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Bill· HRH.R. 1324 (103rd)referred
United States · United States Congress · 11 March 1993
Provides for the allocation of the excess unobligated balance remaining at the end of each fiscal year in the Department of Veterans Affairs Medical Care Cost Recovery Fund to the Nursing Home Revolving Fund and to the credit of appropriations available for the operation of Department medical facilities.
Bill· HRH.R. 1320 (103rd)referred
United States · United States Congress · 11 March 1993
American Business Productivity and Quality Enhancement Act of 1993 - Amends the Internal Revenue Code to exclude from gross income certain awards for employee productivity or quality achievement, limited to a specified amount.
Bill· HRH.R. 1311 (103rd)referred
United States · United States Congress · 11 March 1993
Higher Education Finance Improvement Act - Amends the Internal Revenue Code to allow an income tax deduction for interest on any indebtedness incurred: (1) to pay the higher educational expenses of the taxpayer, spouse, or child; and (2) pursuant to a Federal or State loan guarantee or insurance program. Allows penalty-free withdrawals from qualified retirement plans for the payment of qualified higher education expenses.
Resolution· HCONRESH.Con.Res. 62 (103rd)referred
United States · United States Congress · 11 March 1993
Declares that: (1) businesses should offer monetary employee achievement awards to employees who offer ideas to improve efficiency, productivity, competitiveness, and quality; and (2) the Congress should encourage such awards by enacting significant tax incentives for employees to contribute to business productivity and quality and for businesses to reward such contributions.
Bill· SS. 545 (103rd)open
United States · United States Congress · 10 March 1993
Amends the Internal Revenue Code to allow farmers' cooperatives to include gains or losses from the sale or other disposition of assets in net earnings from business done with or for patrons if the assets were used to facilitate the conduct of business.
Bill· SS. 540 (103rd)referred
United States · United States Congress · 10 March 1993
Title I: Improved Bankruptcy Administration Title II: Commercial Issues in Bankruptcy Title III: Consumer Bankruptcy Issues Title IV: Bankruptcy Review Commission Title V: Technical Corrections Title VI: Severability; Effective Date; Application of Amendments Bankruptcy Amendments Act of 1993 - Title I: Improved Bankruptcy Administration - Amends Federal bankruptcy law with respect to expedited hearings on a motion to lift an automatic stay; (2) the expedited filing of plans under chapters 11 and 12; and (3) expedited procedure for reaffirmation of debts. (Sec. 105) Permits bankruptcy court judges to hold status conferences, and to issue case limitations and conditions at such conferences. Amends the Federal judicial code to mandate that the judicial council of a circuit establish a bankruptcy appellate panel service composed of district bankruptcy judges in the circuit, subject to the consent of all parties. Sets forth appeals guidelines. (Sec. 106) Permits bankruptcy administrators (in a State in which the bankruptcy system is administered by a Bankruptcy Administrator instead of a U.S. Trustee) to preside at meetings of creditors and equity security holders, and to examine the debtor at creditors' meetings. (Sec. 107) Amends the Bankruptcy Code to include within the definition of "person" pension benefit guarantors and legal or beneficial owners of an asset of an eligible deferred compensation plan or of a governmental employee pension benefit plan (thus enabling such persons, State pension funds, and the Pension Benefit Guaranty Corporation to serve on creditors' committees). (Sec. 108) Revises current guidelines to permit increases in the incentive compensation for bankruptcy trustees. (Sec. 109) Increases the dollar limitations and debt limits applicable to specified bankruptcy procedures (thus enlarging the range of debtors eligible to repay debts over a period from regular income Chapter 13 debtors, and accounting for inflation since 1978). (Sec. 110) Conforms the premerger notification provisions of the Bankruptcy Code to the requirements for antitrust review of transactions under the Clayton Act. (Sec. 111) Entitles members of Chapter 11 bankruptcy reorganization committees to reimbursement for actual and necessary expenses. (Sec. 112) Continues through FY 1998 Chapter 12 bankruptcy provisions concerning family farmers. (Sec. 113) Directs the Judicial Conference of the United States to report to the Congress on efforts to automate and computerize the bankruptcy courts and provide necessary information about the commencement of the case in bankruptcy. (Sec. 115) Treats as an administrative expense of an estate in bankruptcy minimum funding contributions to an employee pension benefit plan for which the debtor is liable which accrue on or after the date of the commencement of the case in bankruptcy. (Sec. 116) Requires the U.S. trustee, at the conclusion of any meeting of creditors or equity security holders, to examine the debtor orally and record his or her knowledge of the consequences of filing for bankruptcy. Title II: Commercial Issues in Bankruptcy - Establishes the legal parameters under which a business debtor (or a party in interest) may elect to convert the case to expedited bankruptcy proceedings customized to small businesses. (Sec. 202) Sets forth automatic stay guidelines regarding proceedings against a debtor's single asset real estate. (Sec. 203) States that the right of a party with a security interest in certain aircraft equipment, maritime vessels, or railroad rolling stock equipment to take possession of such equipment or vessels in compliance