Records whose title is actually about this topic. Use a country filter if the list is still too broad.
Records
Bill· HRH.R. 5618 (102nd)referred
United States · United States Congress · 9 July 1992
Family Renewal and Support Act of 1992 - Title I: Increase in Personal Exemption for Certain Dependent Children - 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 to tax tables to the nearest multiple of $10 (currently rounded to the next lowest multiple of $50). Title II: Retirement Savings Incentives - Subtitle A: Restoration IRA Deduction - Subtitle A: Restoration of IRA Deduction - Removes the limitations on deductions for individual retirement plans and provides a cost-of-living adjustment for deductible amounts. Subtitle B: Nondeductible Tax-Free IRAs - Establishes special individual retirement accounts that are nondeductible. Makes such accounts nontaxable if earnings on contributions are held for at least five years. Applies the early withdrawal penalty to distributions made before the end of the five-year period. Subtitle C: Penalty-Free Distributions - Provides exemptions from the ten-percent penalty on early withdrawals from individual retirement plans for: (1) first home purchases; (2) higher education expenses; and (3) financially devastating medical expenses. Title III: Credit for First-Time Homebuyers - Allows a first-time homebuyer who purchases a principal residence a tax credit of ten percent of the purchase price of such residence. Limits the credit to $5,000. Requires married individuals filing jointly to both be first-time homebuyers. Allows the use of 50 percent of the credit in the first taxable year in which the residence is purchased and the remaining 50 percent in the succeeding taxable year. Makes this credit applicable to residences acquired after February 1, 1992, and before January 1, 1993, or for which a binding contract is entered into during such period. Title IV: Deduction for Interest on Certain Educational Loans - Allows an income tax deduction for interest on certain indebtedness incurred to pay the educational expenses of the taxpayer, spouse, or taxpayer's child. (Under current law, such a loan must be secured by an interest in real property.) Reduces such expenses by the amount excludable from gross income for savings bonds used to pay higher education tuition and fees. Reduces the amount treated as home equity indebtedness by the amount treated as educational indebtedness. Provides that investment interest does not include educational loan interest. Sets forth reporting requirements for returns relating to educational interest.
Bill· HRH.R. 5598 (102nd)referred
United States · United States Congress · 9 July 1992
Rural Physicians Tax Credit Act - Amends the Internal Revenue Code to allow a tax credit for physicians who commence practice in a rural area. Allows such credit for the year such commencement occurs and the three succeeding taxable years. Limits such credit to $5,000. Requires the physician to practice medicine in the rural area for at least nine months in a taxable year.
Bill· HRH.R. 5616 (102nd)referred
United States · United States Congress · 9 July 1992
American Jobs Investment Act of 1992 - Amends the Internal Revenue Code to allow a tax credit after December 31, 1991, and before January 1, 1997, for qualified investment in American-made property. Describes such property as that completed in the United States and at least 70 percent of the basis of which is attributable to value added within the United States. Increases such tax credit for investment in such property where the labor was performed by union employees.
Bill· HRH.R. 5596 (102nd)referred
United States · United States Congress · 9 July 1992
Small Business Regulatory Cost Relief Act of 1992 - Amends the Internal Revenue Code to replace the small business tax credit for expenditures to provide access to disabled individuals with the small business tax credit for regulatory costs. Makes such credit 50 percent of qualified regulatory costs for a taxable year as exceed $250. Declares that such costs include eligible access expenditures for the disabled.
Bill· HRH.R. 5573 (102nd)referred
United States · United States Congress · 8 July 1992
Full-Service Schools Act - Establishes the Federal Interagency Work Group (the Group) to: (1) facilitate collaboration between agencies and mobilize Federal policy to achieve systemic reform to meet the comprehensive needs of at-risk children and their families for education, health, and social and human services; and (2) provide grants to States and local entities to develop similar programs at the State and local levels. Provides that the Group shall be composed of the Secretaries of Education, Health and Human Services, and Labor, and funded equally by their departments. Directs the Secretary of Education to act as the fiscal agent for the Group. Requires the Group to: (1) assist Federal, State, and local agencies to develop, implement, and evaluate service integration programs under this Act; (2) coordinate agency resources and funding to allow for consolidation of Federal categorical programs, when waiver requests are made; (3) establish and maintain a national data base that includes Federal, State, local, and private collaborative efforts to serve at-risk children; (4) make grants to States for interagency work groups and local efforts to integrate services for at-risk youth and their families; (5) determine grant amounts by considering the number of local project sites the State group can target with limited allocations to each site; and (6) waive certain Federal requirements that impede collaborative efforts, if such waivers will result in more efficient use of resources. Requires States, for grant elibility, to: (1) establish a State interagency work group (with at least the State public education and health and human services departments); (2) develop training to assist staff members to understand communities and the full array of available resources to help at-risk children and families; (3) require equal contributions by departments in the State group; (4) set as a goal the integration of existing funding sources from the departments represented; (5) designate a fiscal agent; and (6) assist local entities in developing local interagency agreements. Requires local entities, for grant eligibility, to: (1) develop a community planning process including specified parties; (2) develop mandatory services recommended by the planning group; (3) establish a local interagency work group (if located in a city of 10,000 or more); (4) require equal contributions of the local educational agency and represented entities; (5) assure a reasonable effort to initiate structural reform; and (6) designate a fiscal agent. Sets forth application requirements and grant limitations. Requires local programs to include activities to improve educational performance by: (1) reducing school dropout and teen pregnancy rates and the number of children in unsupervised settings; (2) increasing adult/family literacy and the number of students returning to school after dropping out; and (3) improving access to primary health care for families and their children. Allows local programs to develop a variety of programs to serve the comprehensive needs of students, including specified optional activities. Sets forth requirements for annual local reports, a State report after the second calendar year of funding, and a Federal report within three years after enactment of this Act. Authorizes appropriations.
Bill· HRH.R. 5571 (102nd)referred
United States · United States Congress · 8 July 1992
American Job Creation, Deregulation, and Tax Reduction Act of 1992 - Title I: Amendments of Internal Revenue Code of 1986 - Subtitle A: Repeal of Taxes on Capital Gains - Amends the Internal Revenue Code to exclude net capital gain from gross income. Subtitle B: Repeal of Estate, Gift, and Inheritance Taxes - Repeals the imposition of tax on the transfer of estates, the transfer of property by gift, and certain generation-skipping transfers. Prohibits a State or political subdivision from imposing any inheritance tax. Title II: Trade Relations With and Response to Trade Practices of Certain Trading Partners - Amends the Trade Act of 1974 to require the United States Trade Representative (USTR), if he or she determines that U.S. goods and services do not receive reciprocal treatment in the markets of a nation because of tariffs or other trade barriers, to: (1) determine the monetary amount lost by exporters of such goods and services due to the lack of such reciprocal treatment; and (2) restrict the importation into the United States of goods and services exported by such nation to offset the lost amount. Directs the USTR to determine annually, based on the national trade estimates, for each nation that trades with the United States, whether it is: (1) maintaining open markets for U.S. goods and services; (2) refraining from government subsidies or other unfair trade practices; and (3) extending reciprocal treatment to U.S. goods and services. Requires the USTR to report annually to the Congress on action taken against any nation based on the aforementioned determinations. Title III: Extension of Ban on New Regulations; Use of Line-Item Veto - Makes the President's 90-day moratorium on new unnecessary regulations applicable to the one-year period beginning on the date of enactment of this Act. Expresses the sense of the Congress that: (1) the question of whether the President has line-item veto authority remains unanswered; and (2) in order to allow the courts to answer this question about the scope of such authority, the President should use the line-item veto. Title IV: Legislation and Regulations Required to Include Certain Analyses - Amends the Congressional Budget Act of 1974 to require the Congressional Budget Office to prepare a five-year analysis of each reported bill or resolution and submit to the reporting committee: (1) an estimate of the job creation or loss that would result from carrying out such bill or resolution; (2) an estimate of its effect on the Federal deficit; and (3) an estimate of its effect on domestic oil and gas production. Directs the head of each Federal agency, for each proposed rule for which notice is required to be published in the Federal Register, to: (1) prepare an analysis and estimate of the economic costs and economic benefits to consumers associated with its implementation; and (2) publish that analysis and estimate in the Federal Register with the notice. Title V: Oil and Gas Production - Subtitle A: Arctic Coastal Plain Domestic Energy Leasing - Arctic Coastal Plain Domestic Energy Leasing Act of 1992 - Directs the Secretary of the Interior to implement a competitive oil and gas leasing program for the Coastal Plain Study Area of the Arctic National Wildlife Refuge. States that this Act shall be considered the primary land management authorization for all exploration and production activities on the Coastal Plain. Provides that no land management review shall be required except as specifically authorized by this Act. Mandates that all receipts from sales, rentals, bonuses, and royalties on leases under this Act be deposited into the Treasury. Directs the Secretary to promulgate regulations to ensure that oil and gas exploration and transportation activities are conducted to achieve the reasonable protection of animal and environmental resources (including subsistence uses of the Coastal Plain). States that the "Arctic National Wildlife Refuge, Alaska, Coastal Plain Resource Assessment," prepared by the Secretary, satisfies all legal requirements for such promulgation and that no further studies or assessments shall be required. Directs the Secretary to provide impact aid and other assistance to communities on the North Slope and elsewhere in Alaska in order to ensure the public services needed to accommodate oil and gas production and transportation activities on the Coastal Plain. Subtitle B: Tax Incentives for Oil and Natural Gas Exploration and Production - Amends the Internal Revenue Code (IRC) to allow as an income tax credit 15 percent of: (1) any qualified investment in crude oil and natural gas exploration activities; and (2) the qualified cost of each barrel of eligible crude oil (marginal production credit). Declares that intangible drilling and development costs with respect to oil and gas wells shall also apply to surface casting costs and geological and geophysical costs for ascertaining the existence, location, extent or quality of domestic oil or gas deposits (thus qualifying them for deduction). Repeals the taxable income limitation on oil and gas well depletion allowances. Defines tar sands for IRC purposes. Removes from the alternative minimum tax purview oil and gas well depletion allowances and intangible drilling costs. Declares that the tax treatment with respect to mineral sharing arrangements shall be determined without regard to Revenue Ruling 77-176. Title VI: Repeal of Certain Laws - Repeals the Davis-Bacon Act (an Act which requires that the locally prevailing wage rate be paid to various classes of laborers and mechanics working under federally-financed or federally-assisted contracts for construction, alteration, and repair of public buildings or public works). Repeals the Americans with Disabilities Act of 1990. Requires laws of the United States to be applied as if such Act (and amendments) had never been enacted. Title VII: Other Provisions - Amends title II (Old Age, Survivors and Disability Insurance) of the Social Security Act to remove the limitation on the amount of outside income which a beneficiary may earn without incurring a reduction in benefits. Directs the President to establish an advisory Committee on Privatization and Deregulation. Requires the Committee to examine activities of Federal agencies to: (1) determine the economic costs and economic benefits of those activities; (2) determine for each of those activities whether their economic benefits exceed their economic costs; and (3) determine and recommend which of those activities could be plausibly and more economically conducted by the private sector. Amends the Federal Election Campaign Act of 1971 to allow employees within a labor organization's bargaining unit to elect dues withholding for political purposes.
Bill· HRH.R. 5577 (102nd)referred
United States · United States Congress · 8 July 1992
Public Housing Fair Compensation Act of 1992 - Amends the United States Housing Act of 1937 to revise the method of calculating the amounts paid by public housing agencies in lieu of State and local real and personal property taxes. Authorizes appropriations for such payments.
Bill· HRH.R. 5574 (102nd)referred
United States · United States Congress · 8 July 1992
Library of Congress Fund Act of 1992 - Expresses the intent of the Congress that core Library of Congress services shall continue to be provided at no cost. Title I: Library Products and Services - Authorizes the Librarian of Congress to furnish national library products and services to institutions or individuals for a price that covers distribution costs. Directs the Librarian to publish for comments in the Federal Register new Library of Congress Revolving Fund service activities proposed after enactment of this Act. Requires that any regulation establishing a new activity within specialized library products or services be published in the Federal Register with an explanation of the Librarian's decision. Defines: (1) "core library products and services" as domestic interlibrary loan and information products and services customarily provided by libraries to users at no charge; (2) "national library products and services" as information products and services that are used by libraries and library organizations in maintaining and improving library services throughout the nation; and (3) "specialized library products and services" as specified customized information products and services that exceed core services, that are not national library products and services, and that are designed for individuals or discrete groups of persons or entities. Title II: Library of Congress Revolving Fund for Specialized Products and Services - Establishes the Library of Congress Revolving Fund in the Treasury to be available to the Librarian, without fiscal year limitation, to carry out Fund service activities. Defines "Fund service activities" as specialized library information products and services and other activities assigned by the Librarian by regulation. Requires the Fund to be credited with all amounts received for specialized library products and services and all appropriations for, and other assets associated with, Fund service activities. Authorizes the Librarian to furnish specialized library products and services to institutions and individuals for purchase at a price covering production and distribution costs. Requires the Librarian to set fees to recover the costs of such products and services provided by each Fund service unit. Requires the Librarian to report activities and financial transactions of the Fund in the Annual Report of the Librarian of Congress. Authorizes the General Accounting Office to audit the Fund's financial activities. Title III: General Standards and Limitations - Requires the Librarian to respect and preserve the security classification of any scientific or technical material in the possession or control of the Library of Congress. Requires the President to certify the classified status of items received as being essential in the interest of national defense. Declares that this Act shall not apply to the Copyright Office or modify Federal copyright law. Prohibits: (1) the use of Congressional Research Service (CRS) resources to generate fee-based research and information services; or (2) the marketing or publication of CRS products without prior approval of either the Committee on House Administration or the Senate Committee on Rules and Administration. Provides that nothing in this Act shall be construed to: (1) permit the Library to impose redistribution fees on domestic end users of national library products and services; (2) revise the Federal depository library program or the Library's distribution of publications to depository libraries; or (3) require fees or charges for services and products provided under reciprocal arrangements for the exchange of information. Requires the Library to follow rulemaking notification procedures of the Administrative Procedure Act when proposing new Fund service activities.
Bill· HRH.R. 5568 (102nd)referred
United States · United States Congress · 8 July 1992
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. 513 (102nd)passed
United States · United States Congress · 8 July 1992
Waives points of order against the consideration of H.R. 5518 (Department of Transportation and related agencies funding).
Bill· HRH.R. 5563 (102nd)referred
United States · United States Congress · 7 July 1992
Medicaid Management Improvement Act of 1992 - Establishes a State Medicaid Advisory Panel to review proposed regulations affecting the Medicaid program under title XIX of the Social Security Act and make recommendations to the Secretary of Health and Human Services for changes in such regulations appropriate to take into account the concerns of State and local governments in the operation and financing of the Medicaid program. Requires the Panel to review, and make recommendations to the Secretary about, State requests for waivers of requirements applicable to State plans approved under the Medicaid program. Gives States the option of delaying implementation of new program requirements until the Secretary promulgates final regulations. Expresses the sense of the Congress that if a State is required by future legislation to provide for additional services, eligible individuals, or otherwise incur additional costs under its Medicaid program, the Federal Government shall provide for full payment of any such additional costs for at least the first two years in which such requirement applies. Sets a deadline for actions on waiver applications. Changes the formula that determines the States' Medicaid matching ratio from the current system based on per capita personal income to a system based on the States' fiscal capacity. Revises State Medicaid plan provisions to enforce the use of: (1) parental health insurance coverage of children by absent parents; and (2) garnishment of the income of individuals who have been ordered to cover the medical costs of a Medicaid-eligible individual and have received payment for such costs from a third party but have not used them to make appropriate reimbursements.
Bill· SS. 2970 (102nd)open
United States · United States Congress · 2 July 1992
Cash Management Improvement Act Amendments of 1992 - Amends the Cash Management Improvement Act of 1990 (the Act) to require the Secretary of the Treasury to prescribe regulations for the timely disbursement of Federal funds with respect to each State by July 1, 1993. Extends the deadline for the Secretary to enter into agreements with States for intergovernmental financing and to prescribe regulations for such financing from October 24, 1992, until July 1, 1993, or by the first day of a fiscal year of the State which begins in 1993, whichever is later. Makes the Act effective on such date. Extends for one year the report to the Congress by the Comptroller General on the implementation of such Act.
Bill· SS. 2982 (102nd)referred
United States · United States Congress · 2 July 1992
Agricultural Credit Improvement Act of 1992 - Title I: Amendments to the Consolidated Farm and Rural Development Act - Amends the Consolidated Farm and Rural Development Act to direct the Secretary of Agriculture to establish a program of assistance (ten-year maximum) for beginning farmers (including aquaculture) and ranchers. Requires an applicant to submit a farm operations plan (plan) to the appropriate county committee, which must be approved by the committee and then by the Secretary of Agriculture. Provides assistance in the form of operating and equipment loans or guarantees. Gives applicants priority for equipment purchases in the Farmers Home Administration inventory. Terminates assistance for avoidable failure to achieve plan goals. Directs the Secretary to establish within the farm ownership loan program a ten-year down payment loan program for beginning farmers and ranchers. Sets forth loan terms. Limits the availability of certain other agricultural loans and guarantees to beginning farmers and ranchers during specified applicable periods. Sets forth debt service margin requirements. Provides for: (1) Federal-State beginning farmer assistance coordination; and (2) the establishment of an Advisory Committee on Beginning Farmers and Ranchers. Directs the Secretary to establish a plan to encourage the graduation of assisted borrowers to private commercial credit. Limits operating loan assistance to ten years and loan guarantee assistance to 15 years. Authorizes hardship waivers. Title II: Amendments to the Farm Credit Act of 1971 - Amends the Farm Credit Act of 1971 to repeal the authority of the Farm Credit System (FCS) Insurance Corporation to designate one of its directors as a nonvoting representative to the board of directors of the Federal Farm Credit Banks Funding Corporation. Expands water and sewer lending authority of banks for cooperatives. Repeals the limitation on FCS bank director compensation. Includes director compensation in the scope of FCS institution examinations. Requires all FCS institutions to be examined at least once every three years. Repeals the prohibition on tax-exempt guarantees. Title III: Effective Date - Sets forth the effective dates of amendments made by this Act.
Bill· SS. 2957 (102nd)referred
United States · United States Congress · 2 July 1992
Open Space Preservation Act of 1992 - Amends the Internal Revenue Code to exclude from the gross estate tax the value of land subject to a qualified conservation easement (less the amount of any indebtedness secured by such land). Includes in the gross estate tax the value of each development right retained by the donor in the conveyance of the easement. Makes such tax due upon the disposition of the property. Provides that such land subject to the exclusion will have a carryover basis for purposes of determining gain or loss. Excludes from the gift tax transfers by gift of land subject to a conservation easement (other than development rights retained by the donor of such easement). Removes the allowance for a tax deduction in the case of a contribution of property where mining rights are retained if the surface estate and mining interests were separated before June 13, 1976, and remain separated.
Bill· SS. 2983 (102nd)referred
United States · United States Congress · 2 July 1992
National Security Budget Priorities Act of 1992 - Amends the Congressional Budget Act of 1974 to require Congress to complete action on or before March 31 of each year on a concurrent resolution establishing the national security budget. Requires the resolution to set appropriate levels for the fiscal year beginning on October 1 of such year and planning levels for each of the two ensuing fiscal years for total new budget authority, budget outlays, direct loan obligations, and primary loan guarantee commitments for the national security discretionary spending category and the domestic discretionary spending category. Limits debate on such resolution to ten hours. Requires the concurrent resolution on the budget to be consistent with the national security budget.
Bill· SS. 2979 (102nd)referred
United States · United States Congress · 2 July 1992
Charitable Contribution Tax Act of 1992 - Amends the Internal Revenue Code to repeal the tax preference for the appreciated property charitable deduction. Requires a charitable contribution allowable as a deduction in computing taxable income to be allocated and apportioned solely to gross income from sources within the United States. Disallows a deduction for contributions of $100 or more unless the taxpayer substantiates the contribution by a contemporaneous written acknowledgement of the contribution by the donee organization. Specifies the contents of such acknowledgment. Sets forth disclosure requirements for an organization that receives a quid pro quo contribution (payment made partly as a contribution and partly in consideration for goods or services provided to the payor by the donee organization). Imposes a penalty for failure to make such disclosure. Provides for the tax treatment of bonds of certain nonprofit tax-exempt organizations in a manner similar to governmental bonds.
