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
93-hr-17682,93,hr,17682,A bill to limit the medicare in-patient hospital deductible.,Health,1974-12-20,1974-12-20,Referred to House Committee on Ways and Means.,House,"Rep. Heckler, Margaret M. [R-MA-10]",MA,R,H000440,0,Increases the medicare inpatient hospital deductible from $40 to $84 under title XVIII of the Social Security Act.,2024-08-01T18:39:29Z,
93-hr-17672,93,hr,17672,A bill to require federally related health care facilities to test infants for certain diseases.,Health,1974-12-19,1974-12-19,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Koch, Edward I. [D-NY-18]",NY,D,K000302,0,"Requires federally related health care facilities to test infants born in the facility or brought to it for health care for specified diseases.  Defines a ""federally related health care facility"" for the purposes of this Act.",2024-08-01T18:39:23Z,
93-hr-17656,93,hr,17656,Medicare Benefits Protection Act,Health,1974-12-18,1974-12-18,Referred to House Committee on Ways and Means.,House,"Rep. Aspin, Les [D-WI-1]",WI,D,A000224,0,Medicare Benefits Protection Act - Provides that any hospital or nursing home which desires to participate in the medicaid program must also participate in the medicare program (if qualified therefor). Prohibits Federal matching of hospital and nursing home expenses under the medicaid program in the absence of such participation.,2025-09-03T12:50:30Z,
93-hr-17626,93,hr,17626,A bill relating to equitable relief in civil actions brought for the purpose of protecting public health.,Health,1974-12-12,1974-12-12,Referred to House Committee on Judiciary.,House,"Rep. Ruppe, Philip E. [R-MI-11]",MI,R,R000512,8,"Provides that in any action brought by the Administrator of the Environmental Protection Agency requesting equitable relief for the purpose of protecting public health, if a party shows that a defendant in such action is discharging or emitting any substance in violation of Federal law (or any State law which is enforceable under Federal law) and that such discharge or emission presents or contributes to a public health risk, the court shall grant such equitable relief as may be necessary promptly to assure that such discharge or emission does not present or contribute to such risks, unless the person who is discharging or emitting such substance demonstrates that: (1) the public health risk does not exist; or (2) it would be arbitrary or capricious to grant such relief (taking into account technological and economic considerations, and magnitude or risk).",2024-08-01T18:39:26Z,
93-hr-17618,93,hr,17618,National Arthritis Act,Health,1974-12-11,1974-12-11,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Rogers, Paul G. [D-FL-11]",FL,D,R000401,1,"National Arthritis Act - Expresses the findings of Congress that arthritis and related musculoskeletal diseases constitute major health problems and that the development of methods for their diagnosis and treatment deserve the highest national priority. Directs the Secretary of Health, Education, and Welfare to establish a National Commission on Arthritis and Related Musculoskeletal Diseases, and specifies the composition of the Commission. Requires the Commission to survey Federal, State, and local programs relating to arthritis to assess the adequacy and coordination of such programs.  Requires the Commission to formulate a long-range plan for the organization of national resources to combat arthritis.  States that the Arthritis Plan shall provide a comprehensive program for the National Institute of Arthritis, Metabolism, and Digestive Diseases and plans for Federal, State, and local programs, including specified activities and research. Requires the Commission to prepare an estimate of necessary expenditures for each of the National Institutes of Health to be affected by the Arthritis Plan, which shall be submitted to Congress for comparison with the amounts requested for each fiscal year.  Directs the Commission to publish the Arthritis Plan within 210 days of the date on which funds are first appropriated and provides that the Commission shall cease to exist 30 days after the submission of the Plan. Authorizes to be appropriated $1,000,000 to carry out the provisions of this section. Directs the Secretary to establish an Arthritis Coordinating Committee, to be composed of representatives of Federal departments and agencies involved in research, health services, and rehabilitation programs affecting arthritis.  Requires the Committee to submit a report of its work to the Secretary at the end of each fiscal year. Authorizes the Secretary, through the Assistant Secretary for Health: (1) to make grants to public and non-profit private entities for projects for the development and demonstration of methods for arthritis screening, detection, prevention and referral; and (2) to establish the Arthritis Screening and Detection Data Bank for the collection of data useful in the screening, prevention, and early detection of arthritis.  Authorizes to be appropriated to carry out these duties $1,000,000 for fiscal year 1975; $2,000,000 for fiscal year 1976; and $3,000,000 for fiscal year 1977. Allows the Secretary, through the Assistant Secretary for Health, to provide for the development, modernization, and operation of centers for arthritis research, screening, detection, diagnosis, prevention, control, and the rehabilitation of arthritis victims.  Authorizes to be appropriated for such purposes $9,000,000 for fiscal year 1975; $11,000,000 for fiscal year 1976; and $13,000,000 for fiscal year 1977.  Requires that not less than 20 percent of the funds for each year be used for the purpose of establishing new centers.",2025-09-03T12:50:28Z,
93-s-4220,93,s,4220,A bill to amend the Public Health Service Act to provide for a study with regard to histoplasmosis.,Health,1974-12-10,1974-12-10,Referred to Senate Committee on Labor and Public Welfare.,Senate,"Sen. Hartke, Vance [D-IN]",IN,D,H000297,0,"Directs the Secretary of Health, Education, and Welfare to conduct a research program with regard to the diagnosis and treatment of histoplasmosis and ocular histoplasmosis. Authorizes, for fiscal years 1975-1977, specified sums to be appropriated for the research programs and for conducting training programs.",2025-04-21T12:24:17Z,
93-hr-17590,93,hr,17590,"A bill to amend title XVIII of the Social Security Act to broaden the coverage of home health service under the supplementary medical insurance program and remove the 100-visit limitation presently applicable thereto, to amend title XIX of such act to require the inclusion of home health services in a State's medicaid program and to permit the payments of rent under such a program for elderly persons who would otherwise require nursing home care, and to provide expanded Federal funding for congregate housing for the displaced and the elderly.",Health,1974-12-09,1974-12-09,Referred to House Committee on Ways and Means.,House,"Rep. Koch, Edward I. [D-NY-18]",NY,D,K000302,0,Broadens the coverage of home health service under the supplementary medical insurance (Medicare) program of the Social Security Act by authorizing payments for homemaker services under specified circumstances and removes the 100-visit limitation presently applicable to the home health service program. Requires the inclusion of home health services in a State's medicaid program under the Social Security Act and permits the payments of rent under such program for elderly persons who would otherwise require nursing home care. Provides expanded Federal funding for congregate housing for the displaced and the elderly by increasing the amount available for such housing under the low income housing program.,2024-08-01T18:39:26Z,
93-hr-17593,93,hr,17593,"A bill to amend title 38, United States Code, to establish the per annum full-pay scale for certain personnel of the Department of Medicine and Surgery of the Veterans' Administration; to make a career in the Department of Medicine and Surgery more attractive.",Health,1974-12-09,1974-12-09,Referred to House Committee on Veterans' Affairs.,House,"Rep. Satterfield, David E., III [D-VA-3]",VA,D,S000070,4,"Establishes the per-annum pay scale for specified personnel of the Department of Medicine and Surgery of the Veterans' Administration, including the Chief Medical Director, at $49,700. States that in order to attract or retain highly qualified physicians, dentists, and nurses in the Department, such persons may be paid an additional 25 percent of their annual salary.  Authorizes the granting of leave with pay for pursuit of studies to such individuals under enumerated circumstances.",2024-08-01T18:39:25Z,
93-hr-17572,93,hr,17572,Health Security Act,Health,1974-12-05,1974-12-05,Referred to House Committee on Ways and Means.,House,"Rep. Biaggi, Mario [D-NY-10]",NY,D,B000432,0,"Health Security Act - Title I:  Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services.  Permits reciprocal and ""buy-in"" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions:  (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that:  (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use:  prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings.  Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered.  Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board.  Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare.  States that the two requirements not found in the Medicare program are:  (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare.  Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay:  institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants:  (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary.  Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare.  Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services.  Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act.  Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II:  Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers.  Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base.  Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees.  Spells out the precise effective dates of the new payroll tax provisions.  Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000.  Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III:  Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of:  (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations.  Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV:  Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V:  Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.",2025-09-03T12:50:29Z,
93-hr-17576,93,hr,17576,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-12-05,1974-12-05,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Rhodes, John J. [R-AZ-1]",AZ,R,R000188,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:50:27Z,
93-hr-17568,93,hr,17568,A bill relating to equitable relief in civil actions brought for the purpose of protecting public health.,Health,1974-12-04,1974-12-04,Referred to House Committee on Judiciary.,House,"Rep. Ruppe, Philip E. [R-MI-11]",MI,R,R000512,0,"Provides that in any action brought by the Administrator of the Environmental Protection Agency requesting equitable relief for the purpose of protecting public health, if a party shows that a defendant in such action is discharging or emitting any substance in violation of Federal law (or any State law which is enforceable under Federal law) and that such discharge or emission presents or contributes to a public health risk, the court shall grant such equitable relief as may be necessary promptly to assure that such discharge or emission does not present or contribute to such risks, unless the person who is discharging or emitting such substance demonstrates that: (1) the public health risk does not exist; or (2) it would be arbitrary or capricious to grant such relief (taking into account technological and economic considerations, and magnitude or risk).",2024-08-01T18:39:21Z,
93-hr-17520,93,hr,17520,A bill to amend title XVIII of the Social Security Act to provide for the coverage of certain psychologists' services under the supplementary medical insurance benefits program established by part B of such title.,Health,1974-11-26,1974-11-26,Referred to House Committee on Ways and Means.,House,"Rep. Corman, James C. [D-CA-22]",CA,D,C000780,0,Provides for the coverage of a clinical psychologists' services under the supplementary medical insurance benefits program of title XVIII (Medicare) of the Social Security Act.,2024-08-01T18:39:19Z,
93-hr-17512,93,hr,17512,A bill to amend the Public Health Service Act to establish a program of Federal financial assistance for research programs and specialized treatment centers for the study and treatment of problems respecting human fertility and sterility and the human reproductive process.,Health,1974-11-25,1974-11-25,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Koch, Edward I. [D-NY-18]",NY,D,K000302,9,"Authorizes the Secretary of Health, Education, and Welfare to make grants under the Public Health Service Act for research in fertility and sterility in humans and the human reproductive process, and for training and fellowship grants to allow persons to undertake such research. Empowers the Secretary to establish in the National Institutes of Health and in the various geographical regions of the United States not more than five specialized treatment centers to (1) provide assistance to individuals seeking medical services to enable them to bear children, and (2) undertake clinical research and training in, and demonstration of, advanced diagnostic and treatment methods relating to problems of human reproduction.  Provides that the Secretary may enter into cooperative arrangements with public and private nonprofit agencies and institutions to pay all or part of the cost of planning, establishing, and providing basic operating support for such specialized treatment centers. Allows Federal spending for (1) construction, (2) staffing and other basic operating costs, (3) training, and (4) demonstration projects. Authorizes to be appropriated for the fiscal year ending June 30, 1975 and for each of the next four fiscal years such sums as may be necessary to make payments as provided in this Act. Provides that family planning projects and services assisted under the Public Health Service Act shall include counseling for individuals who have been unable to bear children and who seek medical assistance in bearing children, and referral of such individuals to specialized regional treatment centers established under this Act.",2024-08-01T18:39:15Z,
93-s-4185,93,s,4185,A bill to amend part A of title XVIII of the Social Security Act to cover certain additional inpatient hospital services furnished outside the United States to individuals insured for benefits provided under such part A.,Health,1974-11-25,1974-11-25,Referred to Senate Committee on Finance.,Senate,"Sen. Domenici, Pete V. [R-NM]",NM,R,D000407,0,Authorizes coverage of emergency inpatient hospital services furnished outisde the United States to individuals insured for hospital benefits under the Medicare program of the Social Security Act.,2024-08-01T18:43:23Z,
93-hr-17451,93,hr,17451,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-11-19,1974-11-19,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Aspin, Les [D-WI-1]",WI,D,A000224,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:50:21Z,
93-hr-17426,93,hr,17426,National Commission on Epilepsy and Its Consequences Act,Health,1974-10-17,1974-10-17,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Brinkley, Jack [D-GA-3]",GA,D,B000839,0,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:50:22Z,
93-hr-17395,93,hr,17395,A bill to amend title XIX of the Social Security Act to provide for additional Federal payments to States to reflect the higher medicaid costs resulting from the enactment of the supplemental security income benefit program.,Health,1974-10-16,1974-10-16,Referred to House Committee on Ways and Means.,House,"Rep. Hanley, James M. [D-NY-32]",NY,D,H000158,0,Sets forth a formula under title XIX (Medicaid) of the Social Security Act to provide for additional Federal payments to States to reflect the higher medicaid costs resulting from the enactment of the supplemental security income benefit program.,2024-08-01T18:39:20Z,
93-hr-17401,93,hr,17401,National Huntington's Disease Control Act,Health,1974-10-16,1974-10-16,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Randall, William J. [D-MO-4]",MO,D,R000041,0,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:50:22Z,
93-hr-17420,93,hr,17420,National Commission on Epilepsy and Its Consequences Act,Health,1974-10-16,1974-10-16,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Kyros, Peter N. [D-ME-1]",ME,D,K000356,1,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:50:22Z,
93-hr-17338,93,hr,17338,A bill to require that users of heart pacemakers be given notice of the proximity of electronic products which emit radiation which adversely affects such pacemakers.,Health,1974-10-11,1974-10-11,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roncallo, Angelo D. [R-NY-3]",NY,R,R000422,0,"Requires that users of heart pacemakers be given notice of the proximity of electronic products which emit radiation which adversely affects such pacemakers.  Directs the Secretary of Health, Education, and Welfare to establish and promulgate regulations under the provisions of this Act.  Sets forth penalties for violation of the provisions of this Act.",2024-08-01T18:39:15Z,
93-s-4137,93,s,4137,"A bill to amend Part B of Title XI of the Social Security Act, Professional Standards Reviews, to provide for the review of dental services by dentists.",Health,1974-10-11,1974-10-11,Referred to Senate Committee on Finance.,Senate,"Sen. Hansen, Clifford P. [R-WY]",WY,R,H000170,1,"Provides for the review of dental services by dentists, under the Professional Standards Review provisions of the Social Security Act.",2024-08-01T18:43:14Z,
