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Congressional bills and resolutions from Congress.gov, filtered to policy areas relevant to environmental, health, agriculture, and wildlife regulation.

Data license: Public Domain (U.S. Government data) · Data source: Federal Register API & Regulations.gov API

807 rows where congress = 102 and policy_area = "Health" sorted by introduced_date descending

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  • Health · 807 ✖

congress 1

  • 102 · 807 ✖
bill_id congress bill_type bill_number title policy_area introduced_date ▲ latest_action_date latest_action_text origin_chamber sponsor_name sponsor_state sponsor_party sponsor_bioguide_id cosponsor_count summary_text update_date url
102-s-3387 102 s 3387 Health Care Liability Reform and Quality of Care Improvement Act of 1992 Health 1992-10-08 1992-10-08 Read twice and referred to the Committee on Judiciary. Senate Sen. Hatch, Orrin G. [R-UT] UT R H000338 3 Health Care Liability Reform and Quality of Care Improvement Act of 1992 - Title I: Findings and Purpose - Sets forth: (1) findings regarding this Act; and (2) the purpose of this Act. Title II: Health Care Liability Reforms - Requires, in order to be eligible to participate in the incentive program provided for in this title, that States have in effect the health care liability reforms set forth in this title. Requires, in any health care liability action, the liability of each defendant for non-economic damages to be several and not joint, with each defendant liable only for the proportion of that defendant's fault and a separate judgment against that defendant in that amount. Prohibits awarding non-economic damages over a certain dollar amount in any health care liability action, subject to waiver. Reduces the total damages received by a plaintiff by the amount of any collateral source benefits. Allows: (1) future economic damage awards to be paid periodically, based on when the damages are likely to occur or at the time the damages accrue; and (2) in certain circumstances, the court to require the health care provider to purchase an annuity or fund a reversionary trust to make such periodic payments. Prohibits reopening a judgment awarding periodic payments to contest, amend, or modify the schedule or amount in the absence of fraud or any ground permitting relief after entry of a final judgment. Declares it U.S. policy to encourage alternative dispute resolution (ADR). Requires a State to establish at least one ADR mechanism. Requires a State to: (1) cooperate with Federal research efforts regarding patient outcomes, clinical effectiveness, and clinical practice guidelines; (2) collect, analyze, and supply the Secretary of Health and Human Services with information regarding the performance of State medical boards; and (3) impose continuing education requirements on a disciplined physician. Allows alternatives to these requirements regarding medical boards and continuing education if the Secretary find… 2025-08-26T15:15:29Z  
102-s-3366 102 s 3366 ADAMHA Reorganization Technical Amendments Act of 1992 Health 1992-10-07 1992-11-20 Referred to the Subcommittee on Health and the Environment. Senate Sen. Kennedy, Edward M. [D-MA] MA D K000105 1 ADAMHA Reorganization Technical Amendments Act of 1992 - Makes technical amendments to the Public Health Service Act (PHSA), as amended by P.L. 102-321 (ADAMHA Reorganization Act). Amends the PHSA to exclude grants under the Protection and Advocacy for Mentally Ill Individuals Act from certain grant requirements under PHSA provisions relating to the Substance Abuse and Mental Health Services Administration (SAMHSA). Requires maintenance of a clearinghouse for substance abuse information and a clearinghouse for mental health information (currently, requires a clearinghouse for substance abuse and mental health information). Mandates appointment of an Associate Administrator for AIDS Policy and Programs to promote, monitor, and evaluate SAMHSA activities relating to transmission of the human immunodeficiency virus (HIV). Excludes contracts for program resources from a requirement of peer review for grants through the Center for Substance Abuse Treatment, the Center for Substance Abuse Prevention, and the Center for Mental Health Services. Modifies peer review requirements for the Centers. Allows grants for mental health and substance abuse treatment services for homeless individuals to be made to States as well as to community-based entities. Requires any such grants to States to be expended solely to make grants to political subdivisions and to private nonprofit entities. Allows funds from grants, cooperative agreements, or contracts for substance abuse treatment for pregnant and postpartum women to be used for services to women with dependent children who are neither pregnant nor postpartum. Makes violation of confidentiality of records provisions a class A misdemeanor and require a fine in accordance with the Federal criminal code. (Current law requires a fine in accordance with that code, but makes no classification of the offense.) Authorizes the Director of the National Institute on Alcohol Abuse and Alcoholism (currently, authorizes the Secretary of Health and Human Services, through such Institute) to de… 2025-08-26T15:16:24Z  
102-s-3371 102 s 3371 Juvenile Arthritis Research Excellence Act Health 1992-10-07 1992-12-22 Referred to the Subcommittee on Health and the Environment. Senate Sen. Shelby, Richard C. [D-AL] AL D S000320 0 Juvenile Arthritis Research Excellence Act - Amends provisions of the Public Health Service Act relating to the National Institute of Arthritis and Musculoskeletal and Skin Diseases (NIAMSD) to provide for planning, research, and other matters focusing on such diseases (especially arthritis) in children, including providing for the establishment of a multipurpose arthritis and musculoskeletal disease center for children. Makes related changes in the National Arthritis Advisory Board. 2025-08-26T15:18:05Z  