with an equipment security agreement is not affected by the automatic stay or property use or sale provisions of the bankruptcy code or by any injunctive power of the bankruptcy court, except in specific circumstances. (Sec. 204) Requires a trustee, under Chapter 11, to perform the debtor's obligations which arise pursuant to an order for relief under an unexpired lease of personal property until the lease is assumed or rejected. (Sec. 205) Sets forth guidelines for: (1) the protection of assignees of executory contracts and unexpired leases approved by court order in cases reversed on appeal; (2) the protection of security interests in post-petition rents; (3) the withholding of post-petition debtor's income for certain retirement plan loan repayments; (4) indenture trustee compensation; (5) return of goods; (6) a debtor's interests in the proceeds of money order agreements; (7) liability limitations with respect to noninsider transferees for avoided transfers; (8) executory contracts for airport gate leases and (9) injunctions requiring Chapter 11 debtors to pay insurance benefits to retired employees and (10) the nondischargeability of credit loans to pay nondischargeable taxes. Title III: Consumer Bankruptcy Issues - Permits a Chapter 13 debtor to cure a home mortgage default on its principal residence before its foreclosure sale. (Sec. 302) Declares certain criminal fines nondischargeable under a Chapter 13 proceeding. (Sec. 303) Provides that a petition in bankruptcy does not operate as an automatic stay with respect to an action or proceeding for: (1) the establishment of paternity; or (2) the establishment or modification of an order for child or spousal maintenance or support. Includes within the priority list of expenses and claims that are to be paid by the bankrupt estate any claims for child or spousal support pursuant to a court order. Declares that a debtor in bankruptcy may not avoid a judicial lien that secures a debt for child and spousal support or maintenance. Prohibits a bankruptcy trustee from avoiding a transfer that was a bona fide payment of a debt for child or spousal support or maintenance pursuant to a court order. Permits child support creditors to appear and intervene without charge, and without meeting any special local court requirement for attorney appearances, in any bankruptcy proceeding in any bankruptcy or district court upon filing a court form detailing the status of the child support debt. (Sec. 304) Sets forth civil penalties for the negligent or fraudulent preparation of bankruptcy petitions by bankruptcy petition preparers for compensation. (Sec. 306) Declares that a trustee's plan may not modify the claim of a person holding a primary or a junior security interest in real property or a manufactured home that is the debtor's principal residence, except a junior security interest claim where the interest was undersecured at the time it attached (to the extent that it remains undersecured). (Sec. 307) Sets forth additional conditions on the ability of a creditor to seek satisfaction of a debt from a codebtor or a debt stayed under Chapter 13. (Sec. 309) Authorizes a bankruptcy court to award professional fees according to prescribed guidelines for specified bankruptcy-related services. Title IV: Bankruptcy Review Commission - National Bankruptcy Review Commission Act - Establishes the National Bankruptcy Review Commission to investigate and report to the Congress, the Chief Justice, and the President on issues relating to business bankruptcies. (Sec. 410) Authorizes appropriations. Title V: Technical Corrections - Makes technical and conforming corrections to the Bankruptcy Code. Title VI: Effective Date; Application of Amendments - Sets forth the effective date of this Act. Makes it inapplicable to bankruptcy cases commenced before its enactment.
Bill· SS. 552 (103rd)open
United States · United States Congress · 10 March 1993
Amends title XIX (Medicaid) of the Social Security Act to allow the participation in home- and community-based care programs of functionally disabled elderly individuals with: (1) incomes of up to three times the maximum amount allowed under the Supplemental Security Income program, at the State's option; and (2) two of five (currently, two of three) impaired activities of daily living. Exempts small community care settings which are not providers of home- and community-based care from survey and certification requirements. Requires case managers who have been properly trained to review such small settings for compliance with applicable requirements. Revises program funding provisions to: (1) guarantee States with a certain amount of funding over one year's election period; and (2) allow remaining funds to be carried over to the next fiscal year. Requires: (1) a State to notify the Secretary of Health and Human Services of its intention to provide home- and community-based care in order to receive Federal funding for it; and (2) the Secretary to notify each State which has submitted such a notice of the Federal funding amount available to it for the fiscal year. Requires the Secretary to evaluate and report annually to specified congressional committees on the provision of home-and community-based care by States. Revises the definition of developmentally disabled individual with respect to eligibility for community supported living arrangements program services. Allows program funds remaining at the end of a fiscal year to be carried over to the next fiscal year. Requires the Secretary to evaluate and report annually to specified congressional committees on the provision of community supported living arrangement services by States. Amends the Omnibus Budget Reconciliation Act of 1986 to reauthorize Alzheimer's disease demonstration projects.