93-hr-17264,93,hr,17264,A bill to amend the Public Health Service Act to establish a trust fund to be used to fund the research programs of the National Cancer Institute.,Health,1974-10-10,1974-10-10,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Denholm, Frank E. [D-SD-1]",SD,D,D000234,0,"Establishes the National Cancer Research Fund to be used to fund the research programs of the National Cancer Institute.  Provides that, beginning with fiscal year 1976, there shall be appropriated to the Fund amounts equivalent to the additional taxes on cigarettes imposed by the Internal Revenue Code. Authorizes appropriations to the Fund through September 30, 1977.",2024-08-01T18:39:07Z,
93-hr-17206,93,hr,17206,"A bill to amend title XVIII of the Social Security Act to authorize payment under the supplementary medical insurance program for allergenic extracts, whether or not administered by the physician who prepared them.",Health,1974-10-09,1974-10-09,Referred to House Committee on Ways and Means.,House,"Rep. O'Brien, George M. [R-IL-17]",IL,R,O000010,0,"Authorizes the payment under the Supplementary Medical Insurance Program under title XVIII (Medicare) of the Social Security Act for allergenic extracts, whether or not administered by the physician who prepared them.",2024-08-01T18:39:10Z,
93-hr-17136,93,hr,17136,Medicare Long-Term Care Act,Health,1974-10-08,1974-10-08,Referred to House Committee on Ways and Means.,House,"Rep. Pepper, Claude [D-FL-14]",FL,D,P000218,0,"Medical Long-Term Care Act - Establishes within the supplementary medical insurance program under title XVIII (Medicare) of the Social Security Act a program of long-term care benefits to be provided for aged and disabled individuals and financed without additional cost to such qualified individuals from premium payments made under such Act together with contributions from funds appropriated by the Federal Government. States that every individual who is entitled to supplementary medical insurance benefits shall be entitled to the benefits of the program established by this Act. States that the benefits provided to an individual by the program established by this Act shall consist of home health services, homemaker services, nutrition services, long-term institutional care services, day care and foster home services, and community mental health center outpatient services. Provides that, to the maximum extent possible, the benefits under this Act shall be provided by or through community long-term care centers certified, monitored, and assisted, where applicable, by the State agency which performs the functions of planning, developing, and overseeing such centers. Specifies the functions of community long-term care centers, including the evaluation, certification, and administration of the services to be provided to individuals eligible for such services under this Act. Defines the terms used in this Act. States that the Secretary of Health, Education, and Welfare, after consultion with interested parties, shall develop and make available to community long-term care centers one or more methods of payment for the benefits provided and covered under this Act on a prospective basis.  Authorizes the Secretary to make available the method certified by the Governor to community long-term care centers in such State if such method does not increase the cost of the program. Provides limitations on benefits in the care of eligible individuals and their spouses both claiming benefits in the same month under this Act.",2025-09-03T12:50:11Z,
93-hr-17095,93,hr,17095,A bill to limit the medicare inpatient hospital deductible.,Health,1974-10-07,1974-10-07,Referred to House Committee on Ways and Means.,House,"Rep. Fraser, Donald M. [D-MN-5]",MN,D,F000350,1,Increases the medicare inpatient hospital deductible from $40 to $84 under title XVIII of the Social Security Act.,2024-08-01T18:39:02Z,
93-hr-17105,93,hr,17105,National Huntington's Disease Control Act,Health,1974-10-07,1974-10-07,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. O'Brien, George M. [R-IL-17]",IL,R,O000010,0,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:50:07Z,
93-s-4093,93,s,4093,A bill to amend the Social Security Act to free medicare deductibles.,Health,1974-10-04,1974-10-04,Referred to Senate Committee on Finance.,Senate,"Sen. Ribicoff, Abraham A. [D-CT]",CT,D,R000191,38,Increases the medicare inpatient hospital deductible from $40 to $84 under title XVIII (Medicare) of the Social Security Act.,2024-08-01T18:43:13Z,
93-hr-17064,93,hr,17064,National Huntington's Disease Control Act,Health,1974-10-03,1974-10-03,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,2,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:50:06Z,
93-hr-17077,93,hr,17077,Health Manpower Act,Health,1974-10-03,1974-10-03,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Hastings, James F. [R-NY-39]",NY,R,H000327,2,"Health Manpower Act - Title I:  General Provisions - Revises and repeals specified provisions of the Public Health Services Act. Title II:  Assistance for Construction of Teaching Facilities - Directs the Secretary of Health, Education, and Welfare  to make grants to assist in the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists, podiatrists, veterinarians, and professional public health personnel.  Authorizes appropriations of $10,000,000 for each of fiscal years 1975, 1976 and 1977. Title III:  Student Assistance; National Health Service Corps - Expands the provisions governing the making of student loans under the Public Health Service Act and the rates for repayment of such loans. Authorizes appropriations for the purpose of making Federal capital contributions into the student loan funds of authorized schools. Prescribes procedures for the establishment of a National Health Service Corps, applications for assistance from the Corps, and assignment and functions of Corps personnel to medically underserved populations.  Outlines the rate-of-pay schedule for physician and dentist Corps members engaged in the delivery of health services to a medically underserved population. Details the reporting requirements of the Secretary to the Congress in his carrying out the programs of the National Health Service Corps. Establishes the National Advisory Council on the National Health Service Corps.  Specifies the membership composition of such Council.  Authorizes appropriations for fiscal years 1974-1977 for carrying out this section. Revises the Public Health and National Health Service Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance in such program and the time and type of obligated service required. Authorizes to be appropriated to carry out the Program $80,000,000 for fiscal year 1976 and $120,000,000 for fiscal year 1977. Title IV:  Grants for Health Professions Schools - Sets forth computation rules governing the making of annual grants by the Secretary for the support of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary medicine, optometry, pharmacy, and podiatry.  Provides for the apportionment of, and authorization of, appropriations for the making of such grants. States that the Secretary shall not make such grants to any school unless specified assurances that the first year enrollment of health profession schools will rise by specified percentages in succeeding years, are met. Title V:  Special Project Grants and Contracts - Revises the procedure for the making of special project grants and contracts for the purposes of assisting individuals from disadvantaged backgrounds.  Specifies the purposes for which such grants may be used.  Authorizes appropriations for such grants through fiscal year 1977. Authorizes appropriations of $15,000,000, $20,000,000 and $25,000,000 for fiscal years 1975-1977, respectively for the establishment of area health education centers. Title VI:  Public and Allied Health Personnel - Revises the training programs for public and community health personnel and allied health personnel, extending appropriations through fiscal year 1977. Title VII:  Medical Residency Training Programs - Provides for the accrediting and operation of medical residency training programs with the number of first year positions not to exceed 125 percent of the estimated number of graduates from accredited schools of medicine in the preceding calendar year. Title VIII:  Miscellaneous - Directs the Secretary to contract for a study analyzing the current distribution of physicians by specialty, projecting such analysis for 1980, 1985, and 1990, and examining and developing a method for establishing the optimal distribution of physicians by geographic area. Requires the Secretary to make specified quality assurances to the Congress regarding education and training of allied health personnel.  Calls for an allied health personnel study, detailing the contents of such study, including identification of classifications in which there are critical shortages of personnel.",2025-09-03T12:50:07Z,
93-hr-17084,93,hr,17084,Health Manpower Act,Health,1974-10-03,1974-12-12,"Measure laid on table in House, S. 3585 passed in lieu.",House,"Rep. Rogers, Paul G. [D-FL-11]",FL,D,R000401,7,"(LATEST SUMMARY)  Health Manpower Act - =Title I: General Provisions=  - Revises and repeals specified provisions of the Public Health Service Act.   =Title II: Assistance for Construction of Teaching  Facilities= - Directs the Secretary of Health, Education, and Welfare to make grants to assist in  the construction of teaching facilities for the training of physicians, dentists, pharmacists, optometrists,  podiatrists, veterinarians, and professional public health personnel.  Authorizes  appropriations of $25,000,000 for each of fiscal years 1975, 1976 and 1977.   =Title III: Student Assistance; National Health  Service Corps= - Expands the provisions governing the making of student loans under the Public  Health Service Act and the rates for repayment of such loans.  Authorizes appropriations  for the purpose of making Federal contributions into the student loan funds of authorized schools.   Prescribes procedures for the establishment of  a National Health Service Corps, applications for assistance from the Corps, and assignment and  functions of Corps personnel to medically underserved populations.  Outlines the rate-of-pay  schedule for physician and dentist Corps members engaged in the delivery of health services to a medically  underserved population.   Details the reporting requirements by the Secretary  to the Congress in his carrying out the programs of the National Health Service Corps.   Establishes the National Advisory Council of the  National Health Service Corps.  Specifies the membership composition of such Council.  Authorizes  appropriations for fiscal years 1974-1977 for carrying out this section.   Revises the Public Health and National Health  Services Corps Scholarship Training Program, setting forth the eligibility requirements for acceptance  in such program and the time and type of obligated service required.  Authorizes to be appropriated  to carry out the program $80,000,000 for fiscal year 1976 and $120,000,000 for fiscal year 1977.   =Title IV: Grants for Health Professions Schools=  - Sets forth computation rules governing the making of annual grants by the Secretary for the support  of education programs of schools of medicine, osteopathy, public health, dentistry, veterinary  medicine, optometry, pharmacy, and podiatry. Provides for the apportionment of, and authorization  of, appropriations for the making of such grants.   States that the Secretary shall not make such  grants to any school unless specified assurances from each type of school, including assurances that  the first year enrollment of health profession schools will rise by specified percentages in succeeding years.   Reduces the capitation payment for each full-time  student in a school of medicine, osteopathy, or dentistry from $2100 to $2000 as of fiscal year 1977.   =Title V: Special Project Grants and Contracts=  - Revises the procedure for the making of special project grants and contracts for the purposes  of assisting individuals from disadvantaged backgrounds.  Specifies the purposes for which such  grants may be used.  Authorizes appropriations for such grants through fiscal year 1977.   Authorizes appropriations of $15,000,000, $20,000,000  and $25,000,000 for fiscal years 1975- 1977, respectively for the establishment of area health  education centers.      Authorizes grants to schools of medicine  and osteopathy in the United States to plan and operate programs to train United States citizens who  have enrolled in foreign countries before July 1, 1975, to enable them to meet the requirements  for enrolling in schools of medicine or osteopathy in the United States as students with advanced standing.   Allows the Secretary to make grants to schools  of medicine and osteopathy to meet the costs of projects to establish and maintain academic administrative  units to provide clinical instruction in family medicine.   =Title VI: Public and Allied Health Personnel=  - Revises the training programs for public and community health personnel and allied health personnel,  extending appropriations through fiscal year 1977.   =Title VII: Medical Residency Training Programs=  - Provides for the accrediting and operation of medical residency training programs with the number  of first year positions not to exceed 125 percent of the estimated number of products from  accredited school of medicine in the preceding calendar year.   =Title VIII: Miscellaneous= - Directs the Secretary  to contract for a study analyzing the current distribution of physicians by specialty, projecting  such analysis for 1980, 1985, 1990, and examining and developing a method for establishing  the optimal distribution of physicians by geographic area.   Requires the Secretary to make specified quality  assurances to the Congress regarding education and training of allied health personnel.  Calls for  an allied health personnel study, detailing the contents of such study, including identification  of classifications in which there are critical shortages of personnel.",2025-09-03T12:50:07Z,
93-hr-17085,93,hr,17085,Nurse Training Act,Health,1974-10-03,1975-01-04,Pocket vetoed by President.,House,"Rep. Rogers, Paul G. [D-FL-11]",FL,D,R000401,8,"(LATEST SUMMARY)  Nurse Training Act - =Title I:  Construction Assistance=  - Extends, under the Public Health Service Act, the authorization of appropriations for grants for  specified loan quarantees and interest subsidies.   =Title II:  Capitation Grants= - States that each  collegiate school of nursing shall receive $400 for each student enrolled in each of the last two years  of such school.  Provides capitation grants for other schools of nursing and authorizes appropriations for such grants.   =Title III:  Financial Distress Grants= - Allows  the Secretary of Health, Education, and Welfare to make grants to public or non-profit private schools of  nursing which are in serious financial straits.  Prescribes the procedures for the making of such grants and authorizes  appropriations through fiscal year 1977 for the grants.   =Title IV:  Special Project Assistance= - Empowers  the Secretary to make grants to schools of nursing and other entities to meet the costs of special projects,  including projects to: (1) increase nursing education opportunities for disadvantaged students; (2) provide  continuing education for nurses; (3) increase the supply or distribution by geographic area or by specialty  group of adequately trained nursing personnel needed to meet the health needs of the Nation, including  the need to increase the availability of personal health services and the need to promote preventive  health care; and (4) train and educate in order to upgrade the skills of licensed vocational or practical nurses,  nursing assistants, and other paraprofessional nursing personnel.   Authorizes appropriations through fiscal year  1977 for such grants and contracts.   Provides for the making of grants, and authorizes  appropriations for such grants, by the Secretary for: (1) advanced nurse training programs; and (2) nurse  practitioner programs.  Directs the Secretary to prescribe guidelines for programs for nurse practitioners.   =Title V:  Assistance to Nursing Students= - Extends  the authorization of appropriations for traineeships, student loans, and the program to encourage full utilization  of educational talent for nursing.  Extends the nursing scholarship program.   =Title VI:  Technical and Conforming Amendments=  - Makes technical and conforming amendments to the Public Health Service Act.   =Title VII:  Miscellaneous= - Requires the Secretary  of Health, Education, and Welfare to determine on a continuing basis the current and projected supply  of the various classifications of nurses, their geographic distribution, pay rates, activity status,  and advanced training status.   Requires a report annually to the Congress upon  such findings together with recommendations for legislation to achieve an equitable distribution and supply of  nurses within the United States and within each State.",2025-09-03T12:50:07Z,