102-hr-6181 102 hr 6181 To amend the Federal Food, Drug, and Cosmetic Act to authorize human drug application, prescription drug establishment, and prescription drug product fees and for other purposes. Health 1992-10-06 1992-10-29 Became Public Law No: 102-571. House Rep. Dingell, John D. [D-MI-16] MI D D000355 1 Title I: User Fees - Prescription Drug User Fee Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to provide authority for the Secretary of Health and Human Services to assess and collect fees from manufacturers of prescription drugs beginning in FY 1993. Establishes a schedule for prescription drug application and supplement fees, prescription drug establishment fees, and prescription drug product fees. Provides for the annual adjustment of such fees to reflect increases in the Consumer Price Index for urban consumers or increases in Federal pay. Authorizes the Secretary to waive or reduce fees. Prohibits the assessment of fees for a fiscal year after FY 1993 unless appropriations for salaries and expenses of the Food and Drug Administration (FDA) are equal or greater than such appropriations for FY 1992. Credits such fees to the appropriation account for salaries and expenses of the FDA. Authorizes appropriations for FY 1993 through 1997. Provides a mechanism for collecting unpaid fees. Requires the FDA to make annual reports to the Congress on this Act. Requires the Secretary to conduct a study to evaluate whether to impose user fees to supplement appropriated funds to improve the process of reviewing applications for new animal drugs. Requires a report to specified congressional committees on the results of such study. Title II: Dietary Supplements - Dietary Supplement Act of 1992 - Requires the Secretary of Health and Human Services to issue final regulations with respect to dietary supplements of vitamins, minerals, herbs, or other similar nutritional substances under the Nutrition Labeling and Education Act of 1990 by December 15, 1993. Prohibits the implementation of such Act prior to the issuance of such regulations. Prohibits the promulgation of regulations that require the use of, or are based upon, recommended daily allowances of vitamins or minerals before November 8, 1993. Requires the Secretary to report to specified congressional committees on enforcement practices of the FDA wi… 2024-02-05T14:30:09Z  
102-hr-6182 102 hr 6182 Mammography Quality Standards Act of 1992 Health 1992-10-06 1992-10-27 Became Public Law No: 102-539. House Rep. Dingell, John D. [D-MI-16] MI D D000355 4 Mammography Quality Standards Act of 1992 - Amends the Public Health Service Act to require certification (or provisional certification) in order for a facility to perform or interpret mammograms, inspect equipment, or provide for the processing of mammography film. Authorizes the Secretary of Health and Human Services to issue and renew certificates for a specified period of time. Provides for administrative appeals of certification denials. Allows the Secretary to approve a private nonprofit organization or State agency to be an accreditation body if it meets certain standards and provides certain assurances. Mandates standards to assure the safety and accuracy of mammograms, including regarding: (1) quality assurance and control programs; (2)radiation dose; (3) equipment used; (4) licensing, certification, and training of personnel; and (5) recordkeeping and retention. Directs the Secretary to conduct annual inspections of certified facilities during regular hours of operation. Requires notice of certain inspections. Provides for waiver of certain inspection requirements. Provides for: (1) directed plans of correction, on site monitoring costs payment, and civil money penalties; (2) suspension and revocation certificates; and (3) injunctions. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked or suspended, and facilities that have been the subject of a sanction or other similar matters. Establishes the National Mammography Quality Assurance Advisory Committee. Mandates grants to establish surveillance systems to evaluate breast cancer screening programs. Authorizes grants for research on such systems. Empowers the Secretary to authorize a State to carry out certain certification program requirements and standards. Mandates fees to cover the costs of inspections. Authorizes appropriations to carry out this Act. Mandates a study of the certification program. 2024-02-05T14:30:09Z  
102-hr-6183 102 hr 6183 Federally Supported Health Centers Assistance Act of 1992 Health 1992-10-06 1992-10-24 Became Public Law No: 102-501. House Rep. Wyden, Ron [D-OR-3] OR D W000779 0 Federally Supported Health Centers Assistance Act of 1992 - Amends the Public Health Service Act to include entities receiving Federal funds under provisions relating to migrant health centers, community health centers, or health services for the homeless, or health services for residents of public housing, and officers, employees, or certain contractors of such entities who are licensed or certified health practitioners, in the coverage of provisions regulating civil actions for injury resulting from medical or related functions against commissioned officers or employees of the Public Health Service. Makes such actions the exclusive remedy against such entities and individuals. Subrogates to the United States any insurance claim such an entity or person has. Terminates such inclusion after a specified date. Prohibits deeming such an entity to be an employee of the Public Health Service unless the entity has: (1) implemented policies and procedures to assure against malpractice and the risk of lawsuits; (2) reviewed the professional credentials, claims history, and other information regarding its licensed health care practitioners; (3) no history of claims against the United States under these provisions, or has cooperated with the Attorney General in defending against such claims and has taken corrective action; and (4) has cooperated with the Attorney General in providing information relating to an estimate of expected claims. Empowers the Attorney General, if certain conditions are met, to determine that an individual physician or other practitioner not be deemed a Public Health Service employee for purposes of these provisions. Prohibits hospitals from denying admitting privileges to an otherwise qualified health care provider who is an officer, employee, or contractor of such an entity. Mandates an annual estimate of the amount of claims expected to be paid and, subject to appropriations and a dollar maximum, establishment of a fund of that amount. 2024-02-05T14:30:09Z  
