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Bill· HRH.R. 196 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Tax Incentives for Health Care Access Title II: Health Care Reform Provisions Subtitle A: Model Health Care Insurance Benefits Plan Subtitle B: Managed Care Subtitle C: Small Employer Purchasing Groups Subtitle D: Insurance Market Reform Subtitle E: Uniform Standards for Reporting Services and Processing Claims Title III: Medical Liability Reform Subtitle A: Definitions and Findings Subtitle B: Expedited Medical Malpractice Settlements Subtitle C: Alternative Dispute Resolution Procedures Subtitle D: Uniform Standards for Medical Malpractice Cases Subtitle E: Uniform Disciplinary Reforms Subtitle F: Medical Products Subtitle G: Community Health Centers Subtitle H: Miscellaneous Provisions Title IV: Public Health Provisions Subtitle A: New Basic Health Care Program Subtitle B: Medicaid Provisions Title V: Medically Underserved Areas Subtitle A: Public Health Service Act Provisions Subtitle B: Provision Relating to Social Security Title VI: Incentives to Encourage Preventive Services Title VII: Tax Treatment of Long-Term Care Insurance And Plans Subtitle A: Treatment of Long-Term Care Insurance Subtitle B: Employer Funding of Medical Benefits Subtitle C: Reverse Mortgage Insurance for Older Americans Subtitle D: Income Tax Credits Subtitle E: Treatment of Accelerated Death Benefits Subtitle F: Federal National Long-Term Care Reinsurance Corporation Title VIII: Improvements in Portability of Private Health Insurance Health Equity and Access Improvement Act of 1992 - Title I: Tax Incentives for Health Care Access - (Sec. 101) Amends the Internal Revenue Code regarding: (1) health expense credits; (2) health premium deductions; (3) small employer health credits; (4) health premium deductions for self-employed individuals; and (5) credits for primary health service providers in rural health professional shortage areas. (Sec. 105) Excludes from gross income payments made for a taxpayer by the National Health Service Corps Loan Repayment Program. Permits a rural health professional shortage area physician to expense certain property. Allows deductions for rural medical professionals' student loan interest. Title II: Health Care Reform Provisions - (Sec. 201) Mandates: (1) a model health care insurance benefits plan with standards that carriers should meet; and (2) standards that managed care plan insurers should meet. Establishes the Managed Care Advisory Committee. Preempts State law provisions as applied to managed care plans meeting the recommended standards. (Sec. 221) Provides for contracts between small employer purchasing groups and carriers. Title III: Medical Liability Reform - (Sec. 311) Regulates settlement offers in medical malpractice cases. (Sec. 321) Establishes an Alternative Dispute Resolution Board of Advisers to make recommendations concerning establishing a model voluntary medical malpractice dispute resolution program. (Sec. 332) Caps future losses, noneconomic damages, and attorneys' fees. Prohibits joint liability in civil actions for noneconomic damages. Establishes a medical malpractice statute of limitations. (Sec. 342) Imposes requirements on States regarding: (1) allocation of medical licensing fees; (2) disciplinary board membership; (3) risk management programs; and (4) health care disciplinary trust funds. (Sec. 351) Protects a drug or device producer from punitive damages if the drug or device was subject to approval or premarket approval. (Sec. 361) Amends the Public Health Service Act to mandate a grant to an entity representing recipients of assistance at migrant and community health centers to develop a business plan and establish a nationwide risk retention group. Authorizes appropriations. Title IV: Public Health Provisions - (Sec. 401) Amends the Social Security Act to create the BasiCare program. Authorizes appropriations for basic health care benefits for low-income uninsured individuals ineligible for coverage under title XIX (Medicaid) of the Social Security Act. (Sec. 412) Establishes the Federal Medical Waiver Demonstration Board, permitting it to waive provisions of: (1) the Public Health Service Act; (2) title XVIII (Medicare) of the Social Security Act; (3) Medicaid and BasiCare; (4) veterans' health care programs; and (5) the Employee Retirement