Bill· SS. 2960 (102nd)referred
United States · United States Congress · 2 July 1992
Enterprise for the Americas Act of 1992 - Title I: Foreign Assistance Act Debt Reduction - Supports improvement in the lives of the people of Latin America and the Caribbean through market-oriented reforms and economic growth with actions to promote debt reduction, investment reforms, community based conservation and sustainable use of the environment, and child survival and child development. Makes eligible for Enterprise for the Americas Facility (established pursuant to the Agricultural Trade Development and Assistance Act of 1954) benefits Latin American or Caribbean countries that: (1) have democratically-elected governments; (2) have not provided support for international terrorism; (3) cooperate on international narcotics control matters; (4) are not engaging in a consistent pattern of human rights violations; (5) have in effect, received approval for, or are making progress toward, specified International Monetary Fund (IMF) arrangements and structural or sectoral adjustment loans from the International Bank for Reconstruction and Development or the International Development Association; (6) have put in place major investment reforms in conjunction with an Inter-American Development Bank loan or are implementing or making progress toward an open investment regime; and (7) have agreed with commercial bank lenders on a financing program for debt or debt service reduction. Authorizes the President to reduce the amount owed to the United States (as a result of concessional loans made pursuant to the Foreign Assistance Act of 1961 or predecessor foreign economic assistance legislation) by any country eligible for Facility benefits. Sets forth requirements with respect to the exchange of obligations, repayment of principal, and interest on new obligations issued by beneficiary countries. Requires beneficiary countries that enter into Americas Framework Agreements to establish Enterprise for the Americas Funds. Authorizes the Secretary to enter into Americas Framework Agreements concerning the operation and use of Americas Funds with countries eligible for Facility benefits. Directs administering bodies in each beneficiary country to administer the Americas Funds and to make grants. Requires grants from the Funds to be used for activities that link the conservation and sustainable use of natural resources with local community development and for child survival and development activities. Subjects grants of more than $100,000 to veto by the U.S. Government or the government of the beneficiary country. Redesignates the Environment for the Americas Board (established pursuant to the Agricultural Trade Development and Assistance Act of 1954) as the Enterprise for the Americas Board. Requires the Board to: (1) advise the Secretary on the negotiations of Americas Framework Agreements; (2) ensure that a suitable administering body is identified for each Americas Fund; and (3) review the programs, operations, and fiscal audits of administering bodies. Amends the Agricultural Trade Development and Assistance Act of 1954 to increase the number of representatives on the Board. Title II: Export-Import Bank Debt Reduction - Amends the Export-Import Bank Act of 1945 to set forth provisions concerning the Enterprise for the Americas Initiative parallel to those set forth in title I of this Act. Makes eligible for Facility benefits Latin American or Caribbean countries that: (1) have in effect, received approval for, or are making progress toward, specified IMF arrangements and structural or sectoral adjustment loans from the International Bank for Reconstruction and Development or the International Development Association; (2) have put in place major investment reforms in conjunction with an Inter-American Development Bank loan or are implementing or making progress toward an open investment regime; and (3) have agreed with commercial bank lenders on a financing program for debt or debt service reduction. Permits the President, for purposes of facilitating debt-for-equity, debt-for-development, or debt-for-nature swaps, to sell to any eligible purchaser any Export-Import Bank loan made to an eligible country before January 1, 1991. Authorizes appropriations. Title III: Participation of the Inter-American Development Bank - Requires the Secretary of the Treasury to work closely with the management of the Inter-American Development Bank (IDB) to ensure the full implementation of the IDB's proposed investment sector reform program and the coordination of U.S. bilateral assistance programs with IDB efforts to enhance liberalization efforts in countries served by the IDB. Amends the Inter-American Development Bank Act to authorize appropriations for a contribution to the Multilateral Investment Fund, provided that certain conditions are met. Requires U.S. assistance to the Fund to be disbursed only for the following purposes: (1) technical assistance for purposes of identifying and resolving domestic constraints to investment; (2) assistance to private enterprises; (3) assistance in building human capital, alleviating poverty, and reducing barriers to economic and social progress; and (4) assistance to support host country capacity for insuring the environmental soundness of investment activities. Limits the amount to be used for any of the preceding purposes. Requires the Secretary to instruct the U.S. representative to the Fund to vote against any action which may have an adverse environmental impact unless an environmental assessment is available at least 120 days before the vote. Makes Latin American or Caribbean countries eligible for Enterprise for the Americas Facility benefits eligible for Fund assistance. Title IV: International University for the Americas - Requires the Secretary of State to determine the most appropriate location for the International University for the Americas, an institution to be established for promoting economic integration and the strengthening of democratic institutions in the Western Hemisphere and for commemorating the 500th anniversary of the discovery of the Americas by Christopher Columbus. Authorizes a specified amount of development and economic support assistance for Latin America and the Caribbean to be made available for the University. Title V: Reports - Directs the President to report annually to the Speaker of the House and the President pro tempore of the Senate on the implementation of this Act.
Bill· SS. 2955 (102nd)referred
United States · United States Congress · 2 July 1992
Truth in Tax-Exempt Giving Act of 1992 - Amends the Internal Revenue Code to require certain tax-exempt organizations to furnish each contributor, upon written request, a disclosure statement containing its gross income, expenses, disbursements, and information on certain highly compensated employees. Allows such organizations to charge a processing fee. Establishes a penalty for failure to provide a disclosure statement.
Bill· SS. 2940 (102nd)referred
United States · United States Congress · 2 July 1992
Amends the National Defense Authorization Act, 1985 to reduce to 100,000 by the end of FY 1995 the number of U.S. military personnel assigned to permanent duty ashore in North Atlantic Treaty Organization countries of Europe.
Bill· HRH.R. 5535 (102nd)referred
United States · United States Congress · 2 July 1992
Small Business Health Insurance Assistance Act of 1992 - Amends the Small Business Act to establish the Small Business Health Insurance Advisory Council to: (1) make recommendations on activities carried out by the Administrator of the Small Business Administration to promote the procurement of adequate health insurance by owners and employees of small business concerns; (2) review and approve grant applications and review reports to the Congress; and (3) review and approve the quality of health insurance information and the training program for staff members of health information, counseling, and technical assistance programs established by this Act. Authorizes the Administrator to make grants to assist in the establishment by small business development centers of programs to provide owners and employees of small business concerns and associations with information, counseling, and technical assistance relating to the procurement of adequate health insurance. Sets forth grant eligibility and program requirements. Directs the Administrator to conduct (at least annually) a program to provide training and information to staff members of such programs and to provide technical assistance to such centers for the development of programs. Conditions the awarding of grants on annual evaluation and fiscal reports by applicants. Requires the Comptroller General to report annually to specififed congressional committees on expenditures of grants by applicants. Directs the Comptroller General to report to the Congress on activities under this Act to ensure that: (1) all health insurance information provided is unbiased and accurate; (2) the special interests of any insurance agency or other business are not promoted over those of any other agency or business; and (3) each individual carrying out responsibilities under a program which involves the provision of health insurance information does not have conflicts of interests which affect such responsibilities. Requires the Administrator to submit specified reports to the Congress on issues concerning small business health insurance. Directs the Associate Administrator for Small Business Development Centers to maintain information relating to health insurance available to small business concerns as part of a clearinghouse. Authorizes appropriations.
Bill· HRH.R. 5545 (102nd)referred
United States · United States Congress · 2 July 1992
Fiscal Accountability and Impact Reform Act (FAIR Act) - States that one purpose of this Act is to assist the Congress in consideration of proposed legislation establishing or revising Federal programs to assure that, to the maximum extent practicable, legislation enacted will: (1) minimize the burden of such legislation on expenditure of scarce local public resources by State and local governments; (2) minimize inefficient allocation of economic resources; and (3) reduce the adverse effect of such legislation on the ability of State and local governments to use local public resources to meet local needs, and on allocation of economic resources, full employment, and international competitiveness. States that a second purpose of this Act is to require Federal agencies to exercise discretionary authority and implement statutory requirements in a manner which, consistent with agency mission and Federal law, minimizes the impact of regulations and other major Federal actions affecting the economy on: (1) the ability of State and local governments to use local public resources to meet local needs; and (2) the allocation of economic resources, full employment, and international competitiveness of American goods and services. Title I: Legislative Reform - Provides that whenever a committee of either House reports a bill to its House which mandates unfunded requirements upon State and local governments or the private sector, the report accompanying that bill 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: Agency Impact Analysis - 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 the purposes of 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 Economic Impact Assessment. Specifies the contents of such an assessment. Provides for judicial review of final agency actions for compliance with this title.
Bill· HRH.R. 5551 (102nd)referred
United States · United States Congress · 2 July 1992
Federal Workforce Efficiency Act - Limits the total number of civilian employees in an executive agency to the number of employees at the end of the fiscal year in which this Act is enacted. Directs the head of each executive agency to establish a program which shall provide for: (1) cash awards for any managerial or supervisory personnel whose personal efforts result in significant savings to the Government that are attributable to personnel reductions or increased personnel efficiency; (2) education or training for managerial or supervisory personnel to promote better awareness and use of the authorities available to them to improve worker efficiency and productivity; and (3) other similar measures. Sets a limit on the amount of such an award. Provides for a reduction in executive agency budgets with respect to employee salaries over a two year period by five percent per fiscal year.
Bill· HRH.R. 5536 (102nd)referred
United States · United States Congress · 2 July 1992
Amends the Internal Revenue Code provisions relating to the income tax deduction for the health insurance costs of self-employed individuals to: (1) increase the allowable deduction from 25 percent to 100 percent; and (2) make the deduction permanent (under current law it will expire after June 30, 1992). Allows a tax credit of 40 percent of the amount paid or incurred for a qualified group health plan by a very small employer or a small employer. Describes a very small employer as one with less than 24 full-time employees and whose average annual rate of pay to such employees is $18,000 or less. Describes a small employer as one (other than a very small employer) with less than 100 employees.
Resolution· HRESH.Res. 509 (102nd)passed
United States · United States Congress · 2 July 1992
Waives points of order against the consideration of H.R. 5517 (District of Columbia appropriations).
Bill· SS. 2918 (102nd)open
United States · United States Congress · 1 July 1992
Cuban Democracy Act of 1992 - Sets forth U.S. policy with respect to Cuba. Declares that the President should encourage countries that conduct trade with Cuba to restrict their trade and credit regulations with Cuba in a manner consistent with this Act. Authorizes the President to impose the following sanctions against countries that provide assistance to Cuba: (1) ineligibility for assistance under the Foreign Assistance Act of 1961 or the Arms Export Control Act; (2) a prohibition on agreements with the United States for the establishment of free trade areas; and (3) ineligibility for forgiveness or reduction of debt owed to the U.S. Government. Terminates such sanctions if the President reports to the Congress that Cuba has met conditions established under this Act concerning democracy, human rights, and a free market economy. Prohibits restrictions on the export to Cuba of medicines, subject to specified conditions and inspection requirements. Permits telecommunications services between the United States and Cuba. Requires the U.S. Postal Service to provide direct mail service to and from Cuba. Authorizes the President to provide assistance to promote nonviolent democratic change in Cuba. Prohibits the issuance of licenses for certain transactions between U.S.-controlled firms in third countries and Cuba. Bars domestic concerns from receiving a tax deduction for the portion of the deductible expenses of such concerns which are allocated or apportioned to income derived from Cuba. Prohibits vessels which enter Cuba to engage in trade from loading or unloading any freight in the United States within 180 days after departure from Cuba. Prohibits: (1) vessels carrying goods or passengers to or from Cuba or carrying goods in which a Cuban national has an interest from entering a U.S. port, except as authorized by the Secretary of the Treasury; and (2) specified commodities authorized to be exported under a general license from being exported under such a license to any such vessels. Directs the President to establish strict limits on remittances to Cuba by U.S. persons for purposes of financing the travel of Cubans to the United States to assure that such remittances are not used by the Cuban Government as a means of gaining access to U.S. currency. Declares that food, medicine, and medical supplies for humanitarian purposes should be made available to Cuba under the Foreign Assistance Act of 1961 and the Agricultural Trade Development and Assistance Act of 1954 if the President certifies to the House Foreign Affairs Committee and the Senate Foreign Relations Committee that the Government of Cuba: (1) has made a commitment to hold free and fair elections for a new government within six months and is proceeding to implement that decision; (2) has made a commitment to respect and is respecting human rights and basic democratic freedoms; and (3) is not providing weapons or funds to any group in any other country that seeks the violent overthrow of the government of such country. Waives sanctions against Cuba under this Act if the President reports to the Congress that Cuba: (1) has held free and fair elections conducted under internationally recognized observers; (2) has permitted opposition parties ample time to campaign for such elections and has permitted full access to the media to all candidates; (3) is showing respect for basic civil liberties and human rights; (4) is moving toward establishing a free market economic system; and (5) has committed itself to constitutional change that would ensure regular free and fair elections. Requires the President, if he makes such report, to take the following actions with respect to a freely-elected Cuban Government: (1) encourage the admission of such government to international organizations and financial institutions; (2) provide emergency relief during Cuba's transition to a viable economic system; (3) take steps to end the U.S. trade embargo of Cuba; and (4) enter into negotiations for a trade agreement with Cuba. Requires the Secretary of the Treasury to exercise the authorities of the Trading With the Enemy Act in enforcing this Act. Authorizes appropriations. Amends the Trading With the Enemy Act to authorize the Secretary to impose a civil penalty on violators of such Act. Provides for forfeiture of any property or vessel that is the subject of a violation. Requires the Department of the Treasury to establish a branch of the Office of Foreign Assets Control in Miami, Florida.
Bill· SS. 2920 (102nd)referred
United States · United States Congress · 1 July 1992
Minority and Women Capital Formation Act of 1992 - Amends the Internal Revenue Code to provide incentives for investments in disadvantaged and women-owned enterprises. Allows a tax deduction for investments in qualified minority fund interests and qualified women's fund interests (domestic corporations or partnerships). Limits investment in such venture capital funds to $300,000 ($150,000 in the case of a separate return by a married individual). Allows a deduction for amounts invested through stock in small minority business corporations and small women's business corporations. Limits the amounts of such deduction for corporate and noncorporate taxpayers. Allows taxpayers to elect a credit, in lieu of a deduction, equal to 15 percent of the aggregate bases of investments in minority fund interests and women's fund interests, with limitations. Allows taxpayers to elect a credit, in lieu of a deduction, equal to ten percent of investments in small minority business corporations and small women's business corporations, with limitations. Sets forth recapture provisions for instances in which such businesses fail to remain qualified. Requires the imposition of an interest charge if investments are disposed of within five years. Excludes from gross income 50 percent of the gain on the sale or exchange of property by a qualified minority or women's fund if such property was acquired after the date of the enactment of this Act and was held for at least five years. Defers capital gain reinvested in qualified disadvantaged and women-owned businesses. Terminates such deferral where the property is disposed of within five years of its purchase. Establishes a three-year statutory period for the assessment of any deficiency with respect to such gain. Amends the Small Business Investment Act of 1958 to provide that private capital of a licensed small business investment company includes: (1) any funds invested in the company by a State or local government business development fund or bank or by a public or private pension fund; and (2) commitments from institutional investors that meet the criteria established by the Small Business Administration based on such commitments.
Bill· HRH.R. 5517 (102nd)open
United States · United States Congress · 1 July 1992
Title I: Fiscal Year 1993 Appropriations - District of Columbia Appropriations Act, 1993 - Appropriates funds to the District of Columbia for FY 1993 for: (1) the Federal payment to the District of Columbia; (2) the Federal contribution to retirement funds; (3) the Federal contribution for crime and youth initiatives; (4) expenses incurred in connection with presidential inauguration activities; (5) the Metropolitan Police Department; (6) the Federal contribution to the Board of Education; (7) the District of Columbia Institute for Mental Health; and (8) the Children's National Medical Center for a cost-shared National Child Protection Center. Appropriates specified sums out of the District of Columbia general fund for the current fiscal year for: (1) governmental direction and support; (2) economic development and regulation; (3) public safety and justice; (4) public education; (5) human support services; (6) public works; (7) the Washington Convention Center Fund; (8) repayments of specified loans and interest; (9) repayment of the general fund deficit; (10) employees' optical and dental benefits; (11) inaugural expenses; (12) the rental and leasing of facilities for governmental purposes; (13) furlough adjustments; (14) within-grade salary adjustments; (15) capital outlay; (16) the Water and Sewer Enterprise Fund and water construction projects; (17) the Lottery and Charitable Games Enterprise Fund; (18) the Cable Television Enterprise Fund; and (19) the Starplex Fund. Requires the District of Columbia to operate and maintain a telephone hotline for Lorton-area residents to receive information concerning escapes, fires, and riots at Lorton prison. Sets forth certain uses of and restrictions on the expenditure of appropriations made by this Act. Prohibits the use of funds for: (1) activities which permit or encourage partisan political activities; (2) the salary of any District of Columbia government employee whose name, title, grade, salary, or work and salary history are not available for inspection by specified congressional committees and the District of Columbia Council, or whose name and salary are not available for public inspection; (3) publicity or propaganda purposes; (4) abortions, except where the life of the mother would be endangered if the fetus were carried to term; (5) reprogramming, unless the reprogramming was approved according to specified procedures; or (6) the operation, after June 1, 1993, of the Cedar Knoll Facility. Requires that the annual budget for the District of Columbia government for FY 1994 be transmitted to the Congress by April 15, 1993. Requires the Mayor to develop an annual plan for capital outlay borrowings. Prohibits the Mayor from: (1) borrowing funds for capital projects without the prior approval of the District of Columbia Council; or (2) using money borrowed for capital projects for operating expenses of the District of Columbia government. Directs the Mayor to submit to the D.C. Council, within 30 days after the end of the first quarter of FY 1993, the FY 1993 revenue estimates. Amends the District of Columbia Self-Government and Governmental Reorganization Act to extend, for one year, the District's authority to sell its general obligation bonds through negotiated sales. Prohibits the renewal or extension of any sole source contract with the District of Columbia government without opening that contract to the competitive bidding process, subject to exception. Requires any sequestration order under the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to be applied to each account appropriating Federal funds in this Act (rather than to the aggregate total of those accounts) which is not specifically exempted from sequestration by specified Federal law. Provides for repayment to the Federal Treasury of any amounts appropriated and paid to the District of Columbia before a sequestration order is issued, applying the sequestration percentage proportionately to each account not specifically exempted from sequestration. Requires the District of Columbia to pay interest on its quarterly payments to the United States that are made more than 60 days after its receipt of an itemized statement from the Federal Bureau of Prisons of amounts due for housing D.C. convicts in Federal penitentiaries. Authorizes an entity of the District of Columbia government to accept and use a gift or donation during FY 1993 if: (1) the Mayor approves; and (2) the entity uses such gift or donation to carry out its authorized functions or duties. Requires the entity to keep accurate and detailed records of acceptance and use of any gift or donation and to make them available for audit and public inspection. Authorizes the Board of Education to accept gifts to the public schools without prior approval by the Mayor. Prohibits the use of funds under any Act to issue or renew a registration certificate or identification tag for any motor vehicle if unpaid fines for traffic violations are outstanding against any registered owner (or authorized user) of the vehicle. Provides for waivers of such prohibition, subject to certain conditions. Prohibits the use of funds under this Act to impose, collect, transfer, or enforce a payment in lieu of taxes on the Water and Sewer Utility Administration that would increase payments in Maryland or Virginia under the Blue Plains Intermunicipal Agreement of 1985. Title II: Fiscal Year 1992 Supplemental District of Columbia Funds - District of Columbia Supplemental Appropriations and Rescissions Act, 1992 - Makes supplemental appropriations (including rescissions in certain cases) to the District of Columbia for FY 1992 for: (1) governmental direction and support; (2) economic development and regulation; (3) public safety and justice; (4) public education; (5) human support services; (6) repayment of the general fund deficit; (7) resizing; (8) the rental and leasing of facilities for governmental purposes; (9) capital outlay; (10) the Water and Sewer Enterprise Fund; and (11) the Starplex Fund. Rescinds specified FY 1992 funds earmarked for public works, the Washington Convention Center Fund, and repayment of certain loans and interest.
Bill· HRH.R. 5520 (102nd)reported
United States · United States Congress · 1 July 1992
Amends the District of Columbia Self-Government and Governmental Reorganization Act to authorize appropriations for the District of Columbia for FY 1993 for youth and anti-crime initiatives.
Bill· HRH.R. 5523 (102nd)referred
United States · United States Congress · 1 July 1992
Amends the Internal Revenue Code to provide that the Puerto Rico and possession tax credit (under the Caribbean Basin Economic Recovery Act) for domestic corporations does not apply to investments that are federally guaranteed.
Resolution· HRESH.Res. 508 (102nd)passed
United States · United States Congress · 1 July 1992
Waives points of order against the consideration of H.R. 5504 (defense appropriations).
Bill· SS. 2910 (102nd)open
United States · United States Congress · 30 June 1992
Amends the American Folklife Preservation Act to authorize appropriations for the American Folklife Center for FY 1993 through 1997.