102-hr-6202 102 hr 6202 Medicaid and Department of Veterans Affairs Drug Rebate Amendments of 1992 Health 1992-10-06 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Slattery, Jim [D-KS-2] KS D S000477 0 Medicaid and Department of Veterans Affairs Drug Rebate Amendments of 1992 - Amends title XIX (Medicaid) of the Social Security Act to exclude the prices charged for prescription drugs purchased by the Departments of Defense and Veterans Affairs, the Indian and Public Health Services, or certain federally-funded clinics and public or private nonprofit hospitals from the calculation of best price procurement for purposes of application of Medicaid rebate agreements. Requires an agreement between the Secretary of Health and Human Services and a covered drug manufacturer limiting the purchase price of drugs procured by covered entities (the federally-funded clinics and public or private nonprofit hospitals referred to above). Provides that if the Secretary does not establish a certain mechanism under the Public Health Service Act below: (1) each covered entity must inform the applicable State agency when it seeks reimbursement under Medicaid for covered drugs subject to an agreement (described below); and (2) such State agency must provide a means by which the entity must indicate on any claims form that the drug is subject to such agreement, and not submit to any manufacturer a claim for a rebate payment under Medicaid. Outlines requirements relating to master agreements for drugs procured by the Department of Veterans Affairs and certain other Federal agencies. Revises provisions respecting rebate agreement termination. Provides a new determination of the basic Medicaid rebate for single source and innovator multiple source drugs for specified calendar quarters beginning after September 30, 1992. Directs the Secretary to report to the Congress specified information relating to Medicaid best price changes and rebate payments. Prohibits such reports from containing information or any prescription drug unless the Secretary finds that expenditures for the drug are significant expenditures under the Medicaid drug purchase and rebate program. Amends the Public Health Service Act to require an agreement between the Sec… 2025-08-26T15:18:25Z  
102-hconres-377 102 hconres 377 Expressing the sense of the Congress that any health insurance reform bill that is enacted should require that family and temporary medical leave be incorporated as a basic or elective option for plan participants under certain circumstances. Health 1992-10-05 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Kaptur, Marcy [D-OH-9] OH D K000009 0 Declares that it is the sense of the Congress that any Act to address the health insurance needs of the U.S. people should require that paid or unpaid leave, as detailed in the Family and Medical Leave Act of 1992, be incorporated as a basic or elective option for specified events. 2026-03-23T12:41:21Z  
102-hjres-561 102 hjres 561 Designating August 23, 1993, as "National Health Unit Coordinator Day". Health 1992-10-05 1992-10-06 Referred to the Subcommittee on Census and Population. House Rep. Kaptur, Marcy [D-OH-9] OH D K000009 0 Designates August 23, 1993, as National Health Unit Coordinator Day. 2024-02-06T20:04:02Z  
102-hr-6159 102 hr 6159 State Care Act of 1992 Health 1992-10-05 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Wyden, Ron [D-OR-3] OR D W000779 0 State Care Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, State Comprehensive Health Coverage And Cost Containment Demonstration Projects, establishing a program under which the Commission on State-Based Comprehensive Health Care (established below) is required to select States to participate in health coverage and cost containment demonstration projects (State Care projects). Establishes the Commission on State-Based Comprehensive Health Care (the Commission) to review, approve, and oversee State Care projects. Authorizes appropriations. Requires States desiring to have State Care projects approved to establish a State Care Plan Development Board through which to develop such projects. Exempts from this requirement States that have enacted comprehensive health care plans (State Care plans) within 12 months of enactment of this Act. Establishes Federal standards for approval of applications for grants for demonstrations in up to ten States. Specifies State Care plan requirements, including those for a standard benefit package, cost-control mechanisms, and quality control procedures. Details the various items and services which constitute such package. Sets limits on the amount, scope, and duration of certain benefits under such package. Details cost-sharing and provides for limits on out-of-pocket package expenses. Authorizes the Commission to award grants to States receiving approval of a State Care project application for: (1) establishment of a data base infrastructure necessary to measure and evaluate State Care plan success in achieving cost containment and access goals; and (2) consolidation of health care budgeting, regulating, financing, and delivery responsibilities of the State. Authorizes appropriations. Sets forth provisions regarding the payment of expenditures for individuals eligible for Medicaid (SSA title XIX). Sets forth provisions governing the application of Medicare (SSA title XVIII) and ERISA (Employee Retirement Income Security Act of 1974) with respect to a… 2026-03-23T12:41:21Z  
102-hr-6171 102 hr 6171 Action Now Health Care Reform Act of 1992 Health 1992-10-05 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Gradison, Willis D., Jr. [R-OH-2] OH R G000349 0 Action Now Health Care Reform Act of 1992 - Title I: Improved Access to Affordable Health Care Coverage - Subtitle A: Increased Affordability and Availability for Employees - Directs the Secretary of Health and Human Services (the Secretary) to request the National Association of Insurance Commissioners (the NAIC) to develop model regulations requiring each carrier that makes available in a State any small employer health benefit plan to make available to each small employer in the State a MedAccess basic plan and a MedAccess standard. Directs the Secretary to develop such regulations, if the NAIC does not. Defines MedAccess plan as a health benefits plan that: (1) provides benefits typical of the benefits offered in the small employer health coverage market or provides only benefits for essential preventive and medical services and has an average actuarial value not exceeding 60 percent of the average actuarial value of the typical benefits offered in the small employer health coverage market; (2) accepts every small employer in the State applying for coverage and accepts for enrollment every eligible individual (defined as an individual who is a full-time employee and, if family coverage is offered, covers the employee's spouse and dependents under age 19 or under age 25 for students); and (3) meets consumer protection standards established by this Act relating to limitation of pre-existing condition clauses, continuity of coverage, renewability, and premium limitations. Prohibits the imposition, by a carrier, of a limitation of benefits based on the fact a condition pre-existed the effectiveness of the policy if: (1) the condition relates to a condition not diagnosed within three months before coverage under the plan; (2) the limitation extends beyond six months after coverage under the plan; (3) the limitation applies to an individual who, as of date of birth, was covered under the plan; and (4) the limitation relates to pregnancy. Requires continuous coverage. Prohibits cancellation of a plan or den… 2026-03-23T12:41:21Z  
