bill_id,congress,bill_type,bill_number,title,policy_area,introduced_date,latest_action_date,latest_action_text,origin_chamber,sponsor_name,sponsor_state,sponsor_party,sponsor_bioguide_id,cosponsor_count,summary_text,update_date,url
102-s-3387,102,s,3387,Health Care Liability Reform and Quality of Care Improvement Act of 1992,Health,1992-10-08,1992-10-08,Read twice and referred to the Committee on Judiciary.,Senate,"Sen. Hatch, Orrin G. [R-UT]",UT,R,H000338,3,"Health Care Liability Reform and Quality of Care Improvement Act of 1992 - Title I:  Findings and Purpose - Sets forth:  (1) findings regarding this Act; and (2) the purpose of this Act. Title II:  Health Care Liability Reforms - Requires, in order to be eligible to participate in the incentive program provided for in this title, that States have in effect the health care liability reforms set forth in this title. Requires, in any health care liability action, the liability of each defendant for non-economic damages to be several and not joint, with each defendant liable only for the proportion of that defendant's fault and a separate judgment against that defendant in that amount. Prohibits awarding non-economic damages over a certain dollar amount in any health care liability action, subject to waiver. Reduces the total damages received by a plaintiff by the amount of any collateral source benefits. Allows:  (1) future economic damage awards to be paid periodically, based on when the damages are likely to occur or at the time the damages accrue; and (2) in certain circumstances, the court to require the health care provider to purchase an annuity or fund a reversionary trust to make such periodic payments.  Prohibits reopening a judgment awarding periodic payments to contest, amend, or modify the schedule or amount in the absence of fraud or any ground permitting relief after entry of a final judgment. Declares it U.S. policy to encourage alternative dispute resolution (ADR).  Requires a State to establish at least one ADR mechanism. Requires a State to:  (1) cooperate with Federal research efforts regarding patient outcomes, clinical effectiveness, and clinical practice guidelines; (2) collect, analyze, and supply the Secretary of Health and Human Services with information regarding the performance of State medical boards; and (3) impose continuing education requirements on a disciplined physician. Allows alternatives to these requirements regarding medical boards and continuing education if the Secretary finds the alternatives at least as effective in reducing the incidence of negligence as compliance with the requirements. Allows States three years from the adoption of this Act to enact, adopt, or otherwise comply with the requirements of this title.  Deems a State to be in compliance if it has in effect a system for prompt payment of economic damages not payable by State, Federal, or private health or disability insurance, wage continuation, or any other source or payment intended to compensate an injured person. Requires the withholding of certain funds for noncompliance. Allows waiver of the requirements of this title for any experimental, pilot, or demonstration project which is likely to assist in promoting the objectives of this Act. Title III:  Mandatory Non-Binding Arbitration - Establishes a system for nonbinding arbitration of health care liability claims and a mechanism for resolution through arbitration of health care liability claims. Title IV:  Federal Implementation of Health Care Liability Reforms - Amends Federal law to prohibit, in a health care liability action, finding the United States jointly and severally liable for non-economic damages.  Allows liability only for those non-economic damages directly attributable to its pro rata share of fault.  Reduces damages paid by the United States by the amount of any collateral source benefits.  Prohibits awarding non-economic damages, in an action against the United States, over a certain dollar amount. Requires, at the request of the United States when future economic damages are awarded in excess of a specified amount, an order that such damages be paid by periodic payments based on when the damages are likely to occur.  Allows the United States, in such cases, to pay the judgment periodically, purchase an annuity, or fund a reversionary trust.  Prohibits reopening the judgment to contest, amend, or modify the schedule or amount in the absence of fraud or any ground permitting relief after entry of a final judgment. Title V:  Construction of Provisions - Provides for construction, severability, and the effective date of this Act.",2025-08-26T15:15:29Z,
102-s-3366,102,s,3366,ADAMHA Reorganization Technical Amendments Act of 1992,Health,1992-10-07,1992-11-20,Referred to the Subcommittee on Health and the Environment.,Senate,"Sen. Kennedy, Edward M. [D-MA]",MA,D,K000105,1,"ADAMHA Reorganization Technical Amendments Act of 1992 - Makes technical amendments to the Public Health Service Act (PHSA), as amended by P.L. 102-321 (ADAMHA Reorganization Act). Amends the PHSA to exclude grants under the Protection and Advocacy for Mentally Ill Individuals Act from certain grant requirements under PHSA provisions relating to the Substance Abuse and Mental Health Services Administration (SAMHSA). Requires maintenance of a clearinghouse for substance abuse information and a clearinghouse for mental health information (currently, requires a clearinghouse for substance abuse and mental health information). Mandates appointment of an Associate Administrator for AIDS Policy and Programs to promote, monitor, and evaluate SAMHSA activities relating to transmission of the human immunodeficiency virus (HIV). Excludes contracts for program resources from a requirement of peer review for grants through the Center for Substance Abuse Treatment, the Center for Substance Abuse Prevention, and the Center for Mental Health Services.  Modifies peer review requirements for the Centers. Allows grants for mental health and substance abuse treatment services for homeless individuals to be made to States as well as to community-based entities.  Requires any such grants to States to be expended solely to make grants to political subdivisions and to private nonprofit entities. Allows funds from grants, cooperative agreements, or contracts for substance abuse treatment for pregnant and postpartum women to be used for services to women with dependent children who are neither pregnant nor postpartum. Makes violation of confidentiality of records provisions a class A misdemeanor and require a fine in accordance with the Federal criminal code.  (Current law requires a fine in accordance with that code, but makes no classification of the offense.) Authorizes the Director of the National Institute on Alcohol Abuse and Alcoholism (currently, authorizes the Secretary of Health and Human Services, through such Institute) to designate National Alcohol Research Centers. Allows States receiving grants for programs on breast and cervical cancers to expend the grants through grants and contracts with public or private (currently, public or nonprofit private) entities. Requires that substance abuse treatment programs under block grants to States make early intervention services for HIV available to individuals at the program site or in coordination with the program in which the individuals are undergoing the treatment (currently, at the program site). Allows categorical grants to States for expansion of the capacity for substance abuse treatment to be used for inpatient hospital services when medically necessary for an individual. Amends ADAMHA Reorganization Act temporary provisions regarding funding to provide that amounts appropriated for fiscal year 1992 shall be available for obligation until December 31, 1992. Amends the Stewart B. McKinney Homeless Assistance Act to repeal provisions authorizing appropriations for community-based mental health services to homeless individuals who are chronically mentally ill.",2025-08-26T15:16:24Z,
102-s-3371,102,s,3371,Juvenile Arthritis Research Excellence Act,Health,1992-10-07,1992-12-22,Referred to the Subcommittee on Health and the Environment.,Senate,"Sen. Shelby, Richard C. [D-AL]",AL,D,S000320,0,"Juvenile Arthritis Research Excellence Act - Amends provisions of the Public Health Service Act relating to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) to provide for planning, research, and other matters focusing on such diseases (especially arthritis) in children, including providing for the establishment of a multipurpose arthritis and musculoskeletal disease center for children. Makes related changes in the National Arthritis Advisory Board.",2025-08-26T15:18:05Z,
102-hr-6181,102,hr,6181,"To amend the Federal Food, Drug, and Cosmetic Act to authorize human drug application, prescription drug establishment, and prescription drug product fees and for other purposes.",Health,1992-10-06,1992-10-29,Became Public Law No: 102-571.,House,"Rep. Dingell, John D. [D-MI-16]",MI,D,D000355,1,"Title I:  User Fees - Prescription Drug User Fee Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to provide authority for the Secretary of Health and Human Services to assess and collect fees from manufacturers of prescription drugs beginning in FY 1993. Establishes a schedule for prescription drug application and supplement fees, prescription drug establishment fees, and prescription drug product fees.  Provides for the annual adjustment of such fees to reflect increases in the Consumer Price Index for urban consumers or increases in Federal pay. Authorizes the Secretary to waive or reduce fees. Prohibits the assessment of fees for a fiscal year after FY 1993 unless appropriations for salaries and expenses of the Food and Drug Administration (FDA) are equal or greater than such appropriations for FY 1992.  Credits such fees to the appropriation account for salaries and expenses of the FDA. Authorizes appropriations for FY 1993 through 1997. Provides a mechanism for collecting unpaid fees. Requires the FDA to make annual reports to the Congress on this Act. Requires the Secretary to conduct a study to evaluate whether to impose user fees to supplement appropriated funds to improve the process of reviewing applications for new animal drugs.   Requires a report to specified congressional committees on the results of such study. Title II:  Dietary Supplements - Dietary Supplement Act of 1992 - Requires the Secretary of Health and Human Services to issue final regulations with respect to dietary supplements of vitamins, minerals, herbs, or other similar nutritional substances under the Nutrition Labeling and Education Act of 1990 by December 15, 1993.  Prohibits the implementation of such Act prior to the issuance of such regulations. Prohibits the promulgation of regulations that require the use of, or are based upon, recommended daily allowances of vitamins or minerals before November 8, 1993. Requires the Secretary to report to specified congressional committees on enforcement practices of the FDA with respect to such dietary supplements. Requires the Comptroller General to report to such committees on a study of the management activities of the FDA related to such dietary supplements. Requires the Director of the Office of Technology Assessment, in cooperation with the Congressional Research Service and subject to the approval of the Technology Assessment Board to report to such committees on a study of the health outcomes and regulatory systems affecting the development and sale of such dietary supplements.",2024-02-05T14:30:09Z,
102-hr-6182,102,hr,6182,Mammography Quality Standards Act of 1992,Health,1992-10-06,1992-10-27,Became Public Law No: 102-539.,House,"Rep. Dingell, John D. [D-MI-16]",MI,D,D000355,4,"Mammography Quality Standards Act of 1992 - Amends the Public Health Service Act to require certification (or provisional certification) in order for a facility to perform or interpret mammograms, inspect equipment, or provide for the processing of mammography film.  Authorizes the Secretary of Health and Human Services to issue and renew certificates for a specified period of time. Provides for administrative appeals of certification denials. Allows the Secretary to approve a private nonprofit organization or State agency to be an accreditation body if it meets certain standards and provides certain assurances. Mandates standards to assure the safety and accuracy of mammograms, including regarding:  (1) quality assurance and control programs; (2)radiation dose; (3) equipment used; (4) licensing, certification, and training of personnel; and (5) recordkeeping and retention. Directs the Secretary to conduct annual inspections of certified facilities during regular hours of operation.  Requires notice of certain inspections.  Provides for waiver of certain inspection requirements. Provides for:  (1) directed plans of correction, on site monitoring costs payment, and civil money penalties; (2) suspension and revocation certificates; and (3) injunctions. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked or suspended, and facilities that have been the subject of a sanction or other similar matters. Establishes the National Mammography Quality Assurance Advisory Committee. Mandates grants to establish surveillance systems to evaluate breast cancer screening programs.  Authorizes grants for research on such systems. Empowers the Secretary to authorize a State to carry out certain certification program requirements and standards. Mandates fees to cover the costs of inspections. Authorizes appropriations to carry out this Act. Mandates a study of the certification program.",2024-02-05T14:30:09Z,
102-hr-6183,102,hr,6183,Federally Supported Health Centers Assistance Act of 1992,Health,1992-10-06,1992-10-24,Became Public Law No: 102-501.,House,"Rep. Wyden, Ron [D-OR-3]",OR,D,W000779,0,"Federally Supported Health Centers Assistance Act of 1992 - Amends the Public Health Service Act to include entities receiving Federal funds under provisions relating to migrant health centers, community health centers, or health services for the homeless, or health services for residents of public housing, and officers, employees, or certain contractors of such entities who are licensed or certified health 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.  Makes such actions the exclusive remedy against such entities and individuals. Subrogates to the United States any insurance claim such an entity or person has.  Terminates such inclusion after a specified date. Prohibits deeming such an entity to be an employee of the Public Health Service unless the entity has:  (1) implemented policies and procedures to assure against malpractice and the risk of lawsuits; (2) reviewed the professional credentials, claims history, and other information regarding its licensed health care practitioners; (3) no history of claims against the United States under these provisions, or has cooperated with the Attorney General in defending against such claims and has taken corrective action; and (4) has cooperated with the Attorney General in providing information relating to an estimate of expected claims. Empowers the Attorney General, if certain conditions are met, to determine that an individual physician or other practitioner 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 an annual estimate of the amount of claims expected to be paid and, subject to appropriations and a dollar maximum, establishment of a fund of that amount.",2024-02-05T14:30:09Z,
102-hr-6202,102,hr,6202,Medicaid and Department of Veterans Affairs Drug Rebate Amendments of 1992,Health,1992-10-06,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Slattery, Jim [D-KS-2]",KS,D,S000477,0,"Medicaid and Department of Veterans Affairs Drug Rebate Amendments of 1992 - Amends title XIX (Medicaid) of the Social Security Act to exclude the prices charged for prescription drugs purchased by the Departments of Defense and Veterans Affairs, the Indian and Public Health Services, or certain federally-funded clinics and public or private nonprofit hospitals from the calculation of best price procurement for purposes of application of Medicaid rebate agreements. Requires an agreement between the Secretary of Health and Human Services and a covered drug manufacturer limiting the purchase price of drugs procured by covered entities (the federally-funded clinics and public or private nonprofit hospitals referred to above). Provides that if the Secretary does not establish a certain mechanism under the Public Health Service Act below:  (1) each covered entity must inform the applicable State agency when it seeks reimbursement under Medicaid for covered drugs subject to an agreement (described below); and (2) such State agency must provide a means by which the entity must indicate on any claims form that the drug is subject to such agreement, and not submit to any manufacturer a claim for a rebate payment under Medicaid. Outlines requirements relating to master agreements for drugs procured by the Department of Veterans Affairs and certain other Federal agencies. Revises provisions respecting rebate agreement termination. Provides a new determination of the basic Medicaid rebate for single source and innovator multiple source drugs for specified calendar quarters beginning after September 30, 1992. Directs the Secretary to report to the Congress specified information relating to Medicaid best price changes and rebate payments.  Prohibits such reports from containing information or any prescription drug unless the Secretary finds that expenditures for the drug are significant expenditures under the Medicaid drug purchase and rebate program. Amends the Public Health Service Act to require an agreement between the Secretary and a covered drug manufacturer limiting the purchase price of drugs procured by covered entities (the federally-funded clinics and public and private nonprofit hospitals referred to above). Requires covered entities, in order to receive reduced prices, to: (1) take certain steps to avoid duplicative discounts or rebates; (2) refrain from reselling such purchased drug to a person who is not a patient of such entity; and (3) permit audits of records in order to determine agreement compliance.  Makes covered entities liable to the manufacturer for the full amount of any reduced price if the Secretary determines agreement noncompliance on the entity's part. Requires the Secretary to:  (1) establish a mechanism to ensure that covered entities comply with item (1) in the list above; (2) develop a process for the certification of certain covered entities; (3) establish a prime vendor program under which covered entities may enter into contracts with prime vendors for the distribution of covered outpatient drugs; and (4) notify covered drug manufacturers and single State agencies of the identities of covered entities. Requires the Secretary to study and report to the Congress on whether to include certain clinics as covered entities eligible for prescription drug discounts. Amends Federal veterans' benefit law to require agreements between the Secretary of Veterans Affairs and covered drug manufacturers limiting the purchase price of drugs procured by the Department of Veterans Affairs and certain other Federal agencies.  Provides for additional discounts for covered drugs purchased under the depot contracting system or listed on the Federal Supply Schedule.  Requires certain manufacturer reports to the Secretary on drug prices. Authorizes the Secretary to audit relevant manufacturer or wholesaler records.  Requires the Secretary to supply to the HHS Secretary the name of the manufacturer upon the execution or termination of any master agreement and, on a quarterly basis, a list of manufacturers who have entered into such agreements.",2025-08-26T15:18:25Z,
102-hconres-377,102,hconres,377,Expressing the sense of the Congress that any health insurance reform bill that is enacted should require that family and temporary medical leave be incorporated as a basic or elective option for plan participants under certain circumstances.,Health,1992-10-05,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Kaptur, Marcy [D-OH-9]",OH,D,K000009,0,"Declares that it is the sense of the Congress that any Act to address the health insurance needs of the U.S. people should require that paid or unpaid leave, as detailed in the Family and Medical Leave Act of 1992, be incorporated as a basic or elective option for specified events.",2026-03-23T12:41:21Z,
102-hjres-561,102,hjres,561,"Designating August 23, 1993, as ""National Health Unit Coordinator Day"".",Health,1992-10-05,1992-10-06,Referred to the Subcommittee on Census and Population.,House,"Rep. Kaptur, Marcy [D-OH-9]",OH,D,K000009,0,"Designates August 23, 1993, as National Health Unit Coordinator Day.",2024-02-06T20:04:02Z,
102-hr-6159,102,hr,6159,State Care Act of 1992,Health,1992-10-05,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Wyden, Ron [D-OR-3]",OR,D,W000779,0,"State Care Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, State Comprehensive Health Coverage And Cost Containment Demonstration Projects, establishing a program under which the Commission on  State-Based Comprehensive Health Care (established below) is required to select States to participate in health coverage and cost containment demonstration projects (State Care projects). Establishes the Commission on State-Based Comprehensive Health Care (the Commission) to review, approve, and oversee State Care projects. Authorizes appropriations. Requires States desiring to have State Care projects approved to establish a State Care Plan Development Board through which to develop such projects.  Exempts from this requirement States that have enacted comprehensive health care plans (State Care plans) within 12 months of enactment of this Act. Establishes Federal standards for approval of applications for grants for demonstrations in up to ten States. Specifies State Care plan requirements, including those for a standard benefit package, cost-control mechanisms, and quality control procedures.  Details the various items and services which constitute such package. Sets limits on the amount, scope, and duration of certain benefits under such package.  Details cost-sharing and provides for limits on out-of-pocket package expenses. Authorizes the Commission to award grants to States receiving approval of a State Care project application for:  (1) establishment of a data base infrastructure necessary to measure and evaluate State Care plan success in achieving cost containment and access goals; and (2) consolidation of health care budgeting, regulating, financing, and delivery responsibilities of the State. Authorizes appropriations. Sets forth provisions regarding the payment of expenditures for individuals eligible for Medicaid (SSA title XIX). Sets forth provisions governing the application of Medicare (SSA title XVIII) and ERISA (Employee Retirement Income Security Act of 1974) with respect to any approved State Care project. Requires periodic reports by the Commission to the Congress on the reforms undertaken in States participating in State Care projects, along with recommendations for increased Federal funding for reform initiatives.  Requires additional Commission reports on continued financing of State Care plans and, if no national, comprehensive health care system has been established, on establishing such a system that utilizes the experiences of State Care projects.",2026-03-23T12:41:21Z,
102-hr-6171,102,hr,6171,Action Now Health Care Reform Act of 1992,Health,1992-10-05,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Gradison, Willis D., Jr. [R-OH-2]",OH,R,G000349,0,"Action Now Health Care Reform Act of 1992 - Title I:  Improved Access to Affordable Health Care Coverage - Subtitle A:  Increased Affordability and Availability for Employees - Directs the Secretary of Health and Human Services (the Secretary) to request the National Association of Insurance Commissioners (the NAIC) to develop model regulations requiring each carrier that makes available in a State any small employer health benefit plan to make available to each small employer in the State a MedAccess basic plan and a MedAccess standard.  Directs the Secretary to develop such regulations, if the NAIC does not.  Defines MedAccess plan as a health benefits plan that:  (1) provides benefits typical of the benefits offered in the small employer health coverage market or provides only benefits for essential preventive and medical services and has an average actuarial value not exceeding 60 percent of the average actuarial value of the typical benefits offered in the small employer health coverage market; (2) accepts every small employer in the State applying for coverage and accepts for enrollment every eligible individual (defined as an individual who is a full-time employee and, if family coverage is offered, covers the employee's spouse and dependents under age 19 or under age 25 for students); and (3) meets consumer protection standards established by this Act relating to limitation of pre-existing  condition clauses, continuity of coverage, renewability, and premium limitations. Prohibits the imposition, by a carrier, of a limitation of benefits based on the fact a condition pre-existed the effectiveness of the policy if:  (1) the condition relates to a condition not diagnosed within three months before coverage under the plan; (2) the limitation extends beyond six months after coverage under the plan; (3) the limitation applies to an individual who, as of date of birth, was covered under the plan; and (4) the limitation relates to pregnancy.  Requires continuous coverage.  Prohibits cancellation of a plan or denial of coverage unless there is:  (1) nonpayment of premiums; (2) fraud; (3) noncompliance with plan provisions; (4) failure to maintain the required number of enrollees; (5) misuse of a provider network provision; or (6) a cessation by the carrier of the provision of any plan in a State.  Amends the Internal Revenue Code to impose an excise tax which shall be paid by the carrier on the failure of a carrier or an employer health benefit plan to comply with the provisions of the Act. Directs the Secretary to request the NAIC to develop models for reinsurance or allocation of risk mechanisms for individuals and small employers who are enrolled under a small employer health benefit plan that meets the consumer protection standards and for whom a carrier is at risk of incurring high costs under the plan.  Requires each State to establish and fund one or more reinsurance or allocation or allocation of risk mechanisms that are consistent with a model.  Directs the Secretary to develop models, if the NAIC does not. Permits a State, in order to insure the financial solvency of the mechanism, to impose charges on any entity, including a self-insured entity, providing employee-related health benefits, so long as such charges do not discriminate with respect to entities that would not be subject to such charges.  Directs the Secretary to establish a reinsurance or allocation of risk mechanism, if a State does not.  Imposes an excise tax which shall be paid by the carrier on the providing of any health benefit plan which covers any employee in a Federal reinsurance State. Permits either a State or the Secretary (in a Federal reinsurance State) to require each employer health benefit plan to:  (1) be registered; and (2) provide such information as is necessary for the reinsurance or allocation of risk mechanisms. Directs the Secretary to:  (1) establish an Office of Private Health Coverage to be headed by a Director appointed by the Secretary; and (2) provide for the appointment of an advisory committee to advise the Director.  Permits the Director to research the impact of this subtitle and conduct related demonstration projects. Requires the Director to develop:  (1) methods of measuring, in terms of the expected costs of providing benefits under small employer health benefit plans and, in particular, MedAccess plans, the relative health risks of eligible individuals; and (2) a model for equitably distributing health risks among carriers in the small employer health care coverage market.  Authorizes appropriations for the purposes of this paragraph. Subtitle B:  Improved Small Employer Purchasing Power of Affordable Health Insurance - Preempts from insurance mandates a qualified small employer purchasing group, if the group consists of employers with not more than 100 employees, the group consists of not fewer than 100 employers, and the health benefit plans with respect to the employer members are in compliance with applicable State laws relating to health benefit plans. Subtitle C:  Health Deduction Fairness - Amends the Internal Revenue Code to make permanent and, in phases, increase from 25 to 100 percent the health insurance tax deduction for the self-employed. Subtitle D:  Improved Access to Community Health Services - Directs the Secretary to provide for a program of grants to migrant and community health centers receiving grants or contracts under provisions of the Public Health Service Act in order to promote the provision of primary health care services for underserved individuals.  Authorizes appropriations. Amends the Public Health Service Act to deem as an employee of the Public Health Service, for purposes of civil actions against commissioned officers or employees, any officer, employee, or contractor who is a physician or other licensed health care practitioner while performing functions for an entity receiving Federal funds under provisions of the Public Health Service Act relating to migrant or community health centers, health services for the homeless, or health services for residents of public housing. Requires an entity, in order to receive a grant under such provisions, to implement certain policies to assure against malpractice.  Requires:  (1) the Attorney General to estimate, for specified fiscal years, the amount of all claims expected, during each year, to arise against such an entity from acts of officers or employees; (2) the Secretary to withhold from grants to such entities the amount estimated; and (3) the withheld amount to be transferred to the Treasury to pay judgments against the United States arising from such claims. Directs the Secretary to make grants to public and nonprofit private entities to carry out demonstration projects for the purpose of increasing access to outpatient primary health services in geographic areas with a: (1) population of not more than 500,000 individuals; (2) shortage of personal health services; and (3) significant number of low-income or underinsured individuals.  Sets forth requirements for receiving such grants.  Authorizes appropriations. Subtitle E:  Improved Access to Rural Health Services - Retitles title XII of the Public Health Service Act ""Emergency Medical Services"" (formerly, ""Trauma Care"") and directs the Secretary to establish the Office of Emergency Medical Services which shall, with respect to emergency medical services (including trauma care):  (1) conduct research; (2) sponsor workshops; (3) assist States; and (4) coordinate activities.  Authorizes the Secretary to make grants to States for the purposes of improving the availability and quality of emergency medical services through the operation of State offices of emergency medical services.  Sets forth matching fund requirements.  Provides for demonstration projects to establish telecommunications between rural medical facilities and other medical facilities that have equipment that can be utilized through telecommunications.  Authorizes appropriations for purposes of the programs of this paragraph. Directs the Secretary to make grants to States to assist in the creation or enhancement of air medical transport systems that provide victims of medical emergencies in rural areas access to treatments for the injuries or other conditions arising from such emergencies. Sets forth requirements for grant applications.  Authorizes appropriations.  Amends title XVIII (Medicare) of the Social Security Act to extend for one year special treatment rules for Medicare-dependent small rural hospitals. Title II:  Health Care Cost Containment and Quality Enhancement - Subtitle A:  Medical Malpractice Liability Reform - Prohibits bringing a medical malpractice claim:  (1) more than two years after the alleged injury should reasonably have been discovered and in no event more than four years after the alleged injury occurred; and (2) in any State court unless there has been an initial resolution through a certified alternative dispute resolution system (ADR).  Directs the Attorney General to establish an ADR for the resolution of Federal medical malpractice claims, to be used after completion of the administrative process under specified provisions. Requires a pre-trial settlement conference in any medical malpractice liability action. Sets limits on:  (1) noneconomic damages; (2) punitive damages; and (3) attorney's fees.  Requires offsets for damages paid by a collateral source. Requires liability in a medical malpractice action to be several and not joint. Provides a complete defense to any allegation of negligence in a medical malpractice liability action to any defendant who followed the appropriate practice guideline. Prohibits finding a defendant guilty in a medical malpractice liability action relating to services provided during labor or delivery of a baby if the defendant did not previously treat the plaintiff during the pregnancy, unless the malpractice is proven by clear and convincing evidence. Establishes requirements for and provides for annual certification of State ADRs.  Directs the Secretary to establish an alternative Federal ADR for claims in States without certified ADRs. Amends title XI (General Provisions and Professional Standards Review) of the Social Security Act to earmark funds for sanctioning practice guidelines for purposes of an affirmative defense in medical malpractice liability actions. Permits a State agency responsible for the conduct of disciplinary actions for a type of health care practitioner to enter into agreements with State or county professional societies for such type of health care practitioner to permit such societies to participate in the licensing of such health care practitioner and to review health care malpractice allegations. Requires each State to require each health care professional and provider to participate in a risk management program to prevent and provide early warning of practices which may result in injuries to patients or which otherwise endanger patient safety. Directs the Secretary to make grants for the conduct of basic research in the prevention of and compensation for injuries resulting from health care professional or health care provider malpractice, and research of the outcomes of health care procedures.  Authorizes appropriations. Directs the Secretary to study the factors discouraging physicians from volunteering to provide health care services in medically underserved areas. Subtitle B:  Administrative Cost Savings - Directs the Secretary to adopt standards relating to each of the following:  (1) data elements for use in claims processing under health benefits plans; (2) uniform claim forms; and (3) uniform electronic transmission of the data elements.  Authorizes the Secretary to require providers to submit claims to health benefit plans in accordance with such standards.  Provides for periodic review of the standards. States that the term ""health benefit plan,"" in this subtitle, includes the Medicare and Medicaid programs (titles XVIII and XIX of the Social Security Act) programs and Medicare supplemental health insurance. Requires the Secretary to promulgate standards for hospitals concerning electronic medical data.  Permits the Secretary to promulgate standards concerning electronic medical data for providers that are not hospitals.  Requires hospitals, in order to participate in Medicare, to:  (1) maintain clinical data in a set of comprehensive data elements in electronic form on all patients; and (2) upon the Secretary's request, transmit electronically the data set and any data from such set.  Provides for electronic transmission to Federal agencies.  Prohibits a health benefit plan, if standards with respect to data elements are promulgated with respect to a class of provider, from requiring for the purpose of utilization review or as a condition of providing benefits under the plan that a provider in the class:  (1) provide any data element not in the set of comprehensive data elements; or (2) transmit or present any such data element in a manner inconsistent with applicable standards.  