Income Security Act of 1974. Title V: Medically Underserved Areas - (Sec. 501) Amends the Public Health Service Act to authorize appropriations for the National Health Service Corps Scholarship Program and the National Health Service Corps Loan Repayment Program. (Sec. 502) Mandates allotments to States for grants for community based primary health care entities providing services to pregnant women and children. (Sec. 503) Mandates grants to federally-qualified health centers (FQHCs) and other entities for services for medically underserved populations or in high impact areas not currently served by a FQHC. Authorizes appropriations. (Sec. 504) Authorizes grants for a plan for mental health outreach programs in rural areas. Authorizes appropriations. (Sec. 505) Mandates priority, in awarding grants regarding the research, teaching, and training activities of health personnel educational entities, to entities that demonstrate a commitment to serving medically underserved communities. Mandates grants for: (1) expanded training for individuals desiring to serve medically underserved communities; and (2) coordination among health professions programs, particularly in medically underserved rural areas. Authorizes appropriations. (Sec. 506) Authorizes grants: (1) to rural communities for stipends to physicians, nurses, or other health professional trainees; (2) for networks among rural and urban providers to preserve and share health care resources and enhance rural care; and (3) for cooperatives in rural areas to establish a case management and reimbursement system. Authorizes appropriations. (Sec. 511) Amends: (1) the Omnibus Budget Reconciliation Act of 1987 to authorize appropriations for the Rural Health Care Transition Grant Program; and (2) Medicare to authorize appropriations for the Essential Access Community Hospital Program. Title VI: Incentives to Encourage Preventive Services - (Sec. 601) Amends the Internal Revenue Code (IRC) to provide credits for preventive services. (Sec. 602) Amends the Public Health Service Act to authorize appropriations for immunization grants. Title VII: Tax Treatment of Long-Term Care Insurance and Plans - (Sec. 701) Amends the IRC to provide for the treatment of long-term care insurance regarding: (1) taxation of life insurance companies; (2) taxation of fringe benefits; (3) amounts withdrawn from individual retirement accounts or qualified pension plans for purchasing insurance; and (4) the exchange of life policies for long-term policies. (Sec. 711) Revises provisions governing medical benefits for retired employees. Allows deductions for employer contributions to health benefits accounts. Defines funded reserve accounts and vesting requirements to qualify for such a deduction. (Sec. 712) Establishes a penalty on early distributions of medical benefits and an excise tax on allocated assets not used to provide retiree health benefits. (Sec. 721) Amends the National Housing Act to modify limits on the insurance benefits under an existing program concerning home equity conversion mortgages for elderly homeowners. (Sec. 731) Allows tax credits for: (1) households including a parent, grandparent, dependent, or spouse who requires custodial care; and (2) long-term care expenses of certain independent persons. (Sec. 741) Provides for: (1) the treatment of amounts paid to an individual who is terminally ill or permanently confined to a nursing home as death benefits; (2) accelerated death benefit riders on life insurance contracts; and (3) incorporation of the Federal National Long-Term Care Reinsurance Corporation. Title VIII: Improvements in Portability of Private Health Insurance - (Sec. 801) Imposes an excise tax on group health plans for failure to provide coverage for a preexisting condition.
Bill· HRH.R. 283 (103rd)open
United States · United States Congress · 5 January 1993
Equity in Citizenship Act of 1993 - Amends the Immigration and Nationality Act to grant U.S. citizenship at birth to a person born before noon May 24, 1934, outside the limits and jurisdiction of the United States to an alien father and U.S. citizen mother who, prior to the birth of such person, had resided in the United States. Waives the physical U.S. presence requirements for a person claiming U.S. citizenship based upon descent from a person described above. Makes such provisions retroactive.