Bill· SS. 542 (103rd)referred
United States · United States Congress · 10 March 1993
TABLE OF CONTENTS: Title I: Taxpayer Advocate Title II: Modifications to Installment Agreement Provisions Title III: Interest Title IV: Joint Returns Title V: Collection Activities Title VI: Information Returns Title VII: Modifications to Penalty for Failure to Collect and Pay Over Tax Title VIII: Awarding of Costs and Certain Fees Title IX: Other Provisions Title X: Form Modifications; Studies Subtitle A: Form Modifications Subtitle B: Studies Taxpayer Bill of Rights 2 - Title I: Taxpayer Advocate - Amends the Internal Revenue Code to establish in the Internal Revenue Service (IRS) the Office of Taxpayer Advocate, headed by the Taxpayer Advocate, to: (1) assist taxpayers in resolving problems with the IRS; (2) identify areas in which taxpayers have problems in dealings with the IRS; (3) propose changes in the administrative practices of the IRS to mitigate such problems; and (4) identify potential legislative changes which may be appropriate to mitigate such problems. Requires the Commissioner of Internal Revenue to establish procedures requiring a formal response to all recommendations submitted to the Commissioner by the Taxpayer Advocate. Replaces the Office of the Ombudsman with the Office of the Taxpayer Advocate. Revises the terms of a Taxpayer Assistance Order to: (1) allow the Order to require the Secretary of the Treasury to act within a specified time period; and (2) require the Secretary to take certain actions (currently, only to cease or refrain from taking certain actions). Title II: Modifications to Installment Agreement Provisions - Grants certain taxpayers the right to an installment agreement for the payment of tax liability less than $10,000. Requires prior notification to taxpayers under an installment agreement to pay tax liability before altering, modifying, or terminating such an agreement. Provides for administrative review of denials of requests for, or termination of, installment agreements. Title III: Interest - Authorizes the abatement of interest in the case of an assessment due to the unreasonable error or delay of an IRS act. Extends from ten to 21 days the period for which interest will not be imposed after notice and demand for payment, if such payment is less than $100,000. Title IV: Joint Returns - Allows the disclosure of collection activities to an individual requesting such information in the case of a joint return where such individual is no longer married to or resides in the same household as the other joint filer. Removes limitations on filing a joint return after filing separate returns. Title V: Collection Activities - Authorizes the Secretary, in certain cases, to: (1) withdraw a notice of a lien; (2) return property that has been levied upon; and (3) offer compromises in civil or criminal cases. Requires the Secretary to provide a copy of such notice of withdrawal to the taxpayer and, at the request of the taxpayer, to make reasonable efforts to notify credit reporting agencies and financial institutions of such withdrawal notice. Requires prior notification to the taxpayer that the taxpayer is under examination and an explanation of the process, with exceptions. Increases the dollar limit on the recovery of civil damages for unauthorized collection actions. Revises provisions with respect to a designated summons concerning the standard of review and notice requirements for issuance. Title VI: Information Returns - Requires payee statements to provide the phone number of the person providing payment. Establishes civil damages for the fraudulent filing of information returns. Requires the Secretary, in any court proceeding where a taxpayer asserts a reasonable dispute with respect to income reported on an information return filed by a third party and the taxpayer has fully cooperated with the Secretary, to present reasonable and probative information concerning such deficiency in addition to such return. Title VII: Modifications to Penalty for Failure to Collect and Pay Over Tax - Establishes preliminary notice requirements for failure to pay tax. Declares that a person shall not be liable for any penalty for failure to collect and pay over tax if such person: (1) is not a significant owner or highly compensated employee of the trade or business; (2) notifies the Secretary within ten days after such failure; (3) such notification was before any notice by the Secretary with respect to such failure; and (4) such failure is not a part of a plan to defraud the Government. Directs the Secretary to: (1) disclose certain information where more than one person is liable for a penalty; and (2) ensure that IRS employees are aware of their responsibilities under the tax depository system, the circumstances under which they may be liable for penalties, and reporting responsibilities. Exempts unpaid, volunteer board members of tax-exempt organizations who do not have actual knowledge of the failure on which such penalties are imposed from collection penalties. Title VIII: Awarding of Costs and Certain Fees - Authorizes a taxpayer who substantially prevails on a claim to file a motion for an order requiring the disclosure of all information and copies of relevant records in the possession of the IRS regarding such taxpayer's case and the substantial justification for the position taken by the IRS. Increases the limit on attorney fees. Provides that any failure to agree to an extension of time for the assessment of any tax shall not be taken into account in determining whether a prevailing party has exhausted all administrative remedies. Title IX: Other Provisions - Revises provisions on the required content of tax due, deficiency, and other notices. Sets forth provisions regarding: (1) treatment of substitute returns under section 6651 (relating to failure to file a tax return or to pay tax); (2) prospective application of Treasury Department regulations; and (3) required notice to the taxpayer of payments that the Secretary cannot associate with any outstanding tax liability of such taxpayer. Authorizes a taxpayer to bring a civil damage suit against the United States if any U.S. officer or employee intentionally compromises the determination or collection of any tax due from an attorney, certified public accountant (CPA), or enrolled agent representing a taxpayer in exchange for information conveyed by the taxpayer for purposes of obtaining advice concerning tax liability, except where conveyed for the purpose of perpetrating a fraud or crime. Title X: Form Modifications; Studies - Subtitle A: Form Modifications - Directs the Secretary to: (1) take steps to ensure that taxpayers are aware of provisions of the Internal Revenue Code permitting payment of tax in installments, extensions, and compromises of tax liability; (2) provide improved procedures for taxpayers to notify the Secretary of changes in names and addresses; and (3) include in the IRS publication entitled "Your Rights As a Taxpayer" a section on the rights and responsibilities of divorced individuals. Subtitle B: Studies - Directs the Secretary to: (1) establish a one-year pilot program for appeals of enforcement actions to the Appeals Division of the IRS; (2) study ways to assist the elderly, physically impaired, foreign-language speaking, and other taxpayers with special needs to comply with the internal revenue laws; and (3) report to the tax-writing committees on the IRS's taxpayer-rights education program and on all cases involving complaints about misconduct of IRS employees. Requires the Comptroller General to conduct: (1) a study on IRS efforts to notify taxpayers of tax deficiencies; and (2) annual studies of the accuracy of 25 of the most commonly used IRS forms, notices, and publications.
Bill· HRH.R. 1295 (103rd)open
United States · United States Congress · 10 March 1993
TABLE OF CONTENTS: Title I: Legislative Reform Title II: Federal Intergovernmental Relations Fiscal Accountability and Intergovernmental Reform Act (FAIR Act) - Title I: Legislative Reform - Provides that, with certain exceptions, whenever a committee of either House reports a bill or resolution of a public character to its House mandating unfunded requirements upon State or local governments or the private sector, the report accompanying that bill or resolution shall analyze the effect of the new requirements on: (1) State and local government expenditures necessary to comply with Federal mandates; (2) private businesses; and (3) economic growth and competitiveness. Title II: Federal Intergovernmental Relations - Requires, to the fullest extent practicable, that: (1) the policies, regulations, and public laws of the United States be interpreted and administered in accordance with this Act; (2) all Federal agencies, consistent with attainment of the requirements of Federal law, minimize the adverse effects of rules affecting the economy; and (3) Federal agencies take certain actions in promulgating new rules, reviewing existing rules, developing legislative proposals, or initiating any other major Federal action affecting the economy whenever an agency identifies two or more alternatives which will satisfy the agency's statutory obligations. Provides that, whenever an agency publishes a general notice of proposed rulemaking, promulgates a final rule, or before initiating or implementing any other major Federal action affecting the economy, the agency shall prepare and make available for public comment an Intergovernmental and Economic Impact Assessment. Specifies the contents of such an assessment.