Bill· SS. 2915 (102nd)referred
United States · United States Congress · 30 June 1992
Title I: Office of Justice Programs - Amends the Omnibus Crime Control and Safe Streets Act of 1968 (the Act) to provide that the Assistant Attorney General, subject to the authority of the Attorney General, shall engage in specified duties and functions, including: (1) being responsible for all matters of administration and management, except those otherwise delegated by the Attorney General, with respect to the Bureau of Justice Assistance, National Institute of Justice, Office of Juvenile Justice and Delinquency Prevention, and Office for Victims of Crime (OJP bureaus); and (2) establishing policies and priorities for, and providing coordination among, the OJP bureaus. Deletes the requirement that the Assistant Attorney General provide staff support to coordinate the activities of the Bureau of Justice Statistics (BJS) with other specified bureaus. Title II: National Institute of Justice - Deletes from among the purposes of the National Institute of Justice (NIJ) to provide for and encourage research and demonstration efforts to ensure citizen access to appropriate dispute-resolution forums. Repeals a requirement that the Director of NIJ must have had experience in justice research. Authorizes NIJ's multiyear and short-term research and development (R&D) concerning the criminal and civil justice systems to include efforts to: (1) analyze potential prevention and intervention of crime and juvenile delinquency; and (2) improve the application of science and technology to criminal justice problems. Authorizes the Director to receive funds appropriated to the Office of Justice Programs (OJP) and its bureaus and (with their consent) Federal agencies for the purpose of conducting justice-related R&D and administering programs and projects of mutual concern and benefit. Title III: Bureau of Justice Statistics - Revises the purpose of BJS to establish BJS as the principal national center for the collection, analysis, reposition, and dissemination of specified statistical information. Requires the Director of BJS to report directly to the Attorney General. Authorizes BJS to: (1) collect and analyze information concerning juvenile delinquency including, specifically, characteristics of juveniles and young adults in juvenile facilities, current offenses, drug and alcohol use, and criminal histories; (2) develop a mechanism to share criminal justice data and information among the States and to access Federal and State data and information electronically; (3) conduct or provide support for national programs to improve the nation's criminal history record information systems and provide direct grants to State and local agencies to increase the accuracy, completeness, timeliness, and utility of criminal history record information for criminal and noncriminal purposes; and (4) perform principal analysis of the data from the National Incident Based Reporting System collected by the Federal Bureau of Investigation and provide such information to the President, the Congress, and the general public. Authorizes the Director to: (1) receive funds appropriated to OJP and its bureaus and (with their consent) Federal agencies for the purposes of conducting justice-related statistical analyses and administering programs and projects of mutual concern and benefit; and (2) exercise specified powers and functions (currently authorized to be exercised by BJS). Title IV: Bureau of Justice Assistance - Makes the prohibition against the Director of the Bureau of Justice Assistance (BJA) engaging in outside employment or holding office in, or acting in any capacity for, any organization, agency, or institution with which BJA makes any contract or other arrangement under the Act, subject to modification by the Assistant Attorney General in accordance with policies and priorities set by the Attorney General. Authorizes the Director to: (1) receive funds appropriated to the OJP and its bureaus and (with their consent) Federal agencies for the purposes of conducting programs under the Edward Byrne Memorial State and Local Law Enforcement Assistance formula and discretionary grant programs and administering programs and projects of mutual concern and benefit; and (2) make grants to States (under the drug control and system improvement grant program) to provide funding to support litigation pertaining to Federal habeas corpus petitions in capital cases. Specifies that a grant under such program may not be expended for fiscal year 1993 (currently, 1991) appropriations except in accordance with a formula provided under the Act. Authorizes the Director to enter into inter- and intra-agency agreements in making discretionary grants to public and private entities. Repeals provisions of the Act dealing with correctional options grants. Title V: Administrative Provisions - Repeals specified recordkeeping and other administrative requirements of the Act. Title VI: Definitions - Deletes the definitions of "correctional option" and "boot camp prison" under the Act. Title VII: Funding - Authorizes appropriations under the Act for FY 1993 through 1996. Title VIII: Public Safety Officers' Benefits Payments - Provides for the payment of disability benefits upon a determination that a public safety officer has become permanently and totally disabled as the direct and proximate (currently, direct) result of a catastrophic personal injury sustained in the line of duty. Specifies that the amount of benefit payment in such case shall be the amount payable as of the date of the officer's catastrophic injury. Prohibits the payment of any such death or disability benefit to any individual if medical evidence indicates that such individual voluntarily ingested or otherwise used or consumed any quantity of a controlled substance in violation of the Controlled Substances Act prior to death, with exceptions. Title IX: Rural Drug Enforcement Assistance - Repeals the rural drug enforcement assistance grant program. Title X: Transition - Makes technical changes with respect to transition provisions. Authorizes the Assistant Attorney General of OJP (current law specifies the Administrator of the Law Enforcement Assistance Administration) to award new grants, enter into new contracts or cooperative agreements, and otherwise obligate for program or administrative purposes previously appropriated unused or reversionary funds in accordance with, or for purposes consistent with, provisions of the Act. Title XI: Emergency Federal Law Enforcement Assistance - Authorizes appropriations of such sums as may be necessary for each fiscal year for emergency Federal law enforcement assistance. Title XII: Amendments to Juvenile Justice and Delinquency Prevention Act - Amends the Juvenile Justice and Delinquency Prevention Act of 1974 (JJDPA) to: (1) eliminate the requirement that the Administrator of the Office of Juvenile Justice and Delinquency Prevention be chosen from among individuals who have had experience in juvenile justice programs; and (2) make the policies and priorities of the Administrator subject to modification by the Assistant Attorney General in accordance with policies and priorities set by the Attorney General. Authorizes the Administrator to receive funds appropriated to OJP and its BJA, BJS, NIJ, and the Office of Victims of Crime, and (with their consent) Federal agencies for the purpose of developing juvenile delinquency programs relating to prevention, diversion, training, treatment, rehabilitation, evaluation, research, and improvement of the juvenile justice system and to administer programs and projects of mutual concern and benefit. Repeals provisions of the JJDPA relating to special studies and reports. Authorizes: (1) (current law requires) the Administrator to make grants for special emphasis prevention and treatment programs for specified purposes; and (2) the Administrator to develop statewide programs designed to replicate juvenile programs designated as exemplary by NIJ for juvenile justice and delinquency prevention. Repeals specified limitations regarding the use of funds for: (1) private nonprofit entities with experience in dealing with juveniles; and (2) special needs and problems of juvenile delinquency in certain geographic areas. Authorizes appropriations under the JJDPA for FY 1993 through 1996. Directs the Administrator to make grants to, or enter into contracts with, public or private (currently, public or nonprofit private) agencies for specified purposes, such as the establishment of a toll-free telephone line and national resource center and clearinghouse. Authorizes the Administrator to conduct and support evaluations and studies of the performance and results achieved by Federal missing children's programs and activities, and of the prospective performance and results that might be achieved by alternative programs and activities supplementary to, or in place of, those being administered on the date of enactment of the JJDPA. Authorizes the Administrator to make grants to, and enter into contracts with, public or private agencies, organizations, institutions, or individuals to conduct research, evaluations, conferences, demonstration projects, or service programs designed for specified purposes, including to: (1) prevent a child's abduction or exploitation and to increase knowledge of, and develop effective treatments pertaining to, the psychological consequences, on both parents and children, of a child's abduction or exploitation (currently, both during the period of disappearance and after the child is recovered); and (2) disseminate information, data, standards, advanced techniques, and program models to enhance the capability of public and private organizations to prevent child abductions and to assist in the location, recovery, reunification with family, and treatment of the missing child. Prohibits the disclosure of program records or information disclosing the identity of individual juveniles or of persons providing confidential information, without the consent of the service recipient or legally authorized representative, or the individual providing confidential information, except as necessary to carry out the JJDPA. Specifies that under no circumstances may program reports or findings available for dissemination to the general public disclose the names of individual service recipients.
Bill· HRH.R. 5514 (102nd)referred
United States · United States Congress · 30 June 1992
Health Choice Act of 1992 - Title I: Eligibility and Choice of Plan - Entitles each individual to benefits if they are: (1) a U.S. resident and either a citizen, national, or lawful resident alien; and (2) neither a beneficiary under title XVIII (Medicare) of the Social Security Act nor an active armed forces member. Phases in benefits over six years, phase one for prenatal and delivery services and services for children under six, phase two for individuals under 22 and individuals between 60 and 65, and phase three for all eligible individuals. Requires: (1) residents of a State to choose benefits under any arrangement provided by their State's plan; and (2) nonresidents to choose either an employment-based, managed care, or fee-for-service plan. Allows collective bargaining agreements to specify the plan in which the individual must enroll. Mandates distribution of materials and a toll-free telephone number regarding plan choice. Title II: Benefits - Subtitle A: Services - Includes in "basic health services:" (1) clinical preventive services; (2) physicians' services, rural health clinic services, and Federally qualified health center services; (3) hospital services; (4) post-hospital skilled nursing facility services; (5) part-time or intermittent home health services; (6) hospice care; (7) covered outpatient drugs; and (8) other medical and health services as defined by the National Health Board established by this Act. Considers services reasonable and necessary only if they would be so considered under Medicare and requires review of any national coverage determination to be made as under Medicare. Applies certain Medicare exclusions to this title. Subtitle B: Cost-Sharing - Part 1: General Requirements - Mandates certain deductibles for general services, inpatient services, and prescription drugs. Allows a Health Choice plan to require copayments and limited coinsurance. Prohibits deductibles or coinsurance for clinical preventive services. Mandates cost-sharing rules for capitated plans and special payment methodologies. Allows certain cost-sharing for restricted provider managed care plans. Prohibits premiums for basic health services. Part 2: Reduction in Cost-Sharing for Low-Income Individuals - Reduces deductibles for certain low income individuals. Provides for advance and retroactive cost-sharing assistance and for help in completing assistance applications. Mandates reconciliation of advance assistance with actual income. Considers an individual or family that has been determined eligible for aid under specified provisions of parts A (Aid to Families with Dependent Children) and E (Foster Care and Adoption Assistance) of title IV or Supplemental Security Income benefits of the Social Security Act to have an adjusted total income below the poverty line. Title III: Requirements for Health Choice Plans - Subtitle A: Qualified State Health Insurance Plans - Requires each qualified State health insurance plan to enroll each eligible State resident, except for an individual enrolled in a qualified multi-state employment-based health plan. Mandates health care fraud and abuse measures. Subtitle B: Qualified Employment-Based Health Plans - Requires that a qualified employment-based health plan (EBHP) specify its eligibility basis. Allows the plan to group individuals into classifications based on factors determined by the Board. Prohibits enrollment denial within a classification or on the basis of health status or use of health services. Declares that an EBHP is a multi-state plan if the percentage of individuals from one State does not exceed a level set by the Board. Subtitle C: Qualified Managed Care Plans - Specifies certain requirements for a restricted provider managed care plan, including a prohibition of expulsion on the basis of health status or use of health services, continuation of coverage if the plan terminates, and coverage of out-of-plan services. Subtitle D: Fee-for-Service Choice Plan - Requires the Board to operate a fee-for-service choice plan (Choice Plan) providing basic health services through any willing provider. Makes Medicare beneficiaries, notwithstanding other provisions of this Act, eligible for clinical preventive services under a Choice Plan. Applies certain provisions of the Social Security Act relating to: (1) withholding of payments for certain Medicaid providers to this subtitle; and (2) physician referrals to referrals for clinical laboratory services under the Choice Plan. Requires the determination of the amount, scope, and duration of Choice Plan benefits to be made by the Board. Subtitle E: Plan Requirements and Related Provisions - Part 1: Requirements Applicable to Health Choice Plans Generally - Requires each Health Choice plan to provide for at least all basic health services. Prohibits pre-existing condition exclusions. Requires that enrollment of an individual in a Health Choice include enrollment of that individual's family members. Provides for coordination and portability of coverage under qualified plans. Prohibits a Health Choice plan from paying for basic health services unless the provider is qualified to have payment made. Provides for the qualification of hospitals, physicians, other providers and suppliers, and Indian health service facilities, applying certain Medicare provisions. Requires risk management programs. Allows fee-for-service and capitated plans to restrict coverage through utilization review programs meeting standards set by the Board. Prohibits a Health Choice plan from operating a physician incentive plan (providing compensation or other financial arrangements that may reduce services) unless certain Medicare requirements are met. Protects individuals from liability to providers if a plan fails to make payments for basic health services. Requires each plan to coordinate benefits with low-income assistance under title II of this Act. Mandates quality assurance mechanisms, measures to control fraud and abuse, transmission of information regarding outcomes and expenditures, and the use of unique provider and individual identifiers and uniform plan cards. Applies certain Medicare provisions (relating to offset of payments to individuals to collect past-due obligations from a breach of scholarship and loan contracts) to this title. Requires, after complete phase-in of benefits, fee-for-service claims to be submitted electronically. Requires each plan to maintain written policies and procedures regarding advance directives, as defined in specified Medicare provisions. Part 2: Requirements and Other Applicable Provisions for Capitated Plans - Provides for the approval of State, employment-based, and managed care plans. Sets forth minimum enrollment levels for employment-related and managed care plans. Prohibits a capitated plan that has enrolled an individual from denying enrollment to the individual's family. Allows geographic limitations for State and managed care plans. Provides for the setting and calculation of payment amounts for capitated plans. Requires each capitated plan: (1) except for employment-based plans, to make certain disclosures, including regarding comparing benefits and cost-sharing to fee-for-service plans, describing pre-existing condition limitations, describing provider limits, and disclosing the availability of low-income assistance; (2) to provide grievance and appeals procedures; and (3) to establish insolvency protection. Provides for enforcement of capitated plan requirements through civil monetary penalties, suspension of enrollment, termination of approval, and intermediate sanctions. Requires capitated plans to disclose certain information to the Board. Part 3: Preemption of State Laws - Prohibits State laws and regulations: (1) requiring the offering, as part of a managed care plan or an employment-based plan, of any services; (2) specifying the individuals to be covered under such a plan or the duration of coverage; or (3) requiring a right of conversion from such a plan to an individual plan. Prohibits a State from prohibiting or regulating: (1) a managed care plan meeting the requirements of subtitle C from taking specified actions; or (2) utilization review programs meeting the requirements of specified provisions of this Act. Title IV: Cost Containment - Subtitle A: Basic Health Services - Part 1: Establishment of National Limits on Health Care Spending - Requires the Board to: (1) annually monitor nonmedicare and medicare expenditures and, if expenditures exceed allocations, reduce allocations for specified expenditures in the second succeeding year; (2) determine, according to a specified formula, overall nonmedicare and Medicare spending amounts; and (3) apportion nonmedicare spending among the States according to the number of eligible residents, adjusted to reflect certain risk factors, cost differences outside the control of providers, and other considerations the Board deems appropriate. Requires: (1) the Board to publish, for nonmedicare and Medicare spending, allocations among the classes of services; (2) the nonmedicare allocations to be reduced to account for individuals in capitated plans; and (3) a reduction in the allocation to that class for the second succeeding year after expenditures exceed the allocation. Allows the Congress, by enacting a law by a specified date in any year, to change the amounts, apportionments, allocations, or reductions set by the Board. Prohibits administrative or judicial review of: (1) the spending, apportionments, or allocations; (2) exceptions under specified provisions; or (3) payment amounts negotiated, payment methodologies used, or payment amounts established under parts 2 or 3. Part 2: Development of Negotiated Payment Amounts for Basic Health Services Under Fee-for-Service Choice Plan and the Medicare Program - Provides for negotiation of payment amounts, including Board approval of recommended negotiated amounts. Part 3: Establishment of Payment Amounts If Negotiated Amounts Not Approved - Provides, if there are no (or unsuccessful) negotiations, for establishment by the Board of the amounts. Specifies the basis for nonmedicare payment amounts. Part 4: Application of Payment Amounts - Makes the negotiated amounts (or the amounts established by the Board) in a State the payment amounts for the State under the fee-for-service plan. Makes the negotiated amounts, if approved by the Board, the basis for Medicare payments. Reduces Medicare payments, if the negotiated amounts are not approved by the Board, by a uniform factor as necessary to keep expenditures from exceeding allocations. Subtitle B: Promotion of Primary Care Services through Changes in Graduate Medical Education - Requires the Board to establish incentives for training needed personnel. Authorizes: (1) payment of additional amounts to particularly successful training programs; and (2) elimination or reduction of payments to hospitals and medical residency programs not meeting needs. Subtitle C: Administrative Savings - Mandates: (1) uniform claims forms; and (2) standards for electronic billing. Title V: Control Over Fraud and Abuse - Amends title XI (General Provisions and Professional Standards Review) of the Social Security Act to add references to Health Choice plans to specified provisions: (1) mandating or permitting exclusion of certain individuals from participation in Medicare; (2) mandating civil monetary penalties; and (3) mandating criminal penalties. Directs the Secretary of Health and Human Services, through the Inspector General, to establish a national data base containing information n health care fraud and abuse, including the identify of providers subjected to certain actions. Requires: (1) each Health Choice plan to report to and query the data base; and (2) coordination with a specified malpractice data base. Provides for confidentiality. Requires each State to maintain a health care fraud and abuse control unit. Allows a unit described in title XIX (Medicaid) of the Social Security Act to meet this requirement. Provides for the structure, functions, and resources of the unit. Requires cooperative agreements between the unit and similar units in other States, the Inspector General, and the U.S. Attorney General. Mandates the assignment and use of unique provider identifiers and unique patient identifiers. Title VI: Administration of Health Choice Program; Health Choice Trust Fund; Quality Assessment - Subtitle A: Administration - Establishes: (1) as an independent agency in the Government, the National Health Board; and (2) the National Advisory Council on Health Policy. Authorizes appropriations from the Health Choice Trust Fund for the Board and the Council. Subtitle B: Health Choice Trust Fund - Creates in the Treasury the Health Choice Trust Fund (Fund), consisting of: (1) taxes resulting from the value added tax and the health excise tax on employers imposed by this title; and (2) State contributions under this title. Requires the Fund to be managed by the Board. Authorizes the issuance of public debt obligations for purchase by the Fund. Excludes Board receipts and disbursements from U.S. budget totals. Provides for the treatment of the Board with regard to the Balanced Budget and Emergency Deficit Control Act of 1985. Transfers from the Fund to the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund (Trust Funds) amounts equal to the benefits and administrative costs payable from such Trust Funds as a result of specified provisions of this Act. Provides for the treatment of amounts owed to the Board or the Fund in bankruptcy and reorganization proceedings. Mandates transfers from the Fund to the Agency for Health Care Policy and Research to carry out provisions of the Public Health Service Act relating to that Agency. Requires that expenditures be made from the Fund for grants under title X of this Act relating to: (1) primary care centers and public health clinics serving medically underserved populations; and (2) specialized screening, diagnostic, and treatment services for children. Mandates expenditures from the Fund for demonstration projects under part 2 of subtitle D (relating to medical malpractice). Requires a set-asides of Fund expenditures to: (1) assure adequate support in the administration of the fee-for-service choice plan; and (2) expand the Inspector General's capacity to carry out title V (Control Over Fraud and Abuse). Subtitle C: Miscellaneous - Requires the Board to assess service quality under Health Choice plans, monitor the health status of individuals in the United States, and compile information regarding the appropriateness and quality of services under such plans to provide for a more informed choice in the selection among the plans. Amends provisions of the Social Security Act relating to outcomes research to require that the needs and priorities of the Health Choice program are reflected in the development and updating of treatment- or condition-specific practice guidelines in specified forms. Authorizes demonstration projects to improve service delivery and quality and to increase payment efficiency and effectiveness. Requires project funding to come from the Fund. Mandates reports on: (1) the impact of this Act in meeting goals in "Healthy People, 2000;" (2) consolidating Medicare and other Federal health benefit programs with the Health Choice program; and (3) the impact of this Act on facilities recognized as centers of medical excellence. Subtitle D: Resolution of Medical Malpractice Claims Relating to Health Choice Program - Part 1: Resolution of Claims - Applies this subtitle to any medical malpractice claim in any Federal or State court relating to Health Choice plan services except for a vaccine-related injury or death or to the extent that title XXI (Vaccines) of the Public Health Service Act applies. Preempts differing State laws. Mandates the development of practice guidelines for basic health services and requires that any such guideline serve as the standard of care for the resolution of medical malpractice claims. Requires regulations establishing: (1) factors commonly considered in calculating malpractice economic damages; and (2) a methodology for standardizing the costs or value associated with the factors. Makes the list and methodology admissible. Requires annual compilation of information on damage awards and categorization so as to assist triers of fact in calculating damages. Provides, when a damage award is over a specified amount, for periodic damage payments, imposes a limit on any single payment, and prohibits certain payments after the plaintiff's death. Reduces damages by the amount of collateral source payments, except for payments under title III or Medicare. Mandates development of a methodology for assisting parties in quantifying the dollar value of non-economic harm. Requires: (1) 50 percent of any punitive damages to be awarded to the State for activities to prevent medical injuries or to the State health professional licensing agency; and (2) a reduction in punitive damages by the amount of any plaintiff's attorney's fees owed. Limits the application of these requirements in States limiting malpractice award amounts. Limits attorney's fees. Part 2: Demonstration Projects, Studies, Etc. - Mandates grants for four-year demonstration projects for model administrative systems for the final resolution of all medical malpractice claims through a non-judicial process. Sets forth system requirements. Waives conflicting State laws. Requires designation of a list of medical procedures as generally preventable medical outcomes designated to be compensable in advance of the initiation of a medical malpractice claim (accelerated compensation events). Mandates research relating to the prevention of medical injuries. Requires each State to use all fees paid to the State for licensing, certification, or accreditation of health practitioners to conduct disciplinary and educational activities. Mandates a study on the impact of part 1 on specified matters. Requires an annual report on medical malpractice premiums, including geographic differences. Title VII: Medicare Benefit Improvement - Amends Medicare provisions to remove the limit on the number of inpatient hospital days covered. Revises requirements regarding inpatient hospital deductibles and eliminates references to inpatient hospital coinsurance. Modifies inpatient psychiatric hospital coverage and payments for emergency hospital services. Defines "covered outpatient drug" and specifies exclusions. Provides for determination of the payment amount for such drugs according to specified formulas. Declares that the deductible shall be the deductible under specified provisions of title II of this Act. Sets the coinsurance percentage, certain payment limits, and administrative allowances. Mandates a program to identify (and educate physicians and pharmacists concerning): (1) inappropriate prescribing and dispensing practices; (2) substandard care with respect to such drugs; and (3) potential adverse reactions. Requires related standards. Provides for the treatment of certain prepaid organizations with regard to prescription drugs, including with regard to drug buy-out plans. Requires development and annual updating and dissemination of an information guide for physicians comparing average wholesale prices of at least 500 of the most commonly prescribed covered outpatient drugs. Provides for participation agreements between pharmacies and the Secretary with specified minimum contents. Directs the Secretary to: (1) provide such electronic equipment and technical assistance as necessary for electronic claims submission by pharmacies; and (2) a point-of-sale electronic system for use by carriers and participating pharmacies in the submission of information on covered drugs dispensed to Medicare beneficiaries. Allows payment for such drugs to be made on the basis of an assignment only to a participating pharmacy. Imposes civil monetary penalties for violation of a participation agreement, excessive charges, or failure to provide certain information. Provides for limits on the length of time covered by a prescription. Amends provisions relating to the use of carriers for administration of benefits to set forth requirements applicable to carriers that make determinations or payments regarding covered outpatient drugs. Allows payment for the operation of the electronic claims system. Mandates interest on late payments by the system. Sets forth special rules for health maintenance organizations and competitive medical plans. Regulates the amount a provider may charge. Requires the Director of the Congressional Office of Technology Assessment to provide for the appointment of a Prescription Drug Payment Review Commission. Requires the Commission to report annually to the Congress on methods of determining payment for covered outpatient drugs under Medicare part B. Authorizes appropriations, payable from the Federal Supplementary Medical Insurance Trust Fund. Mandates studies on: (1) including experimental drugs and biological products as Medicare covered outpatient drugs; (2) use of mail pharmacies to reduce costs to Medicare and Medicare beneficiaries; (3) improving utilization review of covered outpatient drugs; (4) the use, studied on a longitudinal basis, of outpatient prescription drugs by Medicare beneficiaries regarding medical necessity, adverse interactions, cost, and patient stockpiling or wastage; (5) average wholesale prices as compared to actual pharmacy acquisition costs; (6) retail pharmacy overhead costs; and (7) discounts by pharmacies to other third-party insurers. Mandates a standard Medicare claims form. Adds tetanus-diphtheria boosters and their administration to the Medicare definition of "medical and other health services." Allows screening mammographies for women over 64 years old 11 (currently, 23) months after a previous screening. Modifies requirements regarding the frequency of screening pap smears. Eliminates certain Medicare cost-sharing requirements after out-of-pocket cost-sharing equals an amount specified under title II of this Act. Imposes other cost-sharing limits. Provides for the inpatient hospital deductible when phase two of this Act becomes effective. Removes provisions relating to: (1) the amount of premiums for individuals enrolled under Medicare part B (Supplementary Medical Insurance); and (2) payment of such premiums. Modifies requirements regarding: (1) the determination of the amount of monthly premiums for certain individuals; and (2) appropriations to cover Government contributions to the Federal Supplementary Medical Insurance Trust Fund and the associated contingency reserve. Amends title II (Old Age, Survivors, and Disability Insurance (OASDI)) provisions of the Social Security Act relating to entitlement to hospital insurance benefits to entitle every individual over age 64 to hospital insurance benefits under Medicare part A (Hospital Insurance). (Current law imposes certain conditions on such entitlement.) Removes provisions relating to the determination of certain monthly Medicare premiums to be paid by the State. Removes provisions allowing payment on the basis of an itemized bill. (Current law allows payment on the basis of an itemized bill or on the basis of an assignment.) Revises requirements regarding refunds of amounts billed on an unassigned basis. Subjects Medicare expenditures to reductions to assure that they do not exceed the allocation for the class of services involved under this Act. Allows a group health plan that is a qualified employment-based health plan under title III of this Act to take into account that an individual is eligible for Medicare benefits if the individual is: (1) a working aged individual, a disabled active individual in a large group health plan, or an individual with end stage renal disease; and (2) not an eligible individual under this Act. Appropriates to the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund from the Health Choice Trust Fund amounts equal to the benefits and administrative expenses that result from the amendments made by subtitle A of title VIII of this Act. Title VIII: Medicaid - Amends Medicaid provisions to prohibit payments to States (and declare that a State is not required to make payments) for basic health services for which payment is made under Medicare or this Act. Title IX: Financing - Subtitle A: Value Added Tax - Amends the Internal Revenue Code to impose a tax on each taxable transaction, defined as being, in connection with a business, the sale of property in the United States, the performance of services in the United States, and the importing of property into the United States. Includes in the imposition of the tax any sale or leasing of real property and any importing of property, whether or not in connection with a business. Declares that the taxable amount is the price charged for the property or service or, in the case of exchanges, the fair market value. Sets a zero tax rate for: (1) food, housing (as a primary residence), and medical care, applying the zero rating to all transactions after such items become clearly identifiable as items to which the zero rating will apply; (2) sales to governmental entities; and (3) the providing by a governmental entity of property and services in connection with education. Taxes sales by a governmental entity only if there is a separate charge or fee. Sets a zero rate for transactions engaged in by certain charitable (section 501(c)(3)) organizations unless the organization imposes a charge or fee for the service. Allows a tax credit for the aggregate tax which has been paid by sellers to the taxpayer of property and services which the taxpayer uses in the business to which the transaction relates. Provides for the treatment of excess credit as an overpayment of tax. Makes the seller liable for the tax. Requires the seller to give the purchaser a tax invoice. Allows a person whose aggregate taxable transactions (except for transactions involving real property or importing) are under $20,000 to elect to be treated as a nontaxable person. Allows a tax credit for low income individuals. Subtitle B: Employer Contribution - Imposes an excise tax on every employer on a percentage of wages paid, specifying a higher percentage for those employers contributing to any employee medical care plan. Imposes a tax on self-employment income. Imposes similar taxes through provisions relating to railroads. Subtitle C: State Medicaid Contribution - Requires each State, as a requirement for receiving its Federal Medicaid payment, to pay to the Health Choice Trust Fund any excess of Medicaid payment to the State that would have been made (if this Act had not been in effect) for basic health services under subtitle A of title II of this Act over the Medicaid payment actually made for such service. Title X: Expansion of Primary Care and Public Health Delivery Capacity in Meeting Health Objectives - Amends the Public Health Service Act to authorize appropriations for programs relating to: (1) vaccinations; (2) the prevention and control of tuberculosis, lead poisoning, or sexually transmitted diseases; (3) migrant and community health centers; (4) health services for the homeless and for residents of public housing; (5) family planning; and (6) early intervention services for individuals with HIV disease. Mandates grants (from Health Choice Trust Funds set aside under title VI of this Act) to plan and develop primary care centers and public health clinics for medically underserved populations, allowing grant funds to be used as under provisions of the Public Health Service Act relating to community health centers. Defines a primary care center to mean a migrant or community health center or an entity qualified to receive a grant under provisions relating to health services for the homeless, health services for residents of public housing, family planning services, or early intervention services for individuals with HIV disease. Defines a public health clinic to mean an entity qualified to receive a grant under provisions relating to vaccinations or the prevention and control of tuberculosis, lead poisoning, or sexually transmitted diseases. Mandates grants (from Health Choice Trust Funds set aside under title VI of this Act) for specialized screening, diagnostic, and treatment services to children under 22 years old. Title XI: Reform of Health Insurance Market - Declares that Medicare provisions relating to the revision of National Association of Insurance Commissioners standards regarding Medicare supplemental policies apply in the case of the changes in Medicare benefits made by title VIII. Requires the Board to promulgate standards relating to health insurance policies offered to supplement the Health Choice program. Prohibits the sale or issue of any nonconforming policy, prescribing civil monetary penalties. Repeals specified provisions of the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act relating to continuation coverage.