Directs the Secretary to establish an advisory commission of hospital executive and data base managers, physicians, health services researchers, and technical experts in the collection and use of data and operation of data systems.  Authorizes appropriations for such commission. Requires the Secretary, in order to assure the availability of comparative value information to purchasers of health care in each State, to determine whether each State is developing and implementing a health care value information program that meets stated criteria. Permits grants to a State for the development of its health care value information program.  Authorizes appropriations for such grants. Requires the head of each Federal agency with responsibility for the provision of health insurance or health care services to individuals to promptly develop health care value information relating to each program that such head administers.  Directs the Secretary to develop model systems to facilitate:  (1) the gathering of data on health care cost, quality, and outcome; and (2) analyzing such data to permit the valid comparison of such data.  Authorizes appropriations for the development of such model systems. Directs the Secretary to adopt standards relating to the design and use of magnetized Medicare identification cards for the purpose of assisting health care providers in determining eligibility and billing. Authorizes appropriations. Nullifies any State law requiring that medical or health insurance records be maintained in written rather than electronic form. Requires each health benefit plan:  (1) for each of its beneficiaries that has a social security number, to use that number as an identification number for claims processing; and (2) for each provider that has a unique identifier for Medicare purposes, to use that identifier for claims processing. Requires the Secretary to determine whether problems relating to the rules for determining liability when benefits are payable under two or more plans or the availability of information among such plans causes significant administrative problems, and if so, directs the Secretary to promulgate standards concerning liability and the transfer of information among plans. Directs the Secretary to provide grants to qualified entities to demonstrate the application of comprehensive information systems in continuously monitoring patient care and in improving patient care. Authorizes appropriations from the Federal Hospital Insurance Trust Fund. Subtitle C:  Medical Savings Accounts (Medisave) - Amends the Internal Revenue Code to exclude from the gross income of an employee any amount contributed by the employer to a medical savings account pursuant to a qualified medical savings account plan.  Sets contribution limits.  Defines a ""medical savings account"" as a trust created exclusively for purpose of paying an individual's medical expenses.  Permits expenses from such account only to the extent such amounts are not compensated for by insurance.  Imposes a penalty on distributions not used for that individual's medical expenses. Subjects the employee to taxation as owner of the account. Subtitle D:  Medicaid Program Flexibility - Amends title XIX (Medicaid) of the Social Security Act to modify Medicaid contracting requirements for coordinated care services. Subtitle E:  Limitations on Physician Self-Referrals - Amends title XVIII (Medicare) of the Social Security Act to extend physician self-referral limitations to all payors as well as to certain additional services.  Revises exceptions. Requires the Secretary to conduct a study in order to estimate the changes in aggregate costs for designated health services, under the Medicare program and other health plans, which will result from the implementation of the amendments made by this subtitle. Subtitle F:  Removing Restrictions on Managed Care - Preempts managed care restrictions under State law. Requires the Comptroller General to conduct a study of the benefits and cost effectiveness of the use of managed care in the delivery of health services. Subtitle G:  Medicare Payment Changes - Amends the Medicare program to make revisions in the methodology for determining updates to Medicare hospital payments. Provides for a reduction in Medicare payment for clinical diagnostic laboratory tests. Subtitle H:  Limitation of Antitrust Recovery for Certain Hospital Joint Ventures - Limits antitrust recovery to actual damages if the requirements of this subtitle are met, including the filing and publication of certain information regarding hospital joint ventures. Establishes the Interagency Committee on Competition, Antitrust Policy, and Health Care to make recommendations to the Congress regarding antitrust and health care. Subtitle I:  Encouraging Enforcement Activities of Medical Self-Regulatory Entities - Prohibits damages, interest on damages, costs, or attorney's fees from being recovered (except for actual damages, interest on damages, costs, or attorney's fees for injury sustained) under the Clayton Act or any similar State law from any medical self-regulatory entity as a result of engaging in standard setting or enforcement activities designed to promote the quality of health care provided to patients and not conducted for financial gain.",2026-03-23T12:41:21Z,
102-hr-6175,102,hr,6175,Medical School Assistance Entitlement Act,Health,1992-10-05,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Stark, Fortney Pete [D-CA-9]",CA,D,S000810,0,"Medical School Assistance Entitlement Act - Amends the Public Health Service Act to replace provisions relating to the Federal program of insured loans to graduate students in health professions schools with provisions entitling eligible individuals to payments for medical or osteopathic school attendance costs from the Trust Fund established by this Act.  Limits lifetime payments. Amends the Internal Revenue Code to impose an additional individual income tax on any individual (and the individual's spouse) who received such payments.  Establishes the Medical School Assistance Trust Fund, appropriating to it the taxes imposed by this Act.  Authorizes appropriations to the Trust Fund, as repayable advances, as necessary to make the payments.",2025-08-26T15:17:48Z,
102-hr-6178,102,hr,6178,Antiprogestin Testing Act of 1992,Health,1992-10-05,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Wyden, Ron [D-OR-3]",OR,D,W000779,2,"Antiprogestin Testing Act of 1992 - Directs the Secretary of Health and Human Services to conduct and support research, including clinical trials, on antiprogestin drug safety and efficacy for any potential use, including termination of pregnancy, contraception, and therapeutic use for cancer, endocrine disorders, and endometriosis.  Makes the research subject to provisions relating to institutional review boards and peer review.",2025-08-26T15:15:38Z,
102-s-3328,102,s,3328,Civilian Ex-Prisoner of War Health and Disability Benefits Act of 1992,Health,1992-10-05,1992-10-05,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Kennedy, Edward M. [D-MA]",MA,D,K000105,6,Civilian Ex-Prisoner of War Health and Disability Benefits Act of 1992 - Entitles a former civilian prisoner of war (POW) to receive necessary medical care and disability benefits for any injury or disability resulting from the period of internment or hiding.  Requires any presumptive medical and dental condition related to a period of internment provided for former military POWs to be extended to former civilian POWs and requires that it be considered to have been incurred in or aggravated by the period of internment or hiding regardless of the absence of any record of the injury. Establishes an advisory committee to be known as the Former Civilian Prisoner of War Committee.,2025-08-26T15:13:51Z,
102-s-3331,102,s,3331,MediCORE Health Act of 1992,Health,1992-10-05,1992-10-05,Read twice and referred to the Committee on Finance.,Senate,"Sen. Jeffords, James M. [R-VT]",VT,R,J000072,0,"MediCORE Health Act of  1992 - Title I:  Eligibility and Enrollment - Makes each legal resident of the United States eligible for CORE SERVICES through a MediCORE card under a State program. Title  II:  Administration by Federal MediCORE Board - Establishes within the Department of Health and Human Services a Federal MediCORE Board to be responsible for the overall administration of this Act and for the oversight of State compliance with this Act, as well as the development of CORE SERVICES and of specific State guidelines. Requires the Board to:  (1) publish and make available to each State a Model MediCORE Administration Manual; and (2) establish and administer the operation of a National Data Bank System with health care data and information. Specifies various health care studies to be conducted by the Board. Requires an annual report to the appropriate congressional committees on the state of the Nation's health care services. Title III:  CORE SERVICES - Requires the Board to provide for CORE SERVICES that include:  medically necessary services, Medicare services, supplemental benefits, preventive health care services, long-term health, custodial or personal assistance, and catastrophic care. Amends the Child Nutrition Act to authorize appropriations for the special supplemental food program. Title IV:  Federal MediCORE Guidelines - Establishes requirements for Federal MediCORE guidelines to be developed and implemented by the Board. Title V:  Approval and Oversight of State Programs - Grants approval and oversight authority to the Board over State programs. Title VI:  MediCORE Budget - Requires the Board to prepare an annual MediCORE Budget which provides each approved State program with health care revenue sharing payments. Established the MediCORE Trust Fund to make such payments. Provides funding for such Trust Fund through appropriations, the transfer of certain taxes, and the transfer of funds from social security trust funds. Amends the Internal Revenue Code to impose a tax on employees and employers to provide for health care revenue sharing. Imposes a MediCORE tax on individuals.  Makes other tax changes to conform to provisions of this Act. Title VII:  Preparation and Submission of MediCORE Budget to Congress - Requires the Board to annually submit a MediCORE budget report to the Congress. Title VIII:  Effective Date; Repeals; Transition; Relation to ERISA - Establishes the effective date for the MediCORE program. Repeals certain Acts and laws to conform to such program. Authorizes appropriations. Supersedes provisions of the Employee Retirement Income Security Act to the extent inconsistent with this Act.",2025-08-26T15:17:31Z,
102-s-3337,102,s,3337,Better Pharmaceuticals for Children Act,Health,1992-10-05,1992-10-05,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Kassebaum, Nancy Landon [R-KS]",KS,R,K000017,2,"Better Pharmaceuticals for Children Act - Amends the Federal Food, Drug, and Cosmetic Act to regulate the effective date of the approval of certain new drug applications (including abbreviated new drug applications) when pediatric studies of the drug are involved.",2025-08-26T15:14:50Z,
102-s-3340,102,s,3340,A bill to amend title XIX of the Social Security Act to improve the program related to home and community based care.,Health,1992-10-05,1992-10-05,Read twice and referred to the Committee on Finance.,Senate,"Sen. Pryor, David H. [D-AR]",AR,D,P000556,1,Amends title XIX (Medicaid) of the Social Security Act wht respect to the home- and community-based care program to:  (1) revise income and disability eligibility requirements; (2) limit the number of States which may participate in such program; (3) permit States to limit the number of individuals who may receive program services; and (4) revise application of Medicaid spousal impoverishment rules to spouses of individuals receiving program services.,2025-01-14T18:59:41Z,
102-s-3348,102,s,3348,Health Care Access and Affordability Act of 1992,Health,1992-10-05,1992-10-05,Read twice and referred to the Committee on Finance.,Senate,"Sen. Hatch, Orrin G. [R-UT]",UT,R,H000338,4,"Health Care Access and Affordability Act of 1992 - Title I: Social Security Act Provisions - Subtitle A:  Small Employer Insurance Reform - Part I:  Tax Deductible Health Insurance Costs - Amends the Internal Revenue Code to increase the deductible for health insurance costs for self-employed individuals from 25 percent to 100 percent.  Makes such deduction permanent. Part II:  Standards and Requirements of Small Employer Health Insurance Reform - Amends the Social Security Act to add a new title XXI, Standards For Small Employer Health Insurance and Certification Of Managed Care Plans.  Directs the Secretary of Health and Human Services (HHS) to request that the National Association of Insurance Commissioners (NAIC) develop specific standards to implement specified requirements for health insurance plans issued to small employers that relate to:  (1) insurer registration; (2) guaranteed eligibility, availability, and renewability; (3) preexisting conditions; (4) restrictions on rating practices; and (5) benefit package offerings. Provides that if NAIC fails to develop such standards or the Secretary finds that they do not implement such requirements, the Secretary must develop such standards. Provides that if a State has not established a regulatory program that provides for the application and enforcement of such standards, the Secretary must certify the compliance of small employer plans with them. Part III:  Tax Penalty on Noncomplying Insurers - Amends the Internal Revenue Code to impose an excise tax on the issuer of a health insurance plan to a small employer if the issuer fails to meet the requirements of title XXI of the Social Security Act (as added by this Act).  Establishes such tax as 25 percent of the gross premiums received by the issuer.  Makes such tax nondeductible. Subtitle B:  Medicare and Medicaid Provisions - Part I:  Medicare - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary to establish an experimental program offering certain Medicare beneficiaries a choice among specified types of benefit options.  Directs the Secretary to evaluate the experimental program and report to the Congress annually on the program's effectiveness. Provides for combined annual accounting of Medicare part A and B trust funds. Directs the Secretary to provide for the establishment of an Advisory Council on Hospital Reimbursement Procedures to recommend to the Secretary a uniform hospital reimbursement form as the sole form for the Health Care Financing Administration to use in processing claims submitted under Medicare.  Specifies form contents. Requires a Council report on electronic billing.  Requires the Secretary to develop such a form if the Council fails to make such a recommendation. Directs the Secretary to:  (1) provide for demonstration projects to provide for the designation of certain medical procedures which will only be reimbursed if performed at a Medicare center of excellence; (2) develop a Medical Directive and Proxy Designation form and provide for a registry within HHS for such forms; and (3) notify providers and Medicare-eligible individuals of the availability of such form. Part II:  Medicaid - Directs the Secretary to:  (1) make grants to States for demonstration projects for improving access to Medicaid (SSA title XIX) services in medically underserved areas, providing medical assistance under Medicaid to certain uninsured individuals, providing outreach activites to individuals who may be eligible for certain medical assistance, and reducing infant mortality; and (2) report to the Congress on such projects.  Authorizes appropriations. Title II:  Public Health Service Act Provisions - Amends the Public Health Service Act to mandate a public education program on disease prevention through behavior change, preventive care, and screening.  Authorizes appropriations. Modifies the authorization of appropriations for community health centers, earmarking certain funds for the establishment of new centers. Requires the National Health Service Corps to revise its priorities in assigning members.  Specifies new criteria.  Authorizes appropriations. Establishes in the National Institute on Aging the Center for the Fostering of Independent Living to conduct and support applied research, both social and scientific.  Requires the Center to publish a Guide to Independent Living.  Authorizes appropriations. Mandates development of a system to produce comprehensive reports under title IX (Agency for Health Care Policy and Research) of the Public Health Service Act concerning the performance of local and regional health care markets. Title III:  Permanent Health Care Reform - Consumer Choice Health Care Reform Act of 1992 - Subtitle A:  Tax Treatment of Health Care Expenses - Amends the Internal Revenue Code to allow a credit for premiums paid by a qualified individual (excludes a federally covered individual) on an employer-sponsored health insurance plan.  Specifies the limitations on such health expenses credit.  Allows employers to make advance payments of such credit to employees with a health care expenses eligibility certificate. Terminates the medical expense deduction and the health insurance credit after December 31, 1994. Allows an individual a deduction for a percentage of employer-provided health insurance premiums and allows such deduction in computing adjusted gross income. Repeals the current income exclusion for employer contributions to accident and health plans. Limits the business deduction for employer-provided health insurance premiums to computations based upon the number of employees and the national average premium. Allows individuals a tax deduction for contributions made to a medical care savings account established for the benefit of an eligible individual.  Adjusts such deduction for inflation after 1994. Allows such deduction in arriving at adjusted gross income. Establishes an excise tax for excess contributions to medical care savings accounts and makes such accounts subject to the tax on prohibited transactions. Subtitle B:  Health Insurance Requirements - Sets forth requirements for employers for withholding health insurance premiums of employees, notifying employees of tax rights with respect to such premiums, converting non-self-insured plans, and selling, transferring, or reassigning existing self-insured plans. Amends the Internal Revenue Code to impose a tax on the failure to notify employees of the option to convert a non-self-insured plan to a federally qualified health insurance plan. Imposes a tax on the failure of a carrier offering a health insurance plan to comply with requirements with respect to self-insured plans. Revises provisions covering continuation coverage requirements of group health plans and requires such coverage for a maximum of 60 months. Subtitle C:  State Plan Requirements - Requires States, as a condition of receiving Federal funds for health care programs after December 31, 1994, to meet specified requirements concerning:  (1) health plans for the uninsured; (2) enrollment; and (3) monitoring. Subtitle D:  Federal Preemption - Preempts all State laws in existence on January 1, 1995, in the following areas for five years: (1) mandated insurance laws; (2) anti-managed care laws; (3) mandated cost-sharing laws; and (4) certificate of need laws. Subtitle E:  Medicaid Reform - Amends title XIX (Medicaid) of the Social Security Act to:  (1) set the Federal medical assistance percentage for any State at 100 percent (excluding long-term care assistance); (2) provide Medicaid coverage for all individuals with income at the poverty level; and (3) authorize the HHS Secretary to award grants to States for the provision of long-term care to Medicaid-eligible individuals. Title IV:  Antitrust Provisions - Subtitle A:  Modification of the Operation of the Antitrust Laws to Hospitals - Provides that it shall not be unlawful under the antitrust laws for two or more hospitals to engage in conduct solely for the purpose of negotiating a proposed agreement (including the sharing of data) to share expensive medical services or expensive high technology equipment. Authorizes the Secretary of Health and Human Services to issue waivers to exempt such conduct from the operation of the antitrust laws, subject to specified requirements. Provides that, to be eligible to receive such a waiver, two or more hospitals must submit to the Secretary an application that contains a proposed agreement that only:  (1) provides that such hospitals shall share the expensive medical services or high technology equipment identified in such agreement; (2) specifies the period of time during which such agreement shall be in effect; and (3) describes the particular medical services or high technology equipment to be shared.  Directs the Secretary, in evaluating the application, to consider whether implementation of such agreement will result in enhancement of the quality of hospital or hospital-related care, the preservation of hospital services in geographical proximity to the communities traditionally served by the applicants, improvement in the cost-effectiveness of high-technology services provided by the applicants, improvement in the efficient utilization of hospital resources and capital equipment, the provision of services that would not otherwise be available, or the avoidance of duplication of hospital resources. Sets forth:  (1) provisions regarding the issuance and effect, and revocation, of a waiver; and (2) reporting requirements. Subtitle B:  Encouraging Enforcement Activities of Medical Self-Regulatory Entities - Prohibits the recovery of damages, interest on damages, costs, or attorney fees under provisions of the Clayton Act relating to suits by persons injured, by the United States, and by State attorneys general, or under similar State laws, from any medical self-regulatory entity as a result of engaging in standard setting or enforcement activities designed to promote the quality of health care provided to patients. Directs any Federal agency engaged in the establishment of medical professional standards to consult with and use appropriate medical self-regulatory entities, if available, in carrying out standard setting and related regulatory activities. Subtitle C:  Interagency Committee - Establishes the Interagency Committee of Health Care Reform and Antitrust Policy to coordinate policy regarding health care reform and antitrust policy, and to make recommendations to the Congress regarding achieving both health care cost containment and greater access to quality health care through cooperation among health care providers. Title V:  Medical Malpractice Reform - Subtitle A:  General Provisions - Sets forth findings and definitions. Subtitle B:  Grant Programs - Mandates grants to States for medical malpractice alternative dispute resolution systems.  Describes fault-based, defined catastrophic injury compensation, early offer and recovery mechanism, and binding arbitration approaches.  Allows other approaches. Requires:  (1) grants for basic research on the prevention of and compensation for injuries from health care professional or provider malpractice; (2) grants for the licensing and discipline of health care professionals; (3) technical assistance to States for evaluation of medical practice acts and procedures, malpractice detection, and discipline; and (4) grants for educating the public regarding appropriate use of health care, realistic expectations, the resources and role of licensing and disciplinary boards, and faculty training and curricula. Mandates allotments to States for the grants under this title. Authorizes appropriations. Subtitle C:  Health Care Malpractice Dispute Reform - Applies these provisions to all Federal or State medical malpractice actions. Limits lump sum future damages award dollar amounts. Mandates collateral source payment reductions.  Limits the dollar amount of noneconomic damages.  Sets forth time limitations for initiating actions.  Preempts certain types of State laws regarding these requirements. Amends title XVIII (Medicare) of the Social Security Act to require:  (1) allocation of all practitioner licensing or certification fees to a disciplinary agency; (2) each service provider and medical liability carrier to have a malpractice risk management program; and (3) review by professional societies of malpractice claims. Amends the Public Health Service Act to mandate a grant to an entity that represents recipients of assistance under provisions relating to migrant and community health centers for development of a business plan and establishment of a nationwide risk retention group.  Authorizes appropriations for the grant and for capitalization. Title VI: Miscellaneous Provisions - Establishes in the Department of Health and Human Services the President's Council on Senior Fitness. Directs the Secretary, through the President's Council on Physical Fitness and Sports, to implement programs to promote healthy lifestyle choices.  Authorizes appropriations.",2025-08-26T15:13:37Z,
102-s-3350,102,s,3350,National Organ Donor and Awareness Campaign Act of 1992,Health,1992-10-05,1992-10-05,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Adams, Brock [D-WA]",WA,D,A000031,0,"National Organ Donor and Awareness Campaign Act of 1992 - Mandates a national campaign to increase public awareness of organ transplantation, including development of a national clearinghouse. Requires research on the process by which individuals listed in the Organ Procurement and Transplantation Network are selected and other matters relating to public education and promotion regarding organ donation. Amends the Public Health Service Act (PHSA) to establish a Network advisory committee.  Increases the Network's annual funding cap. Modifies Network functions and its board of director's composition. Amends block grant provisions of the PHSA to mandate payments to health care facilities for the dispensing of immunosuppressive drugs to eligible transplant recipients.  Authorizes appropriations. Amends title XVIII (Medicare) of the Social Security Act to remove the one-year limitation on coverage of immunosuppressive drugs. Amends the PHSA to require, in making grants and contracts to increase the number of organ donors, inclusion of projects encouraging procurement from minority communities (including cultural, racial, and language minorities) and from other communities with below average donation rates.  Authorizes appropriations.",2025-08-26T15:16:04Z,
102-hr-6122,102,hr,6122,Prescription Drug Fraud Deterrence Act of 1992,Health,1992-10-03,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Stark, Fortney Pete [D-CA-9]",CA,D,S000810,0,"Prescription Drug Fraud Deterrence Act of 1992 - Amends the Controlled Substances Act to direct the Attorney General to establish a system for the filling of prescriptions required by provisions relating to Schedules II through V, but allowed to be made orally.",2025-08-26T15:17:57Z,
102-hr-6096,102,hr,6096,Ambulatory Care Quality Improvement Act of 1992,Health,1992-10-02,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Wyden, Ron [D-OR-3]",OR,D,W000779,0,Ambulatory Care Quality Improvement Act of 1992 - Directs the Secretary of Health and Human Services to establish a program under which ambulatory surgery facilities and ambulatory emergecy care facilities are certified to assure that health care services are safely and effectively performed in such facilities.  Sets forth certification requirements. Requires the Secretary to regularly inspect such facilities and approve accreditation organizations. Provides judicial review provisions for facilities which have had their certifications withdrawn or suspended. Requires the Comptroller General to study the Social Security program and State quality assurance programs for ambulatory surgery and emergency care facilities for comparisons with programs under this Act and report to specified congressional committees with findings. Authorizes the Secretary to require fee payments to cover the cost of developing and administering the certification program.,2025-08-26T15:15:43Z,
102-hr-6100,102,hr,6100,American Consumers Health Care Reform Act of 1992,Health,1992-10-02,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Gekas, George W. [R-PA-17]",PA,R,G000121,0,"American Consumers Health Care Reform Act of 1992 - Title I: Immediate Health Care Reforms - Subtitle A:  Expansion of Medicaid Program - Amends title XIX (Medicaid) of the Social Security Act to mandate Medicaid eligibility for all residents of a State:  (1) who are U.S. citizens or nationals or lawful resident aliens; (2) whose income does not exceed specified percentages of the poverty level, increasing those percentages between the first and second effective fiscal years; and (3) whose resources do not exceed the limits set by title XVI (Supplemental Security Income) of the Social Security Act. Terminates, two years after this Act becomes effective, payments to States (and State obligations to provide assistance) under Medicaid, except for outpatient prescription drugs and biologicals, home health care, nursing facility services, community supported living, home and community-based services, and other items and services that relate to long-term care and are not covered under Medicaid provisions added by this Act. Includes in the assistance made available under this Act assistance for the same amount, duration, and scope as under certain Medicaid provisions relating to medical assistance, except for nursing facility or home health care services. Regulates cost-sharing:  (1) prohibiting it for services related to pregnancy, preventive services, or services to children under 19; (2) limiting it for individuals whose income is under 50 percent of the poverty level; (3) specifying copayment amounts for other services and individuals; and (4) limiting total cost-sharing per year. Phases in an increased Federal medical assistance percentage (FMAP) for acute care services and a modified FMAP for items and services other than acute care services. Prohibits assistance under these provisions and the increased FMAP unless the State continues to provide home health care and nursing facility services. Directs the Secretary of Health and Human Services to develop standards for State long-term care plans under existing Medicaid provisions at the end of a specified transition period. Mandates a report on the impact on States of the FMAP decrease for outpatient prescription drugs. Amends Medicaid provisions to establish a Federal medical assistance program regarding acute care services for poor individuals and certain assistance for Medicare (title XVIII of the Social Security Act) cost-sharing for certain Medicare beneficiaries.  Authorizes appropriations to carry out the provisions relating to the new program and such Medicare assistance. Mandates payment for items and services furnished to:  (1) U.S. citizens, nationals, or lawful resident aliens; (2) whose incomes do not exceed specified percentages of the poverty level, increasing those percentages in the third through fifth effective fiscal years; and (3) whose resources do not exceed a specified level. Mandates payment for Medicare cost-sharing for:  (1) Medicare beneficiaries; (2) disabled and working individuals, as defined in specified provisions; and (3) individuals who would be Medicare beneficiaries but for their income being between 100 and 120 percent of the poverty line. Specifies covered services, including certain:  (1) inpatient and outpatient hospital services; (2) consistent with State law, rural health clinic services; (3) other laboratory and X-ray services; (4) screening, diagnostic, and treatment services; (5) family planning services and supplies; (6) physician's services; (7) medical and surgical services furnished by a dentist; (8) nurse-midwife services; and (9) pediatric or family nurse practitioner services.  Excludes certain nursing facility and home health care services.  Prohibits fixed limitations on the amount, duration, and scope of medically necessary services. Phases in, over two years, a requirement that payment rates for such services be the same under Medicaid as under Medicare.  Mandates adjustment of such payment rates for demographic and geographic characteristics. Limits payments for such services based on Medicare participation conditions and agreements. Regulates cost-sharing:  (1) prohibiting it for services related to pregnancy, preventive services, or services to children under 19; (2) limiting it for individuals whose income is under 50 percent of the poverty level; (3) specifying copayment amounts for other services and individuals; and (4) limiting total cost-sharing per year. Requires:  (1) eligibility for these services to be determined by the same entity in a State that determines eligibility for benefits under title XVI (Supplemental Security Income) of the Social Security Act; and (2) payment to providers to be made through the same entity or entities that make provider payments under Medicare, as amended by this Act. Mandates encouragement of the development and application of managed care arrangements to the provision of such services, including primary care case-management arrangements, health maintenance organizations, and competitive medical plans. Requires comprehensive managed care arrangements to include capitation payments at a level equivalent to payments that would be made for individuals not enrolled in such an arrangement. Requires State maintenance of effort, phasing in over nine years an increased Federal percentage and phasing out over the same period the FMAP for services not covered. Mandates a study on the effect of the State maintenance of effort requirements on different States and on the relation of the total amount of maintenance of effort to the long-term care needs in each State. Subtitle B:  Medicare Reform - Directs the Secretary of Health and Human Services to take steps to consolidate the administration of Medicare parts A (Hospital Insurance) and B (Supplementary Medical Insurance) over a five-year period, contracting with a single entity that combines the intermediary and carrier functions in each area, except where special regional or national contracts are appropriate. Mandates development of payment proposals that eliminate inconsistent incentives under Medicare. Subtitle C:  Health Benefit Plan Reform - Part 1:  Preemption of State Mandatory Benefit Laws and Anti-Managed Care Laws - Preempts State laws, as applied to a qualified small employer (not over 100 employees) purchasing group (having at least 100 employer members per State): (1) requiring the offering, by an employer member, of any health benefit plan services, category of care, or services of any class or type of provider; or (2) prohibiting a group of employers from purchasing health insurance with respect to member employers or their employees. Preempts State laws:  (1) restricting carriers from negotiating provider reimbursement rates or contracting selectively with one provider or a limited number of providers; (2) limiting the financial incentives a health benefit plan may require a beneficiary to pay when a non-plan provider is used on a non-emergency basis; or (3) restricting utilization review in certain ways.  Requires the Comptroller General to study the benefits and cost effectiveness of the use of managed care in the delivery of services.  Ends the preemptions mandated by this paragraph five years after enactment of this Act. Part 2:  Restriction on Pre-Existing Condition Provisions for Employer Health Insurance - Prohibits a carrier from imposing certain preexisting condition limitations or exclusions.  Requires carriers to waive a preexisting condition waiting period in certain circumstances. Part 3:  Small Employer Insurance Market Reforms - Requires a carrier that offers a small employer health plan in a State to offer the same plan to any other small employer in the State. Allows refusal to issue or renew (or termination of) such a plan only for nonpayment of premiums, fraud, or misrepresentation.  Requires, after a minimum benefit package is established under provisions of this Act, that each such carrier make available a plan that only provides for such minimum benefits.  