Health Research and Quality Act of 1999

Summary

Health Research and Quality Act of 1999 - Amends the Public Health Service Act to establish within the Public Health Service (PHS) an Agency for Health Research and Quality, headed by a director (Agency Director) appointed by the Secretary of Health and Human Services, to replace the current Agency for Health Care Policy and Research. Directs the Secretary to carry out the provisions of this Act relating to the new Agency and its mission and duties through the Agency Director. (Sec. 2) Directs the Agency to identify and disseminate methods or systems used to assess health care research results, particularly to rate the strength of the scientific evidence behind health care practice and technology recommendations in the research. Requires the Agency to employ research strategies and mechanisms that will link research directly with clinical practice in geographically diverse locations throughout the United States, including: (1) Health Care Improvement Research Centers that combine demonstrated multidisciplinary expertise in outcomes or quality improvement research with linkages to relevant sites of care; (2) Provider-based Research Networks, including plan, facility, or delivery system sites of care (especially primary care), that can evaluate and promote quality improvement; and (3) other innovative mechanisms or strategies. Authorizes the Agency to provide specified scientific and technical support for private and public efforts to improve health care quality, including accrediting organizations. Directs the Secretary, acting through the Agency Director, to establish a program of grants for one or more centers to conduct: (1) state-of-the-art research on drugs, biological products, and devices; (2) research on the comparative effectiveness, cost-effectiveness, and safety of drugs, biological products, and devices; and (3) other appropriate activities (excluding the review of new drugs). Requires the Agency Director to: (1) collect certain data on the cost and quality of health care; (2) support research on and initiatives to advance the use of information systems for the study of health care quality; and (3) provide ongoing administrative, research, and technical support for the Preventive Services Task Force, which shall review scientific evidence on the effectiveness, appropriateness, and cost-effectiveness of clinical preventive services regarding their usefulness in daily clinical practice. Establishes within the Agency a Center for Primary Care Research to serve as the principal funding source for Department of Health and Human Services primary care delivery research and demonstrations with respect to the first contact when illness or health concerns arise, the diagnosis, treatment or referral to specialty care, preventive care, and the relationship between the clinician and the patient in the context of the family and community. Requires the Agency Director by specified activities to promote innovation in evidence-based clinical practice and health care technologies. Requires the Secretary, acting through the Director, to coordinate all research, evaluations, and demonstrations related to health services research and quality measurement and improvement activities undertaken and supported by the Federal Government. . Establishes an Advisory Council for Health Care Research and Quality to replace the current Advisory Council for Health Care Policy, Research, and Evaluation. Requires the Agency Director to establish technical and scientific peer review groups to review each application for a grant, cooperative agreement, or contract under the provisions of this Act relating to the new Agency and its mission and duties. Repeals the mandates for: (1) a demonstration program regarding centers for education and research on therapeutics; and (2) the Office of the Forum for Quality and Effectiveness in Health Care. Authorizes appropriations. (Sec. 3) Directs the Secretary, acting through appropriate PHS agencies, to make grants to public or nonprofit private entities for the establishment and operation of regional centers to identify particular populations of patients and facilitate appropriate patient utilization of preventive health services through developing and disseminating strategies to improve the methods used by public and private health care programs and providers in interacting with such patients. Requires applicant entities to meet certain requirements with regard to quality management in order to be eligible to receive such a grant. Authorizes appropriations.

This text is taken from the official record. PoliticalRepo does not editorialize.

Timeline

1. 14 July 1999

   Introduced

   Introduced in House

   Source: IntroReferral

2. 14 July 1999

   Introduced

   Sponsor introductory remarks on measure. (CR E1540-1541)

   Source: IntroReferral

3. 14 July 1999

   Introduced

   Referred to the House Committee on Commerce.

   Source: IntroReferral

4. 14 July 1999

   Introduced

   Introduced in House

   Source: IntroReferral

5. 23 July 1999

   Referred

   Referred to the Subcommittee on Health and Environment.

   Source: Committee

6. 27 July 1999

   Committee

   Forwarded by Subcommittee to Full Committee by Voice Vote.

   Source: Committee

7. 27 July 1999

   Committee

   Subcommittee Consideration and Mark-up Session Held.

   Source: Committee

8. 5 August 1999

   Reported

   Ordered to be Reported (Amended) by Voice Vote.

   Source: Committee

9. 5 August 1999

   Committee

   Committee Consideration and Mark-up Session Held.

   Source: Committee

10. 5 August 1999

    Passed

    Ms. Pryce (OH) asked unanimous consent that the Committee on Commerce have until midnight on Sept. 7 to file a report on H.R. 2506. Agreed to without objection.

    Source: Committee

11. 8 September 1999

    Calendars

    Placed on the Union Calendar, Calendar No. 183.

    Source: Calendars

12. 8 September 1999

    Reported

    Reported (Amended) by the Committee on Commerce. H. Rept. 106-305.

    Source: Committee

13. 8 September 1999

    Reported

    Reported (Amended) by the Committee on Commerce. H. Rept. 106-305.

    Source: Committee

14. 22 September 1999

    Reported

    Rules Committee Resolution H. Res. 299 Reported to House. Rule provides for consideration of H.R. 2506 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. It shall be in order to consider as an original bill for the purpose of amendment under the five-minute rule the amendment in the nature of a substitute recommended by the Committee on Commerce now printed in the bill. Measure will be read by section. Specified amendments are in order.