Bill· HRH.R. 5513 (102nd)referred
United States · United States Congress · 30 June 1992
Amends the Internal Revenue Code to require tax table rate reductions to be based on a percentage of the reduction in Federal spending for calendar years 1993 through 1997. Amends the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act) to provide sequestration procedures to eliminate the deficit by FY 1998. Specifies accounts that are exempt from reduction. Sets forth reporting requirements.
Bill· HRH.R. 5515 (102nd)referred
United States · United States Congress · 30 June 1992
Amends the Internal Revenue Code to allow an exception for the failure of partnerships and S corporations not using a required taxable year to make certain payments if such failure is due to reasonable cause and not due to willful neglect.
Resolution· HRESH.Res. 506 (102nd)open
United States · United States Congress · 30 June 1992
Waives certain points of order against the consideration of H.R. 5503 (appropriations).
Resolution· HCONRESH.Con.Res. 341 (102nd)referred
United States · United States Congress · 30 June 1992
Expresses the sense of the Congress that the Federal Government should: (1) reduce by 60 percent, within two years, expenditures for foreign assistance; (2) enforce U.S. trade laws to restore employment and open foreign markets; (3) intitiate incentives to restore U.S. international competitiveness; (4) reduce Department of Defense spending and redirect the defense industrial structure to domestic needs; (5) rebuild U.S. infrastructure and develop new forms of transportation; (6) require host nations to assume the total costs of U.S. military presence; (7) recover uncollected taxes; (8) implement tax parity between domestic and foreign enterprises operating within the United States; (9) require full elimination of waste, fraud, abuse, and unnecessary spending in all branches of government within two years; (10) implement a program to protect U.S. natural resources from foreign exploitation by restricting ownership and limiting exportation; (11) establish a goal, by 2000, of providing comprehensive health care for all U.S. citizens; and (12) implement incentives for States to initiate training and work-fare programs for the unemployed and welfare recipients.
Bill· SS. 2906 (102nd)referred
United States · United States Congress · 29 June 1992
Defense Industrial Diversification and Adjustment Act of 1992 - Title I: Office of Defense Industrial Diversification and Adjustment - Establishes in the Executive Office of the President an Office of Defense Industrial Diversification and Adjustment (Office). Abolishes the Economic Adjustment Committee established under a specified executive order and transfers the duties of the Committee to the Office. Title II: Contractor Diversification - Directs each defense contractor with gross annual revenues exceeding $15 million in any fiscal year to set aside at least one tenth of one percent (but no more than $500,000) of such revenues to establish and maintain a corporate office of contractor diversification. Requires such offices to: (1) make continuing analyses of possible nondefense uses to which the contractors' defense industrial facilities could be devoted; and (2) submit an annual report to the Office Director which shall include a diversification plan, a schedule for plan implementation, and an estimate of the impact the plan will have on the labor force in the areas in which the defense facilities are located. Makes defense contractors who set aside funds for offices, submit diversification plans, and deposit funds in the Defense Economic Adjustment Trust Fund eligible for: (1) grants for training employees to engage in the production of nondefense goods and services; (2) exemptions from paying nonrecurring costs of research and development under the Arms Export Control Act if such research and development is subsequently used by a contractor for commercial and nondefense purposes; and (3) preferred standing in any procurement through competitive procedure undertaken by a Federal agency (other than the Department of Defense). Title III: Continuation of Health Insurance for Employees - Requires defense contractors that deposit amounts into the Defense Economic Adjustment Trust Fund to report to the Office Director the name and social security number of each contractor employee: (1) whose employment is terminated for reasons attributable to the termination or curtailment of a defense contract; and (2) who elects to continue health insurance coverage after such termination. Directs contractors who submit such reports to submit an application for subsidies of the insurance premiums that apply to continuation coverage to the Office of Director. Authorizes payments of subsidies in an amount equal to 50 percent of the premiums for continuation coverage. Requires terminated employees for whom subsidies are paid to pay contractors an amount equal to 52 percent of the premium. Title IV: Defense Economic Adjustment Trust Fund - Establishes the Defense Economic Adjustment Trust Fund. Prohibits Federal agencies from contracting with any person to furnish defense-related goods or services unless the contract requires the person to pay into the Fund an amount equal to one percent of the gross amount paid to the contractor in that fiscal year. Title V: Authorization of Appropriations - Authorizes appropriations.
Bill· SS. 2904 (102nd)referred
United States · United States Congress · 29 June 1992
Military Separation Retirement Benefits Act of 1992 - Amends the Internal Revenue Code to allow rollovers into individual retirement accounts of military separation pay.
Law· HRH.R. 5504 (102nd)enacted
United States · United States Congress · 29 June 1992
Department of Defense Appropriations Act, 1993 - Title I: Military Personnel - Appropriates funds for FY 1993 for military and reserve personnel in the Army, Navy, Marine Corps, and Air Force and for National Guard personnel in the Army and Air Force. Title II: Operation and Maintenance - Appropriates funds for FY 1993 for the operation and maintenance of the Army, Navy (including a transfer of funds), Marine Corps, Air Force, the defense agencies, the respective reserve components, and the Army and Air National Guards. Appropriates funds for the Army's National Board for the Promotion of Rifle Practice, the Court of Military Appeals, environmental restoration (including a transfer of funds), humanitarian assistance, support and services for the World University Games, the 1996 Summer Olympics, the 1994 World Cup USA, and for real property maintenance, defense. Title III: Procurement - Appropriates funds for FY 1993 for the procurement by the Army of aircraft, missiles, weapons, tracked combat vehicles, and ammunition and for other procurement. Appropriates funds to the Navy for the procurement of aircraft, weapons, and shipbuilding and conversion (including a transfer of funds) and for other procurement. Appropriates funds for Marine Corps procurement. Appropriates funds for procurement by the Air Force of aircraft and missiles and for other procurement. Appropriates funds for: (1) National Guard and Reserve equipment; (2) procurement by the defense agencies; and (3) Defense Production Act purchases. Title IV: Research, Development, Test, and Evaluation - Appropriates funds for FY 1993 for research, development, test, and evaluation by the Army, Navy, Air Force, and defense agencies. Appropriates funds for the Deputy Director of Defense Research and Engineering (Test and Evaluation) and the Director, Operational Test and Evaluation. Title V: Revolving and Management Funds - Appropriates funds for the Defense Business Operations Fund. Title VI: Other Department of Defense Programs - Appropriates funds for: (1) medical and health care programs of the Department of Defense (DOD); (2) the destruction of lethal chemical agents and munitions; (3) drug interdiction and counter-drug activities, defense (including a transfer of funds); and (4) expenses and activities of the Office of the Inspector General in carrying out the Inspector General Act of 1978. Title VII: Related Agencies - Appropriates funds for: (1) the Central Intelligence Agency Retirement and Disability System Fund; and (2) the Edward R. Roybal Foundation (including a transfer of funds). Title VIII: Defense Reinvestment for Economic Growth - Earmarks funds appropriated in this Act for defense reinvestment programs as authorized by the National Defense Authorization Act for Fiscal Year 1993. Title IX: General Provisions - Prohibits the use of appropriations for unauthorized publicity or propaganda. Exempts during FY 1992 DOD personnel from provisions of law prohibiting the employment of non-U.S. citizens. Provides that no part of any appropriation contained in this Act may remain available for obligation beyond the current fiscal year, unless expressly so provided. Prohibits the obligation of more than 20 percent of the funds appropriated by this Act during the last two months of the fiscal year, except as specified. Prohibits the use of appropriations for the procurement of any food, clothing, specified cloth (including cotton, silk, and wool) or synthetic fabrics, or specified metals not grown, produced, or processed within the United States, with specified exceptions. Authorizes the Secretary of Defense, in the national interest and with the approval of the Office of Management and Budget (OMB), to transfer and merge specified working capital funds. Directs the Secretary to notify the Congress of all such transfers. Limits the cash balances which may be maintained in such funds. Authorizes the Secretary of the Air Force to use any available funds to implement cost-effective agreements for required heating facility modernization in the Kaiserslautern Military Community in the Federal Republic of Germany, under certain conditions. Prohibits the use of appropriated funds for: (1) the initiation of a special access program without prior notification to the Senate and House Appropriations (appropriations) and Armed Services (defense) Committees; (2) the preparation of a request to the appropriations committees for a reprogramming of funds, except as specified; (3) certain claims for physician or provider reimbursement for medical services provided under the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) in excess of those allowed for FY 1992; (4) programs of the Central Intelligence Agency (CIA) beyond FY 1992, with a specified exception; (5) initiating a multiyear contract that employs economic order quantity procurement in excess of specified amounts, unless proper congressional notification is given; (6) any intelligence or special activity different from an activity previously justified to the Congress unless the Secretary has notified the appropriations committees of the intent to make such funds available; (7) converting certain military technician positions to positions to be held by persons in active Guard or Reserve status if such conversion would reduce the number of military technicians below a specified amount; or (8) including civilian military technicians in any administratively-imposed freeze on civilian positions. Requires governments of Indian tribes to be treated as State and local governments for purposes of the disposition of real property recommended for closure. Eliminates during FY 1993 the requirement that the Congress must authorize by law the end-strengths for civilian personnel in DOD. Prohibits setting any end-strength limitations for such personnel during FY 1993. Prohibits the use of appropriated funds for: (1) congressional lobbying; (2) the pay of certain nonmilitary Army Reserve technicians; and (3) floating storage of petroleum or petroleum products in non-U.S. vessels. Permits the appropriation of funds for humanitarian and civic assistance costs incident to authorized operations of the armed forces. Authorizes the Secretaries of the Army and the Air Force to retain in active status until age 60 certain officers who need such status in order to maintain employment as a National Guard or Reserve technician. Permits the use of operation and maintenance funds provided under this Act for studies and demonstration projects relating to the delivery of military health and medical care. Prohibits the use of funds appropriated by this Act to make contributions to the Department of Defense Education Benefits Fund for educational assistance for a member of the armed forces who enlists for less than three years or receives an enlistment bonus. Prohibits the use of funds appropriated by this Act for the basic pay and allowances of a member of the Army participating as a full-time student and receiving benefits through the Secretary of Veterans Affairs when time spent as a full-time student is credited toward completion of a service commitment. Limits the availability of appropriations to specified percentages of postsecondary educational costs for off-duty training of military personnel. Prohibits the use of appropriated funds for conversion to contractor performance of an activity or function of DOD that is currently performed by more than ten civilian DOD employees until a cost-analysis on such performance is completed and certified to the appropriations committees. Prohibits funds available to DOD from being used to award a competitive procurement contract for any round of 120mm mortar ammunition unless such round has successfully passed certain testing and has a validated technical data package to support its procurement. Prohibits the obligation of funds appropriated in this Act to the Army for the procurement of such mortars or ammunition if manufactured outside the United States. Prohibits the use of appropriated funds for the payment of salaries of any persons who authorize the transfer of unobligated or deobligated funds into the Reserve for Contingencies of the CIA. Requires funds appropriated under this Act for CIA construction projects to remain available until expended. Authorizes the Secretary of the Navy to use specified funds to charter ships for use as auxiliary minesweepers, under specified conditions. Directs DOD to competitively award contracts for the geographical expansion of the CHAMPUS Reform Initiative in Florida, Washington, Oregon, and Alexandria, Louisiana, under specified conditions. Permits the use of appropriated funds to fully utilize the facilities at the U.S. Army Engineer's Waterways Experiment Station, with a specified exception. Prohibits this Act's funds from being used by a military department to modify an aircraft, weapon, ship, or other item of equipment if such item is to be retired or otherwise disposed of within five years after completion of the modification, with specified exceptions. Specifies the definition of "program, project, and activity" for appropriations contained in this Act for purposes of the Balanced Budget and Emergency Deficit Control Act of 1985 (Gramm-Rudman-Hollings Act). Earmarks specified funds appropriated to the Army under this Act for the Reserve Component Automation System (RCAS), with certain expenditure limitations. Prohibits the use of appropriated funds for fixed-price contracts exceeding $10,000,000 for the development of a major defense system or subsystem, unless the Under Secretary of Defense for Acquisition and the Secretary of Defense take certain action. Provides that monetary limitations on the purchase price of passenger motor vehicles shall not apply to vehicles purchased for certain intelligence activities. Earmarks specified funds for the construction of classified military projects within the continental United States. Prohibits the use of appropriated funds for the procurement of welded shipboard anchor and mooring chains manufactured outside the United States. Authorizes DOD to transfer prior-year unobligated balances to the operations and maintenance appropriations of the reserve components in order to provide military technician and DOD medical personnel pay and medical programs the same exemption from the Gramm-Rudman-Hollings Act as is currently granted to other military personnel accounts, with specified exceptions. Prohibits any funds available to the Department of the Navy from being used to enter into any contract for the overhaul, repair, or maintenance of any naval vessel on the west coast which includes interport differential charges as a factor for the award of such contract. Prohibits funds appropriated by this Act for CHAMPUS programs from being used to reimburse any health care provider for inpatient mental health services in excess of specified periods (depending on one's age), or for care received when a patient is referred to a provider of such care by a medical or health care professional having an economic interest in the facility to which the patient is referred, with specified exceptions. Requires the designs of specified military aircraft to incorporate certain standard avionics specifications by no later than 1998. Provides for the accounting treatment of expenses incurred by the United States in monitoring Soviet implementation of the INF Treaty. Provides funds from this Act for transportation to an annual meeting in the United States of the next-of-kin of individuals who have been prisoners of war or missing in action from the Vietnam era. Prohibits funds available to the Department of the Navy from being used to implement certain automated data processing or information technology facility consolidation plans or to make reductions or transfers of personnel in connection with such plans until a congressional notification requirement has been met by the Secretary. Prohibits funds from this Act from being obligated or expended to prepare, or to assist any defense contractor in preparing, any material with respect to economic or employment impact in a State of an acquisition program for which all research, development, testing and evaluation has not been completed. Prohibits funds appropriated by this Act from being available for a contract for studies, analyses, or consulting services entered into without competition on the basis of an unsolicited proposal unless the head of the activity responsible for the procurement makes certain determinations with respect to such contract. Prohibits the use of DOD funds under this Act to dispose of specified unserviceable M1 rifles and carbines. Prohibits this Act's funds from being used to pay more than 50 percent of a lump-sum reenlistment bonus. Prohibits this Act's funds from being used to assign a supervisor's title or grade when the number of people he or she supervises is considered as a basis for such determination. Prohibits Navy funds appropriated by this or any other Act from being used to carry out an electromagnetic pulse program in the Chesapeake Bay area in connection with the Electromagnetic Pulse Radiation Environment Simulator for Ships (EMPRESS) program until the Secretary has made certain certifications to the Congress concerning the importance of such program. Limits the funds available for a health care demonstration project regarding chiropractic care required by the Department of Defense Authorization Act, 1985. Prohibits this Act's funds from being used to pay health care providers under CHAMPUS for services determined to be not medically or psychologically necessary. Requires sums for FY 1993 pay raises for programs funded by this Act to be absorbed within the levels appropriated in this Act. Prohibits funds available in this Act from being used for: (1) payments under a DOD contract with the Louisiana State University Medical Center involving the use of cats for wound research; or (2) conducting bone trauma research at the Letterman Army Institute of Research until the Secretary of the Army makes certain certifications. Requires the Secretary to include in any base closure and realignment plan submitted to the Congress a complete review for FY 1992 through 1996 which includes specified information relating to force structures and cost savings after such closure or realignment. Limits the amount of funds to be used for any single relocation of an organization, unit, activity, or function of DOD into or within the National Capital Region. Provides for the waiver of such limitation in certain cases. Directs the Secretary to ensure that at least 50 percent of the Joint Service Missile Mission is in place at the Letterkenny Army Depot by the time that Systems Integration Management Activity and Depot Systems Command are scheduled to relocate to Rock Island Arsenal, Illinois. Prohibits this Act's funds from being used for producing more than two-thirds of the liquid gas requirements in-house at Andersen Air Force Base, Guam. Allows appropriated funds to be used for the pay, allowances, and benefits of Federal or District of Columbia employees who are members of the reserve or National Guard, who perform Federal or military service to enforce the law or provide assistance to civil authorities in the protection or saving of life or property, and who request and are granted leave. Prohibits funds appropriated by this Act from being used to: (1) initiate or continue any cost study pursuant to OMB Circular A-76; or (2) begin closing a military treatment facility unless the Secretary notifies the appropriations committees. Prohibits funds appropriated by this Act for the American Forces Information Service from being used for any national or international political or psychological activities. Prohibits any unobligated balances available during FY 1992 from the National Defense Stockpile Transaction Fund from being obligated or expended to finance any grant or contract to conduct R&D activities for the development or production of advanced materials, unless amounts are specifically appropriated in a subsequent appropriations Act. States as the policy of the United States the opposition to restrictive trades or boycotts fostered or imposed by foreign countries against other countries friendly to the United States or against any other U.S. person. Prohibits any DOD prime contract in excess of the small purchase threshold from being awarded to a foreign person, company, or entity unless such entity certifies to the Secretary that it does not comply with the secondary Arab boycott of Israel. Authorizes the Secretary to waive such certification requirement when necessary in the national security interest, but to notify the Congress quarterly of any contract in which a waiver was granted. Outlines exceptions to the prohibition. Requires all DOD software to be written in the programming language Ada in the absence of a special exemption. Authorizes the Secretary to adjust the wage rates of certain civilian employees hired for certain health care occupations as authorized by the Secretary of Veterans Affairs for the direct care of veterans in the Department of Veterans Affairs. Prohibits funds available to DOD from being used for the training or utilization of psychologists in the prescription of drugs, except upon the findings and recommendations of a specified Army Blue Ribbon Panel. Prohibits this Act's funds from being used to reduce the military or civilian medical and medical support personnel end strength at a base undergoing a partial closure or realignment, where more than one joint command is located, below the September 30, 1991, level. Earmarks funds made available in this Act for the Civil Air Patrol. Prohibits funds appropriated or made available in this Act from being used to reduce or disestablish the operation of the 815th Tactical Airlift Squadron of the Air Force Reserve if such action would reduce the WC-130 weather reconnaissance mission below the levels funded in this Act. Allows withdrawal credits to be made during FY 1992 by the Defense Business Operations Fund to the credit of current applicable appropriations of the DOD activity in connection with the acquisition of supplies that are repairable at a repair depot and that are capitalized into such Fund as the result of certain management changes. Requires, in the use of funds for the procurement of supplies or services appropriated by this Act, that qualified nonprofit agencies for the blind or other severely handicapped be afforded the maximum opportunity to participate as subcontractors and suppliers in the performance of DOD contracts. Provides that small business concerns participating in a subcontracting plan for the participation of small businesses with DOD under the Small Business Act shall be given credit toward meeting the subcontracting goal required under such Act for any purchases made from qualified nonprofit agencies for the blind or other severely handicapped. Establishes under the direction and control of the Attorney General the National Drug Intelligence Center, to coordinate and consolidate drug intelligence from all national security and law enforcement agencies, and produce information regarding the structure, membership, finances, communications, and activities of drug trafficking organizations. Provides funding for the Center from DOD drug interdiction and counter-drug activities appropriations. Authorizes the Navy, during FY 1992, to provide notice to exercise options under the LEASAT program for the next fiscal year. Earmarks specified Navy R&D funds for the V-22 aircraft program. Specifies the manner in which prior-year appropriations for the V-22 program shall be expended. Directs the Secretary to provide the Congress with the total funding plan and schedule to complete the Phase II V-22 full-scale engineering development program. Directs the Secretary to include sufficient funds to complete development, manufacture, and testing of six production representative aircraft under the development program and to produce sufficient V-22 aircraft to meet the operational requirements of the Marine Corps and other services in all DOD future year planning documents and budget estimates. Provides that, during FY 1992, third party payments for health care provided in a military medical facility shall be available for the use of such facility and shall be over and above the facility's direct budget amount. Prohibits