Bill· HRH.R. 245 (103rd)open
United States · United States Congress · 5 January 1993
Authorizes the Secretary of Defense, during each fiscal year, to assign up to 12,000 civilian officers and employees of the Department of Defense and members of the armed forces to temporary duty with: (1) the Immigration and Naturalization Service to assist in preventing the entry into the United States of terrorists, drug traffickers, and illegal aliens; and (2) the U.S. Customs Service to assist in the inspection of cargo, vehicles, and aircraft at points of entry into the United States.
Bill· HRH.R. 186 (103rd)referred
United States · United States Congress · 5 January 1993
Amends the Immigration and Nationality Act to count residence within the outlying U.S. possessions as residence within a State or an Immigration and Naturalization Service district for naturalization residency purposes.
Bill· HRH.R. 341 (103rd)referred
United States · United States Congress · 5 January 1993
Sweatshops Prevention Act of 1993 - Amends the Fair Labor Standards Act of 1938 (FLSA) to increase the civil and criminal penalties (and liability for settlements) for employers who violate standards for minimum wages, overtime, and child labor. Authorizes the Secretary of Labor to seize garments, up to the value of the employer's liability under the FLSA, from the premises of a garment manufacturer employer who has violated any such standards more than two times in a three-year period. Authorizes seizures of all garments produced by homeworkers in violation of the FLSA (or up to the employer's liability if the employer has obtained a certificate to employ such homeworkers but has violated its terms). Sets forth procedural requirements. Amends the Portal-to-Portal Act of 1947 to extend the statute of limitations on actions to enforce unpaid minimum wages, unpaid overtime compensation, or liquidated damages under the FLSA, Walsh-Healey Act, or Davis-Bacon Act. Directs the Secretary to establish and encourage closer working relationships among Federal and State agencies responsible for enforcing labor, safety and health, and immigration laws.
Bill· HRH.R. 101 (103rd)open
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Improved Access to Affordable Health Care Coverage Subtitle A: Increased Affordability and Availability for Employees Subtitle B: Improved Small Employer Purchasing Power of Affordable Health Insurance Subtitle C: Health Deduction Fairness Subtitle D: Improved Access to Community Health Services Subtitle E: Improved Access to Rural Health Services Title II: Health Care Cost Containment and Quality Enhancement Subtitle A: Medical Malpractice Liability Reform Subtitle B: Administrative Cost Savings Subtitle C: Medical Savings Accounts (Medisave) Subtitle D: Medicaid Program Flexibility Subtitle E: Limitations on Physician Self-Referrals Subtitle F: Removing Restrictions on Managed Care Subtitle G: Medicare Payment Changes Subtitle H: Limitation of Antitrust Recovery for Certain Hospital Joint Ventures Subtitle I: Encouraging Enforcement Activities of Medical Self-Regulatory Entities Action Now Health Care Reform Act of 1993 - Title I: Improved Access to Affordable Health Care Coverage - (Sec. 102) Preempts inconsistent State laws. (Sec. 103) Requires small employer health insurance carriers to offer a MedAccess basic plan (providing only benefits for essential preventive and medical services and having an actuarial value not over 60 percent of a MedAccess standard plan) and a MedAccess standard plan (providing benefits typical of the small employer market). Amends the Internal Revenue Code (IRC) to tax the failure of a carrier or plan to comply with related standards. Mandates: (1) acceptance of every small employer and full-time employee; or (2) in States that so provide, allocation of risk. (Sec. 104) Regulates pre-existing condition requirements, premiums, rating practices disclosure, minimum participation requirements, and renewability. (Sec. 108) Mandates development of models for reinsurance or allocation of risk mechanisms. Requires State (or Federal) establishment of at least one mechanism in each State. Amends the IRC to impose a tax in any such Federal reinsurance State. (Sec. 110) Establishes the Office of Private Health Care Coverage and a related advisory committee. (Sec. 111) Authorizes research and demonstration projects on the impact of these provisions on the availability of affordable small employer coverage. Requires: (1) methods for measuring the relative health risks of eligible individuals; and (2) a model for equitably distributing