Bill· HRH.R. 1304 (103rd)open
United States · United States Congress · 10 March 1993
Amends the Internal Revenue Code to impose an excise tax through 1999 on taxable first sales of syringes and intravenous systems to health care providers which do not meet antineedlestick prevention standards. Directs the Commissioner of the Food and Drug Administration to prescribe safety standards for syringes, and appropriate components of intravenous systems, to prevent accidental needlestick injuries to health care providers.
Bill· HRH.R. 1289 (103rd)open
United States · United States Congress · 10 March 1993
Amends the Internal Revenue Code to provide that a qualified veteran, for purposes of eligibility for mortgage revenue bond financing, is one who meets applicable State law requirements. (Current law specifies deadlines to be met by such veterans.)
Bill· HRH.R. 1298 (103rd)referred
United States · United States Congress · 10 March 1993
Amends the Internal Revenue Code to provide that cash rental of farmland to a member of the decedent's family for a qualified use will not cause recapture of the special estate tax valuation.
Resolution· HRESH.Res. 127 (103rd)referred
United States · United States Congress · 10 March 1993
Expresses the sense of the House of Representatives that one-third of the funds appropriated for any fiscal year for homeless assistance programs should be appropriated to the Secretary of Veterans Affairs for programs to assist homeless veterans.
Bill· SS. 531 (103rd)open
United States · United States Congress · 9 March 1993
Amends the Internal Revenue Code to increase the unified estate and gift tax credits. Requires the filing of estate tax returns in all cases where an estate exceeds $1,000,000 (currently, $600,000).
Bill· HRH.R. 1269 (103rd)referred
United States · United States Congress · 9 March 1993
TABLE OF CONTENTS: Title I: Environmental Restoration at Military Installations to be Closed Title II: Tax Incentives Relating to Federal Military Base Closures and Realignments Title III: Economic Adjustment and Conversion Assistance Comprehensive Base Closure Reform and Recovery Act of 1993 - Title I: Environmental Restoration at Military Installations to be Closed - Requires, with respect to each military installation which is on the National Priorities List for substantial environmental cleanup and which is to be closed: (1) that at least 75 percent of the required environmental remedial actions be completed before the installation is closed or substantial reductions in its operations have occurred; and (2) that all of the required remedial action be completed no later than two years after such closure or reduction. Title II: Tax Incentives Relating to Federal Military Base Closures and Realignments - Amends the Internal Revenue Code to treat any Federal military installation employee whose job is terminated by reason of installation closure or realignment as a member of a targeted group for purposes of the targeted jobs credit. Reduces the depreciation recapture rate for businesses that acquire buildings on such bases. Increases the amount which may be expensed for the cost of new equipment placed in service. Provides for the treatment of compensation paid for losses sustained in a private sale of a residence as part of the amount realized on the sale of the residence. Title III: Economic Adjustment and Conversion Assistance - Amends the Defense Economic Adjustment, Diversification, Conversion, and Stabilization Act of 1990 to direct the Economic Development Administration to ensure that economic adjustment assistance funds are reserved for communities most substantially and seriously affected by the closure or realignment of a military installation or the curtailment, completion, elimination, or realignment of a major defense contract. Extends through FY 1995 the authorization of appropriations for such assistance. Directs the Secretary of Defense to establish a program to guarantee loans to civilian DOD employees of a military installation to be closed or realigned. Requires the average amount of assistance authorized for a State or local government affected by the closure of a military installation for planning community adjustments and economic diversification to be at least $250,000 per year during the course of such closure. Extends through FY 1995 the authorization of appropriations for training, adjustment assistance, and employment services to employees adversely affected by closures of military installations. Directs the Secretary to convey to an eligible State or local government title to a military installation closed in such area. Directs the Secretary to transmit to State and political subdivisions advance notification of the intention to convey property of the installation. Provides the order of priority for the conveyance. Authorizes the President to waive property conveyance requirements for national security reasons or if a conveyance would constitute an undue windfall not necessary for a community's economic recovery. Directs the Secretary to provide economic adjustment and community planning assistance to communities near the closed military installation until such time as economic stability is achieved. Authorizes the Secretary and any other Federal agency head to continue, after closure of an installation is approved by the President, to obligate funds for improvements to the property that will facilitate its conveyance and that are consistent with the use to be made of the property. Directs the Secretary to give preference to local businesses and small business concerns for contracts relating to the closure or realignment of a military installation. Directs the Secretary to provide homeowners assistance under the Demonstration Cities and Metropolitan Development Act of 1966 to eligible employees of local educational agencies adversely affected by military base closures.
Bill· HRH.R. 1256 (103rd)referred
United States · United States Congress · 9 March 1993
Amends the Internal Revenue Code to require State unemployment compensation laws to provide for a program that: (1) allows individuals to purchase health insurance continuation benefits by having premiums deducted by their employer from their wages; (2) offers options as to the availability and level of such benefits; (3) specifies the periodic premium to be deducted for each option and the maximum premium payable for any such option; and (4) uses collected premiums solely for providing such benefits.