funds appropriated in this Act from being used to: (1) procure a Multibeam Sonar Mapping System not manufactured in the United States; or (2) fill the commander's position at any military medical facility with a health care professional unless such candidate demonstrates professional administrative skills. Earmarks funds appropriated by this Act for the Defense Health Program to continue CHAMPUS benefits until age 65 for a former member of the armed forces who is entitled to retired or retainer pay (or a dependent of such member) and who becomes eligible for hospital insurance benefits under part A of title XVIII (Medicare) of the Social Security Act solely on the grounds of physical disability. Provides limitations on the coverage of such expenses. Authorizes the Secretary to accept, during FY 1992, burdensharing contributions in the form of money from Japan, Korea, and Kuwait for the costs of local national employees, supplies, and services of DOD, to be credited to operation and maintenance appropriations and available for the same purposes and time period. Requires the Secretary to report quarterly to the Congress on contributions accepted. Prohibits obligations in excess of 70 percent of sales from DOD stock funds from being incurred against such stock funds during FY 1992. Prohibits the use of funds appropriated or made available in this Act to reduce or disestablish the operation of the Navy Reserve P-3 squadrons below the levels funded in this Act. Directs the Secretary of the Navy to obligate funds appropriated for FY 1991 through 1993 for the modernization of such aircraft that such Secretary intends to keep in the fleet for more than five years. Earmarks specified prior-year appropriated funds for payment of claims to U.S. military and civilian personnel for damages incurred as a result of the volcanic eruption of Mount Pinatubo in the Philippines. Prohibits funds appropriated in this Act from being obligated or expended for any contract or grant with a university or other higher educational institution unless such grant or contract is audited under certain Federal Acquisition Regulation procedures. Requires any such institution to respond fully to any requests for financial information in connection with such grant or contract. Prohibits funds appropriated in this Act to finance activities of DOD federally-funded R&D centers from being obligated or expended for such center if a member of its board of directors or trustees simultaneously serves on the board or trustees of a profit-making company under contract to DOD unless such center has a DOD-approved conflict of interests policy for its members. Mandates that certain previously required reports be submitted to the appropriations committees before funds from this Act may be used for such centers. Prohibits funds appropriated in this Act from being used to: (1) comply with or implement any provision issued in compliance with a memorandum of the Deputy Secretary of Defense concerning debarment from defense contracts for felony criminal convictions; or (2) procure carbon, alloy or armor steel plate for use in any Government-owned facility or DOD property which was not melted and rolled in the United States or Canada (with a waiver allowed on a case-by-case basis). Prohibits more than 15 percent of the funds available to DOD for sealift from being used to acquire ships constructed in foreign shipyards. Authorizes the Secretary, during FY 1992, to acquire the modification, depot maintenance, and repair of aircraft, vehicles, and vessels as well as the production of components and other defense-related articles through competition between DOD depot maintenance activities and private firms. Requires the Secretary, if he finds after consultation with the U.S. Trade Representative that a foreign country has violated a reciprocal defense procurement agreement by discriminating against certain types of products produced in the United States, to rescind the Secretary's blanket waiver of the Buy American Act with respect to such types of products produced in that foreign country. Directs the Secretary to report to the Congress on the amount of DOD purchases from foreign entities in FY 1993. Prohibits any funds appropriated or made available in this or any DOD appropriations Act during FY 1992 from being obligated for the procurement of ball or roller bearings other than in accordance with a specified Defense Federal Acquisition regulation. Transfers specified FY 1991 Navy shipbuilding and conversion funds to Navy operations and maintenance for use in connection with the USS John F. Kennedy at the Philadelphia Naval Shipyard. Directs the Air Force to use FY 1992 R&D funds to execute the cleanup of uncontrolled hazardous waste contamination affecting a sale parcel of land at Hamilton Air Force Base, California. Outlines procedures to be followed in the event that the purchaser of such sale parcel exercises its option to withdraw from such sale. Directs the Air Force to be reimbursed from the sale proceeds for cleanup expenses in excess of a specified amount. Provides for the conveyance by DOD of certain buildings and easements with respect to such parcel. Authorizes the Secretary, when considered to be in the best interest of the United States, to cancel up to $2,500 of a debt owed to the United States by a member or former member of the armed forces if it was incurred in connection with Operation Desert Shield/Storm. Transfers a specified cash balance in the Defense Business Operations Fund to DOD appropriations available for energy conservation improvement projects under the Department of Defense Energy Conservation Improvement Program. Allows appropriations contained in this Act that remain available at the end of the current fiscal year as a result of energy cost savings realized by DOD to remain available for obligation to the facilities responsible for such savings. Authorizes the Secretary to provide optional summer school programs authorized under the Defense Dependents Education Act of 1978 and to charge a fee for participation in such programs. Makes available through FY 1993 unobligated balances of the funds appropriated in the FY 1992 Department of Defense Appropriations Act for the World University Games and the 1992 Summer Olympics. Authorizes the Secretary during FY 1992 to transfer available funds from the National Defense Stockpile Transaction Fund to the appropriation for environmental restoration, defense. Allows after December 31, 1992, voluntary separation incentives to be paid in such amounts as necessary from assets of the Voluntary Separation Incentive Fund. Requires amounts deposited during FY 1992 and 1993 to special accounts established for the transfer or disposal of DOD real property and the leasing of non-excess DOD property to be appropriated and available for facility maintenance and repair and for environmental restoration at the military installation in which the property was sold, transferred, or leased. Prohibits any funds available to DOD in this Act from being used to award a contract for the procurement of four-ton dolly jacks manufactured outside of the United States. Authorizes DOD to transfer up to a specified amount of the funds appropriated under this Act for certain purposes authorized in the Nuclear Threat Reduction Act of 1992. Authorizes the Secretary to transfer up to a certain amount of DOD funds to the appropriate accounts within DOD for the transportation of humanitarian assistance to the former Soviet Union in order to address emergency conditions. Prohibits funds appropriated or made available in this Act from being used for the procurement of high purity quartz yarn or fiber, or related products or materials, not produced in the United States. Provides for the waiver of such prohibition on a case-by-case basis. Directs the Secretary to ensure that such yarn or fiber produced by domestic sources is tested for qualification for use or incorporation in the production of weapon systems and in weapons development programs. Provides a purchase preference to certain domestic producers of high carbon ferrochromium and ferromanganese from chromite and manganese ore authorized for disposal from the National Defense Stockpile. Prohibits funds available to DOD from being used to implement a specified defense management report decision pertaining to conventional ammunition which has the objective of financing such ammunition out of any funds other than those specifically appropriated or made available for the procurement of ammunition. Prohibits funds made available to DOD from being used: (1) for an Abrams tank upgrade program that does not first modify specified tank configurations; (2) in connection with any action within DOD which would support or lead to the purchase or acquisition of LTV Aerospace and Defense Company by any foreign person; and (3) to procure or acquire handguns or handgun ammunition except the 9mm DOD standard handgun and ammunition. Directs the Secretary, if he determines that a person has been convicted of intentionally affixing a "Made in America" label to any product sold in or shipped to the United States that is not made in America, to debar such person from contracting with the Government for at least three and up to five years. Authorizes FY 1992 DOD appropriations to be used to reimburse a reserve member who is not otherwise entitled to travel and transportation allowances and who occupies transient government housing while performing active duty for training or inactive duty training. Allows such funds to also be used for the civilian pay, allowances, and benefits of a National Guard technician who serves on active duty for participation outside the United States in airlift or refueling operations and who requests and is granted leave. Provides other conditions for such payments. Directs the Secretary to negotiate with a military medical treatment facility to assume operation of the Silas B. Hays Army Community Hospital at Fort Ord, California, in a manner consistent with the managed-care delivery model required under the National Defense Authorization Act for Fiscal Year 1991. Prohibits funds appropriated by this Act or made available to DOD from being used to operate, maintain, and pay the salaries of the employees assigned or detailed to the Defense Printing Service Management Office. Earmarks specified funds appropriated by this Act for paying the Administrator of General Services charges established under the Federal Property Administrative Services Act of 1949 for space and services. States that, as of September 1, 1993, no funds appropriated by this Act or made available to DOD may be used for payment of compensation of members of the Senior Executive Service assigned to DOD in excess of 95 percent of such personnel assigned to or serving in DOD on September 30, 1992. Requires the issuance of specified amounts from the Defense Business Operations Fund for supplies, equipment, and material for the Army, Navy, Marine Corps, and Air Force. Prohibits funds from this Act from being used by DOD or the Navy to consolidate the Naval Biodynamics Laboratory until 90 days after the General Accounting Office has submitted a report to the appropriations committees on plans to consolidate R&D laboratories. Directs the Comptroller General to issue a report on the Navy's accounting practices at its nuclear shipyards. Requires the Director of the Air National Guard, during FY 1992, to establish a command, control, communications, and intelligence planning office manned by three full-time Air Guard officers of specified rank. States that as of September 1, 1993, no funds appropriated by this Act shall be available for the payment of compensation of personnel assigned to or serving in the National Foreign Intelligence Program in excess of 98 percent of such personnel assigned to or serving in such Program on September 30, 1992. Prohibits funds appropriated by this Act or made available to DOD from being deposited into the Pentagon Reservation Maintenance Revolving Fund for renovation, construction, or any purposes other than the actual and necessary day-to-day operation of the Reservation or the performance of engineering studies and designs for renovation of the existing structure. Prohibits funds appropriated or otherwise made available in this Act from being used to promulgate or enforce a certain DOD policy prohibiting non-funded abortions in military medical treatment facilities outside the continental United States or any other policies having the same substance.
Bill· HRH.R. 5507 (102nd)referred
United States · United States Congress · 29 June 1992
International Woman and Child Health Act of 1992 - Requires U.S. contributions to international organizations and nongovernmental organizations for programs to immunize people in high-mortality countries for diseases such as measles or polio to be at least $100,000,000 greater in each of FY 1993 through 1995 than the amount of such contributions for FY 1992. Provides additional funding for vitamin A supplementation and fortification programs and iodine and iron supplementation and fortification programs for pregnant women. Directs the Agency for International Development, during FY 1993 through 1995, to ensure that a specified amount in local currencies made available under foreign assistance programs is used to provide training, compensation, and other support for maternal and child health workers in developing countries. Authorizes appropriations. Reduces funding for military assistance programs during such fiscal years in order to provide funding for this Act without increasing the foreign assistance budget.
Resolution· HRESH.Res. 505 (102nd)passed
United States · United States Congress · 29 June 1992
Waives points of order against the consideration of H.R. 5488 (appropriations).
Bill· HRH.R. 5502 (102nd)referred
United States · United States Congress · 26 June 1992
Health Care Cost Containment and Reform Act of 1992 - Title I: Cost Containment - Subtitle A: National Health Budget - Establishes a national health expenditure budget for each calendar year beginning with 1994. Specifies the total amount of such budget for 1994 and a formula for subsequent year budgets. Sets forth guidelines for computing a budget baseline for 1993. Provides for establishment of classes of health care services and the annual allocation of the national health expenditure budget among such classes. Subtitle B: Maximum Payment Rates - Provides for the establishment and general application and enforcement of maximum payment rates. Sets forth exceptions to maximum payment rates, which include an exception for health maintenance organizations (HMOs). Provides for conforming payment rates under Medicare and Medicaid (Social Security Act (SSA) titles XVIII and XIX). Details various methodologies for determining maximum rates of payment for inpatient hospital services and class of physicians' services and other professional medical services. Provides for development of prospectively-determined payment rates for each class of services for which payment rates are not specified and are not determined on a prospective basis. Subtitle C: State Provider Payment Control Systems - Provides that, if the Secretary of Health and Human Services (HHS) approves a State provider payment control system under this Act, the payment rates provided under such system shall apply to services covered under the system and furnished in the State, instead of the maximum payment rates otherwise applicable to such services under subtitle B of this title. Details the process for approval of a State system. Specifies conditions for approval. Authorizes sanctions against a State with aggregate system expenditures in excess of specified limits. Lists such sanctions. Provides for termination of approval of State systems. Subtitle D: Incentives for Expansion of Qualified Health Maintenance Organizations - Repeals the termination date set under the Health Maintenance Organization Amendments of 1988 for dual choice requirements under the Public Health Service Act. Amends the Public Health Service Act to revise such requirements to provide for multiple options for HMO membership. Provides that health benefit plans shall make available, to each individual eligible to enroll with a qualified HMO under such an option, such marketing materials as the HMO provides to the plan. Preempts State law restrictions on the ability of an HMO to negotiate reimbursement rates with providers or to contract selectively with one provider or a limited number of providers. Amends the Medicare program to provide for adjustment in Medicare capitation payments to account for regional variations in application of secondary payor provisions. Requires a General Accounting Office (GAO) study and report to the Congress on additional measures that may be taken to encourage HMO development and expansion. Title II: Health Systems Reform - Subtitle A: Health Insurance Reform - Amends the Internal Revenue Code to impose an excise tax on any health benefit plan that is not certified under new SSA title XXI added by this Act, or is providing coverage in violation of certain title XXI requirements. Requires that the amount of such tax be equal to: (1) 50 percent of the gross premiums received by the issuer attributable to the period during which the plan is not certified or is providing coverage in violation of certain requirements, in the case of an insured health benefit plan; and (2) 50 percent of the expenditures under a self-insured health benefit plan during such a period, in the case of a self-insured health benefit plan. Provides that in the case of an insured health benefit plan, the issuer of the insurance or subscriber contract under which such plan is provided shall be liable for the tax imposed above. Provides generally that in the case of a self-insured plan, the employer maintaining such plan shall be liable for the tax imposed above. Amends SSA to add a new title XXI, Health Benefit Plan Standards. Provides that no health benefit plan may be issued unless it has been certified as meeting specific standards established by the Secretary. Requires such standards to implement specified requirements relating to: (1) health benefit plan coverage and health status; (2) premium charges within self-insured health benefit plans; (3) a prohibition against self-insured plans for small employers; (4) insured health benefit plan enrollment, issuance, and renewal; (5) use of community-rated premium rates for insured health plans; (6) minimum insured plan periods; (7) payment of commissions; and (8) insured plans that are multiple employer welfare arrangements. Prohibits States from establishing or enforcing any law or regulation that prevents the health benefit plan of a college or university from offering eligible individuals continuation of coverage under the plan. Subtitle B: Administrative Simplification - Requires each health benefit plan to issue to each U.S. resident entitled to benefits under it a uniform health claims card meeting specified requirements. Mandates uniform claims submission. Sets forth enforcement provisions. Provides for standards for uniform claims. Sets forth the administrative framework for eligibility and benefit verification and claims processing through health claims clearinghouses for residents and providers in areas within the United States designated as clearinghouse areas. Provides for the use of clearinghouses by health benefit plans. Requires that each hospital, for each cost reporting period under Medicare beginning during or after FY 1993, provide for the reporting of information to the Secretary with respect to any hospital care provided in a uniform manner consistent with standards established by the Secretary to carry out certain provisions of the Omnibus Budget Reconciliation Act of 1987. Subtitle C: Fraud and Abuse - Provides for the establishment in the HHS Office of the Inspector General of a program to coordinate programs to: (1) restrict fraud and abuse in health care programs; and (2) facilitate the enforcement of SSA title XI provisions concerning the exclusion of certain individuals and entities from participation in Medicare and State health care programs. Provides for coordination with law enforcement agencies in carrying out such program. Authorizes appropriations. Creates in the Treasury the Anti-Fraud and Abuse Trust Fund for purposes related to such program. Amends SSA title XI for the application of Federal anti-fraud and abuse sanctions to fraud and abuse involving any health benefit plan. Adds treble damages to the list of criminal penalties for acts involving Medicare, State health care programs, or health benefit plans. Makes any act subject to such SSA criminal penalties a "racketeering activity" as defined under the Federal criminal code. Subjects to SSA civil money penalties any offer of inducements to receive covered items or services to individuals enrolled under or employed by Medicare or other health programs or plans. Provides for intermediate sanctions for HMO violations under Medicare. Sets forth procedures for imposing such sanctions. Requires written agreements between HMOs and peer review organizations. Requires the Secretary to develop a model of the agreement that an HMO with a risk-sharing contract must enter into with a peer review organization with respect to HMO services. Requires a GAO study and report to the Congress on the costs incurred by HMOs with risk-sharing contracts of complying with the requirement to enter into a written agreement with a peer review organization with respect to HMO services, together with an analysis of how information generated by such organizations is used by the Secretary to assess the quality of HMO services. Modifies the self-referral ban on Medicare payment for clinical laboratory services provided in connection with improper physician referrals to extend such ban to payment by other payors for additional specified services. Makes changes in exceptions relating to compensation arrangements under Medicare. Subtitle D: Other Provisions - Requires the Physician Payment Review Commission to study and report to the Congress on: (1) the need for tort reforms with respect to medical malpractice liability claims; and (2) the impact of such reforms on expenditures for health care services and on access to such services, the quality of health care services, and access of injured patients to the medical malpractice system. Requires the Secretary to establish a national data base on patient outcomes to demonstrate the feasibility and benefits of the collection of information on the outcomes of treatment. Requires the Secretary to select a certain number of conditions, disorders, or diseases for which outcomes data shall be collected for the database. Sets forth guidelines for the collection of information for the database. Requires the Secretary to publish and distribute an annual report on patient outcomes, including information on individual providers, based on information from the data base and appropriate utilization information available from health claims clearinghouses. Requires the Secretary to develop a model questionnaire to measure patient satisfaction with health service providers. Authorizes a demonstration project concerned with the furnishing of durable medical equipment by a physician-owned oncology facility. Title III: Expansion of Health Benefits and Other Initiatives - Subtitle A: Medicaid Benefits Improvements - Sets a floor on Medicaid payment levels for inpatient hospital services and physicians' services. Provides for expanded Medicaid eligibility for certain low-income individuals. Provides for full Federal payment for new mandated expenditures under Medicaid, including expenditures for medical assistance attributable to such low-income individuals. Subtitle B: Expansion of Medicare Benefits - Amends the Medicare program to provide for coverage of: (1) annual screening mammography for women over age 65; (2) colorectal screening; (3) certain immunization; (4) well-child care; and (5) certain prescription drugs. Sets forth payment and administrative provisions applicable to such preventive benefits and prescription drugs. Authorizes demonstration projects for the coverage of other preventive services. Specifies the services to be covered under such projects. Authorizes appropriations. Requires the Director of the Office of Technology Assessment to provide for the appointment of a Prescription Drug Payment Review Commission. Requires the Commission to submit an annual report to the Congress concerning methods of determining payment for prescription drugs. Authorizes appropriations. Provides for coverage of prescription drugs for qualified Medicare beneficiaries and qualified disabled and working individuals. Makes adjustments to payments under Medicare for graduate medical education. Subtitle C: Health Insurance Deduction for the Self-Employed - Amends the Internal Revenue Code to make permanent and increase the deduction for health insurance costs of self-employed individuals. Subtitle D: Health Insurance Program for Children - Amends SSA to add a new title XXII, Health Insurance For Children. Provides that children who are U.S. citizens or permanent residents, and are under age 19, are eligible to enroll for benefits under such new title. Provides for periods of enrollment and coverage. Requires program benefits, except those for newborn and well-baby care, to consist generally of the same benefits that are available under Medicare to individuals entitled to benefits under Medicare part A (Hospital Insurance) and enrolled under Medicare part B (Supplementary Medical Insurance). Provides for newborn and well-baby care, waiver of cost-sharing for well-child services, and special rules for the deductible for covered outpatient drugs. Details payment provisions. Discusses premium rates to be charged under such program. Creates in the Treasury the Children's Health Insurance Trust Fund for purposes related to the health insurance program for children established above. Authorizes appropriations.
