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legislation: 102-s-3179

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bill_id congress bill_type bill_number title policy_area introduced_date latest_action_date latest_action_text origin_chamber sponsor_name sponsor_state sponsor_party sponsor_bioguide_id cosponsor_count summary_text update_date url
102-s-3179 102 s 3179 Agency for Health Care Policy and Research Reauthorization Act of 1992 Health 1992-08-12 1992-09-25 Placed on Senate Legislative Calendar under General Orders. Calendar No. 743. Senate Sen. Kennedy, Edward M. [D-MA] MA D K000105 4 Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to add prevention of diseases and other health conditions to the purposes of the Agency for Health Care Policy and Research. Authorizes training grants in the field of health services research. Establishes at the National Library of Medicine (NLM) an information center on health services research, selected technology assessments, and clinical practice guidelines, with the information electronically collected and maintained. Mandates conducting assessments of existing and new health care technologies. Replaces provisions establishing at the NLM an information center on health care technologies and health care technology assessment with provisions mandating establishment and publication of an annual list of technology assessment under consideration by the Agency. Allows the conducting of assessments in addition to those requested by the Health Care Financing Administration or the Department of Defense. Requires: (1) development of criteria for determining the priority of assessments; and (2) development and publication of a description of the methodology used to establish assessment priorities and the process used to conduct the assessments. Authorizes grants, cooperative agreements, or contracts for collaborative arrangements to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies. Requires guidelines, standards, performance measures, and review criteria developed to include information on the risks, benefits, and costs of alternative strategies for prevention, diagnosis, treatment, and management of a given disease or condition. Mandates a study on methods for collecting and analyzing primary and secondary data to be used in generating cost estimates of alternative strategies. Requires that the Agency's Administrator carry out provisions relating to the Forum for Quality and Effectiveness in Health Care through the Forum's Director. Limits the percentage of members of grant and contract peer review groups who may be U.S. officers or employees. (Currently, U.S. officers and employees are excluded from the groups.) Revises other requirements regarding the groups. Allows the Agency to tabulate and analyze statistics for public or nonprofit private entities who pay the costs of such services. Provides for the selection and composition of panels convened by the Director. Mandates a study of the process for the development of guidelines, standards,and review criteria. Modifies requirements for the agenda for development of guidelines, standards, performance measures, and review criteria, including covering at least three conditions that account for significant national health expenditures. Requires publication: (1) of a methodology for establishing priorities for guideline topics; and (2) annually of a list of guideline topics under consideration. Removes provisions establishing a subcouncil of the National Advisory Council for Health Care Policy, Research, and Evaluation to carry out specified duties. Requires the Agency's Administrator to define, with regard to grants, cooperative agreements, or contracts, the circumstances that constitute financial conflicts of interests and the actions that the Administrator will take in response to such interests. Authorizes appropriations to carry out provisions relating to the Agency. Authorizes appropriations for demonstration projects on emergency medical services for children. 2025-04-21T12:24:17Z  

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