93-hr-17002,93,hr,17002,National Multiple Sclerosis and Epilepsy Act,Health,1974-10-02,1974-10-02,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Esch, Marvin L. [R-MI-2]",MI,R,E000213,0,"National Multiple Sclerosis and Epilepsy Act - Expresses the findings of Congress and declares the purpose of this Act. Instructs the Director of the National Institute of Neurological Diseases and Stroke to develop a neurological disease program to expand, intensify and coordinate the activities of the Institute.  Specifies the scope of such program. Requires the Director to report annually on the accomplishments of the program. Empowers the Director to:  (1) obtain the services of 50 experts; (2) acquire and maintain neurological disease equipment and facilities; and (3) enter into contracts to carry out the purposes of this Act. Authorizes appropriations of such sums as necessary to carry out the above objectives. Instructs the Director to develop six new centers for multiple sclerosis research and treatment and 14 new centers for other neurological and sensory diseases.  Authorizes appropriations of $100 million, $125 million, and $150 million for such purposes for fiscal years 1973-1975. Empowers the Director to make grants to public entities for research in neurological disorders and authorizes to be appropriated such sums as necessary for such purposes.",2025-09-03T12:50:08Z,
93-hr-17004,93,hr,17004,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-10-02,1974-10-02,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Johnson, Albert W. [R-PA-23]",PA,R,J000115,0,"Arthritis Prevention, Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose.  States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan.  Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:50:07Z,
93-hr-16979,93,hr,16979,National Commission on Epilepsy and Its Consequences Act,Health,1974-10-01,1974-10-01,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Esch, Marvin L. [R-MI-2]",MI,R,E000213,0,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:50:00Z,
93-hr-16927,93,hr,16927,National Huntington's Disease Control Act,Health,1974-09-30,1974-09-30,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Esch, Marvin L. [R-MI-2]",MI,R,E000213,0,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:50:00Z,
93-hr-16934,93,hr,16934,"A bill providing that certain State medical officers and employees are deemed to be Federal officers of employees for purposes of section 1346(b) and chapter 171 of title 28, United States Code.",Health,1974-09-30,1974-09-30,Referred to House Committee on the Judiciary.,House,"Rep. Jones, Robert E., Jr. [D-AL-5]",AL,D,J000248,0,"Provides that any officer or employee of any State who acts in cooperation with the performance of medical, surgical, dental or related functions by any commissioned officer or employee of the Public Health Service while acting within the scope of his office or employment, shall be deemed to be a Federal officer or employee.",2024-08-01T18:38:49Z,
93-hr-16953,93,hr,16953,Rural Health Assistance Act,Health,1974-09-30,1974-09-30,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Robison, Howard W. [R-NY-27]",NY,R,R000357,0,"Rural Health Assistance Act - Expresses the findings of Congress, including that the health effects of contaminated drinking water and inadequate sewage disposal facilities act to reinforce the poverty of the rural poor. Directs the Secretary of Health, Education, and Welfare to conduct research for publication of a rural health manual identifying water-borne diseases and prescribing methods of treatment for such diseases. Authorizes the Secretary to make grants to States for the cost of specified programs relating to rural health. Authorizes to be appropriated $50,000,000, without fiscal year limitation, for the purpose of making such grants.",2025-09-03T12:50:00Z,
93-hr-16910,93,hr,16910,Bilingual Health Opportunities Act,Health,1974-09-26,1974-09-26,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Matsunaga, Spark M. [D-HI-1]",HI,D,M000250,0,"Bilingual Health Opportunities Act - Authorizes appropriations for fiscal year 1974 and each of the three succeeding fiscal years of such sums as may be necessary to establish up to four bilingual health training clinical centers in communities where a substantial proportion of the residents is of limited English-speaking ability. Directs the Secretary of Health, Education, and Welfare to arrange for the conduct of a study or studies to determine the effectiveness of health education institution admissions examinations in evaluating accurately the potential and ability of the student applicant of limited English-speaking ability to participate in and benefit from the educational program, taking into account the need to eliminate any cultural bias in the presentation of admissions examinations.",2025-09-03T12:50:00Z,
93-hr-16871,93,hr,16871,Health Security Act,Health,1974-09-25,1974-09-25,Referred to House Committee on Ways and Means.,House,"Rep. Fascell, Dante B. [D-FL-15]",FL,D,F000041,0,"Health Security Act - Title I:  Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services.  Permits reciprocal and ""buy-in"" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions:  (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that:  (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use:  prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings.  Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered.  Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board.  Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare.  States that the two requirements not found in the Medicare program are:  (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare.  Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay:  institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants:  (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary.  Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare.  Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services.  Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act.  Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II:  Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers.  Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base.  Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees.  Spells out the precise effective dates of the new payroll tax provisions.  Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000.  Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III:  Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of:  (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations.  Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV:  Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V:  Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.",2025-09-03T12:50:02Z,
93-s-4043,93,s,4043,"A bill providing that certain State medical officers and employees are deemed to be Federal officers or employees for purposes of section 1346(b) and chapter 171 of title 28, United States Code.",Health,1974-09-25,1974-09-25,Referred to Senate Committee on the Judiciary.,Senate,"Sen. Sparkman, John J. [D-AL]",AL,D,S000701,1,"Provides that any officer or employee of any State who acts in cooperation with the performance of medical, surgical, dental, or related functions by any commissioned officer or employee of the Public Health Service while acting within the scope of his office or employment shall be deemed to be a Federal officer or employee.",2025-07-21T19:32:26Z,
93-hr-16829,93,hr,16829,National Commission on Epilepsy and Its Consequences Act,Health,1974-09-24,1974-09-24,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Kyros, Peter N. [D-ME-1]",ME,D,K000356,4,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:49:59Z,
93-hr-16841,93,hr,16841,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-09-24,1974-09-24,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Quie, Albert H. [R-MN-1]",MN,R,Q000010,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:59Z,
93-hr-16842,93,hr,16842,National Huntington's Disease Control Act,Health,1974-09-24,1974-09-24,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,9,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:59Z,
93-hr-16796,93,hr,16796,National Huntington's Disease Control Act,Health,1974-09-23,1974-09-23,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Lujan, Manuel, Jr. [R-NM-1]",NM,R,L000506,0,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:54Z,
93-hr-16802,93,hr,16802,"A bill to amend titles II and XVIII of the Social Security Act to provide medicare coverage for disabled individuals under age 65 from the first month of their entitlement to benefits based on disability, in cases where the individuals involved are becoming reentitled to such coverage after a previous coverage period which ended during the preceding 5 years.",Health,1974-09-23,1974-09-23,Referred to House Committee on Ways and Means.,House,"Rep. Perkins, Carl Dewey [D-KY-7]",KY,D,P000230,0,"Provides medicare and old-age, survivors, and disability insurance coverage under titles II and XVII of the Social Security Act and provides retirement coverage under the Railroad Retirement Act for disabled individuals under age 65 from the first month of their entitlement to benefits based on disability, in cases where the individuals involved are becoming reentitled to such coverage after a previous coverage period which ended during the preceding 5 years.",2024-08-01T18:38:54Z,
93-hr-16808,93,hr,16808,Comprehensive School Health Education Act,Health,1974-09-23,1974-09-23,Referred to House Committee on Education and Labor.,House,"Rep. Wyatt, Wendell [R-OR-1]",OR,R,W000778,0,"Comprehensive School Health Education Act - Declares that it is the purpose of this Act to encourage the provision of comprehensive programs in elementary and secondary schools with respect to health education and health problems by establishing a system of grants for teacher training, pilot and demonstration projects, and the development of comprehensive health education programs. Empowers the Commissioner of Education to make grants to State educational agencies and institutions of higher education for teacher training with respect to the provision of comprehensive health education programs in schools.  Authorizes to be appropriated $10,000,000 for fiscal year 1975; $12,500,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977, to carry out such grants. Authorizes the Commissioner to make grants to State and local educational agencies, institutions of higher education, and other public or private nonprofit education or research organizations to support pilot demonstration projects in elementary and secondary schools with respect to health education and health problems. Authorizes appropriations for such purposes. States that the Commissioner may make grants to State educational agencies for the development of comprehensive programs in elementary and secondary schools with respect to health education and health problems.  Provides for the apportionment of funds appropriated for such purposes.  Authorizes to be appropriated $50,000,000 for fiscal year 1977. Sets forth the requirements for receiving grants under this Act, including the application procedures.  Directs the Commissioner to, when requested, render technical assistance to local educational agencies, public and private nonprofit organizations, and institutions of higher education in the development and implementation of education programs with respect to health and health problems.",2025-09-03T12:50:03Z,
93-hr-16747,93,hr,16747,National Voluntary Medical and Hospital Services Act,Health,1974-09-19,1974-09-19,Referred to House Committee on Ways and Means.,House,"Rep. Ketchum, William M. [R-CA-36]",CA,R,K000153,2,"National Voluntary Medical and Hospital Services Act - Creates the National Voluntary Medical and Hospital Services Insurance Agency to operate a National Voluntary Medical and Hospital Services Insurance Plan with funds supplied by voluntary subscriptions and matching United States Treasury funds, to pay all reasonable costs of all medically necessary and appropriate medical and hospital services for all voluntary enrollees. Provides that this Act shall become operative within two years of its enactment, and that Congress shall appropriate $50,000,000 for the first calendar year after this Act becomes effective. Provides that payment shall be made by the plan to or on behalf of every enrollee for all legal, appropriate, and professionally recognized and medically necessary service provided as a personal professional service by or under the direct supervision of a licensed medical doctor, whenever performed. Specifies services excluded from benefits of the plan. Provides for premium payments in the amount of fifteen dollars per month for each adult and one-half of the amount for each child. Provides that subscribers with a total earned and unearned family income of less than $9,969 per year shall be entitled to have their premiums calculated at 1.8 percent of such income for each adult enrollee, and at half that amount for each child enrollee. Provides that not more than 3 percent of all premiums received shall be used for the payment of costs of the plan other than benefits. States that the Agency shall affix a fee to every professionally recognized diagnostic and therapeutic medical service procedure or treatment and laboratory pathological test and procedure that is proportionate to the customary and reasonable fee for such service in each general area of the United States. Enumerates, with respect to claims for the benefits of this plan, the form of, items of information to be contained in, and procedures for auditing, assessment, and payment of, such claims. States that the Agency shall have the right to temporarily or permanently exclude any enrollee or provider of services found to have made any false claim for payment for services. Provides for the arbitration of claims for damages resulting from the alleged malpractice in the provision of any service that is a benefit of the plan.",2025-09-03T12:49:56Z,
93-hr-16765,93,hr,16765,National Huntington's Disease Control Act,Health,1974-09-19,1974-09-19,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Shriver, Garner E. [R-KS-4]",KS,R,S000388,0,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:54Z,
93-hr-16710,93,hr,16710,"A bill to direct the Secretary of Health, Education, and Welfare to make requests for appropriations for programs respecting a specific disease or category of diseases on the basis of the relative mortality and morbidity rates of the disease or category of diseases and its relative impact on the health of persons in the United States and on the economy.",Health,1974-09-18,1974-09-18,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Carter, Tim Lee [R-KY-5]",KY,R,C000201,0,"Provides that in making requests for appropriations under authorizations of appropriations in the Public Health Service Act for programs respecting specific diseases or categories of diseases, the Secretary of Health, Education, and Welfare shall request the greatest amounts for programs for those diseases or categories of diseases which, in comparison with other diseases or categories of diseases for which there are programs under such Act: (1) have the highest mortality rate and morbidity rate; (2) have the greatest adverse effect on the health of individuals in the United States; and (3) because of lost wages, productivity, and cost of medical care have the most significant impact on the economy.",2024-08-01T18:38:42Z,
93-s-4008,93,s,4008,"A bill to amend title XVIII of the Social Security Act to facilitate the expeditious payment of claims, based on certain covered services furnished to an insured individual, which remain outstanding at the time of such individual's death.",Health,1974-09-17,1974-09-17,Referred to Senate Committee on Finance.,Senate,"Sen. Metcalf, Lee [D-MT]",MT,D,M000671,0,"Provides that persons providing medical services, under the Medicare provisions of the Social Security Act, to persons who subsequently die, need not accept payment from the Social Security Administration for such services as full payment (as is required presently), but may bill the estate of such deceased person for any remaining charges above the reasonable charges for such services. (Amends 42 U.S.C. 1395 gg)",2024-08-01T18:43:11Z,
93-hr-16672,93,hr,16672,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-09-16,1974-09-16,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Vander Jagt, Guy [R-MI-9]",MI,R,V000027,0,"Arthritis Prevention, Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose.  States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan.  Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:53Z,
93-hr-16656,93,hr,16656,"A bill to amend title XVIII of the Social Security Act to provide payment under part A (the hospital insurance program (for care and treatment furnished at a central radiation therapy treatment facility, and to provide full payment under part B (the supplementary medical insurance program) for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility and for other purposes.",Health,1974-09-12,1974-09-12,Referred to House Committee on Ways and Means.,House,"Rep. White, Richard C. [D-TX-16]",TX,D,W000390,2,"Provides, under title XVIII of the Social Security Act, for payment under the hospital insurance program for care and treatment furnished at a central radiation therapy treatment facility.  Provides full payment under the supplementary medical insurance program for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility.  Defines the terms used in this Act.",2024-08-01T18:38:45Z,
93-hr-16598,93,hr,16598,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-09-11,1974-09-11,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Edwards, Jack [R-AL-1]",AL,R,E000084,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:53Z,
93-hr-16620,93,hr,16620,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-09-11,1974-09-11,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Miller, Clarence E. [R-OH-10]",OH,R,M000718,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:52Z,
93-hr-16564,93,hr,16564,National Huntington's Disease Control Act,Health,1974-08-22,1974-08-22,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,6,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:47Z,