Bill· SS. 2899 (102nd)open
United States · United States Congress · 25 June 1992
National Institutes of Health Revitalization Amendments of 1992 - Title I: General Provisions Regarding title IV of Public Health Service Act - Subtitle A: Research Freedom - Part I: Review of Proposals for Biomedical and Behavioral Research - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from approving certain research or financial assistance to conduct research unless specified review has taken place and the review entity has recommended approval. Prohibits the Secretary from withholding, on ethical grounds, funding for research that has received such review approval unless: (1) an ethics advisory board recommends the withholding; or (2) such a board recommends against withholding, but the Secretary finds that the recommendation is arbitrary and capricious. Part II: Research on Transplantation of Fetal Tissue - Permits the Secretary to conduct or support research on the transplantation of human fetal tissue for therapeutic purposes regardless of whether the tissue is obtained from a spontaneous or induced abortion or a stillbirth, in accordance with State and local law. Requires the researcher, if the tissue bank established under a specified executive order is in operation, to obtain the tissue from that bank, unless the bank does not provide requested tissue within a specified time of a request. Requires certain statements by the woman providing the tissue, the researcher, and the donee. Imposes criminal penalties for certain commercial transactions involving the transfer or directed donation of human fetal tissue. Prohibits: (1) any official of the executive branch from imposing a policy prohibiting the Department of Health and Human Services from conducting or supporting any research on the transplantation of human fetal tissue for therapeutic purposes; and (2) the Secretary from withholding funds for research which is in accordance with this Act. Deems a specified report of the Human Fetal Tissue Transplantation Research Panel to be a report issued by an ethics advisory board finding, on a basis that is neither arbitrary nor capricious, that there are no ethical grounds for withholding funds for such research. Part III: Miscellaneous Repeals - Removes certain provisions of the Public Health Service Act relating to: (1) biomedical ethics; (2) a study by the Biomedical Ethics Advisory Committee on waiver of a specified risk standard; and (3) the construction of title IV (National Research Institutes) of the Act. Subtitle B: Clinical Research Equity Regarding Women and Minorities - Part I: Women and Minorities as Subjects in Clinical Research - Requires that women and minorities be included as subjects in each clinical research project under such title IV. Requires projects to be designed and carried out so as to provide for an analysis of whether the variables being tested affect women or minorities differently than other subjects. Requires the establishment of inclusion guidelines. Requires that technical and scientific peer review conducted under existing provisions include an evaluation of the merit of the proposal regarding women and minorities. Part II: Office of Research on Women's Health - Establishes in the National Institutes of Health (NIH) the Office of Research on Women's Health. Requires the Director of the Office to establish: (1) the Coordinating Committee on Research on Women's Health; and (2) the Advisory Committee on Research on Women's Health. Mandates: (1) a determination of the extent to which women are represented among senior physicians and scientists of the national research institutes and among those conducting research supported by the institutes; and (2) as appropriate, activities to increase the extent of such representation. Requires establishment of: (1) a data system, available to the public, for the collection, analysis, and dissemination of information regarding research on women's health conducted or supported by the institutes; and (2) a program to provide information on research and prevention activities of the institutes relating to women's health research. Subtitle C: Scientific Integrity - Replaces provisions relating to protection against scientific fraud with provisions establishing as an independent entity in the Department of Health and Human Services the Office of Scientific Integrity. Requires: (1) applicants for a grant, contract, or cooperative agreement under the Act for biomedical or behavioral research to have an administrative process to review reports of scientific misconduct and agree to report any investigation of such reports; and (2) a response process for the Office. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures for identifying, responding to, and reporting the existence of a financial interest that will or may create a bias in favor of obtaining results, in a project to evaluate the safety or effectiveness of a drug, medical device, or treatment, that are consistent with the interest. Title II: Protection of Health Facilities - Prohibits stealing or otherwise converting personal property or damaging real property of a health facility assisted under the Public Health Service Act, or deterring, through physical restraint, any individual from entering or exiting the facility. Includes in the prohibitions various acts interfering with the use of animals for research. Provides for fines, imprisonment, restitution, and private civil actions. Title III: National Institutes of Health in General - Modifies the duties of the NIH's Associate Director for Prevention. Establishes a program to enhance the competitiveness of research entities in States which have historically had low success in obtaining funds from the national research institutes for biomedical and behavioral research. Mandates activities, consistent with the global Children's Vaccine Initiative, to develop affordable new and improved vaccines. Authorizes appropriations. Requires a plan regarding research methods that do not require the use of animals, reduce the number of animals used, and produce less distress in the animals. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. Authorizes the Secretary of Health and Human Services to conduct and support research, research training, recruitment, and other activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. Requires that any survey of human sexual behavior conducted or supported through NIH: (1) undergo review in accordance with specified provisions; and (2) have been determined by the Secretary to assist in reducing the incidence of infectious disease or improve health conditions. Establishes a fund for use by the NIH Director to carry to carry out NIH activities. Authorizes appropriations. Modifies the term of office of members of advisory councils of the national research institutes. Requires that at least half of all new or revised health education and promotion materials developed or funded by NIH be in a form that does not exceed a level of functional literacy. Authorizes a program to provide day care service for NIH employees. Title IV: General Provisions Respecting National Research Institutes - Requires that the Secretary receive from the President and the Office of Management and Budget directly all funds appropriated by the Congress for obligation and expenditure by the Institute. Removes provisions authorizing the Director of the National Cancer Institute to directly receive such funds. Modifies the authority of the directors of the national research institutes to establish and appoint the members of technical and scientific peer review groups in addition to those appointed under specified provisions. Makes the Federal Advisory Committee Act inapplicable to such additional groups. Requires expansion and intensification of programs of research and related activities concerning osteoporosis, Paget's disease, and related bone disorders. Provides for the establishment, through a grant, cooperative agreement, or contract, of a clearinghouse to enhance knowledge and understanding of professionals, patients, and the public. Authorizes appropriations. Establishes: (1) a comprehensive program of conducting basic and clinical research on trauma, including diagnosis, treatment, rehabilitation, and general management of trauma; and (2) the Trauma Research Interagency Coordinating Committee. Title V: National Cancer Institute - Requires expanding, intensifying, and coordinating the activities of the National Cancer Institute (NCI) regarding breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Requires inclusion of the conduct and support of research and demonstration centers. Authorizes appropriations. Removes provisions authorizing appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title VI: National Heart, Lung, and Blood Institute - Requires NHLBI to conduct intramural training and education. Authorizes development of three centers for basic and clinical research into, training in, and demonstration of, advanced diagnosis, prevention, and treatment for cardiovascular diseases in children. Authorizes appropriations for NHLBI. Title VII: National Institute on Diabetes and Digestive and Kidney Diseases - Establishes a program of conducting and supporting research, training, health information dissemination, and other activities regarding nutritional disorders, including obesity. Provides for the development or substantial expansion of centers for research and training. Title VIII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - Removes provisions stating that the purpose of the National Institute on Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) includes sports-related injuries. Requires NIAMSD to place emphasis on arthritis affecting children. Establishes a multipurpose arthritis and musculoskeletal disease center focusing on children. Modifies the composition of the National Arthritis Advisory Board and its annual report requirements. Title IX: National Institute on Aging - Transfers to the Public Health Service Act provisions of the Health Research Extension Act of 1985 authorizing a grant to develop a registry for epidemiological data on Alzheimer's disease and related data collection training. Removes the existing authorization of appropriations. Mandates research into the aging processes of women, with particular emphasis on menopause and into the diagnosis, disorders, and complications related to aging and loss of ovarian hormones. Authorizes appropriations for the National Institute on Aging. Title X: National Institute of Allergy and Infectious Diseases - Includes programs regarding tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers to conduct basic and clinical research on chronic fatigue syndrome. Establishes an extramural study section for the syndrome. Title XI: National Institute of Child Health and Human Development - Subtitle A: Research Centers with Respect to Contraception and Research Centers with Respect to Infertility - Mandates grants or contracts for three centers to conduct activities to improve methods of contraception and two centers to conduct activities to improve methods of diagnosis and treatment of infertility. Authorizes appropriations. Establishes a program of agreements with health professionals, including graduate students, to conduct research on contraception or infertility in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle B: Program Regarding Obstetrics and Gynecology - Establishes in the National Institute of Child Health and Human Development (NICHHD) an intramural laboratory and clinical research program in obstetrics and gynecology. Subtitle C: Child Health Research Centers - Mandates development of and support for centers for conducting research on child health. Subtitle D: Study Regarding Adolescent Health - Mandates a longitudinal, large-scale study on the general health and well-being of adolescents in the United States. Allocates funding from amounts appropriated to NICHHD. Title XII: National Eye Institute - Authorizes not more than three grants for the establishment and support of centers for clinical research on eye care for individuals with diabetes. Allows grant funds to be used for equipment and for construction and modification of facilities. Title XIII: National Institute of Neurological Disorders and Stroke - Mandates the conduct and support of research on multiple sclerosis. Title XIV: National Institute of Environmental Health Sciences - Establishes the Applied Toxicological Research and Testing Program. Title XV: National Library of Medicine - Subtitle A: General Provisions - Directs the Secretary to promote the use of computers and telecommunications by health professionals. Increases the dollar limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine (NLM). Subtitle B: Financial Assistance - Mandates grants for research on, and development and demonstration of, new educational technologies. Requires recipient institutions to make grant projects available for: (1) training health professions students; and (2) enhancing the capabilities of health professionals regarding research and teaching. Authorizes appropriations to carry out provisions relating to medical libraries and related matters. Subtitle C: National Center for Biotechnology Information - Authorizes appropriations to carry out provisions relating to the National Center for Biotechnology Information. Subtitle D: National Information Center on Health Services Research and Health Care Technology - Establishes in NLM the National Information Center on Health Services Research and Health Care Technology to collect, analyze, and disseminate information on health services research and health care technology. Authorizes appropriations. Requires the Administrator of the existing information center on health care technologies and health care technology assessment and the NLM Director to enter into an agreement on the implementation of these provisions. Title XVI: Other Agencies of National Institutes of Health - Subtitle A: Division of Research Resources - Redesignates the Division of Research Resources as the National Center for Research Resources. Authorizes grants to alter existing or construct new research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities to advise the Center director and the existing advisory council. Conditions grant approval on Board approval. Authorizes appropriations. Requires the NIH Director to reserve a specified sum from amounts appropriated under this authorization for grants and contracts to construct or improve regional centers for research on primates. Subtitle B: National Center for Nursing Research - Redesignates the National Center for Nursing Research as the National Institute for Nursing Research and adds the Institute to the list of NIH's national research institutes. Subtitle C: National Center for Human Genome Research - Adds the National Center for Human Genome Research to the list of NIH agencies. Declares the purpose of the Center to be to characterize the structure and function of the human genome, including the mapping and sequencing of individual genes. Title XVII: Awards and Training - Subtitle A: National Research Service Awards - Directs the Secretary to carry out provisions relating to National Research Service Awards in a manner that will recruit into biomedical or behavioral research, and provide research training to, women and individuals from disadvantaged backgrounds. Subtitle B: Acquired Immune Deficiency Syndrome - Modifies a program of agreements (under which certain health professionals conduct research regarding acquired immune deficiency syndrome (AIDS) as NIH employees in consideration of Government repayment of educational loans) to remove provisions requiring a minimum of three years as an NIH employee. Authorizes appropriations. Authorizes the Commissioner of Food and Drugs to carry out a similar program regarding the review of applications concerning AIDS. Subtitle C: Loan Repayment for Research Generally - Mandates a program of agreements with health professionals who have a substantial amount of educational loans relative to income and who meet other requirements to conduct research, as NIH employees, in consideration of Government repayment of a limited amount of the educational loans of the professionals. Authorizes appropriations. Subtitle D: Scholarship and Loan Repayment Programs Regarding Professional Skills Needed by Certain Agencies - Authorizes a program of contracts with individuals from disadvantaged backgrounds for scholarships for undergraduate programs for professions needed by NIH in consideration of service by the individuals as NIH employees. Authorizes a program of contracts with health professionals from disadvantaged backgrounds who have a substantial amount of educational loans relative to income to conduct clinical research as NIH employees in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle D: (SIC) Funding - Authorizes appropriations for making payments under National Research Service Awards and under grants for such Awards. Modifies set-aside amounts and requires a set-aside for provisions relating to residency programs in the general practice of dentistry. Title XVIII: National Foundation for Biomedical Research - Excludes from voting rights the ex officio members of the National Foundation for Biomedical Research. Authorizes appropriations. Title XIX: Research with Respect to Acquired Immune Deficiency Syndrome - Modifies the duties of the AIDS Clinical Research Review Committee, including requiring the Committee to: (1) give advice to other agencies of NIH as well as to the National Institute of Allergy and Infectious Diseases (NIAID); and (2) make recommendations on research projects regarding diagnosing immune deficiency and predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. States that the requirement that the clinical evaluation units at the National Cancer Institute and NIAID conduct evaluations of treatments for acquired immune deficiency syndrome (AIDS) includes evaluations of methods of: (1) diagnosing immune deficiency; and (2) predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. Modifies provisions relating to the support of international efforts to add to the purpose of grants, cooperative agreements, and contracts for such efforts provisions promoting and expediting: (1) international training; (2) research and training concerning the natural history and pathogenesis of the human immunodeficiency virus; and (3) the development and evaluation of vaccines and treatments for opportunistic infections. Authorizes appropriations for each fiscal year. Requires that model protocols (developed with grants under existing provisions) for the clinical care of individuals infected with the etiologic agent for AIDS include treatment and prevention of human immunodeficiency virus (HIV) infection and related conditions among women. Authorizes appropriations. Adds collection of data on the natural history of infection with the etiologic agent to the purposes of the epidemiological data base mandated by current provisions. Authorizes appropriations for each fiscal year. Requires the Director of NIH to develop and implement a comprehensive plan for the conduct and support of AIDS research by NIH agencies. Authorizes appropriations for each fiscal year for fellowship and training programs relating to AIDS under existing provisions. Title XX: Certain Authorities of Centers for Disease Control - Authorizes grants to States and local health departments for programs for specified activities relating to prostate cancer, including screening, public information, and improving professional training. Authorizes appropriations. Authorizes: (1) grants or contracts for population-based, statewide cancer registries; (2) grants for developing plans that meet the requirements of specified provisions; and (3) technical assistance to States, either directly or through grants and contracts. Mandates a study on the factors contributing to elevated breast cancer mortality rates in specified States. Authorizes appropriations. Requires a survey to determine which entities collect data on traumatic brain injuries and the nature of their data collection systems. Authorizes cooperation and assistance to establish traumatic brain injury as a specific reportable condition or disability. Authorizes appropriations. Title XXI: Studies - Mandates studies on: (1) the impact, with regard to acquired immune deficiency syndrome (AIDS), of parallel-track drug-release mechanisms on clinical research and on the activities of the Commissioner of Food and Drugs regarding drug approval; (2) third-party payor policies regarding payment of costs incident to the participation of individuals as subjects in AIDS drug clinical trials; and (3) whether AIDS advisory committees in NIH are being sufficiently coordinated. Requires a plan for the inclusion of HIV-infected women, infants, and children in HIV vaccine studies conducted by or through NIH. Authorizes appropriations. Mandates an annual report on the leading causes of death in the United States and related spending by the Department of Health and Human Services for research, prevention, and education. Requires three-year studies on: (1) nutrition screening and intervention regarding the elderly; and (2) the extent of malnutrition in hospitals, in long-term care facilities, and among those living independently. Establishes an advisory panel to oversee the studies. Mandates a report on the feasibility of developing a plan for the conduct of research at NIH on the prevention of traumatic injuries. Directs the Secretary to: (1) review existing data and research concerning whether there is a relationship between legal and illegal drug use; and (2) if necessary, conduct additional research. Mandates reports on: (1) research conducted or supported by NIH on chronic fatigue syndrome; (2) the appropriateness and impact of NIH assuming responsibility for the conduct of all Federal research, development, testing, and evaluation relating to medical countermeasures against biowarfare threat agents. Requires a study on the potential for, the prevalence of, and the issues related to the contamination of worker's homes with substances from their work places. Requires: (1) establishment of the Worker's Family Protection Task Force to take specified actions, including developing an investigative strategy for obtaining any needed additional data; and (2) each Federal department or agency to fulfill the role assigned by the strategy. Authorizes appropriations. Mandates studies: (1) of the retention, recruitment, vacancy and turnover rates of NIH support staff, including fire fighters, law enforcement, procurement officers, technicians, nurses, and clerical employees; and (2) to develop a streamlined procurement system for NIH. Title XXII: Miscellaneous Provisions - Redesignates the Senior Biomedical Research Service as the Silvio Conte Senior Biomedical Research Service and increases the limit on the number of its members. Renames the AIDS Clinical Research Review Committee as the AIDS Research Advisory Committee. Prohibits the Secretary from conducting or supporting the SHARP survey of adult sexual behavior. Requires that a report on carcinogens be submitted biennially (currently, annually). Mandates a report analyzing the report of the National Committee on Sleep Disorders Research and presenting a plan for the conduct and support of sleep disorders research at NIH. Mandates presentation to the Congress of a master plan to provide for the replacement or refurbishment of less than adequate buildings, utility equipment and distribution systems, roads, walkways, parking areas, and grounds of NIH laboratory and clinical facilities. Allows the plan to make recommendations for the undertaking of new projects consistent with the objectives of these provisions. Title XXIII: Effective Date - Sets forth the effective date of this Act.