Bill· HRH.R. 1246 (103rd)referred
United States · United States Congress · 8 March 1993
Tobacco Health Tax Act of 1993 - Amends the Internal Revenue Code to increase the excise tax on the following tobaccos and tobacco-related products: (1) cigars; (2) cigarettes (including an additional tax on packs containing fewer than 20 cigarettes); (3) cigarette papers and tubes; and (4) smokeless and pipe tobacco. Imposes a new tax on cigarette tobacco. Provides, for each calendar year after 1993, an inflation adjustment of the tobacco tax rates. Provides a floor stock tax on the following tobaccos and tobacco products manufactured in or imported into the United States which are removed from stocks before January 1, 1994: (1) cigars; (2) cigarettes (including packs containing fewer than 20 cigarettes); (3) cigarette papers and tubes; (4) snuff; and (5) chewing, pipe, and cigarette tobacco. Establishes in the Treasury the Tobacco Health Tax Trust Fund which shall consist of funds resulting from tobacco tax increases under this Act. Outlines authorized expenditures from the Fund, including the use of 80 percent of such proceeds for Medicaid (title XIX of the Social Security Act) eligibility and payment expansions. Outlines actions authorized to be taken by the Secretary of Health and Human Services in connection with such expansions, including the authority to require an increase in Medicaid payment rates to hospitals and physicians. Provides conforming provisions imposing a floor on Medicaid payment levels for inpatient hospital services and physicians' services. Authorizes expenditures from the Fund for: (1) grants to State and local governments to compensate for any reduction in revenues to such governments caused by the Federal tobacco tax increase under this Act; (2) specified health promotion and illness prevention programs; and (3) public education and other activities to discourage the use of tobacco products, especially among youths. Authorizes the Secretary of Agriculture to make certain offset payments to tobacco producers if the domestic consumption of tobacco declines by at least five percent of that calculated in 1993. Directs the Secretary to encourage such producers to convert their operations to alternative crops. Authorizes the Secretary to make grants to States submitting alternative crop conversion plans. Provides funding for such alternative crop program through the Fund.
Bill· SS. 526 (103rd)referred
United States · United States Congress · 5 March 1993
Amends the Congressional Budget and Impoundment Control Act of 1974 to require separate enrollment of each item of appropriation and each tax expenditure provision in measures passed by both the House of Representatives and the Senate in identical form.
Bill· SS. 517 (103rd)referred
United States · United States Congress · 5 March 1993
Limits the authorization of appropriations for the Strategic Defense Initiative to a maximum of $2,000,000,000 for FY 1994.
Bill· SS. 513 (103rd)referred
United States · United States Congress · 4 March 1993
Tobacco Consumption Reduction and Health Improvement Act of 1993 - Amends the Internal Revenue Code to increase the excise tax on: (1) cigars; (2) cigarettes; (3) cigarette papers and tubes; (4) snuff; and (5) chewing and pipe tobacco. Imposes a tax on the floor stocks of such tobacco products which are removed before January 1, 1994. Makes an exception to the imposition of such tax for floor stocks of such products held on such date at the place intended to be sold at retail. Imposes such tax on such products entered into the United States from foreign trade zones before such date. Establishes in the Treasury the Health Reform Trust Fund composed of the net increases in revenues received by the Treasury as the result of this Act. Directs the Secretary to use: (1) 80 percent of such funds in a fiscal year for the provision of medical care and medical insurance to persons without such insurance; and (2) 20 percent for health education programs, smoking cessation programs, and distribution to States required to reduce State taxes on tobacco products as a result of the increase in the Federal excise tax under this Act.
Bill· SS. 501 (103rd)referred
United States · United States Congress · 4 March 1993
Repeals provisions of the Unemployment Compensation Amendments of 1992 which require 20 percent income tax withholding on eligible rollover distributions of pension plans which are not rolled over into eligible retirement plans. Requires the Internal Revenue Code to be applied as if such provisions had never been enacted.
Bill· HRH.R. 1240 (103rd)open
United States · United States Congress · 4 March 1993
Social Security Domestic Employment Tax Act of 1993 - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act and the Internal Revenue Code to raise the threshold amount at which cash remuneration for domestic services becomes subject to social security employment taxes. Provides for annual: (1) adjustments in such threshold amount; and (2) payment of domestic service employment taxes, with certain exceptions. Grants the Secretary of the Treasury authority to enter into agreements to collect State unemployment taxes on such remuneration.
Bill· HRH.R. 1239 (103rd)open
United States · United States Congress · 4 March 1993
Directs the Secretary of the Treasury to establish a 180-day amnesty period for the payment of unpaid domestic service employment taxes for years prior to 1993. Makes any person making such payment during that period immune from interest or penalties for nonpayment of such taxes or failure to timely file returns with respect to such taxes. Makes such provisions inapplicable where the employer was liable for taxes with respect to remuneration paid for services other than domestic service in a private home of the employer. Makes the preceding provisions applicable with respect to the payment of unpaid taxes only if such payment is accompanied by a written return containing specified information. Provides for the transmission of such information from the Secretary of the Treasury to the Secretary of Health and Human Services for purposes of crediting wages under title II (Old Age, Survivors and Disability Insurance) of the Social Security Act.