93-hr-16579,93,hr,16579,A bill to amend title XVIII of the Social Security Act to include drugs requiring a doctor's prescription among the medical expenses with respect to which payment may be made under the voluntary program of supplementary medical insurance benefits for the aged.,Health,1974-08-22,1974-08-22,Referred to House Committee on Ways and Means.,House,"Rep. Traxler, Bob [D-MI-8]",MI,D,T000356,0,"Includes drugs requiring a doctor's prescription among the medical expenses with respect to which payment may be made under the voluntary program of supplementary medical insurance benefits for the aged, under title XVIII of the Social Security Act (Medicare).",2024-08-01T18:38:38Z,
93-hr-16532,93,hr,16532,National Voluntary Medical and Hospital Services Act,Health,1974-08-21,1974-08-21,Referred to House Committee on Ways and Means.,House,"Rep. Ketchum, William M. [R-CA-36]",CA,R,K000153,1,"National Voluntary Medical and Hospital Services Act - Creates the National Voluntary Medical and Hospital Services Insurance Agency to operate a National Voluntary Medical and Hospital Services Insurance Plan with funds supplied by voluntary subscriptions and matching United States Treasury funds, to pay all reasonable costs of all medically necessary and appropriate medical and hospital services for all voluntary enrollees. Provides that this Act shall become operative within two years of its enactment, and that Congress shall appropriate $50,000,000 for the first calendar year after this Act becomes effective. Provides that payment shall be made by the plan to or on behalf of every enrollee for all legal, appropriate, and professionally recognized and medically necessary service provided as a personal professional service by or under the direct supervision of a licensed medical doctor, whenever performed. Specifies services excluded from benefits of the plan. Provides for premium payments in the amount of fifteen dollars per month for each adult and one-half of the amount for each child. Provides that subscribers with a total earned and unearned family income of less than $9,969 per year shall be entitled to have their premiums calculated at 1.8 percent of such income for each adult enrollee, and at half that amount for each child enrollee. Provides that not more than 3 percent of all premiums received shall be used for the payment of costs of the plan other than benefits. States that the Agency shall affix a fee to every professionally recognized diagnostic and therapeutic medical service procedure or treatment and laboratory pathological test and procedure that is proportionate to the customary and reasonable fee for such service in each general area of the United States. Enumerates, with respect to claims for the benefits of this plan, the form of, items of information to be contained in, and procedures for auditing, assessment, and payment of, such claims. States that the Agency shall have the right to temporarily or permanently exclude any enrollee or provider of services found to have made any false claim for payment for services. Provides for the arbitration of claims for damages resulting from the alleged malpractice in the provision of any service that is a benefit of the plan.",2025-09-03T12:49:49Z,
93-s-3941,93,s,3941,"A bill to amend title XVIII of the Social Security Act to provide for the coverage, under the Supplementary Medical Insurance Benefits program established by part B of such title, of one routine physical checkup each year and for preventive care for individuals insured under such program.",Health,1974-08-21,1974-08-21,Referred to Senate Committee on Finance.,Senate,"Sen. Domenici, Pete V. [R-NM]",NM,R,D000407,7,"Extends coverage, under the supplementary medical insurance benefits program established by title XVIII (Medicare) of the Social Security Act, for one routine physical checkup, including diagnostic tests, each year and for preventive and maintenance care for individuals insured under such program.",2024-08-01T18:43:03Z,
93-s-3928,93,s,3928,"A bill to amend part B of title XI of the Social Security Act to make certain reforms in the program of review of professional medical services provided under the Social Security Act, and to protect the confidentiality of medical records.",Health,1974-08-20,1974-08-20,Referred to Senate Committee on Finance.,Senate,"Sen. Hansen, Clifford P. [R-WY]",WY,R,H000170,0,"Requires the Secretary of Health, Education, and Welfare to assist the National Standards Review Council in proposing guidelines for selection of professional standards review areas, under the Medicare and Medicaid provisions of the Social Security Act. Directs, after selection of such areas, that an agreement be entered into between the Secretary and a qualified organization which shall be the Professional Standards Review Organization (PSRO) for such area for five years. Defines qualified organizations to include specified private nonprofit organizations and associations and public agencies. Allows the Secretary to waive review and control activities under this Act where he finds effective review and control by PSRO's. Allows a majority of the doctors in an area to negate selection of a PSRO. Establishes a trial period for a PSRO before it becomes fully responsible for review and control of medical services within its area. Sets forth duties of PSRO's, including review of medical services to determine: (1) if they were necessary; (2) if they meet professional standards; and (3) what impatent services could be changed to outpatient services. Limits physicians' reviews of patient services to those patients other than his own. Allows PSRO's to inspect physicians' records and facilities, where physicians and facilities provide services under this Act. Requires a PSRO to rotate and provide broadest possible inclusion of physicians doing reviewing for its area. Requires reviewing committees to demonstrate their capability before a PSRO must accept their findings. Directs PSRO's to identify or develop criteria of health care to be used for review and control in their areas. Requires PSRO's to report substantial violations of health care providers to the State-wide Professional Standards Review Council, but only after a chance for voluntary compliance has been provided. Prohibits the payment to providers of medical services who are with fault, as determined by the PSRO. Sets forth an appeal procedure, through the National Standards Review Council, for such providers, where payment is refused them. Obliges such providers to give necessary care, professional quality care, and inpatient care only where outpatient care will not suffice. Provides for a suspension and thereafter an exclusion from services under this Act for providers not fulfilling such obligations.  Requires notice  and opportunity of review for such providers of a decision to suspend or exclude. Requires the establishment of State Councils where more than one PSRO exists in a State, in order to coordinate such PSRO's.  Requires that the membership of the State Councils include four public representatives. Establishes the National Council, consisting of 15 physicians serving three year terms, who will advise the Secretary, perform the duties specified under this Act, and review and seek to improve the operations of the PSRO's. Requires that State plans for provision of medical care under the Social Security Act meet the requirements of this Act. Provides for the confidentiality of the records of PSRO's and the State and National Councils, including patient records.  Imposes penalties for disclosure of such records. Establishes the office of Professional Standards Review in the Department of HEW to administer this Act.",2024-08-01T18:43:02Z,
93-hr-16438,93,hr,16438,A bill to amend title XIX of the Social Security Act to impose certain requirements relating to the discharge or transfer of medicaid patients from skilled nursing or intermediate care facilities.,Health,1974-08-15,1974-08-15,Referred to House Committee on Ways and Means.,House,"Rep. Chappell, Bill, Jr. [D-FL-4]",FL,D,C000321,0,"States that as a condition of approval of a State plan under title XIX (Medicaid) of the Social Security Act, the requirement is imposed that: (1) in determining, for purposes of the administration of the State plan, the need for continued care in a particular skilled nursing facility or intermediate care facility (which provides services for which payment may be made under the State plan) of an individual who is entitled to medical assistance under the State plan, and has, for a period of 120 days or more, been an inpatient of such facility, a determination which would result in discharge or transfer from such facility shall be made only if in the judgment of a physician, after consultation with other appropriate professional personnel, such discharge or transfer would be in the best interest of such individual's physical and mental health; (2) in making such judgment and such determination proper consideration shall be given, not only to the mental and physical condition of such individual, but also to the capability of the facility to meet his particular needs, and to the impact which discharge or transfer from the particular facility would, as a practical matter, have on his general well-being in light of his age, length of stay in the facility, family situation, mental attitude, and other relevant factors; and (3) the State agency shall take appropriate affirmative action to assure that any individual discharged or transferred from a facility shall have the benefit of a planned program of information and counseling concerning such discharge or transfer designed to assist him in adjusting to the change in his care and surroundings and to minimize the personal stress which may accompany such change. Requires the Secretary of Health, Education, and Welfare to conduct, on a continuing basis in all States with plans approved under this title, investigative and oversight activities designed to determine whether there exists any basis to support a finding: (1) that the plan has been so changed that it no longer complies with the provisions of this title; and (2) that in the administration of the plan there is a failure to comply substantially with any such provision. Provides that when such activities result in observations indicating that there does exist a reasonable basis for such a finding, the Secretary shall call upon the State agency to appear at a public hearing, scheduled so as to allow reasonable notice to the State agency, to give an accounting of its administration of the plan with respect to those matters in which the Secretary has found indications of noncompliance.",2024-08-01T18:38:37Z,
93-hr-16445,93,hr,16445,National Huntington's Disease Control Act,Health,1974-08-15,1974-08-15,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,24,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:46Z,
93-s-3909,93,s,3909,A bill to further develop rural America by improving the delivery of emergency medical services through the guarantee of loans for the purchase of ambulance vehicles and related equipment.,Health,1974-08-15,1974-08-15,Referred to Senate Committee on Agriculture and Forestry.,Senate,"Sen. Bellmon, Henry L. [R-OK]",OK,R,B000351,0,"Authorizes the Secretary of Agriculture, under the Rural Development Act, to identify rural communities where emergency ambulance services are needed and to encourage the development of such services by guaranteeing loans to associated community health councils. Authorizes to be appropriated $5,000,000 to establish pilot programs under this Act. Empowers the Secretary of Health, Education, and Welfare to suspend or modify regulations and policies with respect to ambulance vehicles and equipment to insure availability of emergency services to citizens in rural areas.",2025-01-14T16:41:20Z,
93-hr-16428,93,hr,16428,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-08-14,1974-08-14,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Wyman, Louis C. [R-NH-1]",NH,R,W000782,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:42Z,
93-hr-16398,93,hr,16398,Health Security Act,Health,1974-08-13,1974-08-13,Referred to House Committee on Ways and Means.,House,"Rep. Addabbo, Joseph P. [D-NY-7]",NY,D,A000052,0,"Health Security Act - Title I:  Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services.  Permits reciprocal and ""buy-in"" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions:  (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that:  (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use:  prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings.  Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered.  Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board.  Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare.  States that the two requirements not found in the Medicare program are:  (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare.  Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay:  institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants:  (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary.  Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare.  Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services.  Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act.  Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II:  Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers.  Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base.  Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees.  Spells out the precise effective dates of the new payroll tax provisions.  Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000.  Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III:  Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of:  (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations.  Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV:  Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V:  Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.",2025-09-03T12:49:48Z,
93-hr-16403,93,hr,16403,National Commission on Epilepsy and its Consequences Act,Health,1974-08-13,1974-08-13,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Cederberg, Elford A. [R-MI-10]",MI,R,C000263,0,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:49:42Z,
93-hr-16406,93,hr,16406,National Commission on Epilepsy and Its Consequences Act,Health,1974-08-13,1974-08-13,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Kyros, Peter N. [D-ME-1]",ME,D,K000356,24,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:49:46Z,
93-hr-16407,93,hr,16407,National Commission on Epilepsy and Its Consequences Act,Health,1974-08-13,1974-08-13,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Kyros, Peter N. [D-ME-1]",ME,D,K000356,24,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:49:42Z,
93-hr-16408,93,hr,16408,National Commission on Epilepsy and Its Consequences Act,Health,1974-08-13,1974-08-13,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Kyros, Peter N. [D-ME-1]",ME,D,K000356,8,"National Commission on Epilepsy and Its Consequences Act - Directs the Secretary of Health, Education, and Welfare to appoint a National Commission to determine the most effective means of finding the cause and cures and treatments for epilepsy.  Directs that such Commission shall develop a national plan for the control of epilepsy and its consequences. Provides for the membership of such Commission.  Sets forth the duties of such Commission. Requires that it shall be a duty of the Commission to develop a comprehensive national plan for the control of epilepsy and its consequences based on the most thorough, complete, and accurate data available on the disorder.  Requires the Commission to make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies in research, prevention, identification and rehabilitation of persons with epilepsy. Requires the transmittal to the President and to the Congress of a final report under this Act.",2025-09-03T12:49:42Z,
93-hr-16369,93,hr,16369,Health Security Act,Health,1974-08-12,1974-08-12,Referred to House Committee on Ways and Means.,House,"Rep. Griffiths, Martha W. [D-MI-17]",MI,D,G000471,1,"Health Security Act - Title I:  Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services.  Permits reciprocal and ""buy-in"" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions:  (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that:  (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use:  prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings.  Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered.  Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board.  Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare.  States that the two requirements not found in the Medicare program are:  (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare.  Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay:  institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants:  (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary.  Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare.  Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services.  Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act.  Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II:  Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers.  Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base.  Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees.  Spells out the precise effective dates of the new payroll tax provisions.  Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000.  Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III:  Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of:  (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations.  Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV:  Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V:  Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.",2025-09-03T12:49:44Z,