health risks among small employer carriers. Authorizes appropriations. (Sec. 121) Preempts State laws: (1) requiring the offering of health plans providing certain services; and (2) prohibiting employer groups from purchasing health insurance. (Sec. 131) Amends the IRC to increase and make permanent deductions for the health insurance costs of self-employed individuals. (Sec. 141) Amends the Public Health Service Act (PHSA) to provide for grants to: (1) migrant and community health centers and to entities providing health services for the homeless to promote primary health services for underserved individuals; and (2) increase access to outpatient primary services in certain geographic areas. Authorizes appropriations. (Sec. 171) Changes the heading of title XII (Trauma Care) of the PHSA to "Emergency Medical Services" and makes similar changes to references within the title. (Sec. 172) Authorizes grants to States for State offices of emergency medical services. (Sec. 173) Requires projects under existing provisions to include demonstrations on telecommunications between rural medical facilities and other medical facilities with useful expertise or equipment. (Sec. 174) Authorizes appropriations to carry out specified provisions of title XII. (Sec. 181) Mandates grants to States for rural air medical transport systems. Authorizes appropriations. (Sec. 191) Amends title XVIII (Medicare) of the Social Security Act to extend special payments for the inpatient services of small, rural Medicare-dependent hospitals. Title II: Health Care Cost Containment and Quality Enhancement - (Sec. 211) Reforms medical malpractice regarding: (1) a statute of limitations; (2) use of alternative dispute resolution systems (ADRs), including for claims against the United States; (3) settlement offers and conferences; (4) noneconomic and punitive damages; (5) periodic payment for future damages; (6) mandatory offsets for collateral source payments; (7) contingent attorney's fees; (8) several and joint liability; (9) findings of negligence; (10) practice guidelines sanctioned as affirmative defenses; (11) the standard of proof regarding certain labor and delivery circumstances; (12) supersedure of certain State laws; and (13) establishment and certification of State ADRs. (Sec. 241) Amends title II (Old Age, Survivors, and Disability Insurance) (OASDI) of the Social Security Act to authorize appropriations for sanctioning guidelines as affirmative defenses. Mandates: (1) research and demonstrations on the use of data on malpractice actions; and (2) development of a standard reporting form for State ADRs in transmitting information on disputes resolved. (Sec. 242) Authorizes State professional disciplinary agencies to make agreements with professional societies to allow the societies to: (1) participate in licensing; and (2) review malpractice allegations or other information on the practice patterns of a practitioner. (Sec. 243) Requires each health professional and provider to participate in a risk management program. (Sec. 244) Mandates grants: (1) for basic research on malpractice prevention and compensation and outcomes research; (2) to States to improve licensing and discipline; and (3) for public education on appropriate health care use and realistic expectations, public education on the resources and role of licensing and disciplinary boards, and development of faculty training and curricula regarding quality assurance, risk management, and medical injury protection. Authorizes appropriations. (Sec. 245) Mandates a study on factors preventing or discouraging physicians from volunteering in medically underserved areas. (Sec. 251) Regulates: (1) data elements, uniform claims forms, and uniform electronic transmission of data elements; (2) provider claims submission; and (3) hospital and non-hospital electronic medical data. (Sec. 262) Requires hospitals, in order to participate in Medicare, to maintain and electronically transmit clinical data on patients in a set of electronic comprehensive data elements. (Sec. 263) Provides for electronic transmission of data elements to Federal agencies. (Sec. 264) Prohibits plans from requiring that a provider provide any data element not in the set or transmit any data element in a manner inconsistent with standards. (Sec. 265) Establishes an advisory commission. Authorizes appropriations. (Sec. 271) Provides for a comparative health care value program in each State. Authorizes grants and appropriations. (Sec. 273) Requires each Federal agency concerned with health insurance or care to develop comparative