Law· HRH.R. 1237 (103rd)enacted
United States · United States Congress · 4 March 1993
National Child Protection Act of 1993 - Establishes a national criminal background check system (System) to which a designated agency in each State is required to report child abuse crime information, or index such information in the system, for purposes of background checks of child care providers. Directs the Attorney General to establish: (1) guidelines for the reporting of such information; and (2) timetables for each State to report such information to the System. Requires State agencies to maintain close liaison for the exchange of technical assistance in cases of child abuse with the National Center: (1) on Child Abuse and Neglect; (2) for Missing and Exploited Children; and (3) for the Prosecution of Child Abuse. Directs the Attorney General to publish annually: (1) a statistical summary of the child abuse crime information reported under this Act; and (2) a summary of each State's progress in reporting child abuse crime information to the System. Requires the Administrator of the Office of Juvenile Justice and Delinquency Prevention to conduct a study to determine various factors relating to potential child abuse crimes and offenders. Authorizes a State to have in effect procedures to permit a qualified entity to contact a State agency to request a nationwide background check. Directs the Attorney General to establish: (1) guidelines for State background check procedures, but permits the Attorney General to certify that a State procedure is equivalent to that under this Act under specified circumstances; and (2) criteria for such certifications. Amends the Omnibus Crime Control and Safe Streets Act of 1968 (Omnibus Act) to provide for the use of drug control and system improvement grants for the improvement of State record systems and the sharing of records of child abuse crime information to implement this Act. Directs the Attorney General, subject to appropriations and with preference to States that have the lowest percent currency of case dispositions in computerized criminal history files, to make additional grants: (1) for the computerization of, and the improvement of existing computerized criminal history files; (2) to improve accessibility to the System; and (3) to assist the State in the transmittal of criminal records to, or the indexing of criminal history records in, the System. Authorizes: (1) appropriations; and (2) the withholding of a portion of the allocation for a fiscal year under the Omnibus Act to a State that is not in compliance with the timetable established under this Act.
Bill· HRH.R. 1228 (103rd)open
United States · United States Congress · 4 March 1993
Amends the Internal Revenue Code to revise provisions determining the effectively connected net investment income of foreign companies carrying on insurance business in the United States. Requires such companies to recompute their effectively connected net investment income for taxable years beginning after December 31, 1997. Provides for increases (or decreases, as appropriate) in such income where the recomputed amount exceeds (or is less than) the income for the recomputed year. Requires payment (or receipt) of interest on the underpayment (or overpayment) of adjusted amounts.
Bill· HRH.R. 1218 (103rd)referred
United States · United States Congress · 4 March 1993
TABLE OF CONTENTS: Title I: Reduction in Individual Income Taxes Title II: Incentive for Purchase of American-Made Property Title III: Surface Transportation Programs Title IV: Relief from Credit Crunch Title V: Cap on Federal Employment Title VI: Reduction in Federal Overhead Expenses Economic Growth Incentive Act of 1993 - Title I: Reduction in Individual Income Taxes - Amends the Internal Revenue Code to provide for a five-percent decrease in individual income taxes. Title II: Incentive for Purchase of American-Made Property - Allows an itemized deduction for State and local general sales taxes imposed on the retail sale of American-made property. Title III: Surface Transportation Programs - Amends the Intermodal Surface Transportation Efficiency Act of 1991 to repeal the obligation ceiling for Federal-aid highways and highway safety construction programs. Repeals authorized appropriations for FY 1993 and beyond and authorizes (and generally increases) appropriations for FY 1993 and 1994 for: (1) highway programs; (2) construction of national defense highways located outside the United States; (3) the interstate substitute program; (4) donor State bonus amounts; (5) apportionment adjustments; (6) set asides for interstate discretionary projects; (7) the discretionary bridge program; (8) national high-speed ground transportation programs; (9) the highway timber bridge program; (10) highway use tax evasion projects; (11) the scenic byways program; (12) construction of ferry boats and ferry terminal facilities; (13) certain highway safety programs; (14) Federal Transit Act authorizations; and (15) the motor carrier safety grant program. Repeals FY 1992 budget compliance provisions. Accelerates from FY 1996 and 1997 to FY 1993 and 1994 the authority for reimbursements for segments of the Interstate System constructed without Federal assistance. Removes the highway safety obligation ceilings. Repeals the required reduction in certain Federal Transit Act authorizations for budget compliance. Amends the Internal Revenue Code to repeal the adjustment of apportionments for the Highway Trust Fund. Title IV: Relief from Credit Crunch - Expresses the sense of the Congress that: (1) the current "credit crunch" should be eased by making it easier for businesses and individuals to obtain loans and leases; and (2) State banking authorities and the appropriate Federal banking agencies should more sensibly apply the requirements on loan loss reserves so as not to punish or restrain responsible borrowers. Title V: Cap on Federal Employment - Prohibits the number of Federal employees from exceeding such number on the date of enactment of this Act. Rescinds all unobligated amounts that were appropriated before such date to pay the salary, wages, or benefits for a position not filled on that date. Title VI: Reduction in Federal Overhead Expenses - Rescinds ten percent of all unobligated amounts that were appropriated before the date of enactment of this Act to pay overhead expenses of any Federal agency. Reduces authorizations for any fiscal year to pay overhead expenses of any Federal agency by ten percent.
Bill· HRH.R. 1216 (103rd)referred
United States · United States Congress · 4 March 1993
Domestic Investment Economic Growth Act - Amends the Internal Revenue Code to exclude from gross income gain on qualified investments in an enterprise zone business and a domestic business. Excludes 100 percent of such gain from investment in an enterprise zone business or an urban enterprise zone, and 50 percent of such gain from other qualified investments. Provides for the establishment of investment savings accounts. Allows an individual a reduction of 50 percent of the qualified contributions to an investment savings account. Limits the maximum annual deduction to $100,000. Defines qualified contributions. Defines an investment savings account. Provides that any amount distributed out of such an account shall be included in the gross income of the distributee, except for amounts held in the account for at least ten years. Makes such accounts tax-exempt, except for the imposition of the tax on unrelated business income of charitable, etc., organizations. Imposes, in the case of a distribution from an investment savings account, an additional tax of ten percent of the amount of the distribution which is includible in the gross income of the distributee. Makes such tax inapplicable to distributions held in such accounts for at least five years if such distributions were made for: (1) home purchase expenses; (2) automobile purchase expenses; (3) education expenses; and (4) medical expenses. Makes such tax inapplicable if the distribution is made after the individual for whose benefit the account is established attains age 59 1/2 years or becomes disabled. Allows the deduction for contributions to investment savings accounts in computing adjusted gross income. Declares that such contributions are not subject to the gift tax. Subjects such accounts to the tax on excess contributions, the tax on prohibited transactions, and the penalty for failure to provide reports on individual retirement accounts or annuities. Imposes a penalty on any person who promotes a nonqualified investment as eligible under the provisions of this Act.