Declares that a plan offered through an association composed exclusively of employers (which may include self-employed individuals) and formed for purposes other than obtaining health insurance need not be offered to individuals who are not employees of employer members or self-employed members.  Allows health maintenance organizations to have geographic and size limits. Requires:  (1) a single cohesive rating system applied consistently for all small employers and actuarially certified annually; and (2) the reference premium rate charged for a small employer health plan with similar benefits in a community for a type of family enrollment to be the same for all small employers.  Allows limited reference premium rate adjustment based on the age and gender of covered individuals.  Requires each small employer health plan to permit enrollment of three classes:  (1) one adult; (2) a married couple without children; and (3) a married couple with one or more children or one adult with one or more children. Part 4:  Establishment of Standards; Enforcement; General Definitions - Mandates development of standards to carry out parts 2 and 3 of this subtitle. Requires each State to report to the Secretary on the enforcement of the standards.  Permits more stringent State standards.  Directs the Secretary to provide for enforcement if a State fails to do so and with respect to plans not subject to State regulation. Amends the Internal Revenue Code to impose a tax on the failure of any carrier to comply with part 2 standards or of any small employer carrier to comply with part 3 standards. Subtitle D:  Medical Malpractice Reform - Part 1:  General Provisions - Applies this subtitle to any medical malpractice liability action in any State or Federal court, except regarding: (1) a vaccine-related injury or death covered by certain provisions of the Public Health Service Act; or (2) injuries allegedly arising solely from the use of a medical product.  Preempts inconsistent State laws. Part 2:  Uniform Standards for Medical Malpractice Liability Actions - Sets forth time limits for bringing medical malpractice liability claims. Prohibits bringing such a claim in a State court unless the claim has been initially resolved under an alternative dispute resolution system (ADR) certified by the Secretary under this Act.  Gives an ADR decision the same status, for purposes of court enforcement, as the verdict of a medical malpractice action adjudicated in a State or Federal trial court.  Provides for the treatment of an ADR decision regarding going forward with the action and the burden of proof. Amends Federal law relating to judicial procedure to require each Federal agency to use an alternative means of dispute resolution to settle a medical malpractice claim against the United States. Mandates a pretrial settlement conference. Limits:  (1) noneconomic damages to a specified dollar amount; and (2) punitive damages to twice the damages awarded to the plaintiff and the plaintiff's family.  Requires any punitive damages to be paid to the State in which the action is brought. Requires that State to use such amounts to carry out activities to assure the safety and quality of health care services, including:  (1) licensing health care providers; (2) operating ADRs; (3) operating public education programs; and (4) carrying out programs to reduce malpractice-related costs for providers volunteering services in medically underserved areas.  Mandates periodic payment for future losses, if over a specified amount. Limits contingent plaintiff's attorney's fees.  Mandates awarding attorney's fees, expert fees, and certain other litigation expenses to the contesting party if the court upholds an ADR ruling. Makes medical malpractice liability several only and not joint, with each defendant being liable only for their percentage of the responsibility. Prohibits a finding of negligence in a medical malpractice liability action unless the conduct at the time of providing the services was not reasonable. Declares it to be a complete defense that the defendant followed the appropriate practice guideline, provided the Secretary has sanctioned the use of the guideline for purposes of an affirmative defense.  Sets forth a sanctioning process. Declares that a prima facie case of negligence is not presented solely by showing that the defendant failed to follow the appropriate practice guideline. Prohibits a finding of malpractice relating to services during labor or delivery if the defendant did not previously treat the plaintiff for the pregnancy unless the malpractice is proven by clear and convincing evidence. Specifies the ways and extent to which this part supersedes State laws. Part 3:  Requirements for State Alternative Dispute Resolution System (ADR) - Lists requirements for State ADRs, including that they: (1) apply to all medical malpractice claims under the State courts; and (2) transmit findings of malpractice to the State agency responsible for monitoring or disciplining providers.  Requires application of the provisions of part 2 to claims under a State's ADR as such provisions apply to actions brought in the State. Provides for certification of State ADRs. Mandates a report to the Congress describing and evaluating State ADRs. Part 4:  Other Requirements and Programs - Amends the Social Security Act to authorize appropriations (and modify existing authorizations of appropriations) to carry out provisions regarding research on outcomes of health care services and procedures, earmarking funds for sanctioning practice guidelines for an affirmative defense in medical malpractice liability actions.  Directs the Secretary, in order to facilitate the research, to conduct and support data collection on medical malpractice actions.  Mandates:  (1) development of a standard reporting form for State ADRs regarding resolved disputes; and (2) a study on the effect of the malpractice guidelines developed by the Administrator for Health Care Policy and Research on malpractice incidence and costs. Allows, notwithstanding any other provision of State or Federal law, a State agency responsible for disciplinary actions for a type of health care practitioner to enter into agreements with State or county professional societies to participate in the licensing of such practitioner and the review of any malpractice action or allegation or other information concerning the practice patterns of the practitioner. Requires each State to require:  (1) each health care professional and provider to participate in a risk management program to prevent and provide early warning of practices which may endanger patients; and (2) each malpractice insurance provider to establish risk management programs and require those maintaining insurance to participate. Mandates grants:  (1) for the conduct of basic research on the prevention of and compensation for injuries resulting from health care professional or provider malpractice and research on the outcomes of health care procedures; (2) to States to improve each State's ability to license and discipline health care professionals; (3) for public education on appropriate health care use and realistic expectations; (4) for public education on the resources and role of health professional licensing and disciplinary boards; and (5) for developing faculty training and curricula for educating health professionals in quality assurance, risk management, and medical injury prevention.  Authorizes appropriations. Mandates a study on the factors preventing or discouraging physicians from volunteering to provide services in medically underserved areas. Subtitle E:  Medical Education Reform - Amends Medicare provisions to require that, ten years after enactment of this Act, half of:  (1) direct graduate medical education cost payments be made for residency training in primary care fields; and (2) indirect medical education cost payments be made for physicians in primary care fields. Amends the Public Health Service Act to require that, ten years after enactment of this Act, half of all new insured loans to and installments on lines of credit for graduate students in health professions schools be made for students in primary care fields. Requires each State to develop a comprehensive plan to identify the health personnel needs of its residents. Subtitle F:  Public Delivery System - Mandates development of national standards to identify medically underserved populations. Requires each State to develop a comprehensive plan for addressing the needs of such populations under such standards. Authorizes appropriations for additional grants to migrant and community health centers and programs for health services for the homeless to provide for at least one publicly-funded health center in each such identified area. Directs the Secretary to promote individual responsibility in personal health care and in the use of health care resources.  Declares that it is the sense of the Congress that the amounts appropriated under provisions relating to the general authority of the Secretary regarding health information and health promotion should be increased sufficiently to permit the Office of Disease Prevention and Health Promotion to carry out specified activities. Directs the President to provide for the coordination and, to the extent appropriate, consolidation of all Federal nutrition activities. Requires establishment of at least four demonstration projects to test alternative ways of promoting informed decision making by providers and patients on the appropriate utilization of expensive life-sustaining technology.  Specifies four projects which must be included.  Authorizes appropriations. Mandates:  (1) development of an action plan for reducing the U.S. incidence of specified health risk factors such as smoking, overweight, sedentary lifestyle, and failure to use seat belts; and (2) identification of Federal policies that may hinder attainment of the plan goals. Subtitle G:  Public Disclosure - Directs the Secretary to establish standards for the collection and disclosure of health care data under this subtitle, including a computerized system, a uniform claims format, a mechanism to avoid duplicating Medicare and Medicaid services reporting and to coordinate data collected for such services with other health care services, and a quality- and effectiveness-measuring methodology.  Allows the collection and disclosure requirements of this subtitle to be implemented by a State or by the Secretary.  Authorizes appropriations. Requires the implementing entity to collect, and data sources to submit, specified data. Mandates publication of specified data, including on at least the most frequent 65 percent of services and payments and including comparisons among providers regarding payments and service effectiveness.  Provides for special reports from raw data and for a means for computer-to-computer access to any purchaser. Provides for public access to the data.  Prohibits release of specified types of information and imposes criminal penalties.  Sets forth procedures for access by purchasers and other parties. Subtitle H:  Tax Incentives to Provide Only Minimum Benefits - Amends the Internal Revenue Code to disallow a trade or business expense deduction for health care benefits exceeding the minimum benefits package under title II of this Act. Excludes from an employee's gross income employer-provided health coverage, but only up to the minimum benefit package. Removes provisions ending, on a specified date, the deductibility of a specified percentage of the health insurance expenses of self-employed individuals.  Makes the cost of the minimum benefit package coverage fully deductible for such individuals. Title II:  National Health Care Reform Proposals - Subtitle A: National Health Care Reform Commission - Establishes the National Health Care Reform Commission, requiring it to:  (1) develop national health care goals to improve access to health care, safeguard and improve quality, and control costs; and (2) advise the Secretary on subtitle B demonstration projects and make related evaluations and recommendations. Requires the Commission to submit to the Congress a legislative proposal specifying a minimum benefit package to be used for a demonstration project under this title.  Declares that the package, if approved by enactment of a joint resolution, shall also be used for implementing subtitle C (Health Benefit Plan Reform) of title I and determining the tax treatment of employer-paid employee health benefits in excess of the minimum package.  Requires:  (1) coverage of medically appropriate and cost effective preventive, diagnostic, and therapeutic services; and (2) cost-sharing providing an incentive to avoid unnecessary care while avoiding excessive cost-sharing by individuals with catastrophic illnesses.  Sets forth rules, changeable as any other rules of the House of Representatives or the Senate, for the consideration of such a joint resolution. Subtitle B:  Demonstration Projects on Alternative Financing and Delivery Systems - Mandates establishment of such demonstration projects as necessary to test alternative methods for organizing the structure of the U.S. health care financing and delivery system.  Authorizes the Secretary to initiate projects and seek applications from States.  Prohibits projects from increasing Medicare and Medicaid expenditures.  Authorizes waivers, as necessary, of requirements of Medicare, Medicaid, the Employee Retirement Income Security Act of 1974, and specified antitrust laws.  Requires the Secretary to provide for the transfer from the Federal Hospital Insurance Trust Fund of sums as necessary to provide for evaluations of the projects.",2026-03-23T12:41:21Z,
102-hr-6109,102,hr,6109,School-Based Childhood Immunizations Program Amendments Act,Health,1992-10-02,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Schroeder, Patricia [D-CO-1]",CO,D,S000142,0,"School-Based Childhood Immunizations Program Amendments Act - Amends the Public Health Service Act to authorize grants for immunizations for children.  Authorizes the grants only to local educational agencies with elementary schools in communities with substantial cases of vaccine-preventable diseases and substantial numbers of unimmunized children.  Mandates community education.  Specifies permissible uses of grant funds, including recruiting and retaining a school nurse.  Authorizes appropriations.",2025-08-26T15:14:45Z,
102-s-3312,102,s,3312,Cancer Registries Amendment Act,Health,1992-10-02,1992-10-24,Became Public Law No: 102-515.,Senate,"Sen. Leahy, Patrick J. [D-VT]",VT,D,L000174,12,"Cancer Registries Amendment Act - Amends the Public Health Service Act to authorize grants or contracts to operate population-based, statewide cancer registries in order to collect certain data for each form of in-situ and invasive cancer except basal cell and squamous cell carcinoma of the skin.  Authorizes grants for planning the registries. Authorizes the Secretary of Health and Human Services, directly or through grants and contracts, or both, to provide technical assistance to the States in the establishment and operation of statewide registries. Mandates a study on factors contributing to elevated rates of breast cancer mortality in Connecticut, Delaware, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont, and the District of Columbia. Authorizes the Secretary to use a specified amount of funds to carry out this Act.",2021-09-25T05:34:39Z,
102-hr-6081,102,hr,6081,Women's Violence-Related Injury Reduction Act,Health,1992-10-01,1992-10-15,Referred to the Subcommittee on Health and the Environment.,House,"Rep. McDermott, Jim [D-WA-7]",WA,D,M000404,0,"Women's Violence-Related Injury Reduction Act - Amends the Public Health Service Act to authorize grants for demonstration projects to identify victims of domestic violence or sexual assault and refer them to entities providing related services.  Allows use of the grants to train health care providers to engage in such activities. Mandates related education of health care providers and the public, epidemiological research, and cooperation with States regarding establishing a national system for the collection of data on domestic violence and sexual assault. Authorizes appropriations.",2025-08-26T15:15:24Z,
102-s-3299,102,s,3299,Managed Competition Act of 1992,Health,1992-10-01,1992-10-01,Read twice and referred to the Committee on Finance.,Senate,"Sen. Boren, David L. [D-OK]",OK,D,B000639,1,"Managed Competition Act of 1992 - Title I:  Managed Competition in Employer-Based Health Plans:  Incentives to Control Costs - Subtitle A: Use of Tax Incentives to Purchase Cost Effective Plans - Amends the Internal Revenue Code to impose an excise tax on the excess health plan expenses of employers. Allows a full and permanent deduction for the health plan premium expenses of self-employed individuals, except with respect to excess health plan expenses. Excludes from gross income contributions by a partnership or S corporation to an accident or health plan covering its partners or shareholders. Subtitle B:  Health Plan Purchasing Cooperatives (HPPCs - Provides for the establishment of health plan purchasing cooperatives as not-for-profit corporations in or among States to:  (1) enter into agreements with accountable health plans; (2) enter into agreements with small employers; (3) enroll individuals in accountable health plans; (4) receive and forward adjusted premiums, including the reconciliation of low-income assistance among such plans; and (5) coordinate and carryout other functions as required by this title. Subtitle C:  Accountable Health Plans (AHPs) - Sets forth requirements for accountable health plans with respect to: registration and qualifications, uniform benefits, cost-sharing for low-income individuals, standardized information, prohibition of discrimination based on health status, standard premiums, financial solvency, grievance mechanisms, and coordinating benefits. Preempts State laws for accountable health plans. Subtitle D:  National Health Board - Establishes a National Health Board to:  (1) specify a uniform set of effective benefits by October 1, 1993; (2) provide for an advisory Health Benefits and Data Standards Board and a Health Plan Standards Board; (3) register accountable health plans; (4) establish rules for the process of risk-adjustment premiums; (5) establish standards for a national health data system; (6) measure the quality of care in specialized centers; and (7) make specified reports to the Congress. Subtitle E:  Treatment of Areas of Ineffective Competition - Authorizes States to develop plans for controlling growth in premiums of accountable health plans where there is ineffective price competition. Subtitle F:  Repeal of COBRA Continuation Requirements - Repeals provisions of the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act with respect to continuation coverage requirements of group health plans. Subtitle G:  Definitions - Provides definitions for terms under this title. Title II:  Low-Income Assistance for Health Coverage - Subtitle A: Low-Income Assistance - Provides assistance to low-income individuals enrolled under accountable health plans who are not eligible for Medicare through adjustments of premiums, cost-sharing assistance, and payments for certain items and services. Subtitle B:  Long-Term Care Phase-Down Assistance to States - Phases down assistance to States for long-term care from 1994 through 1997. Subtitle C:  Financing - Repeals the dollar limitation on the amount of wages subject to the hospital insurance tax. Subtitle D:  Repeal of Medicaid Program - Repeals title XIX (Medicaid) of the Social Security Act.  Requires the National Health Board to report to the Congress on changes in the laws needed to conform to such repeal. Title III:  Improved Access in Rural and Undeserved Areas - Amends the Public Health Service Act to extend authorizations of appropriations for migrant health centers, community health centers, scholarship and loan repayment programs of the National Health Service Corps, and area health education centers. Title IV:  Preventive Health and Personal Responsibility - Subtitle A:  Expansion of Public Health Programs - Extends authorized appropriations for:  immunizations against vaccine-preventable diseases, lead poisoning prevention, preventive health measures with respect to breast and cervical cancers, health information and health promotion, and preventive health and health services block grants. Provides for the use of appropriated funds for the prevention, control, and elimination of tuberculosis and for grants for the early intervention regarding acquired immune deficiency syndrome (AIDS). Authorizes appropriations for programs regarding the smoking of tobacco products. Subtitle B:  Expansion of Medicare Coverage of Preventive Services - Amends the title XVIII (Medicare) of the Social Security Act to provide for coverage for colorectal screening, certain immunizations, well-child care, annual mammography screenings, and certain additional benefits. Title V:  Malpractice Reform - Subtitle A:  Findings; Purpose; Definitions - Sets forth congressional findings with respect to the need for malpractice reforms. Subtitle B:  Grants to States for Alternative Dispute Resolution Systems - Authorizes the Secretary of Health and Human Services to make grants to States for a two-year period for the implementation and evaluation of alternative dispute resolution systems.  Sets forth eligibility requirements for States seeking such grants and standards and regulations for such program. Subtitle C:  Uniform Standards for Malpractice Claims - Establishes uniform standards for health care liability actions brought in a Federal or State court and to medical malpractice claims subject to an alternative dispute resolution system, except in the case of an injury arising from the use of a medical product. Subtitle D:  Liability Protections for Federally-Supported Health Centers - Provides liability protection for physicians or other licensed or certified health care practitioners deemed to be employees of the Public Health Service.  Requires the Attorney General to report to the Congress on medical malpractice liability claims arising under this subtitle. Title VI:  Paperwork Reduction and Administrative Simplification - Preempts State laws that require medical or health insurance records to be maintained in written, rather than electronic form. Requires the National Health Board to ensure the confidentiality of electronic health care information and establish standardization for the electronic receipt and transmission of health plan information. Requires the Board to establish goals and time frames for:  (1) the use of uniform health claims forms and identification numbers; (2) achieving uniformity in determining the liability of insurers when benefits are payable under two or more health plans; and (3) achieving uniformity in the availability of information among health plans when benefits are payable under two or more health plans. Amends the Internal Revenue Code to impose a tax on the administrator of a health plan for failure to satisfy certain health plan requirments.",2025-08-26T15:15:58Z,
102-s-3300,102,s,3300,21st Century Health Care Act,Health,1992-10-01,1992-10-01,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Bingaman, Jeff [D-NM]",NM,D,B000468,0,"21st Century Health Care Act - Title I:  Eligibility and Enrollment - Entitles every U.S. resident who is a citizen, national, or lawful resident alien to health care coverage purchased through a health insurance purchasing cooperative (HIPC) created under this Act in their State of primary residence. Authorizes the National Health Care Board created in this Act to also make eligible for health care services such nonimmigrant aliens and other individuals as the Board considers appropriate. Requires such State to provide a mechanism for the enrollment of individuals entitled to health benefits purchased through a  HIPC, as well as the issuance of a State health insurance card for use in identification and claims processing.  States that each State HIPC program:  (1) shall not impose a minimum residency requirement for entitlement in excess of three months; (2) shall provide continuation of services for individuals moving to another State until a minimum period of residency is established in the latter State; and (3) shall provide for the payment of health care services to individuals temporarily absent from the State. Requires the Board to issue regulations to provide for the transition of the Federal Employees Health Benefits Program to the health benefits program established under this Act. Title II:  Managed Competition in Health Plans - Subtitle A: National Health Care Board - Establishes a National Health Care Board to:  (1) establish and oversee the various responsibilities for the Health Outcomes Management Standards Board, the Health Benefits Standards Board, the Health Insurance Standards Board, the Medicare Transition Board, and the National Health Data System (all created under this Act); (2) establish a uniform data system to designate qualified HIPCs and carriers; (3) determine and implement a system for the collection of relevant health outcomes data; (4) determine and revise minimum benefit requirements of a qualified health benefits plan; (5) establish a program for low-income assistance, including premium and cost-sharing assistance; (6) establish an assistance program for individuals employed by small businesses; and (7) make written recommendations at least annually to the Secretary of Health and Human Services and the States with respect to the planning, development, and implementation of all components of the National Health Insurance Data System established under this Act. Requires the Board to provide for the initial organization of a Health Outcomes Management Standards Board (Outcomes Board) to make recommendations to the Board concerning:  (1) the establishment of a national data system for patient outcomes and other quality measures; (2) the standards for information collection and reporting from Accountable Health Plans (AHPs); and (3) oversight of data centers and data evaluation.  Provides funding to the Outcomes Board through establishment of an annual registration fee for AHPs. Requires the Board to provide for the initial organization of a Health Benefits Standards Board (Benefits Board) to make recommendations to the Board concerning:  (1) the uniform set of effective benefits; (2) effective services for such benefits; and (3) auditing standards to ensure the accuracy of information collected from AHPs. Provides funding to the Benefits Board through an annual AHP registration fee. Requires the Board to provide for the initial organization of a Health Insurance Standards Board (Insurance Board) to make recommendations to the Board concerning the standards for AHPs and HIPCs, and the treatment of uniform effective health benefits and expenses in excess of accountable health plan costs.  Requires the Insurance Board to also ensure the financial viability of AHPs and resolve conflicts between AHPs and consumers in the delivery of the uniform set of effective benefits.  Provides funding to the Insurance Board through an annual AHP registration fee. Requires the Board to provide for the initial organization of a Medicare Transition Board (Transition Board) to make recommendations to the Congress concerning the integration of the Medicare health program with the health program established under this Act.  Provides funding to the Transition Board through an annual AHP registration fee. Directs the Board to:  (1) register AHPs that meet standards provided under this Act; (2) establish rules for the process of risk-adjustment of premiums among AHPs by HIPCs; (3) establish standards for the periodic reporting by AHPs of information on clinical health outcomes, status, well-being, plan satisfaction of enrolled individuals, health care expenditures, and volumes and prices of procedures; (4) analyze all information so reported; (5) provide for the distribution of its analysis on individual AHPs; (6) publish annual reports on collected information; and (7) distribute related information as appropriate. Provides procedural rules governing congressional consideration of Board actions, requiring specific disapproval by joint resolution in order to overturn such actions. Subtitle B:  Health Insurance Purchasing Cooperatives - Requires each State to provide for the establishment as a not-for-profit corporation of a health insurance purchasing cooperative (HIPC) to implement a State coordinated buying program under specified procedures.  Outlines HIPC requirements.  Requires each HIPC to be governed by a Board of Directors to oversee the functioning of all HIPCs within such State, provide expertise, coordinate HIPC activities among districts, and resolve disputes arising in the implementation of this Act.  Requires each HIPC to:  (1) enter into agreements with AHPs and employers; (2) enroll individuals under AHPs; (3) receive and forward adjusted premiums for plan enrollment; (4) coordinate with other HIPCs; (5) engage in education and outreach efforts to inform the public about the HIPC coordinated buying program; (6) solicit bids and negotiate with AHPs to make available health benefit plans through the coordinated buying program and one or more HIPCs; and (7) prepare and disseminate the documentation required by Federal agencies to certify participation in the coordinated program.  Provides similar local district activities of HIPCs. Outlines provisions concerning the agreement entered into between each HIPC and AHP, including agreement termination, offer of enrollment to individuals at applicable premium rates, and payment and receipt of premiums.  States that each AHP retains the risk of nonpayment by enrolled individuals. Requires each HIPC to offer eligible individuals the opportunity to enroll in an AHP for the HIPC area in which such individual resides. Outlines provisions concerning the enrollment process, as well as the periods of coverage for the initial, general, and special enrollment periods. Provides for the receipt of premiums by a HIPC and the forwarding of such premiums to the AHP providing the health services, after the taking by the HIPC of a specified percentage to cover overhead expenses. Requires the Board to establish rules for coordination among HIPCs in cases where under an agreement with a HIPC eligible individuals are enrolled by an employer located in one State and the employees reside in a different State. Subtitle C:  Accountable Health Plans - Part 1:  Requirements for Accountable Health Plans - Requires the Board to provide a process whereby a health plan may be registered with the Board by its sponsor as an accountable health plan (AHP).  Requires an AHP, in order to be eligible for registering, to:  (1) provide for coverage of the uniform set of effective benefits specified by the Board; (2) provide for the collection and reporting to the Board of information concerning enrollees and the provision of services; (3) not discriminate in enrollment or benefits; (4) establish standard premiums for the uniform set of effective benefits; (5) meet financial solvency requirements; and (6) provide for effective grievance procedures and restrict certain physician incentive plans. Requires each AHP to also provide for the imposition of uniform cost-sharing (deductibles and coinsurance).  Requires each AHP to provide at least annually to its HIPC necessary information to evaluate AHP cost and performance in meeting the needs of its enrollees. Prohibits an AHP from denying, limiting, or conditioning the coverage under its plan based on the health status, claims experience, receipt of health care, medical history, or lack of evidence of insurability of an individual.  Allows an AHP to exclude coverage for a previous condition, but limits such exclusion to six months.  Requires each AHP to establish standard premiums, for individual and family coverage, for the uniform set of effective benefits within each HIPC area in which the plan is offered. Provides with respect to each AHP:  (1) financial solvency requirements; (2) grievance procedures; and (3) the acceptance of information electronically from the Board on the eligibility of individuals for low-income and small business assistance. Part 2:  Preemption from State Laws for Accountable Health Plans - Preempts any State law which is different from the uniform set of effective benefits established by the Board under this Act, as well as any State law restricting network plans or utilization review programs. Subtitle D:  Treatment of Areas of Ineffective Competition - Requires the Board, if it determines that there is ineffective price competition in the provision of health services within the uniform set of effective benefits in an area of a State, to authorize the State HIPC to establish reimbursement benchmarks to be used in the determination of rates to be charged by providers of services in such area until the Board finds that effective price competition exists. Subtitle E:  Definitions - Provides definitions. Title III:  Uniform Effective Health Benefits - Requires the Board to annually specify the uniform set of effective benefits for the next fiscal year to apply in all States.  Requires such benefits to include the full range of legally authorized treatments for conditions, but allows for the exclusion of benefits for services and items that the Board determines have not been shown to reasonably improve or significantly ameliorate a health condition. Requires specific treatments, procedures, and care to be left up to the individual AHP.  Provides for the inclusion and exclusion of specified services within the uniform set of effective benefits. Requires the Board to entitle every eligible individual under an AHP to payment for such covered services. Title IV:  Application of Antitrust Laws - Exempts from the antitrust laws the action of two or more hospitals negotiating a proposed agreement to share expensive medical services or high technology equipment.  Requires, for such exemption, such hospitals to submit an application to the Board describing the particulars of such agreement, Board approval, and Board issuance of a waiver from the antitrust laws for such agreement.  Allows the revocation of such waiver in specified circumstances. Title V:  Cost Control and Financing - Subtitle A:  Health Budgets - Requires the Board to:  (1) establish an annual fiscal year budget of expenditures; (2) compute the national average per capita cost for each of the health care services included in the expenditures; (3) designate a series of risk groups, by age, sex, and other factors, for health care services and costs; (4) develop for each State HIPC a factor to adjust the national average per capita costs for each risk group; (5) determine total projected expenditures for each State HIPC for each covered health service; (6) determine the appropriate Federal contribution for each State for total projected expenditures; and (7) make appropriate subsequent calculations to adjust the budgets, estimates, and contributions.  Requires each State to raise the revenues necessary to cover its share specified in the national health budget established by the Board. Subtitle B:  Funding - Directs the  Board to develop a mechanism for determining and collecting revenues to fund Federal contributions, which shall be approved or disapproved under congressional joint resolution procedures. Amends the Public Health Service Act to impose on any employer a civil penalty equal to 34 percent of the excess health plan expenses of such employer.  Defines the excess health plan expenses as those not covered under an AHP or paid to a HIPC for coverage under an AHP.  Prohibits the amount of employer contribution from varying based on the AHP selected.  Outlines employer obligations with respect to the enrollment of eligible individuals in an AHP through a State HIPC.  Provides civil penalties for failing to meet such obligations. Establishes the National Health Care Trust Fund and appropriates to the Fund all of the premiums received by the Board for coverage under an AHP, along with any penalties collected.  Requires each State to establish a funding program for the implementation of the State HIPC program in that State, requiring each program to include the enrollment and standard premium financing required under this Act. Entitles each State with an HIPC program approved by the Board to its appropriate per capita funding from the Board for implementation of the AHP.",2025-08-26T15:15:11Z,