93-hr-16378,93,hr,16378,A bill to amend section 232 of the National Housing Act to provide insurance for loans to finance improvements to long-term care facilities required to correct deficiencies identified in State surveys and Federal certification procedures.,Health,1974-08-12,1974-08-12,Referred to House Committee on Banking and Currency.,House,"Rep. Steele, Robert H. [R-CT-2]",CT,R,S000836,7,"Authorizes the Secretary of Housing and Urban Development, in consultation with the Secretary of Health, Education and Welfare, under the National Housing Act, to provide insurance for loans to finance improvements to long-term care facilities required to correct deficiencies identified in State surveys and Federal certification procedures.",2024-08-01T18:38:27Z,
93-hr-16381,93,hr,16381,A bill to amend title XVIII of the Social Security Act to provide for the establishment of a Nursing Home Affairs Advisory Council.,Health,1974-08-12,1974-08-12,Referred to House Committee on Ways and Means.,House,"Rep. Steele, Robert H. [R-CT-2]",CT,R,S000836,7,"Provides under title XVIII (Medicare) of the Social Security Act for the establishment of a Nursing Home Affairs Advisory Council. Requires that 6 of the 11 council members be representatives of the public who are eligible for medical assistance under a State plan approved under title XIX, at least one of whom is a resident of a long-term care facility. Makes it the function of the Council to provide advice and recommendations for the consideration of the Secretary of Health, Education, and Welfare on ways to improve the quality of care provided by skilled nursing facilities, intermediate care facilities, or other long-term facilities, which provide services for which payment may be made under title XVIII or under State plans approved under title XIX (Medicaid).",2024-08-01T18:38:30Z,
93-hr-16382,93,hr,16382,A bill to amend title XIX of the Social Security Act to impose certain requirements relating to the discharge or transfer of medicaid patients from skilled nursing or intermediate care facilities.,Health,1974-08-12,1974-08-12,Referred to House Committee on Ways and Means.,House,"Rep. Steele, Robert H. [R-CT-2]",CT,R,S000836,7,"States that as a condition of approval of a State plan under title XIX (Medicaid) of the Social Security Act, the requirement is imposed that: (1) in determining, for purposes of the administration of the State plan, the need for continued care in a particular skilled nursing facility or intermediate care facility (which provides services for which payment may be made under the State plan) of an individual who is entitled to medical assistance under the State plan, and has, for a period of 120 days or more, been an inpatient of such facility, a determination which would result in discharge or transfer from such facility shall be made only if in the judgment of a physician, after consultation with other appropriate professional personnel, such discharge or transfer would be in the best interest of such individual's physical and mental health; (2) in making such judgment and such determination proper consideration shall be given, not only to the mental and physical condition of such individual, but also to the capability of the facility to meet his particular needs, and to the impact which discharge or transfer from the particular facility would, as a practical matter, have on his general well-being in light of his age, length of stay in the facility, family situation, mental attitude, and other relevant factors; and (3) the State agency shall take appropriate affirmative action to assure that any individual discharged or transferred from a facility shall have the benefit of a planned program of information and counseling concerning such discharge or transfer designed to assist him in adjusting to the change in his care and surroundings and to minimize the personal stress which may accompany such change. Requires the Secretary of Health, Education, and Welfare to conduct, on a continuing basis in all States with plans approved under this title, investigative and oversight activities designed to determine whether there exists any basis to support a finding: (1) that the plan has been so changed that it no longer complies with the provisions of this title; and (2) that in the administration of the plan there is a failure to comply substantially with any such provision. Provides that when such activities result in observations indicating that there does exist a reasonable basis for such a finding, the Secretary shall call upon the State agency to appear at a public hearing, scheduled so as to allow reasonable notice to the State agency, to give an accounting of its administration of the plan with respect to those matters in which the Secretary has found indications of noncompliance.",2024-08-01T18:38:37Z,
93-hr-16383,93,hr,16383,"A bill to amend the Social Security Act so as to make permanent certain temporary provisions relating to inspections of long term care institutions, to provide for the publication of certain information regarding such institutions, and requiring that such institutions provide certain training for their nonprofessional employees as a condition of participation in the medicare and medicaid programs.",Health,1974-08-12,1974-08-12,Referred to House Committee on Ways and Means.,House,"Rep. Steele, Robert H. [R-CT-2]",CT,R,S000836,7,Makes permanent the provisions regarding payments to States for training of personnel to inspect long term care institutions pursuant to the Medicare and Medicaid provisions of the Social Security Act. Provides for publication of information on charges and the rating of such institutions. Requires such institutions to provide periodic in-service training for their nonprofessional employees in order to participate in the Medicare and Medicaid programs of the Social Security Act.,2024-08-01T18:38:30Z,
93-hr-16395,93,hr,16395,"A bill to amend part B of title XI of the Social Security Act to provide a more effective administration of professional standards review of health care services, to expand the Professional Standards Review Organization activity to include review of services performed by or in federally operated health care institutions, and to protect the confidentiality of medical records.",Health,1974-08-12,1974-08-12,Referred to House Committee on Ways and Means.,House,"Rep. Moakley, John Joseph [D-MA-9]",MA,D,M000834,0,"Provides, under the Social Security Act, for the establishment and revision of Professional Standards Review Organization areas, such establishment and revision to take into account the recommendations of the doctors of medicine or osteopathy. States that the final determination in the establishment or revision of any Professional Standards Review Organization area shall be subject to review in a civil action commenced by any interested person. Directs the National Professional Standards Review Council to conduct a study for the purpose of evaluating whether, and under what conditions, organizations other than professional associations shall be allowed to perform review functions. Requires each Professional Standards Review Organization to assume responsibility for professional standards review of health care services furnished by or in institutions operated by the Public Health Service and the Veterans Administration in the area which it serves. Requires, in conjunction with such reviews, that procedures be developed whereby deficiencies shall be brought to the attention of administrators of the hospitals and other Federal institutions concerned.  Calls for the consolidation of data and reports compiled under these provisions. Directs that criteria of health care shall be identified or developed by each Professional Standards Review Organization, giving due consideration to such criteria of care identified or developed by national medical specialty organizations. States that such criteria of care shall be used by the Professional Standards Review Organization as guides of care. Requires the National Professional Standards Review Council to provide for the distribution to each Professional Standards Review Organization, and to each other agency performing review functions, of appropriate materials indicating various guides being utilized in other geographical areas. Provides for the protection of the confidentiality of medical records compiled under this Act. Empowers the Secretary of Health, Education, and Welfare to enter into a contract with any State medical society or private nonprofit organization (including medical foundations) designated by a State medical society for the provision of necessary technical and other assistance in the creation and operation of local professional standards review organizations.",2024-08-01T18:38:30Z,
93-hr-16329,93,hr,16329,Comprehensive School Health Education Act,Health,1974-08-08,1974-08-08,Referred to House Committee on Education and Labor.,House,"Rep. Aspin, Les [D-WI-1]",WI,D,A000224,0,"Comprehensive School Health Education Act - Declares that it is the purpose of this Act to encourage the provision of comprehensive programs in elementary and secondary schools with respect to health education and health problems by establishing a system of grants for teacher training, pilot and demonstration projects, and the development of comprehensive health education programs. Empowers the Commissioner of Education to make grants to State educational agencies and institutions of higher education for teacher training with respect to the provision of comprehensive health education programs in schools.  Authorizes to be appropriated $10,000,000 for fiscal year 1975; $12,500,000 for fiscal year 1976; and $15,000,000 for fiscal year 1977, to carry out such grants. Authorizes the Commissioner to make grants to State and local educational agencies, institutions of higher education, and other public or private nonprofit education or research organizations to support pilot demonstration projects in elementary and secondary schools with respect to health education and health problems. Authorizes appropriations for such purposes. States that the Commissioner may make grants to State educational agencies for the development of comprehensive programs in elementary and secondary schools with respect to health education and health problems.  Provides for the apportionment of funds appropriated for such purposes.  Authorizes to be appropriated $50,000,000 for fiscal year 1977. Sets forth the requirements for receiving grants under this Act, including the application procedures.  Directs the Commissioner to, when requested, render technical assistance to local educational agencies, public and private nonprofit organizations, and institutions of higher education in the development and implementation of education programs with respect to health and health problems.",2025-09-03T12:49:45Z,
93-hr-16306,93,hr,16306,Rural Development Health Care Services Act,Health,1974-08-07,1974-08-07,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Jones, James R. [D-OK-1]",OK,D,J000232,0,"Rural Development Health Care Services Act - Calls for the identification of health service scarcity areas in the rural United States.  Provides for matching fund grants to associated community health councils for the development, utilization, organization, and financing of health care services in rural areas. Authorizes to be appropriated to carry out such purposes $50,000,000 for fiscal year 1975, and each of the next two succeeding fiscal years. Defines the term ""associated community health councils"" as two or more political subdivisions which have voluntarily joined together for the purpose of providing health care to individuals residing in their jurisdictions by contracting with direct providers of health care services for the provision of such services in rural areas. Prohibits the Secretary of Health, Education, and Welfare from establishing higher fees for comparable services in urban areas than in rural areas within the same State.",2025-09-03T12:49:41Z,
93-hr-16308,93,hr,16308,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-08-07,1974-08-07,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Murphy, Morgan F. [D-IL-2]",IL,D,M001101,11,"Arthritis Prevention, Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose.  States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan.  Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:41Z,
93-hr-16317,93,hr,16317,"A bill to amend the Federal Food, Drug, and Cosmetic Act to establish certain limitations respecting the authority of the Secretary of Health, Education, and Welfare to regulate certain foods for special dietary use under that act.",Health,1974-08-07,1974-08-07,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Kyros, Peter N. [D-ME-1]",ME,D,K000356,9,"Provides, under the Federal Food, Drug, and Cosmetic Act, that the Secretary of Health, Education, and Welfare may not: (1) establish maximum limits on the potency of any synthetic or natural vitamin or mineral within a food for special dietary use which is intended for ingestion in tablet, capsule, or liquid form; (2) classify any vitamin or mineral as a drug solely on the basis of the potency of the vitamin or mineral; and (3) limit the combination or number of any synthetic or natural vitamin, mineral, or other ingredient of food, within a food for special dietary use which is intended for ingestion in capsule, tablet, or liquid form. States that the labeling and advertising for any food for special dietary use which is intended for ingestion in tablet, capsule, or liquid form may not: (1) list its ingredients which are not vitamins or minerals unless such ingredients (a) are listed in a list of all the ingredients of such food, or (b) are subject to a specified regulations; or (2) give prominence or emphasize the list of ingredients. States that the provisions of this Act shall not be construed to limit the authority of the Secretary to establish maximum limits on the potency of a synthetic or natural vitamin or mineral if such limits are prescribed under regulations requiring the vitamin or mineral to be dispensed only upon a prescription.",2024-08-01T18:38:26Z,
93-hr-16324,93,hr,16324,National Huntington's Disease Control Act,Health,1974-08-07,1974-08-07,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,24,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:41Z,
93-hr-16255,93,hr,16255,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-08-05,1974-08-05,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Green, William J. [D-PA-3]",PA,D,G000420,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:35Z,
93-hr-16267,93,hr,16267,National Health Services Manpower Act,Health,1974-08-05,1974-08-05,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Vander Veen, Richard F. [D-MI-5]",MI,D,V000029,0,"National Health Services Manpower Act - Establishes the National Health Service Corps Scholarship Program for the purpose of obtaining physicians for the National Health Service Corps.  Sets forth the eligibility requirements for participation in the Program.  Provides that each eligible individual shall be entitled to the payment by the Secretary of Health, Education, and Welfare of a scholarship for each approved academic year of training (not to exceed four years).  Sets forth the dollar amounts of such scholarships. Requires an individual participating in the Program to serve on active duty as a commissioned officer in the Public Health Service or as a civilian member of the National Health Service Corps following completion of academic training.  Provides that such period of active duty shall be six months of service for each year of training received under the Program, with a minimum service time of 12 months. Establishes in the Treasury of the United States the National Health Service Corps Trust Fund from which scholarships under this Act shall be paid. Authorizes appropriations for such fund. Establishes, within the Public Health Service, the National Health Service Corps to improve the delivery of health services to medically underserved populations.  Directs the Secretary of Health, Education, and Welfare to designate the medically underserved populations in the States.  Defines the term ""medically underserved population"" and enumerates the factors to be taken into account in making such designations, including: (1) ratios of available health manpower to the population; (2) indicators of the population's access to health services; and (3) indicators of health status and need of the population. Empowers the Secretary to assign Corps personnel to State health agencies, private health entities, local governments, and medical, dental or other appropriate health societies.  Enumerates the requirements to be met prior to the making of any such assignments and for the continuing of expired assignments. Provides that Corps personnel shall be assigned on the basis of the extent of the population's need for health services and without regard to the ability of members of the population to pay for health services. Directs the Secretary, in making an assignment, to seek to match characteristics of the assignee and of the population in order to increase the likelihood of the assignee remaining to serve the population upon completion of his assignment period. Authorizes the Secretary to: (1) provide technical assistance to all medically underserved populations to which are not assigned Corps personnel; (2) make arrangements to enable Corps personnel to utilize the health facilities of the areas in which the population resides; and (3) make grants, with specified limitations, for purposes of providing health services. States that the Secretary shall require as a condition to the approval of an application that the entity enter into an appropriate arrangement with the Secretary under which: (1) the entity shall be responsible for charging for health services by the Corps personnel to be assigned; (2) the entity shall take action for the collection of payments for such health services; and (3) the entity shall pay to the United States specified, calculated amounts. Directs the Secretary to conduct, at schools of the health professions and allied health professions, recruiting programs for the Corps.  