102-hr-6175 102 hr 6175 Medical School Assistance Entitlement Act Health 1992-10-05 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Stark, Fortney Pete [D-CA-9] CA D S000810 0 Medical School Assistance Entitlement Act - Amends the Public Health Service Act to replace provisions relating to the Federal program of insured loans to graduate students in health professions schools with provisions entitling eligible individuals to payments for medical or osteopathic school attendance costs from the Trust Fund established by this Act. Limits lifetime payments. Amends the Internal Revenue Code to impose an additional individual income tax on any individual (and the individual's spouse) who received such payments. Establishes the Medical School Assistance Trust Fund, appropriating to it the taxes imposed by this Act. Authorizes appropriations to the Trust Fund, as repayable advances, as necessary to make the payments. 2025-08-26T15:17:48Z  
102-hr-6178 102 hr 6178 Antiprogestin Testing Act of 1992 Health 1992-10-05 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Wyden, Ron [D-OR-3] OR D W000779 2 Antiprogestin Testing Act of 1992 - Directs the Secretary of Health and Human Services to conduct and support research, including clinical trials, on antiprogestin drug safety and efficacy for any potential use, including termination of pregnancy, contraception, and therapeutic use for cancer, endocrine disorders, and endometriosis. Makes the research subject to provisions relating to institutional review boards and peer review. 2025-08-26T15:15:38Z  
102-s-3328 102 s 3328 Civilian Ex-Prisoner of War Health and Disability Benefits Act of 1992 Health 1992-10-05 1992-10-05 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Kennedy, Edward M. [D-MA] MA D K000105 6 Civilian Ex-Prisoner of War Health and Disability Benefits Act of 1992 - Entitles a former civilian prisoner of war (POW) to receive necessary medical care and disability benefits for any injury or disability resulting from the period of internment or hiding. Requires any presumptive medical and dental condition related to a period of internment provided for former military POWs to be extended to former civilian POWs and requires that it be considered to have been incurred in or aggravated by the period of internment or hiding regardless of the absence of any record of the injury. Establishes an advisory committee to be known as the Former Civilian Prisoner of War Committee. 2025-08-26T15:13:51Z  
102-s-3331 102 s 3331 MediCORE Health Act of 1992 Health 1992-10-05 1992-10-05 Read twice and referred to the Committee on Finance. Senate Sen. Jeffords, James M. [R-VT] VT R J000072 0 MediCORE Health Act of 1992 - Title I: Eligibility and Enrollment - Makes each legal resident of the United States eligible for CORE SERVICES through a MediCORE card under a State program. Title II: Administration by Federal MediCORE Board - Establishes within the Department of Health and Human Services a Federal MediCORE Board to be responsible for the overall administration of this Act and for the oversight of State compliance with this Act, as well as the development of CORE SERVICES and of specific State guidelines. Requires the Board to: (1) publish and make available to each State a Model MediCORE Administration Manual; and (2) establish and administer the operation of a National Data Bank System with health care data and information. Specifies various health care studies to be conducted by the Board. Requires an annual report to the appropriate congressional committees on the state of the Nation's health care services. Title III: CORE SERVICES - Requires the Board to provide for CORE SERVICES that include: medically necessary services, Medicare services, supplemental benefits, preventive health care services, long-term health, custodial or personal assistance, and catastrophic care. Amends the Child Nutrition Act to authorize appropriations for the special supplemental food program. Title IV: Federal MediCORE Guidelines - Establishes requirements for Federal MediCORE guidelines to be developed and implemented by the Board. Title V: Approval and Oversight of State Programs - Grants approval and oversight authority to the Board over State programs. Title VI: MediCORE Budget - Requires the Board to prepare an annual MediCORE Budget which provides each approved State program with health care revenue sharing payments. Established the MediCORE Trust Fund to make such payments. Provides funding for such Trust Fund through appropriations, the transfer of certain taxes, and the transfer of funds from social security trust funds. Amends the Internal Revenue Code to impose a tax on employees and employers t… 2025-08-26T15:17:31Z  
102-s-3337 102 s 3337 Better Pharmaceuticals for Children Act Health 1992-10-05 1992-10-05 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Kassebaum, Nancy Landon [R-KS] KS R K000017 2 Better Pharmaceuticals for Children Act - Amends the Federal Food, Drug, and Cosmetic Act to regulate the effective date of the approval of certain new drug applications (including abbreviated new drug applications) when pediatric studies of the drug are involved. 2025-08-26T15:14:50Z  
102-s-3340 102 s 3340 A bill to amend title XIX of the Social Security Act to improve the program related to home and community based care. Health 1992-10-05 1992-10-05 Read twice and referred to the Committee on Finance. Senate Sen. Pryor, David H. [D-AR] AR D P000556 1 Amends title XIX (Medicaid) of the Social Security Act wht respect to the home- and community-based care program to: (1) revise income and disability eligibility requirements; (2) limit the number of States which may participate in such program; (3) permit States to limit the number of individuals who may receive program services; and (4) revise application of Medicaid spousal impoverishment rules to spouses of individuals receiving program services. 2025-01-14T18:59:41Z  