Law· HRH.R. 5488 (102nd)enacted
United States · United States Congress · 25 June 1992
Treasury, Postal Service and General Government Appropriations Act, 1993 - Title I: Department of the Treasury - Treasury Department Appropriations Act, 1993 - Makes appropriations to the Department of the Treasury for FY 1993 for: (1) departmental offices; (2) the Office of Inspector General; (3) the Financial Crimes Enforcement Network; (4) the Federal Law Enforcement Training Center; (5) the Financial Management Service; (6) the Bureau of Alcohol, Tobacco, and Firearms; (7) the United States Customs Service; (8) the United States Mint; (9) the Bureau of the Public Debt; (10) the Internal Revenue Service (IRS); and (11) the United States Secret Service. Directs the IRS to institute and maintain a training program to insure that IRS employees are trained in taxpayers' rights, in dealing courteously with the taxpayers, and in cross-cultural relations. Requires appropriated funds attributable to efficiency savings for FY 1993 to be withheld from obligation unless the estimated savings are not achieved. Prohibits funds appropriated under this title from being used for the collection of any underpayment of tax, unless collected under specified procedures. Requires the IRS and the National Finance Center (NFC) to reimburse the Financial Management Service (FMS) for postage costs the FMS incurs to make check payments on behalf of the IRS and the NFC. Title II: Postal Service - Postal Service Appropriations Act, 1993 - Makes appropriations to the Postal Service Fund for FY 1993. Prohibits an increase in postage rates during FY 1993, except for reduced rate third-class pieces other than letter shape. Title III: Executive Office of the President - Executive Office Appropriations Act, 1993 - Makes appropriations for FY 1993 for the Executive Office of the President, for salaries and/or operating expenses of the following: (1) compensation of the President; (2) the executive residence at the White House; (3) the Office of Administration; (4) the White House Office; (5) the official residence of the Vice President; (6) the provision of special assistance to the President; (7) the Council of Economic Advisers; (8) the Office of Policy Development; (9) the National Security Council; (10) the Office of Management and Budget; (11) the Office of Federal Procurement Policy; (12) the Office of National Drug Control Policy; and (13) unanticipated needs. Title IV: Independent Agencies - Independent Agencies Appropriations Act, 1993 - Makes appropriations for FY 1993 for the following independent agencies: (1) the Administrative Conference of the United States; (2) the Advisory Commission on Intergovernmental Relations; (3) the Committee for Purchase from the Blind and Other Severely Handicapped; (4) the Federal Election Commission; and (5) the Citizens' Commission on Public Service and Compensation. Makes funds deposited in the Federal Buildings Fund available for specified purchases of the General Services Administration (GSA), limiting the availability of such funds for certain programs, construction projects, purchases, and repairs and alterations of GSA. Makes appropriations to GSA for FY 1993 for: (1) the Federal Supply Service; (2) the Federal Property Resources Service; (3) general management and administration; (4) the Information Resources Management Service; (5) the Office of Inspector General; (6) allowances and office staff for former Presidents; and (7) expenses to carry out any presidential transition. Limits the amount of funds that may be transferred between appropriations within the GSA, requiring such proposed transfers to be submitted to the Senate and House Appropriations Committees for approval. Authorizes agencies to make rent payments to GSA for lease space relating to expansion needs at commercial equivalent rates specified under the Federal Property and Administrative Services Act of 1949. Authorizes appropriations out of the Federal Buildings Fund. Requires the specific approval of the Congress before the obligation or expenditure of funds for the sale, excessing, surplusing, or disposal of lands in the vicinity of Norfolk Lake, Arkansas, and lands in the vicinity of Bull Shoals Lake, Arkansas, both administered by the Corps of Engineers. Authorizes the reimbursement of travel, transportation, and subsistence expenses incurred for training classes, conferences, or other meetings in connection with the provision of child care services by persons employed to provide such services for Federal agencies. Authorizes the fund for real property management to receive any revenues, collections, or other income during a fiscal year related to energy savings to remain available for Federal energy management improvement programs authorized by law or deemed appropriate by the Administrator of GSA. Authorizes an increase in office space of the Federal Office Building in San Francisco, California. Provides for a transfer of land from the United States to Deganawidah-Quetzalcoatl University. Makes appropriations for FY 1993 for the following purposes: (1) the National Archives and Records Administration; (2) the Office of Government Ethics; and (3) the Office of Personnel Management. Makes appropriations for FY 1993 for the Merit Systems Protection Board, the Federal Labor Relations Authority, the United States Tax Court, and the Office of Special Counsel. Title V: General Provisions (this Act) - Sets forth certain prohibitions and limitations on the use of appropriations made under this Act. Prohibits any of the funds made available under this Act from being used for any of the following: (1) for administrative expenses in closing the GSA Federal Information Center in Sacramento, California; (2) for the purpose of eliminating any existing requirements for sureties on customs bonds; (3) for the funding of any activity or the payment of any Government employee which would prohibit the enforcement of a specified provision of the 1930 Tariff Act; and (4) to transfer control over the Federal Law Enforcement Training Centers in Glynco, Georgia, Marana, Arizona, and Artesia, New Mexico, out of the Treasury Department. Prohibits the use of any part of an appropriation made in this Act for the payment of the salary of any officer or employee of the U.S. Postal Service who in any way interferes with another employee's ability to communicate with any member or committee of the Congress in connection with any matter pertaining to the employment of such officers or employees with the Postal Service. Prohibits, with specified exceptions, the use of any funds appropriated under this Act to pay for an abortion, or to fund any Federal health plan which provides any benefits or coverage for abortions. Authorizes the Administrator of GSA to acquire space for the United States Courts in Tacoma, Washington, at the site of Union Station in that city. Provides for the payment of achievement awards. Prohibits the use of funds to contract out positions or downgrade the position classification of the United States Mint Police Force and the Bureau of Engraving and Printing Police Force. Authorizes the United States Secret Service to accept donations of money to offset costs incurred while protecting former Presidents and their spouses when traveling for the purpose of making an appearance or speech for a payment of money or any thing of value. Prohibits the use of funds appropriated by this Act or any other Act: (1) to withdraw the designation of the Virginia Inland Port at Front Royal, Virginia, as a United States Customs Service port of entry; or (2) to transfer mail processing capabilities from the Las Cruces, New Mexico, postal facility. Requires the Postal Service to recognize the rapid rate of population growth in Las Cruces and to automate such facility. Prohibits the use of funds to reduce the rank or rate of pay of a career appointee in the Senior Executive Service upon reassignment or transfer. Prohibits the use of funds to award a Federal agency lease in the Omaha, Nebraska - Council Bluffs, Iowa, geographical area which does not meet specified criteria. Protects the employment rights of Federal employees who return to their civilian jobs after assignment with the Armed Forces. Prohibits the use of U.S. Customs Service funds to collect or impose any land border processing fee at ports of entry along the United States-Mexico border. Limits the expenditures of funds for travel expenses. Requires the Postal Service Fund to make residual payments into the Civil Service Retirement and Disability Fund and the Employees Health Benefits Fund. Amends Federal law concerning costs associated with the provision of child care services by Federal agencies. Amends Federal law to allow the IRS to procure the services of attorneys for use in litigating actions under the Internal Revenue Code to which a foreign-controlled corporation is a party. Prohibits the use of funds under this Act to implement, administer, enforce, or otherwise carry out any change in the terms or conditions governing Federal health benefits which would only affect Medicare beneficiaries in a certain manner. Provides for the conveyance of certain land to Anne Arundel County, Maryland. Allows the conveyance of certain land in the Shenandoah National Park to the Secretary of the Treasury for use as a United States Customs Service Canine Enforcement Training Center. Requires closed captioning for television commercials of presidential or vice presidential candidates who are eligible to receive amounts from the Presidential Election Campaign Fund. Amends Federal criminal provisions to increase the penalties for transporting, importing, and failing to mark goods made with forced labor. Amends the Federal Alcohol Administration Act to authorize the Bureau of Alcohol, Tobacco and Firearms to prohibit the use of the names of deceased individuals of public prominence if such use would degrade or disparage the reputation of such individuals. Prohibits the use of funds for the Council on Competitiveness or any successor organization. Title VI: General Provisions (Departments, Agencies, and Corporations) - Sets forth certain requirements for and prohibitions and limitations on the use of appropriations made by this Act. Allows the use of funds to pay travel to the United States for the immediate family of employees serving abroad in cases of death or life threatening illness of such employees. Prohibits the obligation or expenditure of any FY 1993 appropriations by any Federal agency or instrumentality unless it has in place and administers in good faith a drug-free workplace policy. Requires Federal employing agencies to make deposits into the Federal Employees Compensation Account of the Unemployment Trust Fund not later than 30 days after the Department of Labor has billed such agencies. Authorizes the reimbursement of travel, transportation, and subsistence expenses incurred for training classes, conferences, or other meetings in connection with the provision of child care services for Federal employees. Prohibits any part of any funds appropriated in this or any other Act from being used to pay the salary of any officer or employee of the Government whose post of duty is in the continental United States, unless such person: (1) is a citizen of the United States; (2) has filed a declaration of intention to become a citizen of the United States; (3) is a person owing allegiance to the United States; (4) is a lawfully-admitted alien from Poland, Cuba, South Vietnam, or the Baltic countries; or (5) is a South Vietnamese, Cambodian, or Laotian refugee paroled in the United States after January 1, 1975. States exceptions and provides penalties for those persons submitting false affidavits under this provision. Prohibits funds from any appropriation in the current year from being paid to a person for filling a position for which he or she has been nominated after the Senate has voted not to approve such nomination. Authorizes the use of foreign credits owed to or owned by the United States for any purpose for which appropriations are made for the current year, only when the appropriate reimbursement is made to the Treasury from the agency concerned. Prohibits funds available pursuant to this Act from being used to implement any regulation which has been disapproved by a resolution duly adopted under the laws of the United States. Prohibits any funds made available under this Act from being used to plan, implement, or administer: (1) any reduction in the number of regions, districts, or entry processing locations of the U.S. Customs Service; or (2) any consolidation or centralization of duty assessment or appraisement functions of any offices of such Service. Requires the advance approval of the House and Senate Committees on Appropriations before an executive agency purchases, constructs, and/or leases any additional facilities, except within or contiguous to existing locations, for the purposes of conducting Federal law enforcement training. Sets forth the conditions under which Federal agencies may procure automatic data processing equipment other than through the procurement known as FTS2000. Sets forth conditions for the use of Federal grant money to finance the acquisition of goods or services with an aggregate value in excess of $500,000. Authorizes the use of funds for the interagency funding of national security and emergency preparedness telecommunications initiatives which benefit multiple government entities. Allows the use of funds by participants in the Federal Flexiplace Project to install telephone lines, necessary equipment, and pay monthly charges, in any private residence or apartment. Commends Representative Edward R. Roybal on his record of distinguished service.
Bill· HRH.R. 5500 (102nd)referred
United States · United States Congress · 25 June 1992
Health Care for Every American Act of 1992 - Title I: Establishment of A State-Based National Health Insurance Program; Universal Eligibility; Enrollment - Establishes the State-Based National Health Insurance Program. Entitles every U.S. resident who is a citizen, national, or lawful resident alien to services. Provides for the eligibility of certain nonimmigrants and other individuals. Requires each State program to provide for: (1) an enrollment mechanism, including a process for automatic enrollment at birth or immigration; and (2) issuance of a universal health insurance card to be used for identification and claims processing. Provides for portability of benefits. Ends, after a specified date, benefits and payments under: (1) titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act; (2) provisions of Federal law relating to Federal employees' health benefits; (3) provisions of Federal law relating to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); and (4) certain veterans' medical benefits. Title II: Comprehensive Benefits, Including Preventive Benefits and Benefits for Long Term Care - Entitles enrolled individuals to payment, subject to certain limitations and requirements, for comprehensive acute, preventive, mental health, drug and alcohol abuse treatment, long term care, and plan of care services (major service categories). Prohibits: (1) deductibles, coinsurance, or copayments for comprehensive acute and preventive services; (2) imposing a charge, except as provided under this Act, for covered services; and (3) insurance which duplicates payment for covered items or services. Permits State programs and employers to provide additional benefits. Lists covered services in each major service category, specifying matters such as limits, cost-sharing requirements, and exclusions. Mandates a report to the Congress on the effects of the cost-sharing under specified provisions of this Act and the optional State charge for non-enrollment with comprehensive health service organizations required under title V of this Act. Title III: Provider Participation - Mandates a participation agreement between a State health insurance program and a provider addressing specified elements, including prohibitions on discrimination and charging for covered services other than as authorized under this Act. Specifies requirements in order to be considered a qualified provider, including for health care practitioners, institutional and facility-based providers, community-based primary services providers, independent pathology laboratories, independent radiology services, providers of outpatient drugs and devices, and providers of covered transportation (including ambulance) services, in most cases requiring that they be licensed, meet State law requirements, and meet the requirements of this Act. Requires national and authorizes State minimum standards to assure service quality. Defines a comprehensive health service organization (CHSO) as an organization that, in return for a capitated amount, furnishes, arranges for, or pays for a full range of health services to a population in a specified service area. Makes all eligible persons in that area eligible to enroll in the organization, subject to the organization's capacity. Sets forth CHSO requirements. Title IV: Administration - Establishes the National Health Insurance Standards Board to develop policies, procedures, guidelines, and requirements to carry out this Act. Authorizes the Board to waive provisions of this Act to accommodate demonstration projects. Mandates uniform reporting requirements and standards and certain studies. Requires the Board to recommend to the Congress one or more proposals for the treatment of Federal health care facilities. Mandates advisory committees on: (1) benefits; (2) payments and cost containment; (3) quality and utilization review; and (4) primary care and the medically underserved. Requires the Board to provide for a National Health Advisory Council. Mandates submission by each State (or, for neighboring States which so choose, by each region) of a plan for a State (or regional) health insurance program providing services under this Act. Sets forth plan requirements. Provides for sanctions for failure to meet the requirements, including placing the State program in receivership under the jurisdiction of the Board. Prohibits a State, by intention or as an unstated consequence of budget allocations, from restricting timely access to medically necessary services or permitting potentially life threatening queues. Mandates appointment in each State of: (1) a State Health Advisory Council; and (2) a quality control mechanism. Allows States to use fiscal agents. Requires each State program to establish district health advisory councils covering distinct geographic areas to: (1) advise the State; (2) receive and investigate complaints by eligible persons and by providers; and (3) carry out district management and planning. Requires each district health advisory council to provide assistance and technical support to community organizations and nonprofit agencies submitting funding applications under specified provisions of the Public Health Service Act. Requires all Department of Health and Human Services activities to be complementary to this Act. Title V: National Health Insurance Budget; Payments; Cost Containment Measures - Subtitle A: Budgeting and Payments to States - Requires the Board to annually establish a national health insurance budget specifying the total Federal and State expenditures for covered services, set as the sum of the capitation amounts under this title plus Federal administrative expenses. Sets a national health insurance spending ceiling according to a specified formula involving: (1) the increase in the gross national product; (2) the Board's estimate of the increase in health care expenditures due solely to changes in the age or other risk characteristics of the U.S. population; and (3) percentage points set, for the first four years, by this Act and thereafter set by the Board. Requires each State program to annually establish a State health insurance budget, with a separate account for graduate medical education expenses. Provides for the computation of individual and state capitation amounts. Entitles each State with an approved program to receive specified Federal payments involving the State capitation amount and the Federal contribution percentage. Requires the Board to establish a formula for the Federal percentage for each State, considering the State's per capita income and revenue capacity and other relevant economic indicators as appropriate. Requires each State program to provide for a process and standards regarding the approval of capital purchases or leases for new or renovated facilities and for equipment valued over an amount specified by this Act or by the Board. Allows a State program, where a CHSO is available, to impose a charge for individuals who are enrolled with the CHSO for the receipt of covered services under this Act. Requires that the charge be assessed relative to income and specifies miniumum and maximum charges. Subtitle B: Payments by States to Providers - Requires direct payment by a State program to institutions and facilities for operating expenses under an approved negotiated annual prospective global budget. Allows institutions and facilities to raise private funds for new facilities, major renovations, and equipment, declaring that the expenditure of the private funds does not obligate the State program to provide for continued support for the expenditures. Entitles every independent health care practitioner to payment for the provision of covered services either, at the practitioner's election, by a fee-for-service method or a capitation method. Allows a State program, through an agreement with an organization representative of independent practitioners or otherwise, to pay individual practitioners through an annual salary, hourly payments, or other method under which aggregate payments do not exceed the amounts that would otherwise be made. Requires the Board to establish models and encourage State programs to implement alternative methodologies incorporating global fees for related services or for a basic group of services furnished to an individual over a period of time. Requires the State program to establish, after negotiations, a prospective payment schedule based on a relative value scale and conversion factors established by each State and providing for the application of expenditure targets. Allows State Programs to have practitioner-specific adjustments reflecting practitioner use patterns and to publicly disclose the use patterns. Requires payment to: (1) CHSOs to be determined by the State based on a global budget or on the basic capitation amount determined by the State program on the basis of the average estimated expenditures for an enrollee with the same actuarial characteristics as the enrollee; (2) community based primary health services to be based on a global budget or be made on an individual patient basis; and (3) care managers to be made directly by each State program pursuant to payment schedules, based on negotiations, capitation, or other methods, under an annual prospective budgeting system. Requires the Board to establish a list of approved prescription drugs and biologicals the board determines necessary for health, employability, or self-management and eligible for coverage. Allows the Board to exclude ineffective, unsafe, or over-priced products where better alternatives are available. Requires the Board to determine product prices. Authorizes the Board to conduct price negotiations, on behalf of State health programs, with drug manufacturers and distributors. Requires each State program to provide for payment for a drug furnished by an independent pharmacy based on the drug's cost to the pharmacy plus a dispensing fee according to a schedule set by the State program. Requires the Board to establish a list of approved durable medical equipment and therapeutic devices and equipment (including eyeglasses, hearing aids, and prosthetic appliances) the Board determines necessary for health, employability, or self-management and eligible for coverage. Requires the Board to determine product prices. Authorizes the Board to conduct price negotiations, on behalf of State health programs, with equipment and device manufacturers and distributors. Allows the Board to exclude ineffective, unsafe, or over-priced products where better alternatives are available. Mandates determination by the State program of the amount of payment for other covered services in accordance with payment methodologies specified by the Board. Requires the Board to establish, in addition to payment otherwise provided in this title, model payment methodologies and other incentives that promote the provision of services in medically underserved areas. Authorizes the Board to waive required payment methodologies as necessary to allow alternative payment schemes or conduct experiments and demonstration projects. Subtitle C: Malpractice Reform - Authorizes the Board to award grants to State programs for the development and implementation of programs for medical malpractice reforms. Authorizes appropriations. Mandates a study of medical malpractice, including regarding: (1) ineffective or unnecessary medical testing and practices; (2) the occurrence of malpractice and malpractice awards; (3) the adequacy of existing licensing and discipling procedures in preventing malpractice; and (4) the reasonableness of malpractice insurance premiums and rate-setting practices. Authorizes appropriations. Subtitle D: Mandatory Assignment and Administrative Provisions - Declares that payments for benefits under this Act constitutes payment in full, requires the furnishing entity to accept the payment as such, and prohibits the entity from accepting any payment other than from the State program, except for authorizd cost-sharing. Provides for sanctions in the same manner as under specified provisions of title XVIII (Medicare) of the Social Security Act. Requires a State program to establish: (1) a timely and administratively simple procedure for reimbursement to all providers under this Act; and (2) an appeals process regarding provider payments. Title VI: Financing - Creates the National Health Insurance Trust Fund. Appropriates to the Fund all: (1) tax increases from this Act; and (2) amounts that would otherwise have been appropriated to carry out titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act, the Federal employees health benefit program, and the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS). Transfers to the Fund any amounts remaining in the Federal Hospital Insurance Trust Fund or the Federal Supplementary Medical Insurance Trust Fund. Directs the Secretary of the Tresury to: (1) develop a formula for determining and collecting National Health Insurance premiums from individuals and employers to finance covered services; (2) determine the aggregate premiums for each taxable year; and (3) collect premiums from individuals using a formula with specified characteristics, including that it be income-based and progressive. Directs the Secretary of the Treasury to collect the premiums from employers by: (1) increasing the highest marginal corporate income tax rate; (2) increasing the employer and self-employment hospital insurance tax; and (3) imposing a surtax on regular and minimum taxes. Declares that such taxes shall be increased as specified by the Secretary. Mandates a method for employers to pay premiums otherwise payable by employees. Amends Internal Revenue Code provisions relating to exclusions from gross income to define "accident or health insurance" to mean an approved State program under this Act. Removes provisions relating to amounts paid to highly compensated individuals under a discriminatory self-insured medical expense reimbursement plan. Disallows deductions for employer expenses for health care services, whether or not covered under this Act. Declares that this does not disallow a deduction for National Health Care premiums. Allows health insurance costs (currently, 25 percent of health insurance costs) of self-employed individuals to be deducted. Removes provisions ending the deductibility on a specified date. Defines "medical care," for provisions relating to individual deductions for medical and dental expenses, to mean National Health Insurance premiums, cost-sharing, and other premiums for coverage under a State program. Ends, after a specified date, the health insurance credit for coverage which includes at least one child. Makes each State responsible for establishing a financing program for the implementation of the State program. Entitles each State with a State program approved by the Board to funding from the Board in the amounts provided under specified provisions of this Act. 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 Practitioners - Makes the Board responsible for certain activities toward a national goal of having, ten years after enactment of this Act, 50 percent of the physicians in medical residency programs being trained as primary care physicians, including coordinating graduate medical education policies and overseeing State program residency expenditures. Requires the Board to establish a method of applying the national goal to program goals for each medical residency program. Provides for enforcement, against State programs that fail to meet the goal, through reducing: (1) medical residency payments; and (2) the indirect portion of extramural biomedical and behavioral research grants from the National Institutes of Health (NIH). Requires the Board to provide for an Advisory Committee on Graduate Medical Education. Amends the Public Health Service Act to establish in NIH the Office of Primary Care and Prevention Research. Establishes in that Office: (1) the Coordinating Committee on Research on Primary Care and Prevention Research; and (2) the Advisory Committee on Research on Primary Care and Prevention Research. Requires the NIH Director to: (1) establish a data system for the collection, storage, analysis, retrieval, and dissemination of information regarding primary care and prevention research conducted or supported by the national research institutes; and (2) establish and operate a program to provide information on research and prevention activities of the institutes relating to such research. Authorizes appropriations for the Office. Mandates priority, in providing financial assistance under certain provisions relating to health research and teaching facilities and training of professional health personnel, to applicants, a substantial percentage of whose graduates are (or are expected to be) providing primary care to a substantial number of medically underserved individuals. Places an additional requirement on residency programs that they provide significant experience in providing: (1) primary care to such individuals; or (2) such services in ambulatory health facilities. Subtitle B: Grants for Expansion of Availability of Primary Care Services through Health Centers - Part 1: Primary Care Service Expansion Grants - Amends the Public Health Service Act to mandate grants to expand the availability of comprehensive primary health services in medically underserved areas. Authorizes appropriations. Part 2: Reduction in Medical Malpractice Liability for Community Health Centers - Includes entities receiving Federal funds under provisions relating to migrant health centers, community health centers, health services for the homeless, or (as added by this Act) grants for expansion of the availability of primary care services (and officers, employees, or contractors of such entities who are licensed health care practitioners) in the coverage of provisions regulating civil actions for injury resulting from medical or related functions against commissioned officers or employees of the Public Health Service. Subrogates to the United States any insurance claim such an entity or person has. Prohibits grants under such provisions unless the applicant has: (1) implemented policies and procedures to assure against malpractice; and (2) reviewed the professional credentials, claims history, and other information regarding its licensed health care practitioners; and (3) no history of claims against it under such provisions relating to officers and employees of the Public Health Service, or has cooperated with the Attorney General in defending against such claims and has taken corrective action. Empowers the Attorney General, if certain conditions are met, to determine that an individual practitioner shall not be deemed a Public Health Service employee for purposes of these provisions. Prohibits hospitals from denying admitting privileges to an otherwise qualified health care provider who is an officer, employee, or contractor of such an entity. Mandates withholding from the amounts appropriated for such entities an annual estimate of the amount of all claims under provisions relating to such civil actions. Subtitle C: Expansions in the National Health Service Corps - Authorizes appropriations for: (1) the National Health Service Corps Loan Repayment Program for physician and midlevel practitioner placements at entities receiving grants for expansion of the availability of primary care services; and (2) a number of contracts (for such repayments and scholarships under the National Health Service Corps Scholarship Program) sufficient to ensure the placement of a specified number of additional primary care physicians and a specified percentage increase in midlevel practitioners in health professional shortage areas. Defines "midlevel practitioner" to include certified nurse midwives, certified nurse practitioners, physician assistants, and similar nonphysician health care practitioners.