102-sjres-343,102,sjres,343,"A joint resolution to designate the period commencing on October 24, 1992, and ending on November 1, 1992, as ""National Red Ribbon Week for a Drug-Free America.",Health,1992-10-01,1992-10-01,Read twice and referred to the Committee on Judiciary.,Senate,"Sen. Murkowski, Frank H. [R-AK]",AK,R,M001085,51,"Designates October 24, 1992, through November 1, 1992, as National Red Ribbon Week for a Drug Free America.",2025-07-21T19:32:26Z,
102-hr-6063,102,hr,6063,Comprehensive Long-Term Care Act of 1992,Health,1992-09-30,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Engel, Eliot L. [D-NY-19]",NY,D,E000179,0,"Comprehensive Long-Term Care Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to:  (1) extend Medicare part A (Hospital Insurance) coverage of extended care services to chronically dependent individuals; and (2) provide for coverage of home care services and outpatient prescription drugs under Medicare part B (Supplementary Medical Insurance). Sets forth payment provisions for outpatient prescription drugs covered under Medicare part B, which provide for application of a deductible in determining the amount of an individual's payment for such drugs. Requires the Secretary of Health and Human Services to:  (1) establish a program for assuring appropriate prescribing and dispensing practices for prescription drugs covered under Medicare part B; (2) develop, and update annually, an information guide for physicians concerning the comparative average wholesale prices of at least 500 of the most commonly prescribed drugs covered under Medicare part B; and (3) report to the Congress on manufacturers' and pharmacists' prescription drug prices and on the use of prescription drugs by individuals eligible for Medicare part B benefits (Medicare-eligible individuals). Requires pharmacies to enter into an agreement with the Secretary in order to receive payment for prescription drugs dispensed to Medicare-eligible individuals.  Specifies agreement terms and conditions, including those prohibiting pharmacies from charging Medicaid-eligible individuals more than the general public for prescription drugs covered under Medicare part B.  Requires the Secretary to:  (1) periodically audit pharmacies that have entered into such an agreement; and (2) establish a point-of-sale electronic system for use by carriers and pharmacies in the submission of information on prescription drugs dispensed to Medicare-eligible individuals.  Authorizes sanctions against pharmacies that violate their agreement with the Secretary. Limits the length of prescriptions. Provides for the role of carriers, fiscal intermediaries, and other entities in the administration of the electronic claims system established above. 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 report annually to the Congress on methods of determining payment for prescription drugs covered under Medicare part B.  Authorizes appropriations. Requires the Secretary to develop a standard prescription drugs claims form for use under Medicare and by other third-party payors.",2025-08-26T15:14:34Z,
102-hr-6070,102,hr,6070,To establish a demonstration project under which payment shall be made under the medicare program for transportation services for dialysis patients residing in rural areas.,Health,1992-09-30,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Rhodes, John J., III [R-AZ-1]",AZ,R,R000189,0,Directs the Secretary of Health and Human Services to:  (1) establish a three-year demonstration project to determine whether special transportation services for eligible dialysis patients residing in rural areas may be cost-effectively covered under the Medicare program (title XVIII of the Social Security Act); and (2) report annually to the Congress on such project. Authorizes appropriations.,2024-02-07T16:32:33Z,
102-hjres-555,102,hjres,555,"To designate October 1992 as ""National High Blood Pressure Education Program's 20th Anniversary Month"".",Health,1992-09-29,1992-10-01,Referred to the Subcommittee on Census and Population.,House,"Rep. Stokes, Louis [D-OH-21]",OH,D,S000948,0,Designates October 1992 as National High Blood Pressure Education Program's 20th Anniversary Month.,2024-02-06T20:04:02Z,
102-s-3280,102,s,3280,National Health Safety Net Infrastructure Act,Health,1992-09-28,1992-09-28,Read twice and referred to the Committee on Finance.,Senate,"Sen. Daschle, Thomas A. [D-SD]",SD,D,D000064,1,"National Health Safety Net Infrastructure Act - Title I:  Capital Financing Assistance for Safety Net Hospitals Providing Indigent Care - Amends the Social Security Act (SSA) to add a new title XXI, Capital Financing Assistance for Safety Net Hospitals.  Directs the Secretary of Health and Human Services to make payments for capital financing assistance to eligible hospitals with approved applications.  Sets forth general eligibility requirements for such assistance, including requirements that hospitals receive disproportionate share adjustments under Medicare (SSA title XVIII) and be owned or operated by a State or local government in order to be eligible for such assistance.  Details application requirements and criteria for application approval.  Imposes certain public service responsibilities on hospitals accepting capital financing assistance. Creates in the Treasury the Health Safety Net Infrastructure Trust Fund (Fund). Establishes a loan guarantee program under which the Trust Fund will provide a Federal guarantee of loan repayment to non-Federal lenders making loans to qualified hospitals for hospital replacement, modernization, and renovation projects.  Sets forth eligibility criteria hospitals must meet in order to qualify for loan guarantees. Gives a preference for loan guarantees to certain projects in which State or local government entities participate.  Sets forth special rules with respect to loan guarantees, including rules:  (1) requiring at least 20 percent of the dollar value of loan guarantees to be allocated to eligible rural hospitals; (2) requiring at least $200 million of the annual dollar value of loan guarantees to be reserved for loans of under $50 million, if there are a sufficient number of applicants for loans of that size; and (3) allowing loan guarantees to be allocated for refinancing loans.  Provides that hospitals will be charged a reasonable loan insurance premium.  Sets forth procedures to be followed in the event of a loan default. Establishes an interest rate subsidy program that provides a partial Federal subsidy of debt service payment where State or local entities demonstrate a significant commitment to financing hospital replacement, modernization, and renovation projects by undertaking the issuance of bonds.  Requires a hospital to receive assistance from non-Federal sources at least equal to the assistance received under such program in order to obtain an interest rate subsidy.  Sets forth special rules with respect to interest rate subsidies, including rules:  (1) reserving for rural hospitals at least 20 percent of the total value of all interest subsidies awarded in any given year; and (2) limiting the aggregate value of interest subsidies made to hospitals in any State in a given year.  Requires the Secretary to provide direct matching loans to qualified hospitals unable otherwise to obtain essential financing.  Sets forth special rules with respect to direct matching loans, including rules concerning the use of loans for refinancing. Requires the Secretary to make direct grants to qualified hospitals with urgent capital needs.  Provides that direct grants shall be available to eligible hospitals for three types of projects:  (1) emergency certification and licensure grants would be available to eligible hospitals that are threatened with closure or loss of accreditation or certification of a facility or of essential services as a result of life or safety code violations or similar facility or equipment failures; (2) emergency grants would be available for capital renovation, expansion, or replacement necessary to the maintenance or expansion of essential safety and health services; and (3) planning grants would be available to qualified hospitals which require pre-approval assistance to meet regulatory requirements related to management and finance in order to apply for loans, loan guarantees, and interest subsidies under this Act.  Gives priority for direct grants to financially distressed hospitals.  Sets forth special rules with respect to grants for capital expenditures and planning grants. Provides for adjustments to payments for capital-related costs under Medicare to take into account the extent to which capital-related costs incurred by a hospital are costs with respect to which the hospital received financial assistance under SSA title XXI. Title II:  Amendment of the Tariff Act of 1930 - Amends the Tariff Act of 1930 to require unobligated amounts remaining in the Customs Forfeiture Fund to be deposited in the Health Safety Net Infrastructure Trust Fund.",2025-08-26T15:16:04Z,
102-s-3277,102,s,3277,State Health Care Reform Incentive Act of 1992,Health,1992-09-25,1992-09-25,Read twice and referred to the Committee on Finance.,Senate,"Sen. Sanford, Terry [D-NC]",NC,D,S000055,0,State Health Care Reform Incentive Act of 1992 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to permit States to seek waivers of program requirements in order to provide health care coverage under certain regular or alternative State programs.  Establishes Federal requirements for such State programs. Sets forth payment provisions.,2025-08-26T15:16:34Z,
102-hconres-362,102,hconres,362,"Expressing the sense of the Congress that the United States House of Representatives and Senate should pass health care reform initiatives which have received overwhelming bipartisan support, prior to the adjournment of the 102nd Congress.",Health,1992-09-24,1992-11-20,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Stearns, Cliff [R-FL-6]",FL,R,S000822,12,Declares that the leadership of the House of Representatives and of the Senate should work together in a bipartisan manner to pass health care reform initiatives prior to the adjournment of the 102d Congress.,2024-02-07T16:32:33Z,
102-hr-6023,102,hr,6023,Medicare Respite Care Coverage Act of 1992,Health,1992-09-24,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Lewis, John [D-GA-5]",GA,D,L000287,6,Medicare Respite Care Coverage Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of respite care services for a chronically dependent individual under Medicare part B (Supplementary Medical Insurance).,2025-08-26T15:14:58Z,
102-hr-6027,102,hr,6027,Comprehensive Health Care and Cost Containment Act of 1992,Health,1992-09-24,1992-10-16,"Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.",House,"Rep. Peterson, Collin C. [D-MN-7]",MN,D,P000258,0,"Comprehensive Health Care and Cost Containment Act of 1992 - Title I:  Federal and State Administration - Subtitle A:  Federal Administration - Subtitle A:  Federal Administration - Establishes within the Department of Health and Human Services a Federal Health Board.  Requires the Board to:  (1) determine national per capita spending rates for covered district health care services and for health care practitioner services; (2) establish a single national insurance premium for enrollment catgories; (3) make Federal payments to States and insurers; (4) certify State compliance with this Act; (5) enter into reciprocity agreements with foreign countries; and (6) report to the Congress on duplicative Federal health care programs. Requires an annual report to the Congress on the status of the health care system in the United States. Establishes within the Department of Education a Federal Health Education Commission to manage the Federal grant program to States for consumer education programs and for primary care practitioners. Subtitle B:  State Administration - Requires each State to provide for a State Health Board to establish health districts to appoint district health care boards, set global budgets for each health care district, establish fee schedules for practitioner groups, and develop long-range plans for future health care infrastructure. Requires each State Health Board to establish a State Health Care Education Commission to be responsible for specified activities. Title II:  Health Care Services - Subtitle A:  National Health Insurance Program - Sets forth national standards for health insurance for district health care services or health care practitioner services, including enrollment requirements. Authorizes reduced premiums for low-income individuals. Subtitle B:  Payment Amounts for Health Care Practitioner Services and for Covered District Health Care Services - Requires each State to provide for the chartering of practitioner associations with respect to fee schedules and medical malpractice insurance. Provides for the establishment of annual per capita rates for district health care costs and the development of State and district budgets for health care services.  Requires the Board to disseminate Federal payments to States for such services. Title III:  Malpractice Insurance Reform - Sets forth requirements for States with respect to physician medical malpractice liability in order to be eligible for Federal payments. Title IV:  Provisions Relating to ERISA and Federal and State Antitrust Laws - Declares that provisions of the Employee Retirement Income Security Act are superseded to the extent inconsistent with the requirements of this Act.  Provides that the antitrust laws do not apply to health service entities covered under this Act. Title V:  Health Care Education Trust Fund - Establishes the Health Care Education Trust Fund to be administered by the Federal Health Care Commission in making grants for health care consumer education.  Authorizes appropriations. Amends the Internal Revenue Code to increase the tax on cigarettes and distilled spirits. Title VI:  Tax Treatment of Health Insurance Premiums - Allows a tax deduction for health insurance expenses, whether or not the taxpayer itemizes deductions. Title VII:  Private Options - States that individuals are not precluded from obtaining insurance for services that are covered health care services. Title VIII:  Pharmaceuticals and Other Health Care Devices - Limits manufacturers and marketers of pharmaceuticals and other health devices to prices charged in Canada by the Patented Medicine Review Board. Title IX:  Termination of Programs -  Amends the Social Security Act to repeal certain Federal health care programs.",2026-03-23T12:41:21Z,
102-hr-5985,102,hr,5985,Community Ambulance Support Act of 1992,Health,1992-09-22,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. DeLauro, Rosa L. [D-CT-3]",CT,D,D000216,0,Community Ambulance Support Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of paramedic intercept services under part B (Supplementary Medical Insurance) of Medicare.,2025-08-26T15:15:07Z,
102-hr-5989,102,hr,5989,Family Choice and Universal Coverage Health Insurance Reform Act of 1992,Health,1992-09-22,1992-10-16,"Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.",House,"Rep. McEwen, Bob [R-OH-6]",OH,R,M000432,0,"Family Choice and Universal Coverage Health Insurance Reform Act of 1992 - Title I:  New Tax Credit for Health Expenses - Amends the Internal Revenue Code to provide a limited tax credit for coverage of the taxpayer, spouse, and dependents under a qualified health plan.  Adjusts such amount for inflation. Phases out the exclusion from gross income for employer-provided health coverage.  Makes such exclusion applicable only to individuals covered before the date of enactment of this Act. Terminates the medical expense deduction, the deduction for health insurance costs of the self-employed, and the health insurance earned income credit. Title II:  Standards for Qualified Health Plans - Subtitle A: General Standards Relating to Benefits and Cost-Sharing, Underwriting, and Premiums for Federally-Qualified Health Plans - Specifies the required coverages of federally-qualified health plans for inpatient and outpatient hospital services, physicians' services, prenatal and well-baby and well-child care, diagnostic tests, inpatient prescription drugs, and emergency services. Allows such plans to impose cost-sharing for covered services with limitations. Prohibits the issuer of such plans from canceling or refusing to renew a policy except in the case of willful fraud, failure to pay premiums, or nonavailability. Prohibits premiums on plan renewals from taking into account claims experience or changes in health status. Subtitle B:  Requirements for Current Employer Health Benefit Plans - Sets forth requirements with respect to conversion offers. Title III:  Requirements on Employers - Sets forth requirements for employers with respect to withholding and remitting premiums and employee notification of contribution amounts. Requires the addition to employee wages of employer health plan contributions. Title IV:  Requirements for States; Preemption of Certain State Laws; Changes in Medicaid and Medicare Programs - Requires each State, as a condition of receiving Federal funds for health care programs, to:  (1) establish a health insurance program; (2) enroll each uninsured individual residing in the State; and (3) establish an office of State government to carryout such program. Sets forth requirements and administrative responsibilities of such program. Preempts State laws regarding:  (1) mandated insurance benefits; (2) anti-managed care plans; and (3) certificate of need. Waives Medicaid requirements for States with an alternative health care coverage plan.  Sets forth requirements for such plans. Amends the Social Security Act to eliminate Federal Medicaid payments to States for uncompensated care.  Repeals the Medicare disproportionate share of hospital payment provisions. Title V:  Medical Malpractice Reform - Subtitle A:  Grants to States for Alternative Dispute Resolution Systems - Directs the Secretary of Health and Human Services to make grants to States for the implementation and evaluation of alternative dispute resolution (ADR) systems.  Sets forth eligibility requirements for States seeking such grants.  Directs the Secretary to award not less than ten such grants each fiscal year, with exceptions. Requires the Secretary to:  (1) designate each State receiving such a grant as a model ADR State (making such State eligible for a two-year extension); and (2) disseminate information on the ADR systems implemented by such States to other States, health care professionals and providers, and other interested parties. Directs the Secretary to:  (1) develop and promulgate standards and regulations necessary to carry out the grant program, including qualification standards that States must meet to receive grants and regulations establishing State data gathering requirements; (2) take into account, in developing qualfication standards, specified factors such as the effectiveness of such systems in supporting access to health care, encouraging improvements in the quality of care, resolving claims promptly, and providing predictable outcomes; (3) provide States with technical assistance; and (4) report to the Congress, within four years of the first grant, describing and evaluating the ADR systems implemented. Subtitle B:  Uniform Standards for Malpractice Claims - Specifies that, with respect to any health care liability action brought in a Federal or State court and any medical malpractice claim or medical product liability claim subject to an ADR system:  (1) no person may be required to pay more than $100,000 in a single payment in damages (whether for economic or non-economic losses) for expenses to be incurred in the future, but shall be permitted to make periodic payments (as determined by the court); (2) the total amount of damages that may be awarded to an individual for non-economic losses may not exceed $250,000; (3) the total amount of damages received by an individual shall be reduced by any other payment that has been or will be made to the individual to compensate such individual for the injury that was the subject of the action or claim; (4) a claimant's attorney's fees may not exceed 25 percent of the first $150,000 of any award or settlement, or 15 percent of any additional amounts, paid to the claimant; (5) the total amount of punitive damages that may be assessed may not exceed twice the total amount of the damages awarded to compensate the claimant for losses resulting from the injury; and (6) the liability of each defendant for non-economic losses shall be several only and not joint, and each defendant shall be liable only for the amount of non-economic losses allocated to the defendant in direct proportion to the defendant's percentage of responsibility. Establishes a two-year statute of limitations for medical malpractice and product liability claims, beginning on the earlier of the date on which the injury that is the subject of the action was discovered or the date it should reasonably have been discovered. Specifies that, in the case of a medical malpractice or product liability claim relating to services provided during labor or the delivery of a baby, if the claimant was not previously treated for the pregnancy by the defendant health care professional or provider a court may not find that the defendant committed malpractice and assess damages against the defendant unless the malpractice is proven by clear and convincing evidence. Bars a defendant from being found to have committed malpractice unless the defendant's conduct at the time of providing the health care services was not reasonable, except where the claimant asserts that the defendant is liable under a strict liability theory. Bars the award of punitive damages with respect to any medical product liability claim alleged against a medical product producer if the drug or device that is the subject of the claim:  (1) was subject to approval or premarket approval under the Federal Food, Drug, and Cosmetic Act by the Food and Drug Administration (FDA) with respect to the safety or performance of the drug or device or the adequacy of the packaging or labeling; (2) was approved by FDA; or (3) is generally recognized as safe and effective pursuant to conditions established by FDA and applicable regulations.  Makes an exception in the case of withheld information, misrepresentation, or illegal payment to an FDA official for purposes of securing approval of the drug or device. Provides for a separate proceeding to determine punitive damages. Sets forth provisions with respect to:  (1) the admissibility of evidence; and (2) criteria for determining the amount of punitive damages. Provides that the U.S. district courts shall not have jurisdiction over health care liability actions based on Federal questions or based on specified provisions concerning commerce and antitrust regulations. Specifies that this title preempts State law only to the extent that State law:  (1) permits the recovery by a claimant or the assessment against a defendant of a greater amount of damages; (2) permits the awarding of a greater amount of attorneys' fees; (3) establishes a longer period during which medical malpractice or product liability claims may be initiated; or (4) establishes a less strict standard of proof for determining whether a defendant has committed malpractice.",2026-03-23T12:41:21Z,
102-s-3256,102,s,3256,Minority Biomedical Research Construction Act,Health,1992-09-21,1992-11-20,Referred to the Subcommittee on Health and the Environment.,Senate,"Sen. Hatch, Orrin G. [R-UT]",UT,R,H000338,1,"Minority Biomedical Research Construction Act - Amends the Public Health Service Act to authorize grants to eligible institutions, including historically Black colleges and universities, for the acquisition, construction, remodeling, expansion, or equipping of graduate biomedical research facilities.  Defines as eligible an institution that has at least one-half of its students from disadvantaged backgrounds and that awards doctoral degrees in the health professions or biomedical sciences.  Authorizes approprations.",2025-08-26T15:17:13Z,
102-sjres-340,102,sjres,340,"A joint resolution designating the week of February 14 through February 20, 1993, as ""National Visiting Nurse Associations Week"".",Health,1992-09-21,1992-09-21,Read twice and referred to the Committee on Judiciary.,Senate,"Sen. Bradley, Bill [D-NJ]",NJ,D,B001225,51,"Designates the week of February 14 through 20, 1993, as National Visiting Nurse Associations Week.",2025-07-21T19:32:26Z,
102-hr-5970,102,hr,5970,American Health Care Access Improvements Act of 1992,Health,1992-09-17,1992-10-16,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Johnson, Sam [R-TX-3]",TX,R,J000174,5,"American Health Care Access Improvements Act of 1992 - Title I: Health Care Access Improvements - Subtitle A:  Health Insurance Deduction Fairness - Amends the Internal Revenue Code to make permanent and increase from 25 to 100 percent the health insurance tax deduction for the self-employed. Subtitle B:  Extension of Special Treatment Rules for Medicare-Dependent, Small Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act to extend for one year special treatment rules for Medicare-dependent small rural hospitals. Subtitle C:  Benefits and Services Requirements for Exemption From Tax for Hospitals - Amends the Internal Revenue Code to set forth requirements for hospitals to maintain tax-exempt status, including:  (1) the provision of certain emergency medical care; (2) the acceptance of Medicaid and Medicare patients; and (3) the provision of community health centers and clinics in medically underserved areas. Title II:  Insurance Availability - Requires eligible uninsured individuals to register with the Secretary of Health and Human Services for enrollment in a qualified Federal health plan.  Provides for the collection of premiums through the income tax system.  Authorizes appropriations. Title III:  Health Care Cost Containment - Subtitle A:  Paperwork and Administrative Expense Reduction - Requires the Director of the Office of Management and Budget to:  (1) identify, inventory, and assess the Federal paperwork burden associated with health care services; and (2) establish a goal for reducing such burden in each of the fiscal years 1993 through 1998 by at least five percent of the preceding fiscal year's paperwork burden. Provides a bonus for providers who initiate the use of electronic claims under the Medicare program. Subtitle B:  Medical Malpractice Liability Reform - Directs the Secretary of Health and Human Services to make grants to States for the implementation and evaluation of alternative dispute resolution (ADR) systems.  Sets forth eligibility requirements for States seeking such grants.  Directs the Secretary to award not less than ten such grants each fiscal year, with exceptions. Requires the Secretary to:  (1) designate each State receiving such a grant as a model ADR State (making such State eligible for a two-year extension); and (2) disseminate information on the ADR systems implemented by such States to other States, health care professionals and providers, and other interested parties. Directs the Secretary to:  (1) develop and promulgate standards and regulations necessary to carry out the grant program, including qualification standards that States must meet to receive grants and regulations establishing State data gathering requirements; (2) take into account, in developing qualification standards, specified factors such as the effectiveness of such systems in supporting access to health care, encouraging improvements in the quality of care, resolving claims promptly, and providing predictable outcomes; (3) provide States with technical assistance; and (4) report to the Congress, within four years of the first grant, describing and evaluating the ADR systems implemented. Specifies that, with respect to any health care liability action brought in a Federal or State court and any medical malpractice claim or medical product liability claim subject to an ADR system:  (1) no person may be required to pay more than $100,000 in a single payment in damages (whether for economic or non-economic losses) for expenses to be incurred in the future, but shall be permitted to make periodic payments (as determined by the court); (2) the total amount of damages that may be awarded to an individual and the family members of such individual for non-economic losses may not exceed $250,000; (3) the total amount of damages received by an individual shall be reduced by any other payment that has been or will be made to the individual to compensate such individual for the injury that was the subject of the action or claim; (4) a claimant's attorney's fees may not exceed 25 percent of the first $150,000 of any award or settlement, or 15 percent of any additional amounts, paid to the claimant; (5) the total amount of punitive damages that may be assessed may not exceed twice the total amount of the damages awarded to compensate the claimant for losses resulting from the injury; and (6) the liability of each defendant for non-economic losses shall be several only and not joint, and each defendant shall be liable only for the amount of non-economic losses allocated to the defendant in direct proportion to the defendant's percentage of responsibility. Establishes a two-year statute of limitations for medical malpractice and product liability claims, beginning on the earlier of the date on which the injury that is the subject of the action was discovered or the date it should reasonably have been discovered. Specifies that, in the case of a medical malpractice or product liability claim relating to services provided during labor or the delivery of a baby, if the claimant was not previously treated for the pregnancy by the defendant health care professional or provider a court may not find that the defendant committed malpractice and assess damages against the defendant unless the malpractice is proven by clear and convincing evidence. Bars a defendant from being found to have committed malpractice unless the defendant's conduct at the time of providing the health care services was not reasonable, except where the claimant asserts that the defendant is liable under a strict liability theory. Bars the award of punitive damages with respect to any medical product liability claim alleged against a medical product producer if the drug or device that is the subject of the claim: (1) was subject to approval or premarket approval under the Federal Food, Drug, and Cosmetic Act by the Food and Drug Administration (FDA) with respect to the safety or performance of the drug or device or the adequacy of the packaging or labeling; (2) was approved by FDA; or (3) is generally recognized as safe and effective pursuant to conditions established by FDA and applicable regulations.  Makes an exception in the case of withheld information, misrepresentation, or illegal payment to an FDA official for purposes of securing approval of the drug or device. Provides for a separate proceeding to determine punitive damages. Sets forth provisions with respect to:  (1) the admissibility of evidence; and (2) criteria for determining the amount of punitive damages. Provides that the U.S. district courts shall not have jurisdiction over health care liability actions based on Federal questions or based on specified provisions concerning commerce and antitrust regulations. Specifies that this title preempts State law only to the extent that State law:  (1) permits the recovery by a claimant or the assessment against a defendant of a greater amount of damages; (2) permits the awarding of a greater amount of attorney's fees; (3) establishes a longer period during which medical malpractice or product liability claims may be initiated; or (4) establishes a less strict standard of proof for determining whether a defendant has committed malpractice. Amends the Public Health Service Act to direct the Secretary to encourage the establishment of a nationwide risk retention group (RRG) for community and migrant health centers receiving assistance under such Act. Defines an RRG for purposes of this title as an entity defined in the Liability Risk Retention Act of 1986 that:  (1) provides professional liability insurance and other types of profitable insurance approved for issuance by the Secretary to community and migrant health centers; (2) provides insurance that applies to all claims filed against a community or migrant health center after the entity initiates insurance coverage and to claims arising from acts that occurred prior to the initiation of coverage if the claims are not covered by other insurance; and (3) meets such other requirements as the Secretary may establish. Subtitle C:  Medical Savings Accounts - Amends the Internal Revenue Code to allow individuals a tax deduction for contributions made to a medical care savings account established for the benefit of an eligible individual.  Defines an eligible individual as:  (1) one who is not covered by an employer-provided group health plan; or (2) one who is covered by such a plan which is a qualified catastrophic coverage health plan and is not covered by any other health plan.  Allows penalty-free withdrawals from such accounts to the extent that amounts in such accounts exceed $15,000. Allows such deduction in arriving at adjusted gross income. Establishes an excise tax for excess contributions to medical care savings accounts and makes such accounts subject to the tax on prohibited transactions. Allows the transfer of unused amounts in flexible spending accounts of cafeteria plans to medical savings accounts. Subtitle D:  Estimates of Expenses Prior to Treatment - Requires providers of health care items or services to disclose to individuals prior to their treatment the price to be charged for such items or services, except in cases of emergencies. Subtitle E:  Limitation on Exclusion for Employer Provided Health Coverage - Limits the amount excludable from the gross income of an employee for employer-provided health care coverage.  Subjects such amount to an inflation adjustment.",2025-08-26T15:16:38Z,
102-hjres-551,102,hjres,551,"Designating October 4, 1992, through October 10, 1992, as ""National Bone Marrow Donor Awareness Week"".",Health,1992-09-16,1992-10-01,Received in the Senate and read twice and referred to the Committee on Judiciary.,House,"Rep. Young, C. W. Bill [R-FL-8]",FL,R,Y000031,212,"Designates October 4 through 10, 1992, as National Bone Marrow Donor Awareness Week.",2025-07-21T19:32:26Z,
102-hr-5952,102,hr,5952,Prescription Drug User Fee Act of 1992,Health,1992-09-16,1992-09-24,"Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 702. Pursuant to the order of September 22, 1992.",House,"Rep. Dingell, John D. [D-MI-16]",MI,D,D000355,8,"Prescription Drug User Fee Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to provide authority for the Secretary of Health and Human Services to assess and collect fees from manufacturers of prescription drugs beginning in FY 1993. Establishes a schedule for human drug application and supplement fees, prescription drug establishment fees, and prescription drug product fees.  Provides for the annual adjustment of such fees to reflect increases in the Consumer Price Index for urban consumers or increases in Federal pay.  Authorizes the Secretary to waive or reduce fees. Prohibits the assessment of fees for a fiscal year after FY 1993 unless appropriations for salaries and expenses of the Food and Drug Administration (FDA) are equal or greater than such appropriations for FY 1992.  Credits such fees to the appropriation account for salaries and expenses of the FDA.  Authorizes appropriations for FY 1993 through 1997. Provides a mechanism for collecting unpaid fees. Requires the FDA to make annual reports to the Congress on this Act. Requires the Secretary to conduct a study to evaluate whether to impose user fees to supplement appropriated funds to improve the process of reviewing applications for new animal drugs.  Requires a report to specified congressional committees on the results of such study.",2024-02-05T14:30:09Z,