Directs the Secretary to adjust the monthly rate of pay of each physician and dentist member of the Corps who is directly engaged in the delivery of health services to a medically underserved population. Requires the Secretary to report annually to the Congress and specifies the content of such reports. Establishes the National Advisory Council on the National Health Service Corps to consult with, advise, and make recommendations to, the Secretary with respect to his responsibilities in carrying out this Act, and to review and approve regulations promulgated by the Secretary.  Sets forth the membership composition of the Council. Authorizes the appropriation of such sums as may be necessary for the fiscal years 1975-77 to carry out the establishment and functions of the National Health Service Corps and the Council. Establishes in the Public Health Service the National Council on Postgraduate Physician Training. Sets forth the membership composition of the National Council. Provides that the National Council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians. Establishes a Regional Council on Postgraduate Physician Training for each of the Department of Health, Education, and Welfare regions.  Sets forth membership composition of such Councils.  Provides that each regional council shall conduct studies and other activities relevant to the various matters related to the postgraduate training of physicians within the region served by the regional council. Provides that the National Council and each regional council shall annually certify postgraduate training positions in entities, and associations of such entities, which directly provide such training. Directs the Secretary of Health, Education, and Welfare to make grants to, and contract with, entities which directly provide, or have the capacity to provide directly, postgraduate training of physicians and which are certified to the Secretary by the National Council and a regional council as likely to receive an increased number of certified postgraduate positions subsequent to July 1, 1977, to allow such entities to develop new, and expand existing, postgraduate physician training programs.  Authorizes the appropriation of such sums as may be necessary for fiscal years 1978-80 to carry out such program and make such grants. Directs the Secretary to contract for the conduct of a study to: (1) analyze the current and projected geographical distribution of physicians by specialty; and (2) examine, evaluate, and develop a reliable and appropriate methodology to establish the optimal distribution of physicians by specialty and by geographic area.  Authorizes the appropriation of $10,000,000 for the conduct of such study. Authorizes the Secretary to make special project grants to schools, agencies, organizations and institutions for the improvement of health professions training.  Authorizes appropriations to carry out such special project grants. Authorizes the Secretary to make grants to public or private nonprofit entities to assist in projects for planning, developing, and operating area health education systems.  Defines ""area health education systems.""  Authorizes appropriations for the making of such grants. Authorizes the Secretary, between July 1, 1974 and June 30, 1977, to provide loan guarantees and interest subsidies to students obtaining loans from banking institutions to meet the cost of education expenses in pursuing an approved course of study leading to an undergraduate degree in nursing, pharmacy, or other allied health professions. Establishes in the United States Treasury a health service manpower loan guarantee fund to enable the Secretary to discharge his responsibilities with respect to loan guarantees and interest subsidies under this Act.  Authorizes the appropriation to the fund of such amounts as may be required from time to time for the fund. Title II:  Miscellaneous Repeals - Revises the Public Health Service Act by repealing the Public Health and National Health Service Corps Scholarship Training Program, Traineeships for Professional Public Health Personnel, Project Grants for Graduate Training in Public Health, the National Health Service Corps, programs for Health Research and Teaching Facilities and Training of Professional Health Personnel, and programs for Nurse Training.",2025-09-03T12:49:36Z,
93-hr-16268,93,hr,16268,Community Mental Health Centers Amendments Act,Health,1974-08-05,1974-08-05,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Vander Veen, Richard F. [D-MI-5]",MI,D,V000029,0,"Community Mental Health Centers Amendments Act - Enumerates the comprehensive mental health services which shall be provided through a community mental health center.  Directs that the provision of comprehensive mental health services through a center shall be coordinated with the provision of services by other health and social service agencies in the center's area. Sets forth the elements to be included in applications for Federal grants to community mental health centers, including assurance that the center will provide an adequate reporting system, provide services responsive to the needs of the local population, develop a plan for adequate financing when assistance under this Act is reduced or terminated, and provide a reasonable volume of services for persons unable to pay for them.  Sets forth additional criteria for approval of the application by the Secretary of Health, Education, and Welfare. Authorizes the Secretary to make grants to public and nonprofit private community mental health centers to assist them in meeting their costs of operation during the first five years after their establishment. Authorizes the Secretary to make annual grants to any community mental health center for the costs of providing the consultation and education services described in this Act if the center received a staffing grant under this Act or other grants as provided by this Act. Authorizes the Secretary to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs for areas designated by the Secretary as urban or rural poverty areas. Lists authorized appropriations for grants provided under this Act. Authorizes the Secretary to make financial distress grants for the operation of community mental health centers. Sets forth criteria for such grants.  Authorizes the appropriation of $10,000,000 for the fiscal year ending June 30, 1975 and $10,000,000 for the fiscal year ending June 30, 1976 for such grants. Directs the Secretary to pay the Federal share of projects for: (1) the acquisition and/or remodeling of facilities for community mental health centers; (2) the leasing of facilities for such centers; (3) the construction of new facilities or expansion of existing facilities for community mental health centers; and (4) the initial equipment of a facility receiving financial assistance through these methods.  Sets forth the method of computation of the Federal share. Directs the Secretary, for each fiscal year, to make allotments from the sums appropriated under this Act to the States on the basis of: (1) population; (2) the extent of the need for community mental health centers; and (3) the financial need of the respective States.  Provides that such allotment may not be made to a State unless the State has submitted an approved State plan to the Secretary for community mental health centers.  Sets forth the necessary elements to be contained in State plans. Provides for judicial review of any disapproval by the Secretary of projects under State plans. Provides for the recovery by the United States of any community mental health center facility remodeled, constructed, or acquired with funds provided under this Act, at any time within twenty years after completion, if such facility: (1) is transferred to any person or entity not qualified to file an application under this Act; or (2) ceases to be used by a community mental health center.",2025-09-03T12:49:36Z,
93-hr-16271,93,hr,16271,"A bill to amend title XVIII of the Social Security Act to provide payment under part A (the hospital insurance program) for care and treatment furnished at a central radiation therapy treatment facility, and to provide full payment under part B (the supplementary medical insurance program) for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility.",Health,1974-08-05,1974-08-05,Referred to House Committee on Ways and Means.,House,"Rep. White, Richard C. [D-TX-16]",TX,D,W000390,18,"Provides, under title XVIII of the Social Security Act, for payment under the hospital insurance program for care and treatment furnished at a central radiation therapy treatment facility.  Provides full payment under the supplementary medical insurance program for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility.  Defines the terms used in this Act.",2024-08-01T18:38:22Z,
93-hr-16213,93,hr,16213,A bill to amend the Internal Revenue Code of 1954 to provide that blood donations shall be considered as charitable contributions deductible from gross income.,Health,1974-08-01,1974-08-01,Referred to House Committee on Ways and Means.,House,"Rep. Byron, Goodloe E. [D-MD-6]",MD,D,B001221,0,Provides that blood donations shall be considered as charitable contributions deductible from gross income in the amount of $25 for each pint donated.  Limits the amount of such deduction to $125 in any taxable year.,2024-08-01T18:38:22Z,
93-hr-16214,93,hr,16214,National Huntington's Disease Control Act,Health,1974-08-01,1974-08-01,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Collier, Harold R. [R-IL-6]",IL,R,C000629,0,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:35Z,
93-hr-16203,93,hr,16203,National Huntington's Disease Control Act,Health,1974-07-31,1974-07-31,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,9,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:36Z,
93-hr-16204,93,hr,16204,"National Health Policy, Planning and Resources Development Act",Health,1974-07-31,1974-12-13,"Measure laid on table in House, S. 2994 passed in lieu.",House,"Rep. Rogers, Paul G. [D-FL-11]",FL,D,R000401,11,"(LATEST SUMMARY)  National Health Policy Planning and Resources  Development Act - Requires the Secretary of Health, Education, and Welfare to issue guidelines, by regulation,  concerning national health planning policy, including standards in the areas of the distribution  and organization of health resources.   Identifies State entities that the Secretary shall  consult in issuing such guidelines.   States that the Congress finds that specified  items deserve priority in establishing national health planning goals and in the operation of Federal, State,  and area health programs, including: (1) provision of primary care services for medically underserved populations;  (2) development of multi-institutional systems for coordination of institutional health services;  (3) development of medical group practices and health maintenance organizations; (4) training  and increased use of physician assistants and nurse clinicians; (5) promotion of preventive health care;  and (6) education of the public concerning proper personal health care and use of health services.   Establishes the National Council for Health Policy  to: (1) develop and recommend a national health policy which shall include a quantifiable statement  of national health goals developed after appropriate consideration of the priorities; (2) recommend guidelines  respecting the appropriate supply, distribution, and organization of health resources and services,  including health education services; (3) conduct studies and analyses; (4) assess the status of the health  of the American people, existing and proposed Federal and other health programs, and the need for particular  health resources and services, including health education services; (5) evaluate the implications of advances  in biomedical research, health services research, and medical technology for the health care delivery system;  and (6) analysis of the essential factors which cause inflation in the cost of health services and a determination  of means of containing such inflation.   Requires the creation of health service areas  throughout the United States for which health systems agencies shall be designated.  Sets forth requirements  for health services areas, including that: (1) the area shall be a geographic region appropriate for  the effective planning and development of health services; (2) the area shall have at least one center for provision  of highly specialized health services; and (3) shall have a population of not less than 500,000 or more  than 3 million, (with specified exceptions) which shall be appropriately coordinated with the boundaries of areas  designated for Professional Standards Review Organizations under the Social Security Act and existing regional  and State planning areas.   Requires notice within 30 days of enactment to  the Governors of initiation of proceedings to establish health service areas.  Allows the Secretary to revise  the boundaries of such areas if they fail to meet the requirements of this Act.   Sets forth requirements for establishment of health  systems agencies for each health service area.  Allows such agencies to be private nonprofit or public entities.   Prescribes the staff and governing body composition of such agencies.  Describes the duties of such governing  bodies, including budget supervision, establishment of health systems plans and their implementation,  and approval of grants and contracts.   Defines the purpose of the health systems agencies  as the provision of effective health planning for their health services areas and the promotion and development  within their areas of health services, manpower, and facilities which meet identified needs, reduce inefficiencies,  and implement the health plans of the agencies.   Requires such agencies to establish, annually  review, and amend as necessary, health systems plans (HSP), which shall be statements of goals, and annual implementation  plans (AIP), which describe objectives to achieve goals of the HSP.   Requires health systems agencies, in implementing  their HSPs and AIPs, to make grants to public and nonprofit private entities to assist them in planning  and developing projects and programs which the agency determines are necessary for the achievements of the health systems.   States that such agencies shall approve or disapprove  proposed use of specified Federal funds within their areas.   Provides for annual reviews of health programs  by such agencies, and follow-up recommendations to the State health planning agencies.   Allows assistance to nonprofit private agencies  attempting to be designated as health systems agencies.   Sets forth procedures for designation of such  agencies, including periods of conditional designation. Directs the Secretary to make grants to such agencies  annually for the functions of such agencies.   Requires the Secretary to enter into agreements  with Governors for the designation of State health planning and development agencies.  Requires the States  to establish Statewide Health Coordinating Councils. States that such agreements between the Governors  and the Secretary may at first be conditional, and when non-conditional shall be for periods of 12 months,  terminable by either party.   States that the Secretary must approve the administrative  programs of such State agencies.  Prescribes standards to be met by such administrative programs  if they are to be approved, including business meetings conducted in public and annual review of the State plan.   Requires State agencies to prepare and review  State health plans made up of the HSPs of the health systems agencies.   Provides for review of HSPs and AIPs by Statewide  Health Coordinating Councils, and for reports on such to the Secretary.  Requires such Councils to assist  in the preparation and review of the State plans.   Directs the Secretary to make grants to the State  agencies for purposes of operation and for demonstrating the effectiveness of an agency in regulating rates  for the provision of health care.   Prescribes procedures and criteria to be adhered  to in conducting required reviews of health plans and programs under this Act, including provision of notice  to persons affected, provision of written findings of such review, and consideration of the needs of the areas served.   Directs the Secretary to provide technical assistance  to State agencies and the systems agencies for their health planning and programs.  Requires the Secretary  to establish a national health planning information center to support the health planning and resources  development programs of the systems agencies, including establishment of uniform cost and statistical reporting systems.   Empowers the Secretary to review and approve or  disapprove the annual budget of the health systems agencies and the State agencies; to prescribe performance  standards for such agencies; and to review in detail at least every 3 years the performance of such agencies.   Directs the Secretary to prescribe by regulation  the manner in which the State agencies shall determine for the State medical facilities plan the priority  among projects within the State for which assistance is available under this Act.  Lists considerations, including  special needs of urban and rural areas, which the Secretary shall recognize in making such regulations.   Allows allotments, loans, and loan guarantees  to States for modernization of medical facilities, construction of new outpatient and inpatient facilities,  and conversion of facilities for the provision of new health services.   Sets forth requirements for such plans and for  grant applications for such plans.   Authorizes allotments to States each year of at  least $1,000,000, based on population, financial need, and need for medical facilities.  Mandates the use  of specified percentages of such allotments.   Allows the Secretary to withhold allotments from  States when States are not in compliance with the requirements of this Act.   Sets forth the conditions and procedures governing  loans and loan guarantees under this Act.  Establishes a loan and loan guarantee fund in the Treasury.   Authorizes special grants to States for elimination  of safety hazards in health facilities.   Allows appeals to the United States circuit courts  of appeal from specified actions of the Secretary under this Act.   Disavows any Federal control of administration,  personnel, maintenance, or operation of any facility receiving funds under this Act.   Requires recordkeeping and audits of records of  recipients under this Act.   Directs the Secretary to make annual grants to  health systems agencies for development funds.",2025-09-03T12:49:36Z,