    Source: Floor

15. 28 September 1999

    Passed

    Motion to reconsider laid on the table Agreed to without objection.

    Source: Floor

16. 28 September 1999

    Floor

    The Clerk was authorized to correct section numbers, punctuation, and cross references, and to make other necessary technical and conforming corrections in the engrossment of H.R. 2506.

    Source: Floor

17. 28 September 1999

    Vote

    On passage Passed by the Yeas and Nays: 417 - 7 (Roll no. 457).

    Source: Floor

18. 28 September 1999

    Vote

    Passed/agreed to in House: On passage Passed by the Yeas and Nays: 417 - 7 (Roll no. 457).

    Source: Floor

19. 28 September 1999

    Floor

    The House rose from the Committee of the Whole House on the state of the Union to report H.R. 2506.

    Source: Floor

20. 28 September 1999

    Passed

    The House adopted the amendment in the nature of a substitute as agreed to by the Committee of the Whole House on the state of the Union.

    Source: Floor

21. 28 September 1999

    Floor

    The previous question was ordered pursuant to the rule.

    Source: Floor

22. 28 September 1999

    Floor

    Rule provides for consideration of H.R. 2506 with 1 hour of general debate. Previous question shall be considered as ordered without intervening motions except motion to recommit with or without instructions. It shall be in order to consider as an original bill for the purpose of amendment under the five-minute rule the amendment in the nature of a substitute recommended by the Committee on Commerce now printed in the bill. Measure will be read by section. Specified amendments are in order.

    Source: Floor

23. 28 September 1999

    Floor

    The Speaker designated the Honorable Edward A. Pease to act as Chairman of the Committee.

    Source: Floor

24. 28 September 1999

    Floor

    House resolved itself into the Committee of the Whole House on the state of the Union pursuant to H. Res. 299 and Rule XXIII.

    Source: Floor

25. 28 September 1999

    Floor

    Considered under the provisions of rule H. Res. 299. (consideration: CR H8911-8941)

    Source: Floor

26. 28 September 1999

    Passed

    Rule H. Res. 299 passed House.

    Source: Floor

27. 30 September 1999

    Introduced

    Received in the Senate and read twice and referred to the Committee on HELP.

    Source: IntroReferral

Votes

No vote records are attached yet.

Versions

• Referred in Senate · 30 September 1999 · Download file
• Engrossed in House · 28 September 1999 · Download file
• Reported in House · 8 September 1999 · Download file
• Introduced in House · 14 July 1999 · Download file

Documents

10 official files

• Referred in Senate (text)

  Referred in Senate · EN · 30 September 1999

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• Referred in Senate (PDF)

  Referred in Senate · EN · 30 September 1999

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• Engrossed in House (text)

  Engrossed in House · EN · 28 September 1999

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• Engrossed in House (PDF)

  Engrossed in House · EN · 28 September 1999

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• Passed House amended

  summary · EN · 28 September 1999

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• Reported in House (text)

  Reported in House · EN · 8 September 1999

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• Reported in House (PDF)

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• Introduced in House (text)

  Introduced in House · EN · 14 July 1999

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• Introduced in House (PDF)

  Introduced in House · EN · 14 July 1999

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• Introduced in House

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Sponsors

• Rep. Bilirakis, Michael [R-FL-9] · R · Sponsor
• Sen. Brown, Sherrod [D-OH] · D · Sponsor
• Rep. Greenwood, James C. [R-PA-8] · R · Sponsor
• Rep. Thurman, Karen L. [D-FL-5] · D · Sponsor
• Rep. Waxman, Henry A. [D-CA-33] · D · Cosponsor
• Rep. Bonior, David E. [D-MI-10] · D · Cosponsor
• Rep. Whitfield, Ed [R-KY-1] · R · Cosponsor
• Rep. Farr, Sam [D-CA-20] · D · Cosponsor
• Rep. Davis, Jim [D-FL-11] · D · Cosponsor
• · sshr00 · Standing
• · hsif00 · Standing

Related records

• related to → Providing for consideration of the bill (H.R. 2506) to amend title IX of the Public Health Service Act to revise and extend the Agency for Health Care Policy and Research.
• related to ← Healthcare Research and Quality Act of 1999
• amends ← An amendment no. 12 printed in the Congressional Record to establish linkages on the World Wide Web site maintained by the Director to consumer satisfaction agencies or other entities that perform evaluations on health care quality, HMO'S, and includes a link to the National Committee for Quality Assurance.
• amends ← An amendment no. 6 printed in the Congressional Record. to include minority institutions of higher education (such as Historically Black Colleges and Universities, and Hispanic institutions) as eligible entities for grants and contracts.
• amends ← An amendment no. 11 printed in the Congressional Record to require studies of methods of the organization, delivery, and fianacing of health services to determine the cost and quality effects of various methods of increasing the number of individuals who have access to health services.
• amends ← Amendment no. 22 printed in the Congressional Record to submit a report on telemedicine services including factors that inhibit the expansion and accessiblity of telemedicine networks.
• amends ← Amendment no. 16 printed in the Congressional Record. to specify that the Director shall consider shortages in researchers who are members of priority populations and the number of researchers who are addressing these populations when allocating training funds.
• amends ← Amendment no. 3 printed in the Congressional Record to make technical and conforming changes.
• amends ← Amendment no. 17 printed in the Congressional Record to require an anual report regarding prevailing disparities in health care delivery as it relates to racial factors and socioeconomic factors in priority populations.

Showing 9 of 17 related records.