102-hr-5936,102,hr,5936,Managed Competition Act of 1992,Health,1992-09-15,1992-10-16,"Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.",House,"Rep. Cooper, Jim [D-TN-4]",TN,D,C000754,21,"Managed Competition Act of 1992 - Title I:  Managed Competition in Employer-Based Health Plans:  Incentives to Control Costs - Subtitle A: Use of Tax Incentives to Purchase Cost Effective Plans - Amends the Internal Revenue Code to impose an excise tax on the excess health plan expenses of employers. Allows a full and permanent deduction for the health plan premium expenses of self-employed individuals, except with respect to excess health plan expenses. Excludes from gross income contributions by a partnership or S corporation to an accident or health plan covering its partners or shareholders. Subtitle B:  Health Plan Purchasing Cooperatives (HPPCs) - Provides for the establishment of health plan purchasing cooperatives as not-for-profit corporations in or among States to:  (1) enter into agreements with accountable health plans; (2) enter into agreements with small employers; (3) enroll individuals in accountable health plans; (4) receive and forward adjusted premiums, including the reconciliation of low-income assistance among such plans; and (5) coordinate and carryout other functions as required by this title. Subtitle C:  Accountable Health Plans (AHPs) - Sets forth requirements for accountable health plans with respect to: registration and qualifications, uniform benefits, cost-sharing for low-income individuals, standardized information, prohibition of discrimination based on health status, standard premiums, financial solvency, grievance mechanisms, and coordinating benefits. Preempts State laws for accountable health plans. Subtitle D:  National Health Board - Establishes a National Health Board to:  (1) specify a uniform set of effective benefits by October 1, 1993; (2) provide for an advisory Health Benefits and Data Standards Board and a Health Plan Standards Board; (3) register accountable health plans; (4) establish rules for the process of risk-adjustment premiums; (5) establish standards for a national health data system; (6) measure the quality of care in specialized centers; and (7) make specified reports to the Congress. Subtitle E:  Treatment of Areas of Ineffective Competition - Authorizes States to develop plans for controlling growth in premiums of accountable health plans where there is ineffective price competition. Subtitle F:  Repeal of COBRA Continuation Requirements - Repeals provisions of the Internal Revenue Code, the Employee Retirement Income Security Act of 1974, and the Public Health Service Act with respect to continuation coverage requirements of group health plans. Subtitle G:  Definitions - Provides definitions for terms under this title. Title II:  Low-Income Assistance for Health Coverage - Subtitle A: Low-Income Assistance - Provides assistance to low-income individuals enrolled under accountable health plans who are not eligible for Medicare through adjustments of premiums, cost-sharing assistance, and payments for certain items and services. Subtitle B:  Long-Term Care Phase-Down Assistance to States - Phases down assistance to States for long-term care from 1994 through 1997. Subtitle C:  Financing - Repeals the dollar limitation on the amount of wages subject to the hospital insurance tax. Subtitle D:  Repeal of Medicaid Program - Repeals title XIX (Medicaid) of the Social Security Act.  Requires the National Health Board to report to the Congress on changes in the laws needed to conform to such repeal. Title III:  Improved Access in Rural and Underserved Areas - Amends the Public Health Service Act to extend authorizations of appropriations for migrant health centers, community health centers, scholarship and loan repayment programs of the National Health Service Corps, and area health education centers. Title IV:  Preventive Health and Personal Responsibility Subtitle A:  Expansion of Public Health Programs - Extends authorized appropriations for:  immunizations against vaccine preventable diseases, lead poisoning prevention, preventive health measures with respect to breast and cervical cancers, health information and health promotion, and preventive health and health services block grants. Provides for the use of appropriated funds for the prevention, control, and elimination of tuberculosis and for grants for early intervention regarding acquired immune deficiency syndrome (AIDS). Authorizes appropriations for programs regarding the smoking of tobacco products. Subtitle B:  Expansion of Medicare Coverage of Preventive Services - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage for colorectal screening, certain immunizations, well-child care, annual mammography screenings, and certain additional benefits. Title V:  Malpractice Reform - Subtitle A:  Findings; Purpose; Definitions - Sets forth congressional findings with respect to the need for malpractice reforms. Subtitle B:  Grants to States for Alternative Dispute Resolution Systems - Authorizes the Secretary of Health and Human Services to make grants to States for a two-year period for the implementation and evaluation of alternative dispute resolution systems.  Sets forth eligibility requirements for States seeking such grants and standards and regulations for such program. Subtitle C:  Uniform Standards for Malpractice Claims - Establishes uniform standards for health care liability actions brought in a Federal or State court and to medical malpractice claims subject to an alternative dispute resolution system, except in the case of an injury arising from the use of a medical product. Subtitle D:  Liability Protections for Federally-Supported Health Centers - Provides liability protection for physicians or other licensed or certified health care practitioners deemed to be employees of the Public Health Service.  Requires the Attorney General to report to the Congress on medical malpractice liability claims arising under this subtitle. Title VI:  Paperwork Reduction and Administrative Simplification - Preempts State laws that require medical or health insurance records to be maintained in written, rather than electronic form. Requires the National Health Board to ensure the confidentiality of electronic health care information and establish standardization for the electronic receipt and transmission of health plan information. Requires the Board to establish goals and time frames for:  (1) the use of uniform health claims forms and identification numbers; (2) achieving uniformity in determining the liability of insurers when benefits are payable under two or more health plans; and (3) achieving uniformity in the availability of information among health plans when benefits are payable under two or more health plans. Amends the Internal Revenue Code to impose a tax on the administrator of a health plan for failure to satisfy certain health plan requirments.",2026-03-23T12:41:21Z,
102-hr-5938,102,hr,5938,Mammography Quality Standards Act of 1992,Health,1992-09-15,1992-10-08,Read twice and referred to the Committee on Labor and Human Resources.,House,"Rep. Dingell, John D. [D-MI-16]",MI,D,D000355,23,"Mammography Quality Standards Act of 1992 - Amends the Public Health Service Act to require certification (or provisional certification) in order for a facility to perform or interpret mammograms, inspect equipment, or provide for the processing of mammography film.  Authorizes the Secretary of Health and Human Services  to issue and renew certificates for a specified period of time. Allows the Secretary to approve a private nonprofit organization or State agency to be an accreditation body if it meets certain standards and provides certain assurances. Mandates standards to assure the safety and accuracy of mammograms, including regarding: (1) quality assurance and control programs; (2) radiation doses; (3) equipment used; (4) licensing, certification, and training of personnel; and (5) recordkeeping and retention. Directs the Secretary to conduct annual inspections of certified facilities.  Requires, subject to waiver, 48 hours notice of inspections. Provides for:  (1) directed plans of correction, on site monitoring costs payment, and civil money penalties; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Limits State inspection fees to the costs of conducting the inspections. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Establishes the National Mammography Quality Assurance Advisory Committee. Mandates grants to establish surveillance systems to evaluate breast cancer screening programs. Authorizes appropriations to carry out this Act.",2025-04-21T12:24:17Z,
102-s-3232,102,s,3232,Medicare Communication Disorders and Services Amendments Act of 1992,Health,1992-09-15,1992-09-15,Read twice and referred to the Committee on Finance.,Senate,"Sen. Shelby, Richard C. [D-AL]",AL,D,S000320,0,Medicare Communication Disorders and Services Amendments Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to provide expanded coverage of speech-language pathology and audiology services under the Medicare program.  Excludes from program coverage procedures performed for selecting or fitting hearing aids.,2025-08-26T15:15:16Z,
102-s-3226,102,s,3226,Child Immunization Access Act of 1992,Health,1992-09-10,1992-09-10,Read twice and referred to the Committee on Finance.,Senate,"Sen. Boren, David L. [D-OK]",OK,D,B000639,1,"Child Immunization Access Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide for the establishment and operation of a vaccine replacement system, unless such a system is not appropriate or cost-effective or a bulk vaccine purchasing program (universal vaccine distribution system) is already in operation.  Defines vaccine replacement system as a State program which purchases vaccines at the lowest practicable prices and distributes them free of charge to medical providers for immunization of Medicaid-eligible children. Provides for payments to States for costs incurred with respect to establishing and operating a vaccine replacement system or a bulk vaccine purchasing program.",2025-08-26T15:18:02Z,
102-hr-5919,102,hr,5919,Comprehensive Health Reform Act of 1992,Health,1992-09-09,1992-10-16,"Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.",House,"Rep. Michel, Robert H. [R-IL-18]",IL,R,M000692,3,"Comprehensive Health Reform Act of 1992 - Title I:  Deduction of Health Insurance Costs of Self-Employed Individuals - Health Benefits for Self-Employed Individuals Act of 1992 - Amends the Internal Revenue Code with respect to the income tax deduction for the health insurance costs of self-employed individuals to:  (1) make the deduction permanent; and (2) phase in an increase in it, reaching 100 percent of costs for taxable years beginning in 1996. Title II:  Health Insurance Market Reform - Health Insurance Market Reform Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, Requirements Concerning Health Insurance. States that the purposes of part A of new SSA title XXI are to increase the availability, portability, and affordability of health insurance, particularly to small employers and their employees and dependents, by seeking to ensure, among other things, that:  (1) affordable health insurance is available to individuals and groups, and premiums do not vary substantially, regardless of health status or claims experience; (2) States regulating health insurance do not place an undue burden on small employers; and (3) insurers, providers, purchasers, and consumers are encouraged to contain costs of health care and health insurance. Applies the provisions of new SSA title XXI to health insurance plans offered in any State and to insurers offering such plans. Provides for the establishment of Federal and State regulatory programs implementing the requirements of parts B and C of new SSA title XXI.  Requires the Secretary of Health and Human Services to: (1) request the National Assoication of Insurance Commissioners (NAIC) to recommend model standards for compliance with such requirements; and (2) using such model standards, with revisions as necessary, publish implementing regulations.  Requires the Secretary to determine whether each State has established a regulatory program adequate to ensure compliance with such requirements.  Allows State programs to establish standards more stringent than those required under new title XXI, if the Secretary finds them consistent with its purposes. Provides that an approved State program shall take effect, in lieu of the above mentioned implementing regulations, as of a specified date:  (1) with respect to all insurers and health insurance plans subject to part B of new SSA title XXI; and (2) with respect to all insurers and health insurance plans subject to part C, except for employee welfare benefit plans which are not multiple employer welfare arrangements (MEWAs). Requires the Secretary to implement a program:  (1) under part C in all States with respect to those insurers and health insurance plans not subject to State regulation; and (2) under both parts B and C with respect to all insurers and health insurance plans in each State without an approved program. Authorizes the Secretary to waive, with respect to one or all States, any provision of new SSA title XXI, or of Medicare or Medicaid (SSA titles XVIII and XIX, respectively), to the extent and for the period he or she finds likely to promote the purposes and facilitate the administration of new title XXI. Provides for Federal oversight over State programs. Makes the requirements of parts A, B, and C of new SSA title XXI generally effective with respect to health insurance plans offered, issued, or renewed in a State on or after January 1, 1994 (or certain later dates necessary to allow for enactment of State legislation). Provides that certain provisions concerning variations in premiums among and within blocks of business, and the rate of premium increases shall not apply, until two years after the general effective date, to a renewal of a health insurance plan that was in effect before the effective date. Provides that under part B of new SSA title XXI each insurer must register with the Secretary and the appropriate official for each State in which it issues or offers any health insurance plan to a small employer. Requires, subject to specified exceptions, any insurer offering a health insurance plan to any small employer in a State (or to any small employer in a local service area within the State, in the case of an insurer offering health insurance only within such an area) to: (1) make such plan available to every small employer in the State or local service area; (2) make available to every small employer any basic insurance plan a State may require; and (3) not cancel or refuse to renew any small employer health insurance plan. Requires an insurer providing small employer health insurance to notify the employer, at least 60 days before expiration, of the terms for renewal, and the extent to which any premium increase is based on actual or expected claims experience of covered individuals. Requires, subject to specified exceptions, that each health insurance plan offered to a small employer accept for enrollment, on the same terms as any other enrollee, every eligible employee and (in the case of a family plan) the employee's spouse and any dependent child under age 19 or, if older, under age 25 and a full-time student. Prohibits a small employer that made health insurance available to employees from using criteria related to health status or claims experience to determine eligibility for, benefits under, or terms of such health insurance for individual employees. Permits a State to define a basic benefit plan, and to require that it be offered to small employers in the State by insurers (other than health insurance networks (HINs) or MEWAs) offering heatlh insurance plans to small employers in the State.  Subjects the plan to review and approval by the Secretary to ensure that it is affordable by small employers. Requires that the regulatory program established with respect to a State require all insurers offering health insurance plans to small employers, during a specified period, to:  (1) participate in an interim risk pooling mechanism; and (2) comply with requirements designed to limit variations among and increases in premium rates for such health insurance plans. Permits the interim risk pooling mechanism to be either a reinsurance program or an assigned risk program.  Provides for funding such a mechanism.  States that no Federal entity shall be at risk as a guarantor of the solvency of a reinsurance fund or otherwise, for all or any part of the cost of health insurance plans subject to intermin risk pooling. Provides that, for any rating period, no base premium rate for any small employer block of business may exceed the equivalent base premium rate for any other block of the insurer by more than 20 percent. Provides that the highest premium rate for a specific health insurance plan that an insurer can charge any small employer in a block of business for a rating period shall not exceed the corresponding base premium rate by more than:  (1) 50 percent, for a period ending before January 1, 1997; and (2) 35 percent, for a period thereafter. Limits annual percentage increases in the premium rate charged to a small employer. Sets forth requirements concerning rate-setting methodology, including requirements for full disclosure of rating practices and actuarial certification. Establishes requirements for the permanent health risk pool system in a State. Provides continued health insurance coverage for certain college students. Provides under part C of new SSA title XXI that, except  to the extent permitted under an assigned risk program, an insurer may not refuse to offer, refuse to renew, cancel, or condition the coverage under any employment-based health insurance plan on the basis of the health status, claims experience, receipt of health care, medical history, or lack of evidence of insurability, of one or more individuals. Sets limits on exclusions under employment-based health insurance plans for pre-existing conditions. Preempts certain State laws relating to health insurance. Sets forth requirements an entity must meet in order to be entitled to certification as an HIN. Permits the Secretary to fund health risk pooling demonstrations in as many as four States.  Authorizes the Secretary to develop model health risk pooling systems.  Requires the Secretary to develop methods for measuring the health risk differential of individuals.  Authorizes appropriations. Amends the Internal Revenue Code to impose an excise tax of $1000 per covered employee on insurers for noncompliance with the requirements of part B or C of SSA new title XXI. Title III:  Medical And Health Insurance Information Reform - Medical and Health Insurance Information Reform Act of 1992 - Adds a new SSA title XXII, Medical and Health Insurance Information Reform. Requires the Secretary, in order to assure the availability of comparative value information to health care purchasers, to determine whether each State is developing and implementing a health care value information program.  Enumerates the criteria for State programs. Provides that if the Secretary finds that a State has not developed or implemented a health care value information program that comports with such criteria, the Secretary must take necessary actions to implement a comparable program in the State.  Allows fees to be charged for the informational materials provided pursuant to such program. Directs the head of any Federal agency with responsibility for the provision of health insurance or health care services to develop and make comparative value information available to States, health care providers, and consumers. Directs the Secretary to promulgate requirements for health insurers to furnish periodically to the Secretary, on a sample basis, health care data relevant to health care services research.  Requires the Secretary to make available, under the Freedom of Information Act, all Medicare claims records, without regard to the consent of the physician or other individual who furnished the item or service in question.  Maintains in force Privacy Act protections against the release of information that identifies Medicare beneficiaries. Applies this new requirement for release of records only to information received after the enactment of this Act. Directs the Secretary, directly or through grant or contract, to develop model systems:  (1) for gathering health care cost, quality, and outcomes data; and (2) for analyzing such data in a manner that would allow valid comparisons among providers and among health plans. Requires the Secretary to support and evaluate experiments with different approaches to achieve the most cost-effective method. Provides that, when appropriate, the Secretary may establish standards for data gathering in order to facilitate analysis and comparisons across the nation.  Authorizes appropriations. Authorizes the Secretary to make grants to States to enable them to plan and initiate implementation of their health care information programs.  Authorizes appropriations. Nullifies any State law which requires medical or health insurance records (including billing information) to be kept in written, rather than electronic, form. Directs the Secretary, after taking into consideration the Insurance Information and Privacy Protection Model Act of NAIC to promulgate requirements concerning health insurance information privacy and confidentiality.  Includes among such requirements that information identifying individuals shall not be redisclosed (with such limited exceptions as the Secretary may provide) except to the extent necessary to carry out the purpose for which the information was collected.  Requires the Secretary to take into consideration specified principles concerning information that identifies individuals when promulgating such requirements. Directs the Secretary to determine whether problems relating to standards for the electronic receipt and transmission of health insurance information cause significant administrative costs. Requires the Secretary, if such costs are generated, to promulgate standards for the electronic receipt and transmission of claims, payment, eligibility, and enrollment information (including privacy and confidentiality protection requirements). Directs the Secretary to determine whether problems relating to the receipt and transmission of health insurance eligibility verification cause significant administrative costs.  Requires the Secretary, if such costs are generated, to promulgate requirements for the receipt and transmission of health insurance eligibility verification. Directs the Secretary to determine whether the proportion of health insurance claims and payment information received and transmitted by paper will continue to cause significant administrative costs.  Directs the Secretary, if such costs are generated, to require a specified proportion of (or all of) such information to be received and transmitted electronically (with such exceptions as the Secretary might specify). Directs the Secretary to promulgate requirements for the format and content of basic claim forms under health insurance plans. Directs the Secretary to determine whether the variety of information requested by health insurers (in addition to information requested in basic claims forms) causes administrative costs disproportionate to the benefits derived.  Requires the Secretary, if such costs are generated, to publish recommendations concerning what additional information should be allowed to be requested and in what format. Directs the Secretary, after consulting with NAIC, to promulgate rules for determining the relative liability of insurers and the priority of payment when several health insurance policies cover the same individual. Directs the Secretary to determine whether problems relating to the transfer of information among health insurers that cover the same individual cause significant mistaken payments or administrative costs.   Requires the Secretary, if such payments or costs are generated, to promulgate requirements concerning the transfer among insurers (and annual updating) of information (which may include requirements for the use of unique identifiers, and for the listing of all individuals covered under a health insurance plan). Directs the Secretary to determine, for each State, whether there were in effect State requirements substantially the same as those enumerated below and whether the State effectively enforced them.  Applies the requirements enumerated below to administrators of self-insured employee plans. Provides for Federal backup authority to be effective in a State (with respect to a section) only if the Secretary makes a negative finding with respect to certain requirements or if the State does not provide sufficient information to enable the Secretary to make the determination. Requires health insurers (in States that do not have an equivalent program) to:  (1) meet the Federal requirements concerning the protection of privacy and confidentiality; (2) use social security numbers for their beneficiaries and Medicare unique identifiers for each provider that furnishes items and services; (3) meet the standards and requirements (if any) concerning the receipt and transmission of health insurance information; (4) meet the requirements concerning the form and content of health insurance claim forms; (5) follow the rules determining the priority of payment when several health insurance policies cover the same individual; and (6) meet the requirements (if any) concerning the furnishing of information among insurers. Requires the Secretary, after consulting with the American National Standards Institute (ANSI) and others, to promulgate requirements for hospitals concerning electronic medical data. Specifies the data sets to be included in such requirements. Permits the Secretary, after consulting with ANSI and others, to promulgate requirements for health care entities other than hospitals concerning electronic medical data. Requires hospitals that participate in the Medicare program to maintain an electronic patient care information system that meets certain data set requirements promulgated by the Secretary for hospitals, and to transmit data electronically to the Secretary, peer review organizations, carriers, and intermediaries, from the appropriate data sets.  Permits waivers of such requirements for hospitals in the process of developing an electronic patient care information system, for small rural hospitals, and for certain hospitals that agree to subject their data transfer processes to specified quality assurance procedures. Permits Federal agencies to require electronic transmission of data elements utilized for certain agency health care or research programs. Amends the Internal Revenue Code to subject insurers to an excise tax for any failure to comply with requirements under SSA new title XXII respecting health insurance.  Specifies the amount of such tax for administrators of self-insured employee welfare benefit plans and other insurers. Provides that the excise tax generally shall not apply if the violation could not have been discovered through the exercise of reasonable diligence, or if the violation was corrected within 30 days after it had been discovered.  Gives the Secretary authority to waive the tax if the violations were due to reasonable cause and not willful neglect, to the extent payment of the tax would be excessive relative to the failure involved. Authorizes the Secretary to make grants to:  (1) community organizations or coalitions of health care providers, insurers, and purchasers to establish, and document the efficacy of, communication links between the information systems of health insurers and of health care providers; and (2) public and private non-profit entities for the development of regional- and community-based clinical information systems, and for the development and testing of certain ambulatory care data sets.  Authorizes appropriations. Title IV:  MEWA Enforcement Improvements - Multiple Employer Welfare Arrangements Enforcement Improvements Act of 1992 - Amends the Employee Retirement Income Security Act of 1974 (ERISA) to revise provisions relating to MEWAs and other employee welfare benefit plans.  Revises the definition of employee welfare benefit plan to:  (1) allow up to five percent of the aggregate number of covered individuals to be individuals who are not employees or former employees of the employer, or members or former members of the employee organization which established or maintains the plan; and (2) include a plan, fund, or program established or maintained by a franchise network or by two or more trades or businesses that are within the same control group or were within it at any time during the preceding one-year period. Amends the definition of MEWA to:  (1) limit the exclusion of collective bargaining agreements, under specified conditions; (2) exclude franchise networks; (3) exclude insurers, or health maintenance organizations licensed to do business in a State; (4) exclude trades and businesses within the same control group at any time during the preceding one-year period (as well as those currently in the same group), by deeming them a single employer; and (5) provide that single employer plans shall not be deemed MEWAs solely because they cover individuals who are not employees or former employees, or their beneficiaries, if the number of such individuals never exceeds five percent of the aggregate covered during the plan year. Makes ERISA title I (Protection of Employee Benefit Rights) applicable to any MEWA engaged in commerce or in any industry or activity affecting commerce, with specified exceptions. Requires MEWAs which provide medical care benefits to file annual registration statements with the Secretary of Labor (the Secretary), including:  (1) certain information on persons involved in its operation and States where it conducts business; (2) certification that copies of the registration have been filed with the appropriate State insurance commissioners; and (3) indication of whether the MEWA has obtained, applied for, or intends to apply for a certain exemption from State regulation.  Authorizes the Secretary, to assess a civil penalty for a trustee's or other responsible person's failure or refusal to file such registration statement. Authorizes district courts, upon the Secretary's showing that a MEWA is neither licensed under State insurance laws nor operating in accordance with the terms of a certain Federal exemption fron State regulation, to order the MEWA to cease activities and to grant additional equitable or remedial relief, unless the MEWA can show that it is fully insured, meets the specified State or Federal requirements, and operates in accordance with applicable State insurance laws that are not superseded under ERISA. Sets forth an exemption procedure under which the Secretary is authorized to exempt from State regulation, for up to three years, individually, or by class, MEWAs which are not fully insured and which provide medical care benefits.  Allows such exemption to be renewed upon application.  Prohibits such an exemption unless the Secretary finds that it is:  (1) administratively feasible; (2) not adverse to the interests of participants and beneficiaries; and (3) protective of participant and beneficiary rights and benefits.  Requires published and adequate notification and opportunity for a hearing for interested persons before any such exemption is granted. Postpones, until 18 months after enactment of this Act, the required applicability of State insurance laws to MEWAs that provide medical care benefits if such MEWAs:  (1) file for the exemption within 180 days after such enactment; and (2) the Secretary does not find such application to be materially deficient.  Terminates such exclusion from State requirements for any such MEWA at any time when the Secretary determines it would be detrimental to the interests of participants or beneficiaries.  Places any determination relating to such exclusion in the Secretary's sole discretion. Provides that States may require disclosure of information from any employee welfare benefit plan (in connection with an investigation to determine if violations of the State insurance law have or are about to occur) as to whether such plan is a MEWA or is in compliance with the MEWA exemption or 18-month exclusion. Title V:  Health Care Liability Reform And Quality of Care Improvement - Health Care Liability Reform and Quality of Care Improvement Act of 1992 - Requires, in order to receive a notification of compliance with this title, that States have in effect the health care liability reforms set forth below. Requires, in any health care liability action, the liability of each defendant for noneconomic damages to be several and not joint, with each defendant liable only for the proportion of that defendant's fault and a separate judgment against that defendant in that amount. Prohibits awarding noneconomic damages over $250,000 in any health care liability action, subject to waiver. Reduces the total damages received by a plaintiff by the amount of any collateral source benefits. Allows:  (1) future economic damage awards to be paid periodically based on when the damages are likely to occur or at the time the damages accrue; and (2) in certain circumstances, the court to require the health care provider to purchase an annuity or fund a reversionary trust to make such periodic payments.  Prohibits reopening a judgment awarding periodic payments to contest, amend, or modify the schedule or amount in the absence of fraud or any ground permitting relief after entry of a final judgment. Declares it U.S. policy to encourage alternative dispute resolution (ADR).  Requires a State to establish at least one ADR mechanism. Requires each State to:  (1) cooperate with Federal research efforts regarding patient outcomes, clinical effectiveness, and clinical practice guidelines; (2) collect, analyze, and supply the Secretary of Health and Human Services with information regarding State medical board performance; and (3) impose continuing education requirements on disciplined physicians.  Allows alternatives to these requirements regarding medical board performance and continuing education if the Secretary finds such alternatives at least as effective in reducing the incidence of negligence as compliance with the requirements. Allows States three years from the adoption of this Act to enact, adopt, or otherwise comply with the requirements of this title. Requires withholding of State payments for noncompliance.  Allows waiver of the requirements of this title for any experimental, pilot, or demonstration project which is likely to assist in promoting this title's objectives for health care liability reform. Sets forth the framework for establishing a system of mandatory nonbinding arbitration in each State for the resolution of health care liability claims. Amends Federal law to prohibit, in a health care liability action, finding the United States jointly and severally liable for noneconomic damages.  Allows liability only for those noneconomic damages directly attributable to its pro rata share of fault.  Reduces damages paid by the United States by the amount of any collateral source benefits.  Prohibits awarding noneconomic damages, in an action against the United States, over $250,000. Requires, at the request of the United States when future economic damages are awarded in excess of $100,000, an order that such damages be paid by periodic payments based on when the damages are likely to occur.  Allows the United States, in such cases, to pay the judgment periodically, purchase an annuity, or fund a reversionary trust.  Prohibits reopening the judgment to contest, amend, or modify the schedule or amount in the absence of fraud or any ground permitting relief after entry of a final judgment.",2026-03-23T12:41:21Z,
102-hr-5922,102,hr,5922,To establish a congressional commemorative medal for organ donors and their families.,Health,1992-09-09,1992-09-15,Referred to the Subcommittee on Consumer Affairs and Coinage.,House,"Rep. Stark, Fortney Pete [D-CA-9]",CA,D,S000810,0,"Directs the Secretary of the Treasury (the Secretary) to design and strike a bronze medal in commemoration of organ donors and their families. Declares that any organ donor, or donor's family, is eligible for the medal. Requires the Secretary of Health and Human Services to arrange for medal presentation to eligible individuals through a qualified organ procurement organization.  Declares the medals to be national medals. Authorizes the Secretary of the Treasury to enter into an agreement with the entity operating the Organ Procurement and Transplantation Network with respect to the solicitation of donations to offset expenditures relating to medal issuance.",2024-02-06T19:38:08Z,