93-hr-16161,93,hr,16161,"A bill to provide tax incentives to encourage physicians, dentists, and optometrists to practice in physician shortage areas.",Health,1974-07-29,1974-07-29,Referred to House Committee on Ways and Means.,House,"Rep. Price, Robert D. [R-TX-13]",TX,R,P000528,0,"Allows an income tax exclusion under the Internal Revenue Code for income of physicians, dentist, and optometrists who practice for at least two years in physician shortages areas as certified by the Secretary of Health, Education, and Welfare.  Prescribes limitations on the amount of such tax exclusion.",2024-08-01T18:38:23Z,
93-hr-16122,93,hr,16122,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-07-25,1974-07-25,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Murphy, Morgan F. [D-IL-2]",IL,D,M001101,13,"Arthritis Prevention, Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2) centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose.  States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan.  Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs. Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs. Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:36Z,
93-hr-16091,93,hr,16091,Health Security Act,Health,1974-07-24,1974-07-24,Referred to House Committee on Ways and Means.,House,"Rep. Griffiths, Martha W. [D-MI-17]",MI,D,G000471,2,"Health Security Act - Title I:  Health Security Benefits - Provides that every resident of the U.S. (and every non-resident citizen when in the U.S.) will be eligible for covered services.  Permits reciprocal and ""buy-in"" agreements for groups of non-resident aliens, and in some cases benefits to U.S. residents when visiting in other countries. Entitles every eligible person to have payments made by the Health Security Board for covered services provided within the United States by a participating provider. Provides that all necessary professional services of physicians, wherever furnished are covered, including preventive care, with two important restrictions:  (1) specialist services are covered only when performed by a qualified specialist except in emergency situations, and generally only on referral from a primary physician; and (2) psychiatric services to an ambulatory patient are covered only for active preventive, diagnostic, therapeutic or rehabilitative service with respect to mental illness. Provides that comprehensive dental services (exclusive of most orthodontic services) are covered for children under age 15, with the covered age group increasing by two years each year until all those under age 25 are covered. Provides that:  (1) inpatient and outpatient hospital services and services of a home health agency are covered without arbitrary limitation; (2) pathology and radiology services are specifically included as parts of institutional services; and (3) custodial care is specifically excluded in specified institutional settings. Limits payment for skilled nursing home care to 120 days per spell of illness, except that this limit may be increased when the nursing home is owned or managed by a hospital and payment for care is made through the hospital's budget. Limits the psychiatric hospital benefit to 45 consecutive days of active treatment during a spell of illness. Provides coverage for two categories of drug use:  prescribed medicines administered to inpatients or outpatients within participating hospitals; or to enrollees of comprehensive health service organizations, and drugs necessary for the treatment of specified chronic illnesses or conditions requiring long or expensive therapy. Requires the Board and the Secretary of Health, Education, and Welfare to establish two lists of approved drugs, taking into account the safety, efficacy and cost of each drug. Provides a broad list of approved medicines available for use in institutions and by comprehensive health service organizations and a more restricted list which is available for use outside such organized settings.  Provides that the appliances benefit is similar in concept and operation to the drug benefit, subject to a limitation on aggregate cost. Asserts that the professional services of optometrists and podiatrists are covered, subject to regulations, as are diagnostic or therapeutic services furnished by independent pathology laboratories and radiology services. States that health services furnished or paid for under a workmen's compensation law are not covered.  Provides that the services of a professional practitioner are not covered if they are furnished in a hospital which is not a participating provider. Requires that participating providers meet standards established in this title or by the Board.  Requires that such providers must agree to provide services without discrimination, to make no unauthorized charge to the patient for any covered service, and to furnish data necessary for utilization review by professional peers, statistical studies by the Board, and verification of information for payments. Makes professional practitioners, licensed when the program begins, eligible to practice in the State where they are licensed and requires that all newly licensed applicants for participation meet national standards established by the Board in addition to those required by his State. Establishes conditions of participation for general hospitals similar to those required under Medicare.  States that the two requirements not found in the Medicare program are:  (1) that the hospital must not discriminate in granting staff privileges on any grounds unrelated to professional qualifications; and (2) that it establish a pharmacy and drug therapeutics committee for supervision of hospital drug therapy. Provides that psychiatric hospitals will be eligible to participate only if the Board finds that the hospital (or a distinct part of the hospital) is engaged in furnishing active diagnostic, therapeutic and rehabilitative services to mentally ill patients. Establishes conditions of participation for skilled nursing homes similar to those established for extended care facilities under Medicare.  Makes provisions for the participation of home health service agencies. Describes as eligible a health maintenance organization which undertakes to provide an enrolled population either with complete health care or with complete health security services (other than institutional services, mental health or dental services) for the maintenance of the health and care of ambulatory patients. Permits a foundation sponsored by a county or other local medical society to participate as a provider of services. Authorizes the Board to deal separately with the primary care portion of a system of comprehensive health care where it is necessary to rely on arrangements with other providers. Permits the Board to contract directly with public or other nonprofit mental health centers and mental health day care services. Specifies the broad and general conditions under which independent pathology laboratories, independent radiological services, and providers of drugs, devices, appliances, equipment, or ambulance services may qualify as providers under Health Security. Requires that a participating skilled nursing home have in effect an agreement with at least one participating hospital for the transfer of patients and medical and other information as medically appropriate. Prohibits in malpractice judgments any damages to be awarded to the injured party for the cost of remedial services which he is entitled to receive under this Act. Excludes the institutions of the Department of Defense and the Veterans Administration, and institutions of the Department of Health, Education, and Welfare serving merchant seamen or Indians or Alaskan natives, from serving as participating providers, as well as any employee of these institutions when he is acting as an employee. Provides reimbursement for any services furnished by these institutions or agencies to eligible persons who are not a part of their normal clientele. Permits a physician, dentist, optometrist, or podiatrist, licensed in one State and meeting the national standards, to furnish Health Security benefits in any other State, the scope of his permissible practice being governed by the law of the State in which he is practicing. Grants a similar authority to other health professional and nonprofessional personnel. Establishes the Health Security Trust Fund, to receive the net assets of existing (Medicare) funds taken over by the Health Security program, the yield of the Health Security taxes, and the Government's contribution from general revenues amounting to 100 percent of the yield from these taxes. Provides that three separate accounts shall be established in the Health Security Trust Fund: a Health Service Account, a Health Resources Development Account, and an Administration Account. Provides that in each of the first two years of the program operation, 2 percent of the Trust Fund shall be set aside for the Health Resources Development Fund; and the allocation shall increase by 1 percent at two-year intervals to 5 percent within the next 6 years. Provides for allocation of the Health Services account among the regions of the country. Provides that the allocation to each region shall be based on the aggregate sum expended during the most recent 12-month period for covered services (with appropriate modification for estimated changes in the consumer price index, the expected number of eligible beneficiaries, and estimated changes in the number of participating providers). Provides that the Board will divide the allocation to each region into funds available to pay:  institutional services; physician services; dental services; furnishing of drugs; furnishing of devices, applications, and equipment; and miscellaneous services. Provides that payments for covered services provided to eligible persons by participating providers will be made from the Health Service Account in the Trust Fund. Describes the method to be used in applying, as between practitioners electing the various methods of payment fee for service, the monies available in each health service area for payment to each category of professional providers. Authorizes the Board to experiment with other methods of reimbursement so long as the experimental method does not increase the cost of service or lead to overutilization or underutilization of services. Provides that skilled nursing homes and home health agencies will be paid in the same manner as a general hospital (on an approved annual budget basis). Provides that a health maintenance organization will be paid for covered services, on the basis of a fixed capitation rate multiplied by the number of eligible enrollees. Contains a series of provisions for developing a continuous process of health service planning and for assisting in the recruitment, education, and training of health personnel. Authorizes special improvement grants:  (1) to any public or other nonprofit health agency or institution to establish improved coordination and linkages with other providers of services, and (2) to organizations providing comprehensive ambulatory care to improve their utilization review, budget, statistical, or records and information retrieval systems, to acquire equipment needed for those purposes, or to acquire equipment useful for mass screening or for other diagnostic or therapeutic purposes. Sets forth the responsibilities and duties of the Secretary of HEW and the Board with regard to this title. Creates an administrative structure within the Department of Health, Education, and Welfare with exclusive responsibility for administration of the Health Security program. Establishes a five-member full-time Health Security Board serving under the Secretary of Health, Education, and Welfare. Provides that the members shall be appointed by the President with the advice and consent of the Senate, for five-year overlapping terms. Creates the position of an Executive Director, appointed by the Board with the approval of the Secretary.  Provides that the Executive Director shall serve as secretary to the Board and shall perform such duties in the administration of the program as the Board assigns to him. Provides that the program will be administered through the regional offices of the Department of Health, Education, and Welfare.  Requires the establishment of sub-regional (service area) offices. Establishes a National Health Security Advisory Council, with the Chairman of the Board serving as the Council's Chairman and 20 additional members not in the employ of the Federal Government. Authorizes the Advisory Council to appoint professional or technical committees to assist in its functions. Provides that the Advisory Council will advise the Board on matters of general policy in the administration of the program, the formulation of regulations and the allocation of funds for services. Charges the Board with responsibility for informing the public and providers about the administration and operation of the Health Security program. Requires the Board to make a continuing study and evaluation of the program, including adequacy, quality and costs of services.  Authorizes the Board directly or by contract to make detailed statistical and other studies on a national, regional, or local basis of any aspect of the title; to develop and test incentive systems for improving quality of care, methods of peer review of drug utilization and of other service performances; to develop and test systems of information retrieval, budget programs, instrumentation for multiphasic screening or patient services, reimbursement systems for drugs; and to make such other studies which it considers would improve the quality of services of administration of the program. Grants authority to the Board, in accordance with regulations, to make determinations of who are participating providers of services, determinations of eligibility, of whether services are covered, and the amount to be paid to providers. Allows a provider of services who is dissatisfied with a final Board determination to obtain a hearing before a Board panel, and judicial review of a final decision. Authorizes the Board, with the advice and assistance of the Commission on the Quality of Health Care, to issue and review regulations assuring the quality of care furnished under this Act.  Requires continuing professional education by physicians, dentists, optometrists, and podiatrists. Provides for the appointment of a Deputy Secretary of HEW and an Under Secretary for Health and Science. States that no provision of this Act shall alter any contractual obligation of an employer to provide health services to his employees and their dependents. Title II:  Health Security Taxes - Converts the existing Medicare hospital insurance payroll taxes into Health Security taxes, and raises the rates to 1 percent on employees and 3.5 percent on employers.  Raises the wage base for the employee tax from the present $7,800 to $15,000 or, if higher 125 percent of the contribution and benefit base.  Broadens the definitions of covered employment to include foreign agricultural workers, employees of the U.S. and its instrumentalities (other than members of the armed forces and the President, Vice-President, and Members of Congress), employees of charitable and similar organizations, railroad employees, and (for the employee tax only) employees of States and their political subdivisions and instrumentalities. Excludes from the gross income of employees, for income tax purposes, payment by their employers of part or all of the Health Security taxes on the employees.  Spells out the precise effective dates of the new payroll tax provisions.  Converts the existing Medicare self-employment tax into a Health Security self-employment tax, and raises the rate to 2.5 percent, and raises the maximum taxable self-employment income from $7,800 to $15,000.  Adds a new 1 percent Health Security tax on unearned income (unless such income is less than $400 a year), subject to the same maximum on taxable income as is applicable to the employee and self-employment taxes. Title III:  Commission on the Quality of Health Care - Establishes in the Department of HEW a Commission on the Quality of Health Care, with the primary responsibility of:  (1) initiating and continuing development of methods of assessing the quality of health care furnished under the Health Security Act, and (2) submitting to the Secretary and the Health Security Board its findings and recommendations.  Stipulates that in carrying out its duties the Commissioner shall emphasize, and give first consideration to, care furnished for those illnesses and conditions which have relatively high incidence in the population and which are relatively amenable to medical or other care. Title IV:  Repeal or Amendment of Other Acts - Makes various conforming amendments to the medicare, medicaid, vocational rehabilitation, and Federal employees health benefits statutes to bring it into conformity with this Act. Requires that, after the effective date of benefits, no State shall be required to furnish any service covered under Health Security as a part of its State plan for participation under Medicaid, and that the Federal government will have no responsibility to reimburse any State for the cost of providing a service which is covered under Health Security. Provides that funds available under the Vocational Rehabilitation Act or the Maternal and Child Health title of the Social Security Act shall not be used to pay for personal health services after the effective date of benefits, except (to the extent prescribed in regulations by the Secretary of HEW) to pay for services which are more extensive than those covered under Health Security. Title V:  Studies Related to Health Security - Authorizes the Secretary of Health, Education, and Welfare in consultation with the Secretary of State and the Secretary of Treasury to study the coverage of health services for U.S. residents in other countries. Directs the Secretary of HEW to study the feasibility and desirability of coordinating the Federal health benefit programs for merchant seamen, and Indians and Alaskan natives, and veterans and members of the Armed Forces, with the Health Security Benefit Program.",2025-09-03T12:49:33Z,
