that such a petition may only be withdrawn by the beneficiary or self-petitioner; (2) provide that an abused alien family member shall be considered to remain the spouse or child of a citizen or resident abuser after the legal termination of the marriage through which the member seeks immigrant status if specified conditions are met; and (3) provide for a stay of deportation and the granting of work authorization for abused alien family members until such time as an immigrant visa is available and the alien's application for adjustment of status has been finally adjudicated by the Attorney General (but authorizes the Attorney General to revoke the work authorization of, and initiate deportation proceedings against, any alien who has fraudulently made a claim to be an abused alien family member, if the alien has received notice of intent to revoke and has a reasonable opportunity to rebut evidence supporting the revocation). Subtitle D: Confidentiality for Abused Persons - Directs the Postmaster General to promulgate regulations to secure the confidentiality of abused persons' addresses or otherwise prohibit the disclosure of an abused person's address, subject to specified requirements. Title III: Civil Rights - Declares that all individuals within the United States, and the special maritime and territorial jurisdiction of the United States, shall have the right to be free from crimes of violence motivated by the victim's gender. Permits individuals deprived of such right to bring a civil action for compensatory damages, punitive damages, injunctive relief, declaratory relief, or any combination thereof, subject to specified limitations. Title IV: Equal Justice for Women in the Courts - Subtitle A: New Evidentiary Rules - Amends the Federal Rules of Evidence to make evidentiary rulings pursuant to Rule 412 (Rape Cases; Relevance of Victim's Past Behavior) subject to interlocutory appeal by the Government. (Sec. 402) Makes reputation or opinion evidence of the past sexual behavior of an alleged victim inadmissible in a criminal case, other than a sex offense case. Allows other types of evidence of a victim's past sexual behavior in accordance with specified procedures if its probative value outweighs the danger of unfair prejudice. (Sec. 403) Makes reputation or opinion evidence of the plaintiff's past sexual behavior inadmissible in a civil action involving allegations of actionable sexual misconduct. Allows other types of evidence of a plaintiff's past sexual behavior in accordance with specified procedures if its probative value outweighs the danger of unfair prejudice. (Sec. 404) Makes evidence of an alleged victim's clothing in a criminal case under Federal laws relating to sexual abuse inadmissible to show that the victim incited or invited the offense. Subtitle B: Education and Training for Judges and Court Personnel in State Courts - Authorizes the State Justice Institute to award grants to develop, test, present, and disseminate 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 the victim's gender. Subtitle C: Education and Training for Judges and Court Personnel in Federal Courts - Directs the: (1) circuit judicial councils to conduct studies of the instances of gender bias in their respective circuits; (2) 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 the gender bias task forces and to respond to requests for such reports and materials; and (3) Federal Judicial Center to include in its educational programs information on issues related to gender bias in the courts, prepare materials necessary to accomplish that end, and take into consideration the findings and recommendations of such studies and consult with individuals and groups with relevant expertise in gender bias issues as it prepares or revises such materials.
Bill· HRH.R. 1080 (103rd)referred
United States · United States Congress · 24 February 1993
Prohibits direct Federal financial benefits or social insurance benefits (including aid to families with dependent children, supplemental security income, food stamps, and public housing assistance) to aliens who are not lawful permanent residents. Prohibits unemployment benefits to aliens who have not been granted employment authorization under Federal law. Makes a limited exception from this prohibition for benefits under the old age, survivors, and disability insurance (OASDI) program; but prohibits taking into account unauthorized wages paid on or after enactment of this Act in crediting quarters of coverage for the OASDI program under the Social Security Act.
Bill· HRH.R. 1079 (103rd)referred
United States · United States Congress · 24 February 1993
Immigration Document Fraud Prevention Act of 1993 - Provides for: (1) the replacement of current green cards with new counterfeit-resistant identification cards (which shall not be considered national identity cards) for all permanent resident aliens eligible to work in the United States; (2) a national program to educate employers about their responsibilities under the Immigration and Nationality Act and the uses of such cards; and (3) a demonstration program to determine the feasibility of a computerized telephone worker verification system for employers. Increases immigration fraud penalties.