102-s-3348 102 s 3348 Health Care Access and Affordability Act of 1992 Health 1992-10-05 1992-10-05 Read twice and referred to the Committee on Finance. Senate Sen. Hatch, Orrin G. [R-UT] UT R H000338 4 Health Care Access and Affordability Act of 1992 - Title I: Social Security Act Provisions - Subtitle A: Small Employer Insurance Reform - Part I: Tax Deductible Health Insurance Costs - Amends the Internal Revenue Code to increase the deductible for health insurance costs for self-employed individuals from 25 percent to 100 percent. Makes such deduction permanent. Part II: Standards and Requirements of Small Employer Health Insurance Reform - Amends the Social Security Act to add a new title XXI, Standards For Small Employer Health Insurance and Certification Of Managed Care Plans. Directs the Secretary of Health and Human Services (HHS) to request that the National Association of Insurance Commissioners (NAIC) develop specific standards to implement specified requirements for health insurance plans issued to small employers that relate to: (1) insurer registration; (2) guaranteed eligibility, availability, and renewability; (3) preexisting conditions; (4) restrictions on rating practices; and (5) benefit package offerings. Provides that if NAIC fails to develop such standards or the Secretary finds that they do not implement such requirements, the Secretary must develop such standards. Provides that if a State has not established a regulatory program that provides for the application and enforcement of such standards, the Secretary must certify the compliance of small employer plans with them. Part III: Tax Penalty on Noncomplying Insurers - Amends the Internal Revenue Code to impose an excise tax on the issuer of a health insurance plan to a small employer if the issuer fails to meet the requirements of title XXI of the Social Security Act (as added by this Act). Establishes such tax as 25 percent of the gross premiums received by the issuer. Makes such tax nondeductible. Subtitle B: Medicare and Medicaid Provisions - Part I: Medicare - Amends title XVIII (Medicare) of the Social Security Act to require the Secretary to establish an experimental program offering certain Medicare beneficiaries a choi… 2025-08-26T15:13:37Z  
102-s-3350 102 s 3350 National Organ Donor and Awareness Campaign Act of 1992 Health 1992-10-05 1992-10-05 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Adams, Brock [D-WA] WA D A000031 0 National Organ Donor and Awareness Campaign Act of 1992 - Mandates a national campaign to increase public awareness of organ transplantation, including development of a national clearinghouse. Requires research on the process by which individuals listed in the Organ Procurement and Transplantation Network are selected and other matters relating to public education and promotion regarding organ donation. Amends the Public Health Service Act (PHSA) to establish a Network advisory committee. Increases the Network's annual funding cap. Modifies Network functions and its board of director's composition. Amends block grant provisions of the PHSA to mandate payments to health care facilities for the dispensing of immunosuppressive drugs to eligible transplant recipients. Authorizes appropriations. Amends title XVIII (Medicare) of the Social Security Act to remove the one-year limitation on coverage of immunosuppressive drugs. Amends the PHSA to require, in making grants and contracts to increase the number of organ donors, inclusion of projects encouraging procurement from minority communities (including cultural, racial, and language minorities) and from other communities with below average donation rates. Authorizes appropriations. 2025-08-26T15:16:04Z  
102-hr-6122 102 hr 6122 Prescription Drug Fraud Deterrence Act of 1992 Health 1992-10-03 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. Stark, Fortney Pete [D-CA-9] CA D S000810 0 Prescription Drug Fraud Deterrence Act of 1992 - Amends the Controlled Substances Act to direct the Attorney General to establish a system for the filling of prescriptions required by provisions relating to Schedules II through V, but allowed to be made orally. 2025-08-26T15:17:57Z  
102-hr-6096 102 hr 6096 Ambulatory Care Quality Improvement Act of 1992 Health 1992-10-02 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. Wyden, Ron [D-OR-3] OR D W000779 0 Ambulatory Care Quality Improvement Act of 1992 - Directs the Secretary of Health and Human Services to establish a program under which ambulatory surgery facilities and ambulatory emergecy care facilities are certified to assure that health care services are safely and effectively performed in such facilities. Sets forth certification requirements. Requires the Secretary to regularly inspect such facilities and approve accreditation organizations. Provides judicial review provisions for facilities which have had their certifications withdrawn or suspended. Requires the Comptroller General to study the Social Security program and State quality assurance programs for ambulatory surgery and emergency care facilities for comparisons with programs under this Act and report to specified congressional committees with findings. Authorizes the Secretary to require fee payments to cover the cost of developing and administering the certification program. 2025-08-26T15:15:43Z  
102-hr-6100 102 hr 6100 American Consumers Health Care Reform Act of 1992 Health 1992-10-02 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Gekas, George W. [R-PA-17] PA R G000121 0 American Consumers Health Care Reform Act of 1992 - Title I: Immediate Health Care Reforms - Subtitle A: Expansion of Medicaid Program - Amends title XIX (Medicaid) of the Social Security Act to mandate Medicaid eligibility for all residents of a State: (1) who are U.S. citizens or nationals or lawful resident aliens; (2) whose income does not exceed specified percentages of the poverty level, increasing those percentages between the first and second effective fiscal years; and (3) whose resources do not exceed the limits set by title XVI (Supplemental Security Income) of the Social Security Act. Terminates, two years after this Act becomes effective, payments to States (and State obligations to provide assistance) under Medicaid, except for outpatient prescription drugs and biologicals, home health care, nursing facility services, community supported living, home and community-based services, and