value information. (Sec. 274) Mandates model systems for the gathering and analysis of data on health care cost, quality, and outcome. Authorizes appropriations. (Sec. 281) Provides for standards regarding Medicare and Medicaid identification cards. Establishes a Medicare and Medicaid system to provide information on primary payors. Authorizes appropriations. (Sec. 282) Nullifies any State law requiring that medical or health insurance records be maintained in written rather than electronic form. (Sec. 283) Provides for standards regarding: (1) beneficiary and provider identification numbers; and (2) coordination of benefits. (Sec. 285) Mandates grants to demonstrate the application of comprehensive information systems in continuously monitoring patient care and improving patient care. Authorizes appropriations from the Federal Hospital Insurance Trust Fund. Authorizes grants for: (1) communication links between plan and provider information systems; (2) regional or community-based clinical information systems; and (3) developing and testing, for physicians and non-hospital entities, the definition of a comprehensive data set and the specification and presentation of individual data elements. Authorizes appropriations. (Sec. 291) Amends the IRC to exclude from an employee's gross income any amount contributed by the employer to a trust created exclusively to pay an individual's medical expenses (medical savings account). Sets contribution limits. Subjects the employee to taxation as owner of the account. (Sec. 301) Amends Medicaid provisions to modify contracting requirements for coordinated care services. (Sec. 311) Amends Medicare provisions to extend physician self-referral limitations to all payors and certain additional services. Revises exceptions. (Sec. 314) Mandates a study to estimate the changes in aggregate costs that will result from the amendments made by these provisions. (Sec. 321) Preempts managed care restrictions under State law. Mandates a study of managed care benefits and cost effectiveness. (Sec. 331) Amends Medicare provisions to revise the method for determining prospective payment updates to hospitals. (Sec. 332) Lowers the limitation amount and suspends certain annual adjustments regarding clinical diagnostic laboratory tests. (Sec. 343) Limits antitrust recovery to actual damages if certain requirements are met, including the filing and publication of information regarding hospital joint ventures. (Sec. 345) Establishes the Interagency Committee on Competition, Antitrust Policy, and Health Care. (Sec. 351) Prohibits, subject to exception, damages and other recovery under the Clayton Act or similar State laws from a medical self-regulatory entity engaging in standard setting or enforcement activities designed to promote the quality of health care and not conducted for financial gain.
Bill· HRH.R. 97 (103rd)open
United States · United States Congress · 5 January 1993
Amends the Immigration and Nationality Act to direct the Attorney General to provide, on an expedited basis, for a 30-day maximum parole admission of an alien into the United States to attend the funeral of an immediate blood relative.
Bill· HRH.R. 7 (103rd)referred
United States · United States Congress · 5 January 1993
TABLE OF CONTENTS: Title I: Temporary Assistance for Community Development Activities Title II: Homeownership Assistance Title III: Rural Housing Assistance Emergency Community Development Act of 1993 - Title I: Temporary Assistance for Community Development Activities - Authorizes the Secretary of Housing and Urban Development to make grants to States, local governments, and Indian tribes for community development assistance. Sets forth the following eligible activities under this title: (1) acquisition of real property; (2) construction of public works and facilities; (3) clearance and rehabilitation of buildings and improvements; (4) provision of public services and housing; (5) relocation assistance; (6) accessibility projects for elderly and handicapped persons; (7) services for high-risk youth; and (8) administrative expenses. Title II: Homeownership Assistance - Authorizes additional appropriations for the National Homeownership Trust Demonstration. Title III: Rural Housing Assistance - Authorizes and increases funding for: (1) insured or guaranteed rural housing loans; (2) supplemental grants for remote rural housing; (3) housing improvement loans; (4) rural housing loans for elderly, handicapped, or low-income persons; (5) housing for rural homeless and migrant farmworkers; and (6) rental assistance payment contracts.