Bill· HRH.R. 1242 (103rd)referred
United States · United States Congress · 4 March 1993
Small Property and Casualty Insurance Company Equity Act of 1993 - Amends the Internal Revenue Code to allow a small insurance company deduction of the tentative taxable income of certain companies involved with property or casualty insurance.
Bill· HRH.R. 1230 (103rd)referred
United States · United States Congress · 4 March 1993
Amends the Internal Revenue Code to disallow a deduction for expenses incurred in advertising tobacco products or alcoholic beverages on television or radio, in any periodical, or on any billboard.
Bill· HRH.R. 1217 (103rd)referred
United States · United States Congress · 4 March 1993
Prohibits the imposition of the estate tax on the transfer of the taxable estate of a citizen or resident of the United States who died as a direct result of the Pan American Airways Flight 103 terrorist disaster over Lockerbie, Scotland, on December 21, 1988.
Resolution· HRESH.Res. 116 (103rd)open
United States · United States Congress · 4 March 1993
Targeted Tax Relief Disclosure Resolution of 1993 - Amends rule X of the Rules of the House of Representatives to require that each public bill or joint resolution reported by the Committee on Ways and Means identify: (1) each provision (if any) of the bill or joint resolution which is intended to provide special benefits with respect to five or fewer taxpayers, transactions, events, items of property, projects, or issuances of bonds; (2) each beneficiary (known by the Committee) of such provision; (3) the Member or Members of the Congress who sponsored the inclusion of each such beneficiary in such provision; and (4) an estimate by the Joint Committee on Taxation of the loss in revenues resulting from such provision with respect to each such beneficiary for the fiscal year for which such loss in revenues first occurs and each of the five fiscal years thereafter.
Bill· SS. 494 (103rd)referred
United States · United States Congress · 3 March 1993
Amends the Internal Revenue Code to exempt from the occupational excise tax on wagering any tax-exempt charitable organization and any person engaged in receiving wagers only on behalf of such organization, if the only wagers accepted by the organization (and the person) are authorized under the law of the State in which accepted. Provides for taxing a percentage of wagering winnings in excess of charitable expenditures.
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· SS. 487 (103rd)referred
United States · United States Congress · 3 March 1993
Amends the Internal Revenue Code to make the low-income housing credit permanent. Modifies provisions concerning unused housing credit carryovers by States to allow States to carry over more unused credits from year to year. Provides that a unit shall not fail to be treated as low-income because it is occupied by students or persons enrolled in job training programs under the Job Training Partnership Act. Authorizes the Secretary of the Treasury to waive: (1) any recapture of credit (required to be included in tax) in the case of any de minimis error in complying with tests for qualified low-income housing projects; or (2) any annual recertification of tenant income if the entire building is occupied by low-income tenants. Determines the adjusted basis of any building (for purposes of the low-income housing credit) by taking into account the adjusted basis of the property used in community activity facilities if: (1) such facilities are designed to serve individuals meeting income requirements for the housing project; and (2) not more than 20 percent of the aggregate eligible basis of all buildings in the project is attributable to the aggregate basis of such facilities. Applies at-risk rules to low-income housing credit property that also qualifies for the historic site rehabilitation credit and to qualified lenders. Adds conditions prohibiting discrimination against Section 8 tenants for purposes of meeting extended low-income housing commitments required to receive credits.
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. 1212 (103rd)open
United States · United States Congress · 3 March 1993
Amends the Internal Revenue Code to repeal the 80 percent limitation on the amount of business meal and entertainment expenses which are tax deductible.
Bill· HRH.R. 1190 (103rd)open
United States · United States Congress · 3 March 1993
Crane Tithe Tax Act of 1993 - Amends the Internal Revenue Code to repeal the following taxes: (1) the corporate income tax; (2) the alternative minimum tax as it applies to corporations; (3) the tax on the unrelated business income of tax-exempt organizations; (4) the tax on the accumulated earnings of certain corporations; (5) the tax applied to personal holding companies; (6) the alternative tax for certain mutual savings banks; (7) income taxes imposed on insurance companies, regulated investment companies, and real estate investment trusts; and (8) the tax on the income of foreign corporations connected with U.S. business. Revises the individual income tax to impose a ten percent tax on an individual's earned income that exceeds $10,000 (adjusted annually based on the Consumer Price Index). Includes as earned income: (1) wages, salaries, and other employee compensation; (2) net earnings from self-employment; and (3) dividends from a personal service corporation or other direct or indirect compensation for services. Exempts tips and amounts received as a pension or annuity. Declares tax amnesty with respect to income tax liability and associated penalties and interest for pre-1992 taxable years. Repeals all tax exclusions, tax deductions, and tax credits currently used to determine individual income tax liability. Repeals the estate tax, the gift tax, and the tax on certain generation-skipping transfers.