other items and services that relate to long-term care and are not covered under Medicaid provisions added by this Act. Includes in the assistance made available under this Act assistance for the same amount, duration, and scope as under certain Medicaid provisions relating to medical assistance, except for nursing facility or home health care services. Regulates cost-sharing: (1) prohibiting it for services related to pregnancy, preventive services, or services to children under 19; (2) limiting it for individuals whose income is under 50 percent of the poverty level; (3) specifying copayment amounts for other services and individuals; and (4) limiting total cost-sharing per year. Phases in an increased Federal medical assistance percentage (FMAP) for acute care services and a modified FMAP for items and services other than acute care services. Prohibits assistance under these provisions and the increased FMAP unless the State continues to provide home health care and nursing facility services. Directs the Secretary of Health and Human Services to develop standards for State long-term care plans under existing Medic… 2026-03-23T12:41:21Z  
102-hr-6109 102 hr 6109 School-Based Childhood Immunizations Program Amendments Act Health 1992-10-02 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Schroeder, Patricia [D-CO-1] CO D S000142 0 School-Based Childhood Immunizations Program Amendments Act - Amends the Public Health Service Act to authorize grants for immunizations for children. Authorizes the grants only to local educational agencies with elementary schools in communities with substantial cases of vaccine-preventable diseases and substantial numbers of unimmunized children. Mandates community education. Specifies permissible uses of grant funds, including recruiting and retaining a school nurse. Authorizes appropriations. 2025-08-26T15:14:45Z  
102-s-3312 102 s 3312 Cancer Registries Amendment Act Health 1992-10-02 1992-10-24 Became Public Law No: 102-515. Senate Sen. Leahy, Patrick J. [D-VT] VT D L000174 12 Cancer Registries Amendment Act - Amends the Public Health Service Act to authorize grants or contracts to operate population-based, statewide cancer registries in order to collect certain data for each form of in-situ and invasive cancer except basal cell and squamous cell carcinoma of the skin. Authorizes grants for planning the registries. Authorizes the Secretary of Health and Human Services, directly or through grants and contracts, or both, to provide technical assistance to the States in the establishment and operation of statewide registries. Mandates a study on factors contributing to elevated rates of breast cancer mortality in Connecticut, Delaware, Maryland, Massachusetts, New Hampshire, New Jersey, New York, Rhode Island, Vermont, and the District of Columbia. Authorizes the Secretary to use a specified amount of funds to carry out this Act. 2021-09-25T05:34:39Z  
102-hr-6081 102 hr 6081 Women's Violence-Related Injury Reduction Act Health 1992-10-01 1992-10-15 Referred to the Subcommittee on Health and the Environment. House Rep. McDermott, Jim [D-WA-7] WA D M000404 0 Women's Violence-Related Injury Reduction Act - Amends the Public Health Service Act to authorize grants for demonstration projects to identify victims of domestic violence or sexual assault and refer them to entities providing related services. Allows use of the grants to train health care providers to engage in such activities. Mandates related education of health care providers and the public, epidemiological research, and cooperation with States regarding establishing a national system for the collection of data on domestic violence and sexual assault. Authorizes appropriations. 2025-08-26T15:15:24Z  
102-s-3299 102 s 3299 Managed Competition Act of 1992 Health 1992-10-01 1992-10-01 Read twice and referred to the Committee on Finance. Senate Sen. Boren, David L. [D-OK] OK D B000639 1 Managed Competition Act of 1992 - Title I: Managed Competition in Employer-Based Health Plans: Incentives to Control Costs - Subtitle A: Use of Tax Incentives to Purchase Cost Effective Plans - Amends the Internal Revenue Code to impose an excise tax on the excess health plan expenses of employers. Allows a full and permanent deduction for the health plan premium expenses of self-employed individuals, except with respect to excess health plan expenses. Excludes from gross income contributions by a partnership or S corporation to an accident or health plan covering its partners or shareholders. Subtitle B: Health Plan Purchasing Cooperatives (HPPCs - Provides for the establishment of health plan purchasing cooperatives as not-for-profit corporations in or among States to: (1) enter into agreements with accountable health plans; (2) enter into agreements with small employers; (3) enroll individuals in accountable health plans; (4) receive and forward adjusted premiums, including the reconciliation of low-income assistance among such plans; and (5) coordinate and carryout other functions as required by this title. Subtitle C: Accountable Health Plans (AHPs) - Sets forth requirements for accountable health plans with respect to: registration and qualifications, uniform benefits, cost-sharing for low-income individuals, standardized information, prohibition of discrimination based on health status, standard premiums, financial solvency, grievance mechanisms, and coordinating benefits. Preempts State laws for accountable health plans. Subtitle D: National Health Board - Establishes a National Health Board to: (1) specify a uniform set of effective benefits by October 1, 1993; (2) provide for an advisory Health Benefits and Data Standards Board and a Health Plan Standards Board; (3) register accountable health plans; (4) establish rules for the process of risk-adjustment premiums; (5) establish standards for a national health data system; (6) measure the quality of care in specialized centers; and (7) make specif… 2025-08-26T15:15:58Z  