Bill· HRH.R. 5496 (102nd)referred
United States · United States Congress · 25 June 1992
Health Insurance Fairness Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, Health Plan Standards. Prohibits an individual health plan, and any person which issues such a plan, from denying, limiting, or conditioning coverage of benefits for an individual, or varying premiums charged, based on the individual's health status or claims experience, except that plans may, for a limited period, exclude coverage of services related to treatment of a preexisting condition. Sets forth similar prohibitions with respect to group health plans. Outlines general requirements for health plans issued to small employers, as well as requirements related to restrictions on rating practices. Requires individual and group plans to be certified by the Secretary of Health and Human Services or approved by a State regulatory program before such plans may be issued. Requires the Secretary to establish specific standards that incorporate the requirements of this Act for individual and group health plans. Provides for establishment of a toll-free telephone information system to: (1) handle the receipt and disposition of consumer complaints regarding plan compliance with applicable standards; and (2) provide information to small employers about insurers that offer health plans meeting such standards. Amends the Internal Revenue Code to impose an excise tax on issuers of plans that do not meet applicable standards established under this Act. Sets forth a formula for determining the amount of such tax. Requires the General Accounting Office to study and report to the Congress on the impact of the standards for rating practices for small group health insurance on the availability and price of insurance offered to small employers.
Bill· HRH.R. 5495 (102nd)referred
United States · United States Congress · 25 June 1992
National Institutes of Health Revitalization Amendments of 1992 - Title I: General Provisions Regarding title IV of Public Health Service Act - Subtitle A: Research Freedom - Part I: Review of Proposals for Biomedical and Behavioral Research - Amends the Public Health Service Act to prohibit the Secretary of Health and Human Services from approving certain research or financial assistance to conduct research unless specified review has taken place and the review entity has recommended approval. Prohibits the Secretary from withholding, on ethical grounds, funding for research that has received such review approval unless: (1) an ethics advisory board recommends the withholding; or (2) such a board recommends against withholding, but the Secretary finds that the recommendation is arbitrary and capricious. Part II: Research on Transplantation of Fetal Tissue - Permits the Secretary to conduct or support research on the transplantation of human fetal tissue for therapeutic purposes regardless of whether the tissue is obtained from a spontaneous or induced abortion or a stillbirth, in accordance with State and local law. Requires the researcher, if the tissue bank established under a specified executive order is in operation, to obtain the tissue from that bank, unless the bank does not provide requested tissue within a specified time of a request. Requires certain statements by the woman providing the tissue, the researcher, and the donee. Imposes criminal penalties for certain commercial transactions involving the transfer or directed donation of human fetal tissue. Prohibits: (1) any official of the executive branch from imposing a policy prohibiting the Department of Health and Human Services from conducting or supporting any research on the transplantation of human fetal tissue for therapeutic purposes; and (2) the Secretary from withholding funds for research which is in accordance with this Act. Deems a specified report of the Human Fetal Tissue Transplantation Research Panel to be a report issued by an ethics advisory board finding, on a basis that is neither arbitrary nor capricious, that there are no ethical grounds for withholding funds for such research. Part III: Miscellaneous Repeals - Removes certain provisions of the Public Health Service Act relating to: (1) biomedical ethics; (2) a study by the Biomedical Ethics Advisory Committee on waiver of a specified risk standard; and (3) the construction of title IV (National Research Institutes) of the Act. Subtitle B: Clinical Research Equity Regarding Women and Minorities - Part I: Women and Minorities as Subjects in Clinical Research - Requires that women and minorities be included as subjects in each clinical research project under such title IV. Requires projects to be designed and carried out so as to provide for an analysis of whether the variables being tested affect women or minorities differently than other subjects. Requires the establishment of inclusion guidelines. Requires that technical and scientific peer review conducted under existing provisions include an evaluation of the merit of the proposal regarding women and minorities. Part II: Office of Research on Women's Health - Establishes in the National Institutes of Health (NIH) the Office of Research on Women's Health. Requires the Director of the Office to establish: (1) the Coordinating Committee on Research on Women's Health; and (2) the Advisory Committee on Research on Women's Health. Mandates: (1) a determination of the extent to which women are represented among senior physicians and scientists of the national research institutes and among those conducting research supported by the institutes; and (2) as appropriate, activities to increase the extent of such representation. Requires establishment of: (1) a data system, available to the public, for the collection, analysis, and dissemination of information regarding research on women's health conducted or supported by the institutes; and (2) a program to provide information on research and prevention activities of the institutes relating to women's health research. Subtitle C: Scientific Integrity - Replaces provisions relating to protection against scientific fraud with provisions establishing as an independent entity in the Department of Health and Human Services the Office of Scientific Integrity. Requires: (1) applicants for a grant, contract, or cooperative agreement under the Act for biomedical or behavioral research to have an administrative process to review reports of scientific misconduct and agree to report any investigation of such reports; and (2) a response process for the Office. Establishes the Commission on Scientific Integrity. Provides for employee whistle blower protection. Mandates measures for identifying, responding to, and reporting the existence of a financial interest that will or may create a bias in favor of obtaining results, in a project to evaluate the safety or effectiveness of a drug, medical device, or treatment, that are consistent with the interest. Title II: Protection of Health Facilities - Prohibits stealing or otherwise converting personal property or damaging real property of a health facility assisted under the Public Health Service Act, or deterring, through physical restraint, any individual from entering or exiting the facility. Includes in the prohibitions various acts interfering with the use of animals for research. Provides for fines, imprisonment, restitution, and private civil actions. Title III: National Institutes of Health in General - Modifies the duties of the NIH's Associate Director for Prevention. Establishes a program to enhance the competitiveness of research entities in States which have historically had low success in obtaining funds from the national research institutes for biomedical and behavioral research. Mandates activities, consistent with the global Children's Vaccine Initiative, to develop affordable new and improved vaccines. Authorizes appropriations. Requires a plan regarding research methods that do not require the use of animals, reduce the number of animals used, and produce less distress in the animals. Establishes the Interagency Coordinating Committee on the Use of Animals in Research. Repeals similar provisions. Authorizes the Secretary of Health and Human Services to conduct and support research, research training, recruitment, and other activities to increase the number of women and individuals from disadvantaged backgrounds in biomedical and behavioral research. Requires that any survey of human sexual behavior conducted or supported through NIH: (1) undergo review in accordance with specified provisions; and (2) have been determined by the Secretary to assist in reducing the incidence of infectious disease or improve health conditions. Establishes a fund for use by the NIH Director to carry out NIH activities. Authorizes appropriations. Modifies the term of office of members of advisory councils of the national research institutes. Requires that at least half of all new or revised health education and promotion materials developed or funded by NIH be in a form that does not exceed a level of functional literacy. Authorizes a program to provide day care service for NIH employees. Title IV: General Provisions Respecting National Research Institutes - Requires that the Secretary receive from the President and the Office of Management and Budget directly all funds appropriated by the Congress for obligation and expenditure by the Institute. Removes provisions authorizing the Director of the National Cancer Institute to directly receive such funds. Modifies the authority of the directors of the national research institutes to establish and appoint the members of technical and scientific peer review groups in addition to those appointed under specified provisions. Makes the Federal Advisory Committee Act inapplicable to such additional groups. Requires expansion and intensification of programs of research and related activities concerning osteoporosis, Paget's disease, and related bone disorders. Provides for the establishment, through a grant, cooperative agreement, or contract, of a clearinghouse to enhance knowledge and understanding of professionals, patients, and the public. Authorizes appropriations. Establishes: (1) a comprehensive program of conducting basic and clinical research on trauma, including diagnosis, treatment, rehabilitation, and general management of trauma; and (2) the Trauma Research Interagency Coordinating Committee. Title V: National Cancer Institute - Requires expanding, intensifying, and coordinating the activities of the National Cancer Institute (NCI) regarding breast and ovarian cancer, other cancers of the reproductive system of women, and prostate cancer. Requires inclusion of the conduct and support of research and demonstration centers. Authorizes appropriations. Removes provisions authorizing appropriations for NCI and the National Heart, Lung, and Blood Institute (NHLBI). Title VI: National Heart, Lung, and Blood Institute - Requires NHLBI to conduct intramural training and education. Authorizes development of three centers for basic and clinical research into, training in, and demonstration of, advanced diagnosis, prevention, and treatment for cardiovascular diseases in children. Authorizes appropriations for NHLBI. Title VII: National Institute on Diabetes and Digestive and Kidney Diseases - Establishes a program of conducting and supporting research, training, health information dissemination, and other activities regarding nutritional disorders, including obesity. Provides for the development or substantial expansion of centers for research and training. Title VIII: National Institute on Arthritis and Musculoskeletal and Skin Diseases - Removes provisions stating that the purpose of the National Institute on Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) includes sports-related injuries. Requires NIAMSD to place emphasis on arthritis affecting children. Establishes a multipurpose arthritis and musculoskeletal disease center focusing on children. Modifies the composition of the National Arthritis Advisory Board and its annual report requirements. Title IX: National Institute on Aging - Transfers to the Public Health Service Act provisions of the Health Research Extension Act of 1985 authorizing a grant to develop a registry for epidemiological data on Alzheimer's disease and related data collection training. Removes the existing authorization of appropriations. Mandates research into the aging processes of women, with particular emphasis on menopause and into the diagnosis, disorders, and complications related to aging and loss of ovarian hormones. Authorizes appropriations for the National Institute on Aging. Title X: National Institute of Allergy and Infectious Diseases - Includes programs regarding tropical diseases in the purposes of the National Institute of Allergy and Infectious Diseases. Authorizes grants or contracts for centers to conduct basic and clinical research on chronic fatigue syndrome. Establishes an extramural study section for the syndrome. Title XI: National Institute of Child Health and Human Development - Subtitle A: Research Centers with Respect to Contraception and Research Centers with Respect to Infertility - Mandates grants or contracts for three centers to conduct activities to improve methods of contraception and two centers to conduct activities to improve methods of diagnosis and treatment of infertility. Authorizes appropriations. Establishes a program of agreements with health professionals, including graduate students, to conduct research on contraception or infertility in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle B: Program Regarding Obstetrics and Gynecology - Establishes in the National Institute of Child Health and Human Development (NICHHD) an intramural laboratory and clinical research program in obstetrics and gynecology. Subtitle C: Child Health Research Centers - Mandates development of and support for centers for conducting research on child health. Subtitle D: Study Regarding Adolescent Health - Mandates a longitudinal, large-scale study on the general health and well-being of adolescents in the United States. Allocates funding from amounts appropriated to NICHHD. Title XII: National Eye Institute - Authorizes not more than three grants for the establishment and support of centers for clinical research on eye care for individuals with diabetes. Allows grant funds to be used for equipment and for construction and modification of facilities. Title XIII: National Institute of Neurological Disorders and Stroke - Mandates the conduct and support of research on multiple sclerosis. Title XIV: National Institute of Environmental Health Sciences - Establishes the Applied Toxicological Research and Testing Program. Title XV: National Library of Medicine - Subtitle A: General Provisions - Directs the Secretary to promote the use of computers and telecommunications by health professionals. Increases the dollar limit on grants to medical libraries and related instrumentalities. Authorizes appropriations for the National Library of Medicine (NLM). Subtitle B: Financial Assistance - Mandates grants for research on, and development and demonstration of, new educational technologies. Requires recipient institutions to make grant projects available for: (1) training health professions students; and (2) enhancing the capabilities of health professionals regarding research and teaching. Authorizes appropriations to carry out provisions relating to medical libraries and related matters. Subtitle C: National Center for Biotechnology Information - Authorizes appropriations to carry out provisions relating to the National Center for Biotechnology Information. Subtitle D: National Information Center on Health Services Research and Health Care Technology - Establishes in NLM the National Information Center on Health Services Research and Health Care Technology to collect, analyze, and disseminate information on health services research and health care technology. Authorizes appropriations. Requires the Administrator of the existing information center on health care technologies and health care technology assessment and the NLM Director to enter into an agreement on the implementation of these provisions. Title XVI: Other Agencies of National Institutes of Health - Subtitle A: Division of Research Resources - Redesignates the Division of Research Resources as the National Center for Research Resources. Authorizes grants to alter existing or construct new research facilities. Establishes the Scientific and Technical Review Board on Biomedical and Behavioral Research Facilities to advise the Center director and the existing advisory council. Conditions grant approval on Board approval. Authorizes appropriations. Requires the NIH Director to reserve a specified sum from amounts appropriated under this authorization for grants and contracts to construct or improve regional centers for research on primates. Subtitle B: National Center for Nursing Research - Redesignates the National Center for Nursing Research as the National Institute for Nursing Research and adds the Institute to the list of NIH's national research institutes. Subtitle C: National Center for Human Genome Research - Adds the National Center for Human Genome Research to the list of NIH agencies. Declares the purpose of the Center to be to characterize the structure and function of the human genome, including the mapping and sequencing of individual genes. Title XVII: Awards and Training - Subtitle A: National Research Service Awards - Directs the Secretary to carry out provisions relating to National Research Service Awards in a manner that will recruit into biomedical or behavioral research, and provide research training to, women and individuals from disadvantaged backgrounds. Subtitle B: Acquired Immune Deficiency Syndrome - Modifies a program of agreements (under which certain health professionals conduct research regarding acquired immune deficiency syndrome (AIDS) as NIH employees in consideration of Government repayment of educational loans) to remove provisions requiring a minimum of three years as an NIH employee. Authorizes appropriations. Authorizes the Commissioner of Food and Drugs to carry out a similar program regarding the review of applications concerning AIDS. Subtitle C: Loan Repayment for Research Generally - Mandates a program of agreements with health professionals who have a substantial amount of educational loans relative to income and who meet other requirements to conduct research, as NIH employees, in consideration of Government repayment of a limited amount of the educational loans of the professionals. Authorizes appropriations. Subtitle D: Scholarship and Loan Repayment Programs Regarding Professional Skills Needed by Certain Agencies - Authorizes a program of contracts with individuals from disadvantaged backgrounds for scholarships for undergraduate programs for professions needed by NIH in consideration of service by the individuals as NIH employees. Authorizes a program of contracts with health professionals from disadvantaged backgrounds who have a substantial amount of educational loans relative to income to conduct clinical research as NIH employees in consideration of the Government repaying a limited amount of the educational loans of the professionals. Subtitle D: (SIC) Funding - Authorizes appropriations for making payments under National Research Service Awards and under grants for such Awards. Modifies set-aside amounts and requires a set-aside for provisions relating to residency programs in the general practice of dentistry. Title XVIII: National Foundation for Biomedical Research - Excludes from voting rights the ex officio members of the National Foundation for Biomedical Research. Authorizes appropriations. Title XIX: Research with Respect to Acquired Immune Deficiency Syndrome - Modifies the duties of the AIDS Clinical Research Review Committee, including requiring the Committee to: (1) give advice to other agencies of NIH as well as to the National Institute of Allergy and Infectious Diseases (NIAID); and (2) make recommendations on research projects regarding diagnosing immune deficiency and predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. States that the requirement that the clinical evaluation units at the National Cancer Institute and NIAID conduct evaluations of treatments for acquired immune deficiency syndrome (AIDS) includes evaluations of methods of: (1) diagnosing immune deficiency; and (2) predicting, diagnosing, preventing, and treating opportunistic cancers and infectious diseases. Modifies provisions relating to the support of international efforts to add to the purpose of grants, cooperative agreements, and contracts for such efforts provisions promoting and expediting: (1) international training; (2) research and training concerning the natural history and pathogenesis of the human immunodeficiency virus; and (3) the development and evaluation of vaccines and treatments for opportunistic infections. Authorizes appropriations for each fiscal year. Requires that model protocols (developed with grants under existing provisions) for the clinical care of individuals infected with the etiologic agent for AIDS include treatment and prevention of human immunodeficiency virus (HIV) infection and related conditions among women. Authorizes appropriations. Adds collection of data on the natural history of infection with the etiologic agent to the purposes of the epidemiological data base mandated by current provisions. Authorizes appropriations for each fiscal year. Requires the Director of NIH to develop and implement a comprehensive plan for the conduct and support of AIDS research by NIH agencies. Authorizes appropriations for each fiscal year for fellowship and training programs relating to AIDS under existing provisions. Title XX: Certain Authorities of Centers for Disease Control - Authorizes grants to States and local health departments for programs for specified activities relating to prostate cancer, including screening, public information, and improving professional training. Authorizes appropriations. Authorizes: (1) grants or contracts for population-based, statewide cancer registries; (2) grants for developing plans that meet the requirements of specified provisions; and (3) technical assistance to States, either directly or through grants and contracts. Mandates a study on the factors contributing to elevated breast cancer mortality rates in specified States. Authorizes appropriations. Requires a survey to determine which entities collect data on traumatic brain injuries and the nature of their data collection systems. Authorizes cooperation and assistance to establish traumatic brain injury as a specific reportable condition or disability. Authorizes appropriations. Title XXI: Studies - Mandates studies on: (1) the impact, with regard to acquired immune deficiency syndrome (AIDS), of parallel-track drug-release mechanisms on clinical research and on the activities of the Commissioner of Food and Drugs regarding drug approval; (2) third-party payor policies regarding payment of costs incident to the participation of individuals as subjects in AIDS drug clinical trials; and (3) whether AIDS advisory committees in NIH are being sufficiently coordinated. Requires a plan for the inclusion of HIV-infected women, infants, and children in HIV vaccine studies conducted by or through NIH. Authorizes appropriations. Mandates an annual report on the leading causes of death in the United States and related spending by the Department of Health and Human Services for research, prevention, and education. Requires three-year studies on: (1) nutrition screening and intervention regarding the elderly; and (2) the extent of malnutrition in hospitals, in long-term care facilities, and among those living independently. Establishes an advisory panel to oversee the studies. Mandates a report on the feasibility of developing a plan for the conduct of research at NIH on the prevention of traumatic injuries. Directs the Secretary to: (1) review existing data and research concerning whether there is a relationship between legal and illegal drug use; and (2) if necessary, conduct additional research. Mandates reports on: (1) research conducted or supported by NIH on chronic fatigue syndrome; (2) the appropriateness and impact of NIH assuming responsibility for the conduct of all Federal research, development, testing, and evaluation relating to medical countermeasures against biowarfare threat agents. Requires a study on the potential for, the prevalence of, and the issues related to the contamination of worker's homes with substances from their work places. Requires: (1) establishment of the Worker's Family Protection Task Force to take specified actions, including developing an investigative strategy for obtaining any needed additional data; and (2) each Federal department or agency to fulfill the role assigned by the strategy. Authorizes appropriations. Mandates studies: (1) of the retention, recruitment, vacancy and turnover rates of NIH support staff, including fire fighters, law enforcement, procurement officers, technicians, nurses, and clerical employees; and (2) to develop a streamlined procurement system for NIH. Title XXII: Miscellaneous Provisions - Redesignates the Senior Biomedical Research Service as the Silvio Conte Senior Biomedical Research Service and increases the limit on the number of its members. Renames the AIDS Clinical Research Review Committee as the AIDS Research Advisory Committee. Prohibits the Secretary from conducting or supporting the SHARP survey of adult sexual behavior. Requires that a report on carcinogens be submitted biennially (currently, annually). Mandates a report analyzing the report of the National Committee on Sleep Disorders Research and presenting a plan for the conduct and support of sleep disorders research at NIH. Mandates presentation to the Congress of a master plan to provide for the replacement or refurbishment of less than adequate buildings, utility equipment and distribution systems, roads, walkways, parking areas, and grounds of NIH laboratory and clinical facilities. Allows the plan to make recommendations for the undertaking of new projects consistent with the objectives of these provisions. Title XXIII: Effective Date - Sets forth the effective date of this Act.
Bill· HRH.R. 5499 (102nd)referred
United States · United States Congress · 25 June 1992
Amends the Internal Revenue Code to disallow an income tax deduction for sales promotion expenses relating to tobacco and tobacco products.
Bill· SS. 2886 (102nd)referred
United States · United States Congress · 24 June 1992
International Local Government Exchange Act of 1992 - Authorizes the President, acting through a designated agency, to establish a program for technical assistance in local and regional self-government to the independent states of the former Soviet Union. Requires the President, in providing such assistance, to make grants to eligible organizations to cover travel and administrative expenses incurred by such organizations in conducting: (1) an assessment of the need by any independent state for fiscal, legal, and technical expertise at the local and regional level; and (2) training of local and regional governmental officials in democratic institution-building and public administration. Limits funding for visits to six months. Lists organizations that shall receive priority consideration for grants. Authorizes appropriations.