102-hr-5833,102,hr,5833,Rural Health Care Access Improvement Act of 1992,Health,1992-08-12,1992-10-09,Referred to the Subcommittee on Economic and Commercial Law.,House,"Rep. LaRocco, Larry [D-ID-1]",ID,D,L000098,0,"Rural Health Care Access Improvement Act of 1992 - Title I: Provisions Relating to Physicians' Services - Subtitle A:  Incentives Under Medicare - Amends title XVIII (Medicare) of the Social Security Act to modify requirements regarding payments to new physicians and other new health care practitioners for services in a rural area.  Prohibits failure to make Medicare payments based on the failure of an individual to complete a questionnaire concerning the existence of a primary plan.  Declares that any such payment remains conditional.  Regulates the use, by carriers used for the administration of Medicare benefits, of extrapolation.  Prohibits fees (by carriers or the Secretary of Health and Human Services) for filing a claim concerning physicians' services, related errors or appeals, applications for unique identifiers, responding to inquiries respecting physicians' services, or providing information with respect to medical review of such services. Requires consideration, in applying standards and criteria for contracts with carriers, of evaluations submitted by medical societies representing physicians served by the carrier. Provides for appeals of carrier actions. Requires carriers to provide for review (of denial of payments for physicians' services) by a physician in the same medical specialty. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify the circumstances in which payments may be made to a physician for services provided by a second physician. Amends the Social Security Act to exclude surgical procedures performed in a rural area from requirements of utilization and quality control review. Subtitle B:  Increasing Number of Physicians Practicing in Rural Areas - Amends the Internal Revenue Code to allow a personal interest deduction for qualified medical education loan interest which accrues while the physician is providing primary care to residents of a medically underserved rural area. Amends the Higher Education Act of 1965 to declare that two-year time limits do not apply to a borrower serving an internship or residency program in preparation for primary care practice with regard to paying interest subsidies on certain educational loans, insuring certain student loans, and repaying the principal and interest on certain educational loans. Amends the Public Health Service Act to add the ratio of medically underserved individuals in a health professional shortage area to the aggregate population of all such areas to the list of exclusive factors to be considered in determining the greatest shortages in the assignment of National Health Service Corps members. Subtitle C:  Reduction in Medical Malpractice Liability for Community Health Centers - Amends the Public Health Service Act to include entities receiving Federal funds under provisions relating to migrant health centers, community health centers, or health services for the homeless, or health services for residents of public housing, and officers, employees, or certain contractors of such entities who are licensed or certified health 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. Terminates the inclusion after a specified date. Prohibits grants under provisions relating to migrant or community health centers, health services for the homeless, or health services for residents of public housing unless the applicant has:  (1) implemented policies and procedures to assure against malpractice and the risk of lawsuits; (2) reviewed the professional credentials, claims history, and other information regarding its licensed health care practitioners; (3) no history of claims against it (or its officers, employees, or contractor) 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; and (4) has cooperated with the Attorney General in providing information relating to an estimate of expected claims. Empowers the Attorney General, if certain conditions are met, to determine that an individual physician or other practitioner 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 an annual estimate of the amount of expected claims and withholding that amount from the appropriation for each involved grant program. Subtitle D:  Expansion of Exceptions to Limitations on Physician Self-Referrals - Amends provisions of title XVIII (Medicare) of the Social Security Act prohibiting physician referrals to an entity with which the physician has a financial relationship to provide for exceptions relating to health maintenance organizations, managed care plans, shared facility services, and certain community services for which it is found that community individuals will be deprived of adequate health services without such an exception. Mandates a study of the changes in aggregate costs, under Medicare and other health plans, which will result from the amendments made by this subtitle. Title II:  Provisions Relating to Hospitals - Amends Medicare provisions to require rural hospital prospective payment system amounts for capital-related costs of inpatient services to be based on reasonable costs or on the methodology used to determine the payment for other hospitals, as elected by the hospital. Amends the Omnibus Budget Reconciliation Act of 1989 to extend the termination date of provisions requiring referral centers.  Removes Medicare provisions relating to exceptions and adjustments in certain payments for regional and national referral centers.  Provides that the disproportionate share adjustment percentage be determined, in certain circumstances, as though such provisions had not been removed. Shields from certain antitrust laws specified actions of hospitals meeting described requirements, including being outside of a city or in a city with fewer than a specified number of inhabitants.  Title III:  Miscellaneous Provisions - Subtitle A: Administrative Simplification - Requires any public or private health benefit plan to:  (1) issue health claims cards; (2) provide information to the assigned health claims clearinghouse on eligibility and benefits for an individual; and (3) accept the determinations of clean claims made by the clearinghouse. Requires each health service provider to submit claims only to the assigned clearinghouse and only consistent with standards under this Act.  Imposes civil penalties.  Establishes a sunset date for the penalties.  Requires each hospital, as a Medicare participation agreement requirement, to report information in a uniform manner consistent with specified provisions of the Omnibus Budget Reconciliation Act of 1987. Requires:  (1) designation of clearinghouse areas having about five million residents each; and (2) a separate contract in each area with a public or private organization to perform the clearinghouse functions.  Allows a clearinghouse to impose user charges.  Sets forth clearinghouse functions, including eligibility and benefit verification and claims processing. Provides for inter-clearinghouse verification and the use of electronic and other communication forms.  Allows the clearinghouse contract to provide for claim payment by the clearinghouse, including regarding Medicare payments. Mandates standards for:  (1) uniform health claims cards with certain information electronically encoded; and (2) the type and form of information required for claims acceptance and payment.  Requires the Secretary of Health and Human Services to develop and make available to providers such computer software as will enable providers to make inquiries, receive responses, and submit claims electronically and, in the case of hospitals, to submit uniform reports. Amends the Internal Revenue Code to impose a tax on the failure of any group health plan to meet certain requirements of this title, specifying sunset dates for the tax.  Sets the amount of the tax at 25 percent of the gross premiums received during the year from all group health plans issued by the person on whom the tax is imposed. Requires that Medicare and Medicaid identification cards be modified to meet the requirements of this Act. Subtitle B:  Other Provisions - Amends the Public Health Service Act to require that demonstration projects involving telecommunications to improve trauma care in rural areas include specified elements. Authorizes the use of a specified amount from funds appropriated to carry out provisions relating to health personnel student assistance for grants to nursing schools for the establishment of clinics to provide primary care services in medically underserved rural areas or within a certain distance of Indian country and to provide for related clinical training development, faculty enhancement, and student scholarships. Amends Federal law relating to the independent collection of information by an agency to require:  (1) a study of the burden of federally conducted or sponsored health care services information collection requests; and (2) setting a goal of reducing that burden by specified percentages.",2025-08-26T15:17:32Z,
102-hr-5837,102,hr,5837,American Health Security Plan Act of 1992,Health,1992-08-12,1992-10-09,Referred to the Subcommittee on Labor-Management Relations.,House,"Rep. Andrews, Thomas H. [D-ME-1]",ME,D,A000211,0,"American Health Security Plan of 1992 - Title I:  Eligibility and Enrollment - Entitles every U.S. resident citizen, national, and lawful resident alien to health care services and long-term care services under this Act.  Requires each State program to provide for a mechanism for enrollment and issuance of an identification and processing card.  Provides for portability, including mandating use of a uniform claims form. Title II:  Benefits - Subtitle A:  Health Care Services - Includes as covered services:  (1) inpatient and outpatient hospital care; (2) diagnostic and screening tests; (3) services furnished by health care professionals, including medically necessary dental care; (4) preventive care; (5) prescription drugs, biologicals, and devices; (6) substance abuse services; (7) outpatient mental health services; (8) hospice care; (9) habilitation and rehabilitation; (10) home medical equipment and prosthetic devices; and (11) approved experimental treatment. Prohibits States from limiting the amount, duration, or scope of services except as provided in this Act.  Excludes cosmetic surgery and certain inpatient amenities. Requires:  (1) the Federal Health Board established by this Act to provide, subject to certain requirements, for copayments and out-of-pocket limits; and (2) the Federal Health Priorities Council established by this Act to study: (1) whether out-of-pocket limits should be modified to take into account family size and composition; (2) whether co-payments effectively contain costs and whether they are an administrative burden on providers; (3) the effects of the continuation of duplicative private insurance on the quality, access, and cost of the public insurance program; and (4) whether cost sharing should be different for individuals who engage in practices deemed to increase the likelihood of service use. Subtitle B:  Long-Term Care Services - Requires that the Board set standards for eligibility, long-term care services coverage, income protection, and case management. Requires that long-term care include at least home- and community-based services, nursing home care, hospice care, home medical equipment, and services for individuals with developmental disabilities and mental illness. Requires the Board to establish an income-related cost sharing schedule.  Requires reduction of cost sharing to ensure that the income and assets of the individual using long-term care services under this Act are sufficient to:  (1) cover all items needed in addition to those provided by the long-term care facility; (2) maintain the individual's primary residence; and (3) maintain the individual's independence once the individual no longer needs long-term care services.  Requires a reduction in cost sharing to ensure that the income of the spouse, dependent, parent, or guardian of the individual using long-term care services is not reduced below certain levels. Provides for the appointment of a Long-Term Care Services Assessment Commission to make recommendations annually regarding specified aspects of long-term care under this Act.  Authorizes appropriations. Subtitle C:  Modification of Services - Requires annual recommendations by the Priorities Council regarding changes in services under this Act.  Authorizes the Board to promulgate regulations for implementing the Council's recommendations. Gives the regulations the force of law unless Congress disapproves. Title III:  Federal and State Administration - Subtitle A: Federal Administration - Establishes the Federal Health Board to administer this Act and take other actions, including establishing national minimum quality standards, establishing uniform reporting requirements, developing a uniform claims form, and reviewing and approving interstate consortia minimizing fragmented care, and combating fraud and abuse. Requires the Board to appoint the Federal Health Advisory Council. Establishes the Federal Health Priorities Council to conduct hearings and studies and make recommendations on how health care dollars should be allocated in the context of a publicly funded national health insurance plan. Authorizes appropriations for the Board, the Advisory Council, and the Priorities Council. Subtitle B:  State Administration - Provides for Board review and approval of State programs.  Includes in requirements for State programs:  (1) financing of services through a designated fund; (2) designation of a single nonprofit State agency to administer the program; (3) establishment of boards to negotiate with hospitals and practitioners; and (4) freedom of individuals to choose providers. Allows States to contract with fiscal intermediaries, in a process of competitive bidding, to administer the State program. Provides for waivers for States to:  (1) implement alternative and innovative provider reimbursement, cost sharing, and administration; and (2) provide services through a capitation method. Allows any group of States to establish a regional consortium in lieu of State programs.  Provides for congressional disapproval of the consortium agreement. Mandates grants to and cooperative agreements with States for programs, research, and treatment relating to environmental health and health promotion and disease prevention. Mandates grants to States or regional consortia for the establishment and initial operation of the State or regional plan. Authorizes appropriations. Title IV:  Financing - Subtitle A:  Health Budgets - Requires the Board to establish an annual or biennial budget for Federal and State expenditures under this Act.  Requires computation of national average per capita costs, adjustments for risk groups, and adjustments for specified factors in each State.  Provides for determination by the Board of the Federal and State shares of expenditures, subject to congressional disapproval.  Entitles each State with an approved State program to a Federal contribution of the Federal share plus that State's total projected expenditures for services under this Act. Prohibits a State, either by intention or as an unstated consequence of budget allocations, from restricting timely access to medically necessary and appropriate services under this Act or permitting queues to form that have the potential to be life threatening. Subtitle B:  Payments to Providers - Provides for State payments to hospitals and other health care and long-term care institutions for the areas of operating, capital, and health training expenses.  Sets forth principles for guiding State reimbursement negotiation boards in each such area. Requires the State practitioner reimbursement negotiation board to negotiate with the State organizations representing each of the practitioner disciplines to derive a relative value scale fee schedule fulfilling specified principles. Sets forth principles for negotiating reimbursement rates for nonphysician providers. Declares payment by a State program to be payment in full. Subtitle C:  Revenues - Requires the Board to develop a mechanism for determining and collecting a premium from individuals and employers. Requires the Board, subject to congressional disapproval, to collect premiums from individuals and employers according to certain requirements, including that the premiums from:  (1) individuals be income-based and progressive; and (2) employers be based on each employer's ability to pay. Amends the Internal Revenue Code to define ""accident or health insurance,"" for purposes of provisions relating to exclusions from gross income, 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. Prohibits trade or business expense deductions for employer group health plan expenses unless the plan is an approved State plan under this Act. Removes provisions:  (1) limiting deductions for health insurance costs of self-employed individuals to 25 percent of those costs; and (2) terminating, on a specified date, the allowance of any deductions for such costs for self-employed individuals. Modifies definitions under provisions allowing individual medical expense deductions, including defining ""medical care"" to mean premiums and cost-sharing under this Act. Terminates, after 1998, the child health insurance credit. Establishes in the Treasury the Federal Health Care Trust Fund. Appropriates to the Fund premiums under this Act and additional revenues received as a result of amendments made by this subtitle.  Transfers to the Fund all remaining amounts in the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund.  Authorizes and appropriates:  (1) amounts equal to appropriations under title XIX (Medicaid) of the Social Security Act and under provisions of Federal law relating to the Civilian Health and Medical Plan of the Uniformed Services (CHAMPUS) and relating to health insurance for Federal officials and employees; (2) additional sums as required to cover administrative expenses and grants;  (3) payments to each State for the Federal share of expenditures under this Act; and (4) sums as determined by the Board to be necessary to cover contingencies. Declares that the receipts and disbursements of the Fund shall not be included in the totals of the U.S. budget and exempts them from any general budget limitation. Makes each State responsible for establishing a financing program for the implementation of the State program. Title V:  Congressional Consideration - Sets forth rules, changeable as any other rule of the House of Representatives or the Senate, regarding congressional disapproval resolutions under this Act. Title VI:  Private Options - Declares that this Act does not prohibit private insurance coverage supplementing the services covered under this Act. Allows private insurance coverage for services covered under this Act, subject to limitations, including:  (1) prohibiting private coverage for the cost-sharing requirements for health care services and other non-long-term care services covered under this Act; (2) requiring issuers of private insurance to inform purchasers of any duplication in coverage; and (3) requiring the Comptroller General to review private insurance industry practices and make recommendations to the Congress regarding prevention of fraud and abuse in the sale of duplicative or supplemental private insurance. Declares that the purchase of any private insurance does not relieve the purchaser of the payment of premiums under this Act. Title VII:  Expansion of Outcomes Research and Delivery of Services in Underserved Areas - Amends provisions of the Social Security Act relating to health care outcomes research to authorize appropriations. Authorizes appropriations to carry out provisions of the Public Health Service Act relating to the National Health Service Corps. Amends the Public Health Service Act to authorize grants to local communities for programs to finance the health-related education of residents of such communities, provided such residents agree to practice in a health-related field in that community for at least four years after graduation.  Authorizes appropriations. Mandates grants to expand the availability of comprehensive primary health services in medically underserved areas.  Allows community and migrant health centers in existence at enactment of this Act to use any increase in revenue resulting from the increase in the number of insured patients treated for the expansion of the amounts and types of services furnished, to serve additional patients or areas, or to promote the recruitment, training, or retention of personnel.  Authorizes appropriations. Title VIII:  Malpractice Reform - Requires the Board to make grants to States for the development and implementation of medical malpractice reforms meeting specified criteria.  Authorizes appropriations. Title IX:  Effective Dates; Terminations; Transition; Relation to ERISA - Repeals:  (1) titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act; (2) provisions of the Internal Revenue Code relating to hospital insurance; (3) certain provisions of Federal law relating to the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS); and (4) specified provisions of Federal law relating to health benefits for Federal officials and employees. Requires the Board to recommend to the Congress amendment or repeal of any other Federal program inconsistent with or duplicative of the principles of this Act. Supersedes, to the extent they are inconsistent with this Act, the provisions of the Employee Retirement Income Security Act.",2026-03-23T12:41:21Z,
102-hr-5854,102,hr,5854,Savings Through Health Protocol and Malpractice Reform Act of 1992,Health,1992-08-12,1992-10-09,Referred to the Subcommittee on Economic and Commercial Law.,House,"Rep. Hunter, Duncan [R-CA-45]",CA,R,H000981,0,"Savings Through Health Protocols and Malpractice Reform Act of 1992 - Title I:  Development and Implementation of Diagnostic and Treatment Protocols - Mandates grants or contracts for the operation of four to six centers to develop:  (1) diagnostic and treatment protocols for various health conditions; and (2) model programs for training health care providers regarding the protocols. Requires establishment of an advisory council to make recommendations on carrying out this title. Title II:  Medical Malpractice Liability Reform - Provides for certification of a State if it has enacted certain medical malpractice liability reforms, including:  (1) several and not joint liability for non-economic damages, with determination of percentages of liability; (2) specified dollar limits on non-economic damages; (3) mandatory offsets for collateral source damages paid; and (4) at least one alternative dispute resolution mechanism. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to mandate a reduction in uncertified States and an increase in certified States of:  (1) Medicare payments to hospitals for inpatient services; and (2) certain Medicaid payments to States. Amends Federal law relating to tort claims procedures to mandate, with regard to health care liability actions against the United States: (1) several and not joint liability for non-economic damages, with determination of percentages of liability; (2) specified dollar limits on non-economic damages; and (3) mandatory offsets for collateral source damages paid.",2025-08-26T15:17:50Z,
102-hr-5867,102,hr,5867,Consumer Hospital Price Awareness Act of 1992,Health,1992-08-12,1992-09-08,Referred to the Subcommittee on Health.,House,"Rep. Moody, Jim [D-WI-5]",WI,D,M000881,1,Consumer Hospital Price Awareness Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to require as a condition of participation in the Medicare program that hospitals disclose to patients upon their request an estimate of the costs to be incurred or a statement of the costs already incurred by the hospital in providing services to the patient.,2025-08-26T15:15:26Z,
102-hr-5893,102,hr,5893,National AIDS Vaccine Development and Compensation Act of 1992,Health,1992-08-12,1992-09-14,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Stark, Fortney Pete [D-CA-9]",CA,D,S000810,0,"National AIDS Vaccine Development and Compensation Act of 1992 - Title I:  Vaccines - Amends the Public Health Service Act to establish in the Department of Health and Human Services a National Program to achieve optimal prevention of the acquired immune deficiency syndrome (AIDS) through immunization.  Includes in Program responsibilities AIDS vaccine research, development, safety and efficacy testing, licensing, production and procurement, distribution and use, and evaluation of need, effectiveness, and adverse effects. Establishes the AIDS Vaccine Review Advisory Committee. Authorizes appropriations. Establishes the National Vaccine Injury Compensation Program under which compensation may be paid for a human immunodeficiency virus (HIV) vaccine-related injury or death.  Makes it an ethical obligation of any attorney to inform individuals consulting about such an injury or death that compensation may be available under the program.  Sets forth compensation procedures. Establishes in the U.S. Claims Court an office of not more than eight special masters.  Requires the special masters to issue decisions on compensation petitions. Requires proof by a preponderance of the evidence. Mandates establishment of a vaccine injury table including potential HIV vaccines and the conditions and deaths resulting from the administration of the vaccine. Requires compensation to include:  (1) certain actual unreimbursable expenses; (2) in the event of death, a specified dollar amount; (3) actual or anticipated loss of earnings; (4) to a specified dollar maximum, actual and projected pain and suffering. Prohibits punitive or exemplary damages and compensation for other than the health, education, or welfare of the person who suffered the injury.  Requires awarding attorney's fees and other costs.  Makes the Program liable after other sources such as insurance or other Federal or State health benefits programs (other than title XIX (Medicaid) of the Social Security Act).  Authorizes appropriations for payment of compensation. Sets forth time limits on actions. Subrogates the trust fund established to provide compensation under the Program to the rights of the petitioner. Establishes the Advisory Commission on AIDS Vaccines. Provides for additional remedies, including allowing a civil action for damages and allowing the petitioner, in certain circumstances, to chose to continue or withdraw the petition. Sets forth standards of responsibility, including providing that a manufacturer is not liable for:  (1) unavoidable adverse side effects, if the vaccine is properly prepared and accompanied by proper directions and warnings; or (2) damages due to the manufacturer's failure to provide direct warnings to the injured party. Prohibits a State from establishing or enforcing a law prohibiting a civil action not barred by provisions of this Act. Requires a civil action trial for an HIV vaccine-related injury or death to be held in three stages:  liability, general damages, and punitive damages. Sets forth recordkeeping and reporting requirements for health care providers administering an AIDS vaccine. Mandates development and dissemination of vaccine information materials. Requires the establishment of a task force on safer HIV vaccines. Sets forth recordkeeping and reporting requirements for AIDS vaccine manufacturers.  Provides for fines and imprisonment for violations. Allows any person to commence a civil action against the Secretary of Health and Human Services where there is an alleged failure of the Secretary to perform any act under the provisions established by this Act.  Allows awarding litigation costs, including attorney's fees, to a plaintiff in certain circumstances. Mandates:  (1) a study of AIDS vaccine risks; (2) guidelines for vaccine administration; and (3) review of the warnings, use instructions, and precautionary information issued by vaccine manufacturers. Title II:  Amendments of the Internal Revenue Code of 1986 - Amends the Internal Revenue Code to establish in the Treasury the AIDS Vaccine Injury Compensation Trust Fund.  Appropriates to the Fund excise taxes on HIV vaccines and the amounts recovered through subrogation.  Makes amounts in the Fund available, as provided in appropriation Acts, only for the AIDS vaccine development and compensation program.  Authorizes appropriations to the Fund, as repayable advances, of sums as necessary to carry out the purposes of the Fund.  Allows claims to be paid only out of the Fund.  Provides for the order in which unpaid claims are to be paid. Appropriates a specified amount to the Fund as a repayable advance. Title III:  Revenue Sources for AIDS Vaccine Injury Compensation Trust Fund - Mandates a study on the appropriate amount of tax to be imposed on any HIV vaccine manufacturer, producer, or importer to be deposited in the Fund. Title IV:  Miscellaneous - Declares that:  (1) provisions of Federal law relating to coordination of Federal information policy do not apply to information required for carrying out this Act; and (2) if any provision of this Act is declared unconstitutional, the entire Act shall be considered invalid.",2025-08-26T15:18:11Z,
102-hr-5907,102,hr,5907,Traumatic Brain Injury Act of 1992,Health,1992-08-12,1992-09-14,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Waters, Maxine [D-CA-29]",CA,D,W000187,0,"Traumatic Brain Injury Act of 1992 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to conduct a study concerning traumatic brain injury. Requires the study to seek to:  (1) determine the major causes of traumatic brain injury; (2) identify common therapeutic interventions which are used for the rehabilitation of individuals with traumatic brain injuries; (3) determine the preventive efforts that are being used by States and non-profit agencies to reduce the occurrence of such injuries; (4) identify effective treatment and long-term rehabilitation services needed to meet the needs of individuals with traumatic brain injuries; (5) develop practice guidelines for the treatment of traumatic brain injury; and (6) determine whether there is a need for national standards for helmets used by bicyclists and others. Requires the results of such study to be reported to the Congress not later than three years after enactment of this Act. Requires the Secretary to biennially prepare a report containing recommendations for the prevention of traumatic brain injuries, including identifying States that have mandated helmet laws for bicyclists and others.  Requires such report to be disseminated to State health officers. Makes the Director responsible for gathering data concerning the number of individuals surviving traumatic brain injury and regarding the cost of such injuries.  Requires the Director to establish a uniform reporting system under which hospitals and State and local health-related agencies will report on matters including: (1) the occurrence of traumatic brain injuries; (2) the amount of traumatic brain injury research, training and services; (3) the identification of States and localities that have approved mandated helmet use laws; and (4) the health insurance status of individuals with such injuries.  Requires the reporting system to permit the Director to make an accurate assessment of resource needs, provide a basis for the allocation of resources, and track survivors of traumatic brain injury from the provision of initial health care through long-term rehabilitation. Directs the Director to determine which Federal, State, local or other entities collect data on traumatic brain injury and the means by which such entities collect the data.  Authorizes the Director to enter into cooperative agreements with other agencies, and to provide assistance to other entities with responsibility for data collection, to establish traumatic brain injury as a specific reportable condition in existing and future reporting systems. Authorizes the Secretary to award grants to State and local entities, and to public or non-profit private entities, to support: (1) special prevention and public awareness initiative projects; (2) model traumatic brain injury prevention, research and support programs; (3) projects that study the service needs of individuals with traumatic brain injury; and (4) projects involving grants for service coordination. Authorizes the Secretary to provide assistance to public and private nonprofit entities to reduce the incidence of traumatic brain injury through the establishment and effectuation of prevention projects.  Sets forth eligibility requirements.   Authorizes the Secretary, acting through the Director of the National Institutes of Health, to provide assistance to public and private nonprofit entities to support the conduct of basic and applied research concerning traumatic brain injury, especially with respect to the biomechanics of brain injury, the molecular and cellular characteristics of primary and secondary injury to the brain and the development of improved experimental brain injury models.  Specifies the research to be conducted. Directs the Secretary to award grants to States for the establishment of Statewide protection and advocacy demonstration projects for individuals affected by traumatic brain injury.  Sets forth eligibility requirements. Requires each State that receives assistance under this Act to establish a consumer-controlled advisory board within the Department of Health or Human Services of the State or within another department as designated by the chief executive officer of the State.  Directs an advisory board to coordinate communications with and between Federal, State and local agencies, citizen's groups, private industry and labor and nonprofit organizations and to encourage citizen participation through public hearings and other types of community outreach programs. Requires each State to establish a services coordination program to identify the services required to prevent the institutionalization or to minimize the need for residential rehabilitation in the case of traumatic brain injuries.  Sets forth the requirements for such program. Authorizes appropriations to carry out provisions of this Act for FY 1993 through 1995. Designates October 1992 as National Head Injury Month.",2025-08-26T15:13:42Z,