102-s-3300 102 s 3300 21st Century Health Care Act Health 1992-10-01 1992-10-01 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Bingaman, Jeff [D-NM] NM D B000468 0 21st Century Health Care Act - Title I: Eligibility and Enrollment - Entitles every U.S. resident who is a citizen, national, or lawful resident alien to health care coverage purchased through a health insurance purchasing cooperative (HIPC) created under this Act in their State of primary residence. Authorizes the National Health Care Board created in this Act to also make eligible for health care services such nonimmigrant aliens and other individuals as the Board considers appropriate. Requires such State to provide a mechanism for the enrollment of individuals entitled to health benefits purchased through a HIPC, as well as the issuance of a State health insurance card for use in identification and claims processing. States that each State HIPC program: (1) shall not impose a minimum residency requirement for entitlement in excess of three months; (2) shall provide continuation of services for individuals moving to another State until a minimum period of residency is established in the latter State; and (3) shall provide for the payment of health care services to individuals temporarily absent from the State. Requires the Board to issue regulations to provide for the transition of the Federal Employees Health Benefits Program to the health benefits program established under this Act. Title II: Managed Competition in Health Plans - Subtitle A: National Health Care Board - Establishes a National Health Care Board to: (1) establish and oversee the various responsibilities for the Health Outcomes Management Standards Board, the Health Benefits Standards Board, the Health Insurance Standards Board, the Medicare Transition Board, and the National Health Data System (all created under this Act); (2) establish a uniform data system to designate qualified HIPCs and carriers; (3) determine and implement a system for the collection of relevant health outcomes data; (4) determine and revise minimum benefit requirements of a qualified health benefits plan; (5) establish a program for low-income assistance, including… 2025-08-26T15:15:11Z  
102-sjres-343 102 sjres 343 A joint resolution to designate the period commencing on October 24, 1992, and ending on November 1, 1992, as "National Red Ribbon Week for a Drug-Free America. Health 1992-10-01 1992-10-01 Read twice and referred to the Committee on Judiciary. Senate Sen. Murkowski, Frank H. [R-AK] AK R M001085 51 Designates October 24, 1992, through November 1, 1992, as National Red Ribbon Week for a Drug Free America. 2025-07-21T19:32:26Z  
102-hr-6063 102 hr 6063 Comprehensive Long-Term Care Act of 1992 Health 1992-09-30 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. Engel, Eliot L. [D-NY-19] NY D E000179 0 Comprehensive Long-Term Care Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to: (1) extend Medicare part A (Hospital Insurance) coverage of extended care services to chronically dependent individuals; and (2) provide for coverage of home care services and outpatient prescription drugs under Medicare part B (Supplementary Medical Insurance). Sets forth payment provisions for outpatient prescription drugs covered under Medicare part B, which provide for application of a deductible in determining the amount of an individual's payment for such drugs. Requires the Secretary of Health and Human Services to: (1) establish a program for assuring appropriate prescribing and dispensing practices for prescription drugs covered under Medicare part B; (2) develop, and update annually, an information guide for physicians concerning the comparative average wholesale prices of at least 500 of the most commonly prescribed drugs covered under Medicare part B; and (3) report to the Congress on manufacturers' and pharmacists' prescription drug prices and on the use of prescription drugs by individuals eligible for Medicare part B benefits (Medicare-eligible individuals). Requires pharmacies to enter into an agreement with the Secretary in order to receive payment for prescription drugs dispensed to Medicare-eligible individuals. Specifies agreement terms and conditions, including those prohibiting pharmacies from charging Medicaid-eligible individuals more than the general public for prescription drugs covered under Medicare part B. Requires the Secretary to: (1) periodically audit pharmacies that have entered into such an agreement; and (2) establish a point-of-sale electronic system for use by carriers and pharmacies in the submission of information on prescription drugs dispensed to Medicare-eligible individuals. Authorizes sanctions against pharmacies that violate their agreement with the Secretary. Limits the length of prescriptions. Provides for the role of carriers, fiscal intermediaries, and oth… 2025-08-26T15:14:34Z  
102-hr-6070 102 hr 6070 To establish a demonstration project under which payment shall be made under the medicare program for transportation services for dialysis patients residing in rural areas. Health 1992-09-30 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. Rhodes, John J., III [R-AZ-1] AZ R R000189 0 Directs the Secretary of Health and Human Services to: (1) establish a three-year demonstration project to determine whether special transportation services for eligible dialysis patients residing in rural areas may be cost-effectively covered under the Medicare program (title XVIII of the Social Security Act); and (2) report annually to the Congress on such project. Authorizes appropriations. 2024-02-07T16:32:33Z  
102-hjres-555 102 hjres 555 To designate October 1992 as "National High Blood Pressure Education Program's 20th Anniversary Month". Health 1992-09-29 1992-10-01 Referred to the Subcommittee on Census and Population. House Rep. Stokes, Louis [D-OH-21] OH D S000948 0 Designates October 1992 as National High Blood Pressure Education Program's 20th Anniversary Month. 2024-02-06T20:04:02Z  
102-s-3280 102 s 3280 National Health Safety Net Infrastructure Act Health 1992-09-28 1992-09-28 Read twice and referred to the Committee on Finance. Senate Sen. Daschle, Thomas A. [D-SD] SD D D000064 1 National Health Safety Net Infrastructure Act - Title I: Capital Financing Assistance for Safety Net Hospitals Providing Indigent Care - Amends the Social Security Act (SSA) to add a new title XXI, Capital Financing Assistance for Safety Net Hospitals. Directs the Secretary of Health and Human Services to make payments for capital financing assistance to eligible hospitals with approved applications. Sets forth general eligibility requirements for such assistance, including requirements that hospitals receive disproportionate share adjustments under Medicare (SSA title XVIII) and be owned or operated by a State or local government in order to be eligible for such assistance. Details application requirements and criteria for application approval. Imposes certain public service responsibilities on hospitals accepting capital financing assistance. Creates in the Treasury the Health