Bill· HRH.R. 1206 (103rd)referred
United States · United States Congress · 3 March 1993
Amends the Federal judicial code to make the Department of Justice Assets Forfeiture Fund available to the Attorney General for support of community-based social service agencies that provide programs for at-risk youth, victim assistance, and drug abuse prevention, treatment, and control. Limits amounts paid for such purposes to 25 percent of the total of amounts paid from the Fund for each fiscal year. Directs the Attorney General to give preference to social service agencies in communities in which forfeited property is located.
Bill· HRH.R. 1204 (103rd)referred
United States · United States Congress · 3 March 1993
District of Columbia Fiscal Fairness Act of 1993 - Amends the District of Columbia Self-Government and Governmental Relations Act to permit the Council of the District of Columbia to impose personal income taxes on nonresidents.
Bill· HRH.R. 1207 (103rd)referred
United States · United States Congress · 3 March 1993
Jobs Preservation Act of 1993 - Amends the Worker Adjustment and Retraining Notification Act to require notification of certain plant closings to the Secretary of the Treasury if the employer or a related person holds stock in a corporation eligible for the Puerto Rico and possession tax credit. Amends the Internal Revenue Code to deny the Puerto Rico and possession tax credit in cases of runaway plants.
Bill· HRH.R. 1203 (103rd)open
United States · United States Congress · 3 March 1993
Authorizes the Secretary of Defense to detail members of the armed forces to a State or local correctional agency for temporary duty as advisors and instructors at a correctional facility operated as a military-style boot camp if the Secretary determines that such personnel could contribute to the rehabilitative purposes of such facility. Credits such military personnel for all service performed during such detail. Amends the National Defense Authorization Act for Fiscal Years 1990 and 1991 and other Federal provisions relating to actions taken in conjunction with defense base closures and realignments to authorize the Secretary to transfer to the State or local government in which the military installation is located appropriate property or facilities for conversion and use in conjunction with military-style boot camp operations at a correctional facility.
Bill· HRH.R. 1185 (103rd)referred
United States · United States Congress · 3 March 1993
Amends the Federal Election Compaign Act of 1971 to: (1) limit nonparty multicandidate political committee (PAC) and out-of-State contributions to House of Representatives candidates; and (2) reduce the reporting threshold for certain contributions and expenditures. Amends the Internal Revenue Code to provide an income tax credit for contributions to nonincumbent House of Representatives candidates. Entitles nonincumbent House of Representatives candidates to reduced third class mail rates for campaign materials.
Bill· HRH.R. 1210 (103rd)referred
United States · United States Congress · 3 March 1993
Amends the Internal Revenue Code to deny the Puerto Rico and possession tax credit to runaway plants (new or newly expanded operations at Puerto Rican or other possession facilities) unless the Secretary of the Treasury determines that such plants will not have a substantial adverse effect on employment at U.S. facilities. Provides a period for public comment prior to the Secretary's determination.
Bill· HRH.R. 1213 (103rd)referred
United States · United States Congress · 3 March 1993
Amends the Internal Revenue Code to permit mortgage revenue bond financing of mortgages for veterans of combat activities in the Persian Gulf.
Resolution· HRESH.Res. 114 (103rd)referred
United States · United States Congress · 3 March 1993
Requires the concurrent resolution on the budget for FY 1994 to establish outlay caps through FY 1998.
Bill· SS. 474 (103rd)referred
United States · United States Congress · 2 March 1993
Amends the Internal Revenue Code to increase the personal exemption for a dependent child who has not attained age 18 from $2,000 to $3,500. Provides for rounding inflation adjustments in tax tables to the nearest multiple of $10 (currently rounded to the next lowest multiple of $50).
Bill· SS. 475 (103rd)referred
United States · United States Congress · 2 March 1993
Amends the Internal Revenue Code to allow penalty-free withdrawals from retirement plans by individuals who are unemployed, if: (1) such individuals have received unemployment compensation for 12 consecutive weeks; and (2) distributions are made in the year during which such compensation was paid or the succeeding year.
Bill· HRH.R. 1181 (103rd)reported
United States · United States Congress · 2 March 1993
Amends Federal law to increase the Federal payments in lieu of taxes to units of local government for entitlement land. Requires the Secretary of the Interior to adjust such payments by the rate of inflation according to the Consumer Price Index.
Bill· HRH.R. 1166 (103rd)open
United States · United States Congress · 2 March 1993
TABLE OF CONTENTS: Title I: Tax Relief for Middle-Income Taxpayers Title II: Revenue Provisions Middle Class Tax Relief Act of 1993 - Title I: Tax Relief for Middle-Income Taxpayers - Amends the Internal Revenue Code to provide an additional exemption amount ($1,000) to the regular personal exemption ($2,000) for middle-income taxpayers. Specifies the maximum gross income amounts for such taxpayers. Provides a formula for reducing the additional exemption amount for middle-income taxpayers whose incomes exceed certain transitional dollar amounts. Provides for inflation adjustments of amounts under this title. Title II: Revenue Provisions - Increases the individual income tax rates for certain high-income taxpayers. Imposes a surtax on the individual tax rate or the alternative minimum tax rate for individuals whose incomes exceed $225,000. Increases the rates of corporate income tax and of alternative minimum tax.
Bill· HRH.R. 1176 (103rd)referred
United States · United States Congress · 2 March 1993
Directs the Secretary of Veterans Affairs, during the three-year period beginning on October 1, 1993, to conduct a rural health-care clinic program in States where significant numbers of veterans reside in areas geographically remote from existing health-care facilities of the Department of Veterans Affairs. Directs the Secretary to commence operation of at least three such clinics in each fiscal year of the program. Directs the Secretary to report to the Congress on an evaluation of the program. Authorizes appropriations.
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