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United States · Bill · HR

H.R. 2280 (102nd)

Veterans Health Care Amendments Act of 1991

openUnited States· United States Congress· EN

Introduced

9 May 1991

Last action

—

Status

See S.2344.

Sponsors

—

Subjects

Discovery layer

Source updated

7 February 2024

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Summary

Veterans' Health Care and Research Amendments of 1991 - Title I: Health-Care Benefits - Amends Federal veterans' benefits provisions to authorize the Secretary of Veterans Affairs to contract with non-Department of Veterans Affairs facilities for the treatment of any veteran who has a total and permanent service-connected disability. Authorizes the provision of dental care for a dental condition from which a veteran is suffering and when medically necessary in preparation for hospital admission or for a veteran otherwise receiving medical care and services. Increases from $500 to $1000 the annual per-person limitation on the provision of such dental care. Authorizes the Secretary to periodically review and adjust the yearly limit. Amends the Veterans' Health Care Amendments of 1986 to extend through FY 1992 an annual report requirement under such Act concerning the furnishing of non-service-connected health care to veterans. Increases certain authorized costs for home improvements and structural alterations furnished as part of necessary home health services available to disabled veterans. Extends through FY 1992 the authority for the operation of the Veterans Memorial Medical Center in the Philippines. Authorizes the Secretary to expand the current program of outreach and community-based residential care for homeless chronically mentally ill veterans by: (1) increasing the number of Department employees providing services; and (2) providing such services in at least four cities in which there is a significant unmet need for such assistance. Authorizes the Secretary to enter into agreements with public or nonprofit entities for the contractual provision of such services. Requires the agreeing entity to provide at least 25 percent of the cost of such services. Authorizes appropriations for both the current program and the program authorized by this provision. Allows such additional program to be carried out only if the amount appropriated for the FY 1992 medical care account of the Department is at least $100,000,000 greater than the amount requested in the President's budget for such account for such fiscal year. Title II: Health-Care Personnel - Provides the qualifications required for social workers employed by the Veterans Health Services and Research Administration of the Department. Requires a minimum two-year service requirement in the Department for graduates of the Department of Veterans Affairs Health Professional Scholarship Program. Authorizes the Secretary to purchase promotional items of nominal value for recruitment purposes. Title III: Administrative Provisions - Prohibits funds from being appropriated for any fiscal year, and prohibits the Secretary from obligating or expending funds, for any major medical project or major medical facility lease unless funds have been specifically authorized by law. Defines a "major medical facility lease" as a lease having an average annual rental amount of more than $300,000 (currently $500,000). Requires the Geriatrics and Gerontology Advisory Committee to submit to the Secretary such reports as considered appropriate (currently, only one report is required) on all appropriate matters of geriatrics and gerontology. Adds certain assessments to such report requirements. Directs the Secretary, in order to improve the quality of clinical care at Department health-care facilities, to carry out a pilot program for the conduct of medical research at Department medical centers in the areas of: (1) mental illness; (2) alcohol and substance abuse; or (3) neurological, psychiatric, and geriatric rehabilitation. Allows research under such program to be conducted only at a medical center at which its director has entered into an agreement with a medical school or other institution under which such institution agrees to provide partial funding or in-kind support for the proposed research. Requires the Secretary to solicit from Department employees proposals for research projects to be carried out under the program. Requires the FY 1992 medical and prosthetic research account of the Department to be increased by a specified amount before such research program may be conducted. Provides similar limitations for FY 1993 and 1994 research projects under the program. Authorizes appropriations for FY 1992 through 1994. Requires the Secretary, in consultation with the Secretary of Health and Human Services, to prescribe standards of performance by Department medical facility laboratories with respect to laboratory examinations and other procedures. Requires an implementation report. Authorizes the Secretary, in certain instances, to acquire and use real property: (1) before title to such property is approved under Federal statutes; and (2) even though the property will be held in other than a fee simple interest, as long as the Secretary determines that the interest acquired is sufficient for its intended purpose. Extends from three to four years the period allowed for a Department research corporation to establish itself as a tax-exempt entity under the Internal Revenue Code in order to avoid dissolution. Extends through FY 1994 the authority of the Department to establish such corporations. Authorizes the Secretary to provide for the operation of child care centers at Department facilities if the Secretary determines, based on employee demand, that such operation is in the best interests of the Department and that it is practicable to do so. Requires priority to be given to employees of: (1) the Department; (2) other Federal departments and agencies; and (3) affiliated schools and corporations, in that order. Authorizes the Secretary to provide such services to members of the public if necessary to ensure the financial success of the center. Directs the Secretary to establish reasonable charges for the provision of child care services at each center, in a sum at least sufficient to meet all operating expenses. Outlines specified actions authorized to be taken by the Secretary in connection with the establishment and operation of such centers. Authorizes the Secretary to enter into agreements for the joint acquisition of medical equipment. Outlines conditions to such joint acquisition, including payment of no more than one half of the purchase price of such equipment by the Secretary, the exchange of use of such equipment between the joint holders, and provision by the institution involved of its share of the purchase price. Authorizes the Secretary to transfer to the other joint holder its interest in the equipment if the Secretary determines that such transfer would be justified by compelling clinical considerations or the economic interest of the Department. Authorizes the Secretary to purchase the interest of the joint holder of such equipment under similar conditions. Authorizes the Secretary to enter into escrow agreements with institutions to facilitate the procurement of medical equipment. Outlines escrow agreement requirements. Requires the Secretary to report on the implementation of such joint acquisition under these provisions. States that Department quality assurance activities shall be deemed to be part of the operation of hospitals, nursing homes, and domiciliary facilities of the Department, without regard to the location of the duty stations of employees carrying out such activities. Title IV: Post-Traumatic Stress Disorder - Post-Traumatic Stress Disorder Treatment Act of 1991 - Directs the Secretary to implement the recommendations of the Chief Medical Director's Special Committee on Post-Traumatic Stress Disorder with respect to specialized inpatient and outpatient programs of the Department for the treatment of post-traumatic stress disorder (PTSD). Requires the Secretary, during FY 1992, to establish and operate: (1) not less than five new specialized inpatient PTSD units; (2) not less than ten new PTSD clinical treatment teams; and (3) not less than five outpatient programs for the treatment of veterans suffering from both PTSD and substance abuse problems. Authorizes appropriations for FY 1992 for such purposes. Directs the Secretary, in carrying out medical research and awarding grants, to designate a level of funding support for, and assign a priority to, the conduct of research on mental illness, including research regarding PTSD, PTSD in association with substance abuse, and the treatment of those disorders. Provides for the distribution of funds for such purposes. Requires the Secretary to provide an implementation report. Directs the Secretary to assess the needs for treatment and rehabilitative services of veterans believed to be suffering from PTSD. Requires the Secretary to develop a plan for providing such treatment and services, as well as for expanding and refining services available for the treatment of PTSD. Directs the Secretary to consult with the Special Committee in developing such plan and expansion and refining. Requires a report from the Secretary on the plan developed.

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