Safety Net Infrastructure Trust Fund (Fund). Establishes a loan guarantee program under which the Trust Fund will provide a Federal guarantee of loan repayment to non-Federal lenders making loans to qualified hospitals for hospital replacement, modernization, and renovation projects. Sets forth eligibility criteria hospitals must meet in order to qualify for loan guarantees. Gives a preference for loan guarantees to certain projects in which State or local government entities participate. Sets forth special rules with respect to loan guarantees, including rules: (1) requiring at least 20 percent of the dollar value of loan guarantees to be allocated to eligible rural hospitals; (2) requiring at least $200 million of the annual dollar value of loan guarantees to be reserved for loans of under $50 million, if there are a sufficient number of applicants for loans of that size; and (3) allowing loan guarantees to be allocated for refinancing loans. Provides that hospitals will be charged a reasonable loan insurance premium. Sets forth procedures to be followed in the event of a loan default. Establishes an interest rate subsidy prog… 2025-08-26T15:16:04Z  
102-s-3277 102 s 3277 State Health Care Reform Incentive Act of 1992 Health 1992-09-25 1992-09-25 Read twice and referred to the Committee on Finance. Senate Sen. Sanford, Terry [D-NC] NC D S000055 0 State Health Care Reform Incentive Act of 1992 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to permit States to seek waivers of program requirements in order to provide health care coverage under certain regular or alternative State programs. Establishes Federal requirements for such State programs. Sets forth payment provisions. 2025-08-26T15:16:34Z  
102-hconres-362 102 hconres 362 Expressing the sense of the Congress that the United States House of Representatives and Senate should pass health care reform initiatives which have received overwhelming bipartisan support, prior to the adjournment of the 102nd Congress. Health 1992-09-24 1992-11-20 Referred to the Subcommittee on Health and the Environment. House Rep. Stearns, Cliff [R-FL-6] FL R S000822 12 Declares that the leadership of the House of Representatives and of the Senate should work together in a bipartisan manner to pass health care reform initiatives prior to the adjournment of the 102d Congress. 2024-02-07T16:32:33Z  
102-hr-6023 102 hr 6023 Medicare Respite Care Coverage Act of 1992 Health 1992-09-24 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. Lewis, John [D-GA-5] GA D L000287 6 Medicare Respite Care Coverage Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of respite care services for a chronically dependent individual under Medicare part B (Supplementary Medical Insurance). 2025-08-26T15:14:58Z  
102-hr-6027 102 hr 6027 Comprehensive Health Care and Cost Containment Act of 1992 Health 1992-09-24 1992-10-16 Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness. House Rep. Peterson, Collin C. [D-MN-7] MN D P000258 0 Comprehensive Health Care and Cost Containment Act of 1992 - Title I: Federal and State Administration - Subtitle A: Federal Administration - Subtitle A: Federal Administration - Establishes within the Department of Health and Human Services a Federal Health Board. Requires the Board to: (1) determine national per capita spending rates for covered district health care services and for health care practitioner services; (2) establish a single national insurance premium for enrollment catgories; (3) make Federal payments to States and insurers; (4) certify State compliance with this Act; (5) enter into reciprocity agreements with foreign countries; and (6) report to the Congress on duplicative Federal health care programs. Requires an annual report to the Congress on the status of the health care system in the United States. Establishes within the Department of Education a Federal Health Education Commission to manage the Federal grant program to States for consumer education programs and for primary care practitioners. Subtitle B: State Administration - Requires each State to provide for a State Health Board to establish health districts to appoint district health care boards, set global budgets for each health care district, establish fee schedules for practitioner groups, and develop long-range plans for future health care infrastructure. Requires each State Health Board to establish a State Health Care Education Commission to be responsible for specified activities. Title II: Health Care Services - Subtitle A: National Health Insurance Program - Sets forth national standards for health insurance for district health care services or health care practitioner services, including enrollment requirements. Authorizes reduced premiums for low-income individuals. Subtitle B: Payment Amounts for Health Care Practitioner Services and for Covered District Health Care Services - Requires each State to provide for the chartering of practitioner associations with respect to fee schedules and medical malpractice insu… 2026-03-23T12:41:21Z  
102-hr-5985 102 hr 5985 Community Ambulance Support Act of 1992 Health 1992-09-22 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. DeLauro, Rosa L. [D-CT-3] CT D D000216 0 Community Ambulance Support Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to provide for coverage of paramedic intercept services under part B (Supplementary Medical Insurance) of Medicare. 2025-08-26T15:15:07Z  
102-hr-5989 102 hr 5989 Family Choice and Universal Coverage Health Insurance Reform Act of 1992 Health 1992-09-22 1992-10-16 Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness. House Rep. McEwen, Bob [R-OH-6] OH R M000432 0 Family Choice and Universal Coverage Health Insurance Reform Act of 1992 - Title I: New Tax Credit for Health Expenses - Amends the Internal Revenue Code to provide a limited tax credit for coverage of the taxpayer, spouse, and dependents under a qualified health plan. Adjusts such amount for inflation. Phases out the exclusion from gross income for employer-provided health coverage. Makes such exclusion applicable only to individuals covered before the date of enactment of this Act. Terminates the medical expense deduction, the deduction for health insurance costs of the self-employed, and the health insurance earned income credit. Title II: Standards for Qualified Health Plans - Subtitle A: General Standards Relating to Benefits and Cost-Sharing, Underwriting, and Premiums for Federally-Qualified Health Plans - Specifies the required coverages of federally-qualified