93-hr-16077,93,hr,16077,A bill to amend the Public Health Service Act to extend through fiscal year 1975 the scholarship program for the National Health Service Corps and the loan program for health professions students.,Health,1974-07-23,1974-08-05,"Measure laid on table in House, S. 3782 passed in lieu.",House,"Rep. Rogers, Paul G. [D-FL-11]",FL,D,R000401,10,"Extends, under the Public Health Service Act, through fiscal year 1975, the scholarship program for the National Health Service Corps and the loan program for health professions students.",2024-08-01T18:38:18Z,
93-hr-16041,93,hr,16041,"A bill to amend title XVIII of the Social Security Act to provide payment under part A (the hospital insurance program) for care and treatment furnished at a central radiation therapy treatment facility, and to provide full payment under part B (the supplementary medical insurance program) for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility; and for other purposes.",Health,1974-07-22,1974-07-22,Referred to House Committee on Ways and Means.,House,"Rep. White, Richard C. [D-TX-16]",TX,D,W000390,23,"Provides, under title XVIII of the Social Security Act, for payment under the hospital insurance program for care and treatment furnished at a central radiation therapy treatment facility.  Provides full payment under the supplementary medical insurance program for radiation therapy services furnished by physicians to inpatients or outpatients of any hospital or any such facility.  Defines the terms used in this Act.",2024-08-01T18:38:14Z,
93-hr-16042,93,hr,16042,"Arthritis Prevention, Treatment, and Rehabilitation Act",Health,1974-07-22,1974-07-22,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Wilson, Robert C. [R-CA-40]",CA,R,W000610,0,"Arthritis Prevention Treatment, and Rehabilitation Act - Makes it the purpose of this Act to establish: (1) a long-range plan to expand and coordinate the national research, treatment, and control effort against arthritis and related musculoskeletal diseases; (2)  centers for arthritis prevention, research, screening, early detection, training, treatment, and rehabilitation programs; and (3) programs to develop new and improved methods of arthritis screening and early detection and to establish a central arthritis screening and early detection data bank. Requires the Director of the National Institutes of Health to establish a National Commission on Arthritis and Related Musculoskeletal Diseases.  Specifies the composition, duties, and powers of the Commission. States that the Commission shall formulate a long-range plan to combat arthritis and related musculoskeletal diseases with specific recommendations for the utilization and organization of national resources for that purpose. States that the plan shall include a plan for a coordinated research program encompassing existing and proposed Federal, non-Federal and local programs.  Enumerates investigations, studies, and programs to be carried out under such plan. Authorizes to be appropriated $1,000,000 to carry out the above purposes. Establishes within the National Institute on Arthritis, Metabolism, and Digestive Diseases the position of Associate Director for Arthritis and Related Musculoskeletal Diseases. States that the Director of the National Institutes of Health shall establish an Inter-Institute Arthritis and Related Diseases Coordinating Committee to better coordinate research activities relating to arthritis and related musculoskeletal diseases. Provides for the development, establishment, construction, and operation of arthritis research and training centers.  Specifies the purposes to be achieved by such research and training programs.  Provides for the geographical distribution, operational support, and evaluation of such research and training centers.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment of such centers. Authorizes the Secretary of Health, Education, and Welfare to establish and support arthritis screening, early detection, prevention, and control demonstration programs.  Specifies the purpose of such programs.  Authorizes specified appropriations for fiscal years 1975, 1976, and 1977 for the establishment and support of such programs. Requires the Secretary to establish the Arthritis Screening and Detection Data Bank as soon as practicable after the enactment of this Act. Provides that not less than $500,000 of the sums appropriated to the National Institutes of Health to carry out the purposes of this Act shall be obligated for basic and clinical orthopedic research conducted or supported by the National Institute on Arthritis, Rheumatism, and Metabolic Diseases.",2025-09-03T12:49:31Z,
93-s-3788,93,s,3788,"A bill to amend section 311(a) of title 37, United States Code, relating to continuation pay for physicians and dentists who extend their active duty obligations.",Health,1974-07-22,1974-07-22,Referred to Senate Committee on Armed Services.,Senate,"Sen. Magnuson, Warren G. [D-WA]",WA,D,M000053,0,Authorizes the payment of continuation pay to physicians and dentists who extend their active duty obligations.,2025-01-14T17:07:58Z,
93-hr-15994,93,hr,15994,National Huntington's Disease Control Act,Health,1974-07-18,1974-07-18,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Roe, Robert A. [D-NJ-8]",NJ,D,R000383,1,"National Huntington's Disease Control Act - States that it is the purpose of this Act to establish a national program for the diagnosis, prevention, and treatment of, and research in, Huntington's disease. Authorizes the Secretary of Health, Education, and Welfare to make grants for projects for the establishment and operation of Huntington's disease screening, treatment, and counseling programs.  Authorizes the appropriation of $500,000 for the fiscal year ending June 30, 1975, and for each each of the next two fiscal years for such grants. Authorizes the Secretary to make grants for research in the diagnosis, treatment, and prevention of Huntington's disease.  Authorizes the appropriation of $1,500,000 for the fiscal year ending June 30, 1975 and for each of the next two fiscal years for use for such grants. Directs the Secretary to carry out a program to develop information and educational materials relating to Huntington's disease and to disseminate such information and materials to persons providing health care and to the public in general.  Authorizes the appropriation of $25,000 for the fiscal year ending June 30, 1975, and for each of the next two fiscal years to carry out this information program. Sets forth the requirements for applications for grants under this Act and the administration of such grants. Directs the Secretary to establish a program within the Public Health Service to provide for voluntary Huntington's disease screening, counseling, and treatment.",2025-09-03T12:49:31Z,
93-hr-15995,93,hr,15995,A bill to amend the Public Health Service Act to extend through fiscal year 1975 the scholarship program for the National Health Service Corps and the loan program for health professions students.,Health,1974-07-18,1974-07-18,Referred to House Committee on Interstate and Foreign Commerce.,House,"Rep. Rogers, Paul G. [D-FL-11]",FL,D,R000401,10,"Extends through fiscal year 1975, under the Public Health Service Act, the scholarship program for the National Health Service Corps and the loan program for health professions students.",2024-08-01T18:38:09Z,
93-hr-15997,93,hr,15997,A bill to amend section 1902(a) (14)(B)(1) of the Social Security Act to make optional certain cost-sharing fees now required to be paid by some individuals under medicaid.,Health,1974-07-18,1974-07-18,Referred to House Committee on Ways and Means.,House,"Rep. St Germain, Fernand J. [D-RI-1]",RI,D,S000762,0,"Makes optional the cost-sharing fees now required to be paid by enrollees under medicaid who were not receiving aid under, or who were not qualified under, a State plan.",2024-08-01T18:38:13Z,
93-hr-15924,93,hr,15924,Comprehensive Medicare Reform Act,Health,1974-07-16,1974-07-16,Referred to House Committee on Ways and Means.,House,"Rep. Matsunaga, Spark M. [D-HI-1]",HI,D,M000250,0,"Comprehensive Medicare Reform Act - Title I:  Revision of Medicare Entitlement and Benefits - Repeals Parts A (Hospital Insurance Benefits for the Aged) and Part B (Supplementary Medical Insurance Benefits for the Aged) of Title XVIII (Health Insurance for the Aged) of the Social Security Act and enacts in lieu of those parts the provisions of this title. Lowers the age for participation in the Insurance Plan (Medicare) provided under title XVIII for specified classes of individuals.  Makes the following classes of persons entitled to benefits under such title:  (1) specified individuals receiving disability payments, and (2) specified individuals with chronic renal disease. Specifies covered institutional services including, but not limited to:  (1) inpatient and outpatient hospital services; (2) skilled-nursing home services; (3) intermediate-care facility services; and (4) home health services. Lists the following covered services:  (1) physicians' services (including psychiatric services if provided by a health maintenance organization); (2) dental services; (3) drugs; (4) devices, appliances, and equipment (if the item is prescribed or certified as medically necessary by an appropriate professional practitioner and if it appears on a current list of items established by the Secretary of Health, Education, and Welfare); and (5) other professional and supporting services, including, but not limited to (a) the professional services of optometrists, (b) the professional services of podiatrists, and (c) the diagnostic services of independent pathology laboratories, and diagnostic and therapeutic radiology furnished by independent radiology services. Excludes services and items from coverage under this title, including but not limited to:  (1) services furnished outside the United States, with an exception for specified hospital services and related professional services; (2) the furnishing of personal comfort items; (3) purely custodial care; (4) cosmetic services; and (5) services for which the individual has no legal obligation to pay. Provides for the reduction in the amount otherwise payable under this title from the Medicare Trust Fund with respect to a covered service based upon the applicable amount of coinsurance held by individuals entitled to benefits under this title. Provides for exceptions to the above reductions in the cases of low-income persons, members of low-income families, and specified cases of payment of catastrophic expense benefits.  Sets forth a schedule for the degree of payment reduction by type of service to be effectuated by the individual's coinsurance amount.  Sets forth an initial table for the determination of income classes for individuals and members of families under this title.  Provides for the periodic revision of income classes established under this title. Provides for the periodic revision of the catastrophic expense benefit expenditure limitations set under this title. Provides that payment of covered services provided to an individual by an institutional provider shall be made only to that provider.  States that the amount payable to that provider with respect to such services shall be the reasonable cost of the services to the provider governed by the provisions of this title less the amount of any payment of coinsurance. Provides that payment for covered services that were furnished to an individual by a noninstitutional provider shall be made only to:  (1) the participating provider who furnished the services, or (2) in the case of emergency services furnished by a nonparticipating provider, either (a) to the individual on the basis of an itemized bill, or (b) to the provider on the basis of an assignment from the individual. Authorizes the Secretary to enter into contracts with carriers under which the carrier, on behalf of the Secretary (and subject to review by the Secretary), will perform administrative functions, including the administration of benefits under this Act. Provides that no contract shall be entered into with a carrier unless the Secretary finds that the carrier will perform its obligations under the contract efficiently and effectively and will meet such requirements as to financial responsibility, legal authority, and other matters as he finds pertinent. Creates the Medicare Trust Fund which shall consist of the assets and liabilities of the Federal Hospital Insurance Fund and the Federal Supplementary Medical Insurance Trust Fund.  Authorizes to be appropriated to the Trust Fund a Government contribution in an amount, as estimated by the Board of Trustees, which when added to other income and assets of the Trust Fund will make the Trust Fund sufficient for the prompt payment of all amounts required or authorized by law to be paid therefrom.  Authorizes the Board to borrow funds from the Treasury, pending the approval by Congress of the Government contribution, if the Board determines that the amount of the Trust Fund is insufficient to make all required payments in the next three calendar months. Creates an Institutional Provider Reimbursement Review Board to hear disputes presented by any institutional provider of services which has filed a required cost report (for purposes of reimbursement) within the time specified in regulations if:  (1) the provider is dissatisfied with a final determination of the organization serving as its fiscal intermediary as to the amount of total program reimbursement due the provider for the items and services furnished to individuals for which payment may be made under this title for the period covered by the report; (2) the amount in controversy is $10,000 or more; and (3) the provider files a request for a hearing within 180 days after notice of the intermediary's final determination. Title II:  Financing of Program - Authorizes the appropriation to the Medicare Trust Fund, established under this Act, from time to time such sums as the Secretary deems necessary for any fiscal year, on account of:  (1) payments made or to be made during such fiscal year from such Trust Fund under title XVIII of such Act; (2) the additional administrative expenses resulting or expected to result therefrom; and (3) any loss in interest to such Trust Fund resulting from the payment of such amounts, in order to place such Trust Fund in the same position at the end of such fiscal year in which the Federal Hospital Insurance Trust Fund and the Federal Supplementary Medical Insurance Trust Fund would have been if title I of this Act had not been enacted. Title III:  Studies Related to Long-Term Care - Authorizes the Secretary of Health, Education, and Welfare, the Secretary of Housing and Urban Development, and the Secretary of Labor to conduct a joint study on the subject of health related and other long-term institutional care.  Authorizes additional studies by the Secretary of Health, Education, and Welfare and the Secretary of Housing and Urban Development concerning the provision of social services to enable elderly persons to live in their own homes.  Requires the Secretaries to submit reports to the President and the Congress not later than two years after the date of enactment of this Act.",2025-09-03T12:49:28Z,
93-hr-15936,93,hr,15936,"A bill to amend chapter 5, title 37, United States Code, to provide for continuation pay for physicians of the uniformed services in initial residency.",Health,1974-07-16,1974-08-29,Public law 93-394.,House,"Rep. Stratton, Samuel S. [D-NY-28]",NY,D,S000997,1,Authorizes the payment of continuation pay to physicians of the uniformed services in initial residency.,2025-06-06T14:17:56Z,
93-hr-15937,93,hr,15937,"A bill to amend title XIX of the Social Security Act to require any nursing home, which provides services under any State program approved under such title, to submit to the State agency administering such program an annual report on the costs incurred in the operation of such nursing home.",Health,1974-07-16,1974-07-16,Referred to House Committee on Ways and Means.,House,"Rep. Tiernan, Robert O. [D-RI-2]",RI,D,T000265,0,"Requires, under title XIX (Medicaid) of the Social Security Act, any nursing home which provides services under any State program approved under such title to submit to the State agency administering such program an annual report on the costs incurred in the operation of such nursing home.",2024-08-01T18:38:13Z,