102-s-3176,102,s,3176,Health Care Affordability and Quality Improvement Act of 1992,Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Finance.,Senate,"Sen. Specter, Arlen [R-PA]",PA,R,S000709,0,"Health Care Affordability and Quality Improvement Act of 1992 - Title I:  Disclosure Of Certain Information To Beneficiaries Under The Medicare And Medicaid Programs - Amends part A (General Provisions) of title XI of the Social Security Act (SSA) to direct the Secretary of Health and Human Services to issue regulations requiring that each institutional health care provider receiving payment for services under SSA titles XVIII (Medicare) or XIX (Medicaid) make an annual report available to service recipients. Specifies the contents of such report, including information on mortality and infection rates and malpractice claims. Requires the Secretary to issue regulations requiring that each noninstitutional provider receiving payment for services under such titles make an annual report available to service recipients. Specifies the contents of such report, including information on provider qualifications and malpractice and other actions taken against the provider. Requires the Secretary to issue regulations requiring that each institutional and noninstitutional health care provider receiving payment for such services:  (1) make available any forms required in connection with the receipt of such services which consist of any diagnostic, surgical, or other invasive procedure, before performance of such procedure; (2) disclose to any individual receiving any surgical, palliative, or other health care procedure or any drug therapy or other treatment, specified information before performance of such procedure or treatment; and (3) inform any individual receiving such services of that individual's right to refuse the information made available above and any procedure or treatment. Provides for penalties for failure to comply with the regulations issued above. Authorizes the Secretary to award grants to nonprofit private entities for outreach activities to inform Medicare beneficiaries of the information made available above.  Authorizes appropriations. Amends Medicare to require the annual notice of Medicare benefits to contain a description of the information made available above. Amends Medicaid to require State plans to provide for an outreach program informing Medicaid beneficiaries of the information made available above. Title II:  Advisory Committee On Patient Self-Determination - Directs the Secretary to establish an advisory committee or committees for the purpose of issuing recommendations about various issues related to patient self-determination.  Lists specific issues to be addressed by such committee or committees. Title III:  Maternal and Infant Care Coordination - Authorizes the Secretary to award grants to States to implement coordinated, multidisciplinary, and comprehensive primary health care and social service programs targeted to pregnant woman and infants.  Specifies grant eligibility criteria.  Authorizes appropriations. Authorizes the Secretary, in conjunction with the Secretaries of Education and Agriculture, to award grants for the development of model health and nutrition education curricula for children.  Authorizes appropriations. Title IV:  Improved Access To Nursing And Physician Assistant Services - Amends Medicare to provide for increased payments for nurse practitioners, clinical nurse specialists, certified nurse midwives, and physician assistants.  Provides for bonus payments for such practitioners who provide services in health professional shortage areas. Amends Medicaid to include coverage of physician assistant, nurse practitioner, and clinical nurse specialist services under the Medicaid program. Title V:  Medicare Preferred Provider Demonstration Projects - Requires the Secretary to provide for demonstration projects to test the effectiveness of providing payment under Medicare for primary and specialty procedures and services furnished by preferred provider organizations. Title VI:  Cost Containment - Amends the Public Health Service Act to authorize the Director of the National Institutes of Health to establish a program for the conduct of clinical trials with respect to promising new drugs and disease treatments. Authorizes appropriations. Reauthorizes research under the Public Health Service Act on cost-effective methods of health care. Requires amounts appropriated in excess of those appropriated for FY 1992 to be used for developing and disseminating new practice guidelines related to cost-effective methods of health care. Amends the Internal Revenue Code to impose on health insurance carriers an excise tax of .001 cent per dollar on health insurance policy premiums. Creates in the Treasury the Trust Fund for Medical Treatment Outcomes Research to hold the revenues generated from such tax to pay for research activities related to medical treatment outcomes. Requires the Secretary, after considering the recommendations of the Health Care Cost Control Advisory Committee established by this Act, to report to appropriate congressional committees on the establishment of national spending targets for health care and health care services.",2025-08-26T15:13:57Z,
102-s-3179,102,s,3179,Agency for Health Care Policy and Research Reauthorization Act of 1992,Health,1992-08-12,1992-09-25,Placed on Senate Legislative Calendar under General Orders. Calendar No. 743.,Senate,"Sen. Kennedy, Edward M. [D-MA]",MA,D,K000105,4,"Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to add prevention of diseases and other health conditions to the purposes of the Agency for Health Care Policy and Research. Authorizes training grants in the field of health services research. Establishes at the National Library of Medicine (NLM) an information center on health services research, selected technology assessments, and clinical practice guidelines, with the information electronically collected and maintained. Mandates conducting assessments of existing and new health care technologies. Replaces provisions establishing at the NLM an information center on health care technologies and health care technology assessment with provisions mandating establishment and publication of an annual list of technology assessment under consideration by the Agency.  Allows the conducting of assessments in addition to those requested by the Health Care Financing Administration or the Department of Defense.  Requires:  (1) development of criteria for determining the priority of assessments; and (2) development and publication of a description of the methodology used to establish assessment priorities and the process used to conduct the assessments. Authorizes grants, cooperative agreements, or contracts for collaborative arrangements to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies. Requires guidelines, standards, performance measures, and review criteria developed to include information on the risks, benefits, and costs of alternative strategies for prevention, diagnosis, treatment, and management of a given disease or condition.  Mandates a study on methods for collecting and analyzing primary and secondary data to be used in generating cost estimates of alternative strategies. Requires that the Agency's Administrator carry out provisions relating to the Forum for Quality and Effectiveness in Health Care through the Forum's Director. Limits the percentage of members of grant and contract peer review groups who may be U.S. officers or employees.  (Currently, U.S. officers and employees are excluded from the groups.)  Revises other requirements regarding the groups. Allows the Agency to tabulate and analyze statistics for public or nonprofit private entities who pay the costs of such services. Provides for the selection and composition of panels convened by the Director. Mandates a study of the process for the development of guidelines, standards,and review criteria. Modifies requirements for the agenda for development of guidelines, standards, performance measures, and review criteria, including covering at least three conditions that account for significant national health expenditures. Requires publication:  (1) of a methodology for establishing priorities for guideline topics; and (2) annually of a list of guideline topics under consideration. Removes provisions establishing a subcouncil of the National Advisory Council for Health Care Policy, Research, and Evaluation to carry out specified duties. Requires the Agency's Administrator to define, with regard to grants, cooperative agreements, or contracts, the circumstances that constitute financial conflicts of interests and the actions that the Administrator will take in response to such interests. Authorizes appropriations to carry out provisions relating to the Agency. Authorizes appropriations for demonstration projects on emergency medical services for children.",2025-04-21T12:24:17Z,
102-s-3180,102,s,3180,State Care Act of 1992,Health,1992-08-12,1992-09-09,Committee on Finance. Hearings held. Hearings printed: S.Hrg. 102-1068.,Senate,"Sen. Leahy, Patrick J. [D-VT]",VT,D,L000174,18,"State Care Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, State Comprehensive Health Coverage And Cost Containment Demonstration Projects, establishing a program under which the State-Based Comprehensive Health Care Commission (established below) is required to select States to participate in health coverage and cost containment demonstration projects (State Care projects). Establishes the State-Based Comprehensive Health Care Commission (the Commission) to review, approve, and oversee State Care projects. Authorizes appropriations. Requires States desiring grants to develop State Care projects to establish a State Health Care Authority through which to develop such projects.  Exempts from this requirement States that have enacted comprehensive health care plans (State Care plans) within 12 months of enactment of this Act. Establishes Federal standards for approval of applications for grants for demonstrations in up to ten States. Specifies State Care plan requirements, including those for standard and basic benefit packages, cost-control mechanisms, and quality control procedures.  Details the various items and services which constitute each respective package. Sets limits on the amount, scope, and duration of certain benefits under the standard package.  Details cost-sharing under the respective packages, and provides for limits on out-of-pocket package expenses. Authorizes the Commission to award grants to States receiving approval of a State Care project grant application for:  (1) establishment of a data base infrastructure necessary to measure and evaluate State Care plan success in achieving cost containment and access goals; and (2) consolidation of health care budgeting, regulating, financing, and delivery responsibilities of the State.  Authorizes appropriations. Prohibits payments under Medicaid (SSA title XIX) for State Care project services if payment for them may be made under the State Care plan.  Directs the Secretary of Health and Human Services to pay to each State participating in a State Care project an amount equal to the amount of any payments that, as a result of such prohibition, were not made under Medicaid because payment was made under the State Care plan. Sets forth provisions governing the application of Medicare (SSA title XVIII) and ERISA (Employee Retirement Income Security Act of 1974) with respect to any approved State Care project. Requires periodic reports by the Commission to the Congress on the reforms undertaken in States participating in State Care projects, along with recommendations for increased Federal funding for reform initiatives and project grants.  Requires additional Commission reports on continued financing of State Care plans and, if no national comprehensive health care system has been established, on establishing such a system that utilizes the experiences of State Care projects.",2025-08-26T15:15:47Z,
102-s-3183,102,s,3183,Comprehensive Fetal Alcohol Syndrome Prevention Act,Health,1992-08-12,1992-09-30,"Referred to Subcommittee on Children, Family, Drugs, Alcohol.",Senate,"Sen. Daschle, Thomas A. [D-SD]",SD,D,D000064,6,"Comprehensive Fetal Alcohol Syndrome Prevention Act - Amends the Public Health Service Act to establish:  (1) a comprehensive program to prevent Fetal Alcohol Syndrome and Fetal Alcohol Effects and coordinate related Federal efforts; and (2) an Inter-Agency Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effects. Provides for related research, technical assistance, grants, cooperative agreements, and contracts, surveillance and prevention programs, professional and public education, and diagnostic criteria. Authorizes appropriations.",2025-08-26T15:15:33Z,
102-s-3185,102,s,3185,"A bill to amend title XVIII of the Social Security Act to expand and improve access to medicare select policies, and to make technical corrections to provisions relating to medicare supplemental insurance policies.",Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Finance.,Senate,"Sen. Chafee, John H. [R-RI]",RI,R,C000269,0,Amends the Omnibus Budget Reconciliation Act of 1990 to:  (1) make permanent the Medicare select policy program; (2) allow access to Medicare select policies in all States; and (3) make various technical corrections to provisions relating to Medicare supplemental policies. Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare select policy program and provide for a civil penalty for misrepresentations made in connection with a Medicare select policy.,2025-01-14T18:59:41Z,
102-s-3186,102,s,3186,Ethics in Referrals and Billing Act of 1992,Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Adams, Brock [D-WA]",WA,D,A000031,2,"Ethics in Referrals and Billing Act of 1992 - Amends the Public Health Service Act to create a new title on physician referral and billing. Prohibits, subject to exceptions, referrals and related billing by physicians involving an entity in which the physician (or an immediate family member) has a financial relationship. Requires each entity providing health-related items or services to disclose certain information concerning the entity's ownership. Declares that no individual, entity, or third party payor shall be required to pay for items or services in connection with a prohibited referral.  Makes any person collecting such payments liable to the payor.  Requires insurance payors to report violation patterns. Provides for civil fines for persons repeatedly presenting bills, physicians repeatedly making referrals, and persons acting in concert in violation.  Allows for violations:  (1) suspension, revocation, or limitation of laboratory certificates; and (2) exclusion from any program under title XVIII (Medicare) of the Social Security Act. Makes it unlawful, subject to exception, for any:  (1) person who furnishes ancillary health services to present a bill to any person other than the patient receiving the services; or (2) physician to present a bill to any ancillary service recipient unless the services where furnished personally or under the supervision of the referring physician or a member of that physician's group practice or by individuals employed by that physician or group practice. Makes any person collecting payments for such services liable to the payor.  Provides for civil fines for persons repeatedly presenting bills in violation.  Allows, for violations:  (1) suspension, revocation, or limitation of laboratory certificates; and (2) exclusion from any pogram under Medicare.",2025-08-26T15:14:49Z,
102-s-3187,102,s,3187,"A bill to amend title XIX of the Social Security Act to improve programs related to home and community based care and community supported living arrangements, and for other purposes.",Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Finance.,Senate,"Sen. Graham, Bob [D-FL]",FL,D,G000352,1,"Amends title XIX (Medicaid) of the Social Security Act to allow the participation in home- and community-based care programs of functionally disabled elderly individuals with:  (1) incomes of up to three times the maximum amount allowed under the Supplemental Security Income program, at the State's option; and (2) two of five (currently, two of three) impaired activities of daily living. Exempts small community care settings which are not providers of home- and community-based care from survey and certification requirements. Requires case managers who have been properly trained to review such small settings for compliance with applicable requirements. Revises program funding provisions to:  (1) guarantee States with a certain amount of funding over one year's election period; and (2) allow remaining funds to be carried over to the next fiscal year. Requires the Secretary of Health and Human Services to:  (1) evaluate the provision of home- and community-based care by States: and (2) submit to specified congressional committees an annual report on the effectiveness of such care. Makes technical revisions in the definition of developmentally disabled individual with respect to eligibility for community supported living arrangements program services. Allows program funds remaining at the end of a fiscal year to be carried over to the next fiscal year. Requires the Secretary to:  (1) evaluate the provision of community supported living arrangement services by States; and (2) submit to specified congressional committees an annual report on their effectiveness. Amends the Omnibus Budget Reconciliation Act of 1986 to reauthorize Alzheimer's disease demonstration projects. Requires the Secretary to report to the Cognress any recommendations regarding:  (1) a plan under which the Federal Government would provide, and finance the provision of, both long-term and home- and community-based care; and (2) the appropriate role of the States in such a plan.",2025-01-14T18:59:41Z,
102-s-3191,102,s,3191,Medicaid Coordinated Care Improvement Act of 1992,Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Finance.,Senate,"Sen. Moynihan, Daniel Patrick [D-NY]",NY,D,M001054,0,"Medicaid Coordinated Care Improvement Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to revise Medicaid requirements to provide States with more flexibility to use coordinated care programs.  Adds new provisions to Medicaid respecting State use of coordinated care programs, including those that:  (1) permit States to mandate enrollment of Medicaid-eligible individuals with program providers only if at least two risk contacting entities are available, or one such entity and a primary care case management entity, or two such case management entities; (2) mandate quality care reviews; and (3) provide for participation of federally qualified health centers and rural health clinics. Makes technical amendments to Medicaid respecting case management services and home- and community-based waivers. Provides that in the case of certain plan services prescribed under the Individuals with Disabilities Education Act for children who are eligible for medical assistance under such plan, the State or local agency administering such plan is not required to take measures to ascertain the legal liability of third parties under Medicaid for such services. Sets forth miscellaneous congressional reporting requirements respecting coordinated care programs and:  (1) services for children with special needs; (2) public health services; (3) payments for hospital services; and (4) payments to risk contracting entities.",2025-08-26T15:15:17Z,
102-s-3212,102,s,3212,Medicaid Eligibility Simplification Act,Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Finance.,Senate,"Sen. Chafee, John H. [R-RI]",RI,R,C000269,1,"Medicaid Eligibility Simplification Act - Amends title XIX (Medicaid) of the Social Security Act (SSA) to:  (1) permit States to extend Medicaid coverage of prenatal care services to alien pregnant women who are neither officially nor under color of law permanent residents of the United States, but who are otherwise eligible for medical assistance under Medicaid; and (2) provide for simplification of the application process for enrollment in Medicaid. Amends SSA title XVI (Supplemental Security Income) (SSI) to preserve the Medicaid and SSI eligibility of individuals who would otherwise become ineligible for Medicaid benefits and SSI payments due to their receipt of weekly or biweekly income. Amends the Medicaid program:  (1) to make optional currently mandatory reporting requirements under program provisions extending Medicaid coverage to eligible families making the transition from welfare to work; (2) with respect to program provisions concerning presumptive eligibility for pregnant women to include as a qualified provider any individual employed by the State and capable of making determinations of the type described under such provisions; (3) to revise the definition of qualified Medicare beneficiary; and (4) with respect to the income methodology used in determining the eligibility of certain individuals for Medicaid benefits.",2025-08-26T15:14:26Z,
102-sjres-334,102,sjres,334,"A joint resolution designating September 1992 as ""Childhood Cancer Month"".",Health,1992-08-12,1992-08-12,Read twice and referred to the Committee on Judiciary.,Senate,"Sen. Mitchell, George J. [D-ME]",ME,D,M000811,54,Designates September 1992 as Childhood Cancer Month.,2025-07-21T19:32:26Z,
102-hjres-538,102,hjres,538,"Designating December 1, 1992, as ""World AIDS Day"".",Health,1992-08-11,1992-10-08,Read twice and referred to the Committee on Judiciary.,House,"Rep. McDermott, Jim [D-WA-7]",WA,D,M000404,220,"Designates December 1, 1992, as World AIDS Day.",2025-07-21T19:32:26Z,
102-hr-5812,102,hr,5812,Health Insurance Purchasing Cooperatives Act,Health,1992-08-11,1992-09-14,"Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.",House,"Rep. Brown, George E., Jr. [D-CA-36]",CA,D,B000918,4,"Health Insurance Purchasing Cooperatives Act - Mandates grants to States for the administrative costs of planning and implementing coordinated buying programs through which small employers may purchase employee health insurance.  Requires that the programs be the sole mechanism for small employers to purchase such insurance. Requires that a State program provide each small employer in the State access to health insurance for its employees and their dependents through one or more Health Insurance Purchasing Cooperatives, each covering a defined geographic district.  Sets forth Cooperative duties, including issuing contracts and administering all aspects of coverage for all small employers within the district.  Waives Federal and State antitrust laws. Authorizes appropriations. Establishes the National Health Board.  Requires the Board to establish Coordinated Buying Program Precepts setting forth certain criteria, including regarding a uniform data system, collection of outcomes data, and determining minimum benefit requirements. Authorizes appropriations. Requires the Board to establish minimum benefit requirements for plans offered through Cooperatives, including inpatient and outpatient hospital care and physician services, diagnostic tests, prenatal and well-baby care, preventive and early intervention services, and certain inpatient and outpatient mental disorder services.  Allows managed care and different levels of payments for different providers. Requires the Board to establish minimum benefit requirements for two additional health benefit plans providing more extensive or more innovative benefits. Amends provisions of the Public Health Service Act relating to health maintenance organizations (HMOs) to exempt from those provisions HMOs that provide services meeting the requirements under this Act. Establishes the National Health Insurance Data System, consisting of:  (1) a National Data Base for Health Insurance and Health Outcomes Information; (2) no more than five Regional Health Insurance Data Centers; and (3) an electronic health insurance and outcomes data processing mechanism. Requires the Board to:  (1) establish uniform billing and claims forms and mandatory reporting requirements; and (2) require carriers to issue to each participant an electronic processing card containing certain information on financial, administrative, and health outcomes matters. Authorizes appropriations. Amends the Internal Revenue Code to allow a deduction to self-employed individuals of 100 percent of the amount paid for health insurance purchased through a Cooperative.  Retains current provisions allowing a deduction of 25 percent of the amount paid for health insurance not purchased through a Cooperative.  Removes provisions ending, on a specified date, deductibility of health insurance payments by self-employed individuals.",2025-08-26T15:13:49Z,
102-hr-5825,102,hr,5825,To amend title XVIII of the Social Security Act to clarify coverage of certified nurse-midwife services performed outside the maternity cycle under the medicare and medicaid programs.,Health,1992-08-11,1992-09-14,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Richardson, Bill [D-NM-3]",NM,D,R000229,0,Amends title XVIII (Medicare) of the Social Security Act to change the definition of certified nurse-midwife services (and thus allow certified nurse-midwives to receive payment under Medicare for all services which such practitioners are legally authorized to perform under State law or regulations).,2024-02-07T16:32:33Z,
102-s-3165,102,s,3165,Health Insurance Purchasing Cooperatives Act,Health,1992-08-11,1992-08-11,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Bingaman, Jeff [D-NM]",NM,D,B000468,3,"Health Insurance Purchasing Cooperatives Act - Mandates grants to States for the administrative costs of planning and implementing coordinated buying programs through which small employers may purchase employee health insurance.  Requires that the programs be the sole mechanism for small employers to purchase such insurance.  Allow exceptions for insurance purchased from certain associations that offer health insurance as a service to members. Requires that a State program provide each small employer in the State access to health insurance for its employees and their dependents through one or more Health Insurance Purchasing Cooperatives, each covering a defined geographic district.   Regulates Cooperative governance.  Sets forth Cooperative duties, including issuing contracts and administering all aspects of coverage for all small employers within the district.  Waives Federal and State antitrust laws.  Mandates that the State program require any small employer that chooses to provide a health benefit plan to do so by purchasing insurance through the Cooperative, nothwithstanding specified provisions of the Employee Retirement Income Security Act of of 1974. Authorizes appropriations. Establishes the National Health Care Board.  Requires the Board to establish Coordinated Buying Program Precepts setting forth certain criteria, including regarding a uniform data system, collection of outcomes data, and determining minimum benefit requirements. Authorizes appropriations. Requires the Board to establish minimum benefit requirements for plans offered through Cooperatives, including inpatient and outpatient hospital care and physician services, diagnostic tests, prenatal and well-baby care, preventive and early intervention services, and certain inpatient and outpatient mental disorder services.  Declares that nothing in State law or this Act:  (1) prohibits managed care or different levels of payments for different providers; or (2) requires payment to any provider excluded from participation in any Federal health care program. Requires the Board to establish minimum benefit requirements for two additional health benefit plans providing more extensive or more innovative benefits. Amends provisions of the Public Health Service Act relating to health maintenance organizations (HMOs) to exempt from those provisions HMOs that provide services meeting the requirements under this Act. Establishes the National Health Insurance Data System, consisting of:  (1) a National Data Base for Health Insurance and Health Outcomes Information; (2) no more than five Regional Health Insurance Data Centers; and (3) an electronic health insurance and outcomes data processing mechanism. Requires the Board to:  (1) establish uniform billing and claims forms and mandatory reporting requirements; and (2) require carriers to issue to each participant an electronic processing card. Authorizes appropriations.",2025-08-26T15:14:19Z,
102-s-3163,102,s,3163,Prescription Drug Amendments of 1992,Health,1992-08-10,1992-08-26,Became Public Law No: 102-353.,Senate,"Sen. Kennedy, Edward M. [D-MA]",MA,D,K000105,1,"Prescription Drug Amendments of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to require interstate wholesale drug distributors, as an alternative to the current requirement of State licensing, to register with the Secretry of Health and Human Services. Ends the requirement on September 14, 1994. Modifies requirements regarding penalties for certain prescription drug marketing violations.  Removes provisions prohibiting such penalties unless the violation is committed with intent to defraud or mislead. Changes drug sample distribution requirements.",2021-09-25T05:34:39Z,
102-hr-5792,102,hr,5792,To provide for the inclusion of specific items in any listing of impairments for the evaluation of human immunodeficiency virus (HIV) infection prescribed in regulations of the Secretary for use in making determinations of disability under titles II and XVI of the Social Security Act.,Health,1992-08-06,1992-08-12,Subcommittee Consideration and Mark-up Session Held.,House,"Rep. Jacobs, Andrew, Jr. [D-IN-10]",IN,D,J000033,7,"Requires the Secretary of Health and Human Services to include specific items in any listing of impairments for the evaluation of human immunodeficiency virus (HIV) infection used in making determinations of disability under titles II (Old Age, Survivors and Disability Insurance) and XVI (Supplemental Security Income) of the Social Security Act.  Provides that, with respect to any item in such a listing, any requirement for a functional test shall be treated as met if certain specified requirements are met.",2024-02-07T16:32:33Z,
102-s-3148,102,s,3148,Intergovernmental Health Care Fraud and Abuse Task Force Act of 1992,Health,1992-08-06,1992-08-06,Read twice and referred to the Committee on Finance.,Senate,"Sen. Pryor, David H. [D-AR]",AR,D,P000556,7,"Intergovernmental Health Care Fraud and Abuse Task Force Act of 1992 - Amends title XI of the Social Security Act to establish the Intergovernmental Task Force on Health Care Fraud and Abuse to:  (1) investigate the nature, magnitude, and cost of health care fraud and abuse in the United States; and (2) identify and develop the most effective methods of preventing and eliminating such fraud and abuse.",2025-08-26T15:16:39Z,
102-hr-5783,102,hr,5783,Vaccine Access and Registry Act,Health,1992-08-05,1992-09-14,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Slaughter, Louise McIntosh [D-NY-30]",NY,D,S000480,22,Vaccine Access and Registry Act - Title I:  Universal Vaccine Grant Program - Authorizes the Secretary of Health and Human Services to make grants to States for the establishment and operation of programs to purchase vaccines from manufacturers at the federally negotiated bulk rate and distribute them free of charge to health care providers for the immunization of children. Sets forth application requirements for such program.  Allocates funding based on the five-year birth average of a State.  Requires the Secretary to annually review the compliance of a State and to establish sanctions for noncompliance. Authorizes two-year renewals of such grants.  Requires the Secretary to include a description of activities under this title in annual status reports to the President and the Congress. Authorizes appropriations for FY 1993 through 1995. Title II:  Amendment to Public Health Service Act Concerning Federally Negotiated Bulk Rate - Amends the Public Health Service Act to prohibit the Secretary from procuring a vaccine that may be used to immunize children under the age of 13 from any person who does not agree as a condition to the procurement to sell the vaccine to a State at the same price as the person offers the Secretary. Title III:  Immunization Registry Grant Program - Authorizes the Secretary to make grants to States for the establishment and operation of State immunization registries by State agencies with legal responsibility for disease control under State law.  Allows the Secretary to make such grants to two or more cooperating States for regional immunization registries. Requires the Secretary to annually review the compliance of a State and to establish sanctions for noncompliance.  Requires the Secretary to include a description of activities under this title in annual status reports to the President and the Congress. Authorizes appropriations for FY 1993 through 1995.,2025-08-26T15:14:40Z,
102-hr-5785,102,hr,5785,National Organ Donor Awareness Campaign Act of 1992,Health,1992-08-05,1992-09-14,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Roybal, Edward R. [D-CA-25]",CA,D,R000485,0,"National Organ Donor Awareness Campaign Act of 1992 - Mandates a national campaign to increase public awareness of organ transplantation, including development of a national clearinghouse. Requires research on the process by which individuals listed in the Organ Procurement and Transplantation Network are selected and other matters relating to public education and promotion regarding organ donation. Amends the Public Health Service Act (PHSA) to establish a Network advisory committee.  Increases the Network's annual funding cap. Modifies Network functions and its board of director's composition. Amends block grant provisions of the PHSA to mandate payments to health care facilities for the dispensing of immunosuppressive drugs to eligible transplant recipients.  Authorizes appropriations. Amends title XVIII (Medicare) of the Social Security Act to remove the one-year limitation on coverage of immunosuppressive drugs. Amends the PHSA to require, in making grants and contracts to increase the number of organ donors, inclusion of projects encouraging procurement from minority communities (including cultural, racial, and language minorities) and from other communities with below average donation rates.  Authorizes appropriations.",2025-08-26T15:15:04Z,
102-hr-5762,102,hr,5762,Germicide Act of 1992,Health,1992-08-04,1992-10-15,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Hefley, Joel [R-CO-5]",CO,R,H000444,0,"Germicide Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to include germicides in the definition of ""device.""  Defines ""germicide"" to mean an agent described in specified provisions of the Federal Insecticide, Fungicide, and Rodenticide Act which is used for sterilization or disinfection of a device. Allows classification of a germicide in class III only if necessary to provide reasonable assurance of safety and effectiveness.",2025-08-26T15:13:55Z,
102-hr-5771,102,hr,5771,Medicare Dependent Hospital Relief Act of 1992,Health,1992-08-04,1992-08-11,Referred to the Subcommittee on Health.,House,"Rep. Shaw, E. Clay, Jr. [R-FL-15]",FL,R,S000303,4,"Medicare Dependent Hospital Relief Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to:  (1) extend the period during which Medicare-dependent, small rural hospitals receive additional payments under Medicare for the operating costs of inpatient hospital services; (2) revise the criteria for determining whether hospitals are eligible for such additional payments; and (3) provide for additional payments under Medicare to other Medicare-dependent hospitals.",2025-08-26T15:14:17Z,
102-s-3120,102,s,3120,Medicaid Technical Corrections and Clarification Act of 1992,Health,1992-08-03,1992-08-03,Read twice and referred to the Committee on Finance.,Senate,"Sen. Bentsen, Lloyd M. [D-TX]",TX,D,B000401,1,"Medicaid Technical Corrections and Clarification Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to make technical corrections, and, in certain instances, such as in item 1 of the list below, technical changes as well, to Medicaid provisions included in the Omnibus Budget Reconciliation Act of 1990 regarding:  (1) reimbursement for prescribed drugs; (2) enrollment under group health plans; (3) low-income Medicare beneficiaries; (4) child health; (5) out-reach locations; (6) payment for hospital services for children under age six; (7) payment adjustments for disproportionate share hospitals; (8) federally-qualified health centers; (9) substitute physicians; (10) home and community care for frail elderly; (11) community supported living arrangements; (12) COBRA continuation coverage; (13) Medicaid transition provisions for family assistance; (14) personal care services; (15) Medicaid spenddown options; (16) optional State disability determinations; (17) special rules for health maintenance organizations; (18) home- and community-based waivers; (19) a certain demonstration project for low-income families; (20) coverage of HIV-positive individuals; (21) advanced directives; (22) physician services; and (23) nursing home reform. Makes other technical corrections to various Medicaid and Medicare provisions added or redesignated by the Omnibus Budget Reconciliation Act of 1990.",2025-08-26T15:17:59Z,
102-hr-5743,102,hr,5743,Senior Home Care Choice Fairness and Improvement Act of 1992,Health,1992-07-31,1992-10-15,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Johnson, Nancy L. [R-CT-6]",CT,R,J000163,25,"Senior Home Care Choice Fairness and Improvement Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to:  (1) provide for the application of Medicaid spousal impoverishment rules to spouses of individuals receiving home- or community-based services; (2) increase the number of individuals allowed to receive such services; and (3) require hospitals to inform Medicaid patients of the availability of home care services and, in a State operating under a waiver program, to inform them of the availability of home- and community-based services.  Mirrors such requirement with respect to Medicare (SSA title XVIII) patients.",2025-08-26T15:14:58Z,
102-hr-5748,102,hr,5748,Miscellaneous Medicare Amendments Act of 1992,Health,1992-07-31,1992-10-08,"Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-1046, Part I.",House,"Rep. Waxman, Henry A. [D-CA-24]",CA,D,W000215,3,"Miscellaneous Medicare Amendments Act of 1992 - Title I: Provisions Relating to Part B - Subtitle A:  Payment for Physicians' Services - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to permit separate payment for interpretation of electrocardiograms. Repeals provisions with respect to payment for services by new physicians and health care practitioners. Prohibits the Secretary of Health and Human Services (HHS) from changing the part B payment methodology for anesthesia services insofar as such methodology provides for the use of actual time units in determining payments for anesthesia services. Revises the prohibition on excess physician charges for unassigned claims to require a refund of excess charges, and to extend the application of such prohibition to physician services furnished by any person.  Adds provisions respecting mandatory assignment with respect to certain practitioners. Requires the Secretary to consult with representatives of physicians in reviewing geographic adjustment factors. Provides for the use of the most recent data available in the establishment of geographic indices.  Limits the use of carrier user fees.  Revises provisions for certain substitute billing arrangements. Requires an HHS study and report to the Congress with respect to: (1) payment under part B for certain medical physicist services; and (2) adjustments to physician fee schedules under such part to take into account practice-related taxes. Requires the Physician Payment Review Commission to study and report to the Congress on physician responses to changes in payments under the Medicare Fee Schedule compared to those in payments under the radiology services fee schedule. Subtitle B:  Payment for Other Items and Services - Modifies the prohibition against distribution of medical necessity certificates by suppliers of covered items to create an exception to such prohibition for certain patient information. Provides for the treatment of nebulizers and aspirators as miscellaneous items of durable medical equipment. Amends the Omnibus Budget Reconciliation Act of 1990 to extend the payment limit on intraocular lenses. Provides for the treatment under Medicare of certain indian health programs and facilities as federally-qualified health centers. Amends the Omnibus Budget Reconciliation Act of 1987 to extend a Medicare influenza vaccination demonstration project. Title II:  Provisions Relating to Parts A and B - Subtitle A: Miscellaneous Provisions - Amends the Medicare program to revise provisions:  (1) for payments for graduate medical education (GME) to promote primary care services; and (2) Medicare secondary payor denials. Requires the Secretary to study and report to the Congress on Medicare GME payments. Provides for adjustments in Medicare capitation payments to account for regional variations in application of Medicare secondary payor provisions. Repeals pro precertification requirements for certain surgical procedures. Requires the Secretary of HHS (Secretary) to establish and implement a method for obtaining information to determine whether Medicare beneficiaries qualify for Medicaid payment of Medicare out-of-pocket expenses, and for transmitting such information to the State in which such a qualified Medicare beneficiary resides. Authorizes a demonstration project for the provision of durable medical equipment by a physician-owned oncology facility. Subtitle B:  Provisions Relating to Medicare Supplemental Insurance Policies - Amends the Omnibus Budget Reconciliation Act of 1990 and the Medicare program to revise standards and requirements relating to Medicare supplemental insurance policies, with changes prohibiting duplication of coverage and requiring the Secretary to establish a toll-free number for information on medicare supplemental policies.",2024-02-07T16:32:33Z,
102-s-3117,102,s,3117,"A bill to amend title XVIII of the Social Security Act to enhance certain payments made to medicare-dependent, small rural hospitals.",Health,1992-07-31,1992-07-31,Read twice and referred to the Committee on Finance.,Senate,"Sen. Dole, Robert J. [R-KS]",KS,R,D000401,11,"Amends title XVIII (Medicare) of the Social Security Act to revise payment provisions with respect to Medicare-dependent, small rural hospitals.",2025-01-03T20:55:56Z,
102-hjres-533,102,hjres,533,"Designating May 1993, as ""Karate Kids Just Say No to Drugs Month"".",Health,1992-07-30,1992-08-03,Referred to the Subcommittee on Census and Population.,House,"Rep. Bustamante, Albert G. [D-TX-23]",TX,D,B001172,0,Designates May 1993 as Karate Kids Just Say No to Drugs Month.,2024-02-06T20:04:02Z,
102-hr-5725,102,hr,5725,To amend title XVIII of the Social Security Act to treat nebulizers as inexpensive or routinely purchased items of durable medical equipment for purposes of part B of the medicare program.,Health,1992-07-30,1992-08-26,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Volkmer, Harold L. [D-MO-9]",MO,D,V000112,0,Amends title XVIII (Medicare) of the Social Security Act to treat nebulizers as inexpensive or routinely purchased items of durable medical equipment for purposes of part B (Supplementary Medical Insurance) of the Medicare program.,2024-02-07T16:32:33Z,
102-s-3110,102,s,3110,Germicide Act of 1992,Health,1992-07-30,1992-07-30,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Brown, Hank [R-CO]",CO,R,B000919,0,"Germicide Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to include germicides in the definition of ""device.""  Defines ""germicide"" to mean an agent described in specified provisions of the Federal Insecticide, Fungicide, and Rodenticide Act which is used for sterilization or disinfection of a device. Allows classification of a germicide in class III only if necessary to provide reasonable assurance of safety and effectiveness.",2025-08-26T15:16:27Z,
102-s-3112,102,s,3112,Public Health Service Act Technical Amendments Act,Health,1992-07-30,1992-08-26,Became Public Law No: 102-352.,Senate,"Sen. Kennedy, Edward M. [D-MA]",MA,D,K000105,1,"Public Health Service Act Technical Amendments Act - Makes technical amendments to the Public Health Service Act (PHSA), as amended by P.L. 102-321 (ADAMHA Reorganization Act). Amends the PHSA to direct the Secretary of Health and Human Services to require (currently, directs the Secretary of Health and Human Services, by regulation, to require) appropriate peer review of grants, cooperative agreements, and contracts to be administered through the Center for Substance Abuse Treatment, the Center for Substance Abuse Prevention, and the Center for Mental Health Services. Modifies formulas for determining the amount of (and minimum) allotments to territories for block grants for community mental health services. Changes requirements regarding data provided to the Secretary as a condition for such block grants. Revises requirements regarding reallotments of unpaid portions of alcohol and drug abuse and mental health services block grant allotments for fiscal year 1992.",2024-02-05T14:30:09Z,
102-hr-5709,102,hr,5709,To eliminate the Medicare peer review system.,Health,1992-07-29,1992-08-26,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Duncan, John J., Jr. [R-TN-2]",TN,R,D000533,2,Amends title XI of the Social Security Act to repeal part B (Medicare Peer Review).,2024-02-07T16:32:33Z,
102-hr-5717,102,hr,5717,Chemical Control Amendments Act of 1992,Health,1992-07-29,1992-08-26,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Schumer, Charles E. [D-NY-10]",NY,D,S000148,1,"Chemical Control Amendments Act of 1992 - Amends the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Act) to: (1) replace references to ""listed precursor chemicals"" with ""list I chemicals"" and ""listed essential chemicals"" with ""list II chemicals""; and (2) revise the definition of ""regulated person"" to include individuals who act as brokers or traders for international transactions involving a listed chemical, tableting machine, or encapsulating machine. Redefines ""regulated transaction"" to:  (1) include international transactions involving shipment of a threshold amount of a listed chemical; and (2) exclude any transaction in a chemical mixture (current law) which the Attorney General has designated as exempt based on a finding that the mixture is formulated in such a way that it cannot be easily used in the illicit production of a controlled substance and that the listed chemical or chemicals contained in the mixture cannot be readily recovered. Removes the exemption for products in which ephedrine is the only active medicinal ingredient in therapeutic amounts. Permits the Attorney General to remove by regulation the exemption for other drugs containing listed chemicals if it is determined that they are being diverted for use in the illicit production of a controlled substance.  Sets forth criteria for making such determination.  Permits manufactures to retain exemptions for specific drug products if they can demonstrate that such a product is manufactured and distributed in a way which prevents diversion. Provides registration requirements for list I chemicals, including the authority to revoke or deny based on public interest grounds, immediate suspension in cases of imminent danger to the public health or safety, and criminal penalties for distribution, importation, or exportation without the required registration. Specifies that registration is not required for distribution, importation, or exportation of drug products containing list I chemicals covered by the legal drug exemption. Requires each regulated person that manufactures a listed chemical to report annually to the Attorney General information concerning listed chemicals manufactured by such regulated person. Makes any person located in the United States who is a broker or trader for an international transaction in a listed chemical that is a regulated transaction solely because of that person's involvement as broker or trader, with respect to that transaction, subject to all of the notification, reporting, recordkeeping, and other requirements placed upon exporters of listed chemicals by the Comprehensive Act. Provides for exemption authority and additional penalties. Authorizes the Attorney General to reduce controls on the importation of specified chemicals by modifying or eliminating the advance notice requirement.  Adds specific criminal penalties for:  (1) attempting to evade reporting requirements by falsely claiming that a shipment is destined for a country for which a waiver has been established; and (2) smuggling of listed chemicals. Amends list I to add benzaldehyde and nitroethane, and delete D-lysergic acid, N-ethylephedrine, and N-ethylpseudoephedrine. Eliminates ""regular supplier"" status and creates ""regular importer"" status. Modifies the definition of ""controlled premises"" to include places where listed chemicals or records relating to the manufacture, distribution, or disposition of listed chemicals are maintained. Makes it a felony for a person who possesses a listed chemical with intent that it be used in the illegal manufacture of a controlled substance to manage the listed chemical or waste from the manufacture of a controlled substance other than as required under the Solid Waste Disposal Act.  Specifies that, in addition to a penalty that may be imposed for the illegal manufacture, possession, or distribution of a listed chemical or toxic residue of a clandestine laboratory, a person who violates such prohibition shall be assessed costs of the initial cleanup and disposal of the listed chemical and contaminated property and the cost of restoring property damaged by exposure to such chemical. Subjects listed chemicals to the same forfeiture provisions which apply to controlled substances. Amends the Health Care Quality Improvement Act of 1986 to require the Secretary of Health and Human Services to make available to the Attorney General information in the national practitioner data bank.",2025-08-26T15:14:15Z,
102-s-3097,102,s,3097,Chemical Control Amendments Act of 1992,Health,1992-07-29,1992-07-29,Read twice and referred to the Committee on Judiciary.,Senate,"Sen. Gorton, Slade [R-WA]",WA,R,G000333,12,"Chemical Control Amendments Act of 1992 - Amends the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Act) to: (1) replace references to ""listed precursor chemicals"" with ""list I chemicals"" and ""listed essential chemicals"" with ""list II chemicals""; and (2) revise the definition of ""regulated person"" to include individuals who act as brokers or traders for international transactions involving a listed chemical, tableting machine, or encapsulating machine. Redefines ""regulated transaction"" to:  (1) include international transactions involving shipment of a threshold amount of a listed chemical; and (2) exclude any transaction in a chemical mixture (current law) which the Attorney General has designated as exempt based on a finding that the mixture is formulated in such a way that it cannot be easily used in the illicit production of a controlled substance and that the listed chemical or chemicals contained in the mixture cannot be readily recovered. Removes the exemption for products in which ephedrine is the only active medicinal ingredient in therapeutic amounts. Permits the Attorney General to remove by regulation the exemption for other drugs containing listed chemicals if it is determined that they are being diverted for use in the illicit production of a controlled substance.  Sets forth criteria for making such determination.  Permits manufactures to retain exemptions for specific drug products if they can demonstrate that such a product is manufactured and distributed in a way which prevents diversion. Provides registration requirements for list I chemicals, including the authority to revoke or deny based on public interest grounds, immediate suspension in cases of imminent danger to the public health or safety, and criminal penalties for distribution, importation, or exportation without the required registration.  Specifies that registration is not required for distribution, importation, or exportation of drug products containing list I chemicals covered by the legal drug exemption. Requires each regulated person that manufactures a listed chemical to report annually to the Attorney General information concerning listed chemicals manufactured by such regulated person. Makes any person located in the United States who is a broker or trader for an international transaction in a listed chemical that is a regulated transaction solely because of that person's involvement as broker or trader, with respect to that transaction, subject to all of the notification, reporting, recordkeeping, and other requirements placed upon exporters of listed chemicals by the Comprehensive Act. Provides for exemption authority and additional penalties. Authorizes the Attorney General to reduce controls on the importation of specified chemicals by modifying or eliminating the advance notice requirement.  Adds specific criminal penalties for:  (1) attempting to evade reporting requirements by falsely claiming that a shipment is destined for a country for which a waiver has been established; and (2) smuggling of listed chemicals. Amends list I to add benzaldehyde and nitroethane, and delete D-lysergic acid, N-ethylephedrine, and N-ethylpseudoephedrine. Eliminates ""regular supplier"" status and creates ""regular importer"" status. Modifies the definition of ""controlled premises"" to include places where listed chemicals or records relating to the manufacture, distribution, or disposition of listed chemicals are maintained. Makes it a felony for a person who possesses a listed chemical with intent that it be used in the illegal manufacture of a controlled substance to manage the listed chemical or waste from the manufacture of a controlled substance other than as required under the Solid Waste Disposal Act.  Specifies that, in addition to a penalty that may be imposed for the illegal manufacture, possession, or distribution of a listed chemical or toxic residue of a clandestine laboratory, a person who violates such prohibition shall be assessed costs of the initial cleanup and disposal of the listed chemical and contaminated property and the cost of restoring property damaged by exposure to such chemical. Subjects listed chemicals to the same forfeiture provisions which apply to controlled substances. Amends the Health Care Quality Improvement Act of 1986 to require the Secretary of Health and Human Services to make available to the Attorney General information in the national practitioner data bank.",2025-08-26T15:16:03Z,
102-hr-5707,102,hr,5707,Hospital Cost Disclosure Act of 1992,Health,1992-07-28,1992-08-07,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Moody, Jim [D-WI-5]",WI,D,M000881,0,Hospital Cost Disclosure Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to require as a condition of participation in the Medicare program that hospitals disclose to patients upon their request a statement of the costs incurred by the hospital in providing services to the patient.,2025-08-26T15:17:09Z,
102-s-3091,102,s,3091,Omnibus Adoption Assistance and Maternal Health Certificates Act,Health,1992-07-28,1992-09-21,"Referred to Subcommittee on Children, Family, Drugs, Alcohol.",Senate,"Sen. Gorton, Slade [R-WA]",WA,R,G000333,15,"Omnibus Adoption Assistance and Maternal Health Certificates Act - Establishes the National Advisory Council on Adoption (the Council), to be appointed by the Secretary of Health and Human Services (HHS).  Authorizes appropriations for FY 1993 through 1995. Terminates such Council after three years. Directs the Secretary of HHS to:  (1) report to the Congress, within 30 days, on the status of the implementation of the adoption data collection system required under specified provisions of the Social Security Act, including specific assurances relating to such system; (2) report monthly to the Congress on the progress made in implementing such system; and (3) consult with the Council in developing regulations to carry out such reporting requirements and assurances.  Directs the Secretary to issue regulations as necessary, including appropriate requirements and incentives to ensure that the data collection system functions reliably throughout the United States.  Requires the system to:  (1) avoid unnecessary diversions of resources from agencies responsible for adoption and foster care; (2) use uniform definitions and methodologies; (3) include data concerning public and private agencies that receive Federal assistance and voluntary information of non-Federal agencies; and (4) provide certain other demographic characteristics. Amends the Public Health Service Act to require the Secretary to award grants to States to enable them to establish programs to provide maternal health certificates to eligible pregnant women who are residents of a maternity home, or on a waiting list or receiving out-patient services from a maternity home. Limits such women's income to 175 percent of the State poverty level, not including support received from parents, guardians, or the father of the child. Sets forth eligibility requirements for the maternity home, including that it have the capability to serve at least four pregnant women concurrently. Requires the use of certificates to pay the reasonable costs associated with residence in, or services of, the maternity home. Allows the use of certificates to cover expenses incurred during a period that ends not later than one month after the birth of the child.  Limits such certificates to $80 per day in the case of a resident and $50 per day in the case of out-patient services. Establishes a matching requirement for the State agency and/or the maternity home equal to the amount of the certificates. Directs the Secretary, in consultation with the Council, to issue regulations to carry out such program.  Authorizes appropriations for FY 1993 through 1995. Amends the Higher Education Act of 1965 (HEA) to establish a program of fellowships for graduate study in social work, in innovative programs concerning the effects of adoption on the adopted children, their adoptive families, and their biological parents who make an adoption plan. Directs the Secretary of Education to award up to 50 such fellowships. Sets forth provisions for student selection procedures, stipends, payments to institutions, fellowship conditions, consultation with the Council, and an authorization of appropriations for FY 1993 through 1995. Directs the Secretary of Education, within one year after enactment of this Act, to make grants to States to carry out adoption education programs.  Sets forth provisions for grants amounts, applications and agreements, program guidelines, consultation with the Council, and an authorization of appropriations for FY 1993 through 1995. Amends the Employee Retirement Income Security Act of 1974 to prohibit discrimination by insurance companies in the writing or executing of insurance policies on the basis of whether a child is adopted. Makes it an unlawful employment practice for an employer to discriminate against an employee with respect to a term or condition of any leave benefit on the basis of the fact that a child of an employee is not a biological child.  Provides injunctive relief for such discrimination. Amends the Social Security Act to provide payments to States for expenses incurred in placing a child with special needs in adoptive homes if the child is placed within three months of becoming available for adoption. Expresses the sense of the Congress that each State should adopt and enforce specified types of adoption laws, rules, or regulations, which include provisions for:  (1) disclosure of all relevant information, including background information (except actual identification of the child or biological parents), to the prospective adoptive parent, with criminal penalties for unauthorized disclosure; (2) pre-placement investigations of the prospective adoptive parent; (3) disclosure to the court of all costs incurred by or on behalf of each party to the adoption; (4) guaranteed adequate legal representation for the biological mother; (5) filing of a petition for adoption with the appropriate court within one year after placement; and (6) coverage by the health plan of the adoptive parent of pregnancy and childbirth expenses (excluding surrogate parenting arrangements) for the child and the biological mother, or for any dependent child of the plan enrollee, and plan coverage of pre-existing conditions of adoptive children.",2025-08-26T15:13:40Z,
102-hr-5690,102,hr,5690,Health Care Cost Containment and Expanded Medicare Benefits Act of 1992,Health,1992-07-24,1992-08-07,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Volkmer, Harold L. [D-MO-9]",MO,D,V000112,3,"Health Care Cost Containment and Expanded Medicare Benefits Act of 1992 - Title I:  Health Care Cost Containment Provisions - Amends the Internal Revenue Code to provide for full deductibility of health insurance costs for self-employed individuals, and to make such deduction permanent. Establishes the National Health Care Commission within the Department of Health and Human Services (HHS).  Requires the Commission to review annually the paperwork requirements and provider service requirements imposed under health benefit plans to determine whether such requirements are necessary.  Requires the Commission to report annually to the President and the Congress on national health care costs and on such review.  Authorizes appropriations. Directs the Secretary of HHS to develop:  (1) uniform forms for use in submitting claims under group health plans and the Medicare and Medicaid programs under titles XVIII and XIX respectively of the Social Security Act; and (2) standards for uniform reporting by health care services providers of information on the types, amounts, and costs of health services provided. Title II:  Medicare Prevention Benefits - Amends the Medicare program to provide for coverage of:  (1) certain immunizations; and (2) well-child services. Authorizes demonstration projects to provide for coverage of other preventive services.  Authorizes appropriations. Requires an Office of Technology Assessment:  (1) study to develop a process for the regular review of Medicare coverage of preventive services; and (2) report to specified congressional committees on the results. Title III:  Improvements In Health Insurance For Small Employers - Subtitle A:  Standards and Requirements of Small Employer Health Insurance Reform - Amends the Social Security Act to add a new title XXI, Standards For Small Employer Health Insurance and Certification of Managed Care Plans. Requires insurers that offer health insurance plans to small employers to offer only those plans which meet certain standards that incorporate specified requirements respecting:  (1) registration with applicable State authorities; (2) guaranteed eligibility, availability, and renewability; (3) coverage conditions; (4) premium rates; and (5) benefit packages. Subtitle B:  Tax Penalty on Noncomplying Insurers - Amends the Internal Revenue Code to impose an excise tax on insurers that issue small employer health insurance plans which do not comply with such standards.  Sets the amount of such tax. Subtitle C:  Studies and Reports - Requires a General Accounting Office study and report to the Congress on rating requirements and benefit packages for small group health insurance.",2025-08-26T15:18:11Z,
102-hr-5665,102,hr,5665,State Health Care Reform Incentive Act of 1992,Health,1992-07-22,1992-08-07,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Lancaster, H. Martin [D-NC-3]",NC,D,L000045,6,State Health Care Reform Incentive Act of 1992 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to permit States to seek waivers of program requirements in order to provide health care coverage under certain regular or alternative State programs. Establishes Federal requirements for such State programs.  Sets forth payment provisions.,2025-08-26T15:16:47Z,
102-hr-5673,102,hr,5673,Agency for Health Care Policy and Research Reauthorization Act of 1992,Health,1992-07-22,1992-10-13,Became Public Law No: 102-410.,House,"Rep. Waxman, Henry A. [D-CA-24]",CA,D,W000215,0,"Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to authorize the Administrator of the Agency for Health Care Policy and Research to provide training grants in the field of health services research. Establishes an information center on health services research and selected technology assessments and clinical practice guidelines at the National Library of Medicine. Directs the Administrator to establish an annual list of health care technology assessments under consideration by the Agency and to develop criteria for determining the priority of assessments. Authorizes the Administrator to make grants to, or enter into cooperative agreements with, appropriate entities to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies and for related activities. Requires the Administrator to study and report to specified congressional committees on methods for collecting and analyzing data to be used in generating cost estimates of alternative strategies for the prevention, diagnosis, treatment, or management of a disease or health condition to be included in guideline documents. Requires the Administrator to carry out provisions relating to the Office of the Forum for Quality and Effectiveness through the Director of the Office. Limits the percentage of members of scientific and technical review groups (regarding applications for a grant, cooperative agreement, or contract under provisions relating to the Agency) who may be U.S. officers and employees. (Current law prohibits such officers and employees from serving as members of those groups.)  Revises requirements regarding which groups review which proposals. Authorizes the Administrator to tabulate and analyze statistics and prepare studies at the request of a public or nonprofit entity, with the entity paying costs. Sets forth requirements for the selection of individuals to serve on panels for the development and review of health care guidelines and standards. Requires the Administrator to study and report to specified congressional committees on the process used to develop guidelines, standards, and review criteria. Directs the Administrator to ensure that a set of guidelines, standards, performance measures, and review criteria are developed that address the prevention of no fewer than three conditions that account for significant national health expenditures. Requires evaluations that are conducted of the effect of guidelines on the clinical practice of medicine to be developed prior to the completion of the guidelines so that baseline data concerning practice patterns and health care costs may be obtained as part of such evaluations. Directs the Administrator, with respect to grants, cooperative agreements, or contracts for projects, to define the circumstances that constitute financial conflicts of interest and the actions to be taken in response to such conflicts. Extends the authorization of appropriations for Agency programs and authorizes appropriations for specified activities under this Act.",2024-02-05T14:30:09Z,
102-s-2996,102,s,2996,A bill to amend title XVIII of the Social Security Act to clarify the classification of sole community hospitals under medicare.,Health,1992-07-22,1992-07-22,Read twice and referred to the Committee on Finance.,Senate,"Sen. Danforth, John C. [R-MO]",MO,R,D000030,3,Amends title XVIII (Medicare) of the Social Security Act with respect to the classification of sole community hospitals under Medicare.,2025-01-03T20:55:56Z,
102-s-3002,102,s,3002,Brain Injury Rehabilitation Quality Act of 1992,Health,1992-07-22,1992-07-22,Read twice and referred to the Committee on Finance.,Senate,"Sen. Rockefeller, John D., IV [D-WV]",WV,D,R000361,19,"Brain Injury Rehabilitation Quality Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to provide for optional Medicaid coverage of services provided through a State case management program that meets specified requirements to Medicaid-eligible individuals who sustain traumatic brain injuries. Describes the services provided under such a program.  Specifies criteria related to the eligibility of individuals and service providers to participate in such a program. Requires that an individual reside in a State that has designated a State coordinator for traumatic brain injuries in order to receive services under this Act. Requires such coordinator to establish policies and standards for providing services, make necessary reports to the Secretary of Health and Human Services, supervise and coordinate services for persons with traumatic brain injuries, and perform other specified duties, including establishing an advisory committee.  Makes such coordinator responsible for a program of activities related to preventing and reducing the rate of traumatic brain injuries in the State. Requires the Secretary, acting through the Director of the Centers for Disease Control, to establish standards for the reporting of data on traumatic brain injuries and the operation of registries of traumatic brain injuries for coordinator use.  Authorizes appropriations. Requires the Administrator for Health Care Policy and Research to conduct a study on the effectiveness of traumatic brain injury interventions.  Authorizes appropriations.",2025-08-26T15:15:46Z,
102-hconres-350,102,hconres,350,Expressing the sense of the Congress that the dosage of the drug RU-486 seized from Leona Benten should be returned to her for her personal use under the supervision of her physician.,Health,1992-07-21,1992-10-06,Referred to the Subcommittee on Trade.,House,"Rep. Schroeder, Patricia [D-CO-1]",CO,D,S000142,21,"Expresses the sense of the Congress that the Secretary of the Treasury should release to Leona Benten the dosage of the drug RU-486 that was seized from her on July 1, 1992, for her personal use under the supervision of a physician of her choice.",2024-02-07T16:32:33Z,
102-s-2990,102,s,2990,Tuberculosis Prevention and Control Centers Act of 1992,Health,1992-07-21,1992-07-21,Read twice and referred to the Committee on Labor and Human Resources.,Senate,"Sen. Bradley, Bill [D-NJ]",NJ,D,B001225,0,"Tuberculosis Prevention and Control Centers Act of 1992 - Amends the Public Health Service Act to authorize grants for the establishment of tuberculosis prevention and control centers to engage in certain activities, including:  (1) screening, detection, and treatment; and (2) education and training for patients, providers, and the public.  Requires the grant recipient to:  (1) submit a local tuberculosis control plan; and (2) establish a local tuberculosis advisory committee. Authorizes appropriations.",2025-08-26T15:15:59Z,
102-s-2988,102,s,2988,Tuberculosis Prevention and Control Amendments of 1992,Health,1992-07-20,1992-07-20,Read twice and referred to the Committee on Finance.,Senate,"Sen. Fowler, Wyche, Jr. [D-GA]",GA,D,F000329,8,"Tuberculosis Prevention and Control Amendments of 1992 - Amends the Public Health Service Act to authorize appropriations for grants for the prevention, control, and elimination of tuberculosis. Requires the Director of the National Institute of Allergy and Infectious Diseases to conduct or support research and research training regarding tuberculosis.  Authorizes appropriations. Authorizes grants for the prevention, control, and elimination of tuberculosis for:  (1) construction or modernization of outpatient medical facilities serving medically underserved populations; (2) conversion of existing facilities into outpatient or long-term care facilities for such populations; and (3) renovation of inpatient facilities.  Authorizes appropriations. Amends title XIX (Medicaid) of the Social Security Act to mandate provision to eligible persons with tuberculosis of certain drugs and services under Medicaid.  Allows a State to limit the provision of case management services to such persons. Adds such persons to provisions defining ""medical assistance.""",2025-08-26T15:16:06Z,
102-hr-5610,102,hr,5610,Administrative Health Costs Reduction Act of 1992,Health,1992-07-09,1992-08-26,"Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness.",House,"Rep. Oxley, Michael G. [R-OH-4]",OH,R,O000163,13,"Administrative Health Costs Reduction Act of 1992 - Directs the Secretary of Health and Human Services to adopt standards relating to uniform:  (1) claims data elements; (2) claims forms; and (3) electronic transmission of billing information. Allows a health benefit plan to reject a nonelectronic claim not submitted on a form meeting the standards.  Provides, a specified period after adoption of the standards, for direct electronic filing by providers of claims. Defines ""health benefit plan"" to include various employee benefit plans and the Medicare and Medicaid provisions (titles XVIII and XIX) of the Social Security Act.",2026-03-23T12:41:21Z,
102-hr-5613,102,hr,5613,"To amend the Federal Food, Drug, and Cosmetic Act to require ingredient labeling for malt beverages, wine, and distilled spirits, and for other purposes.",Health,1992-07-09,1992-07-24,Referred to the Subcommittee on Health and the Environment.,House,"Rep. Schroeder, Patricia [D-CO-1]",CO,D,S000142,20,"Amends the Federal Food, Drug, and Cosmetic Act to deem a malt beverage, wine, or distilled spirit mislabeled unless it bears a label disclosing:  (1) the alcoholic content; (2) the number of drinks (defining ""drink"" as .6 ounces of alcohol); (3) its ingredients and calories; (4) the common name of each ingredient, including additives; and (5) a toll-free number for help with a drinking problem.  Authorizes appropriations for the toll-free number.",2024-02-05T14:30:09Z,
102-hr-5614,102,hr,5614,Medicaid Prescription Drug Amendments Act of 1992,Health,1992-07-09,1992-07-31,Subcommittee Hearings Held.,House,"Rep. Slattery, Jim [D-KS-2]",KS,D,S000477,1,Medicaid Prescription Drug Amendments Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to:  (1) repeal the use of the best price mechanism used to determine rebates for prescription drugs; and (2) require manufacturers of such drugs to enter into discount pricing agreements with the Department of Veterans Affairs in order to receive payment for such drugs.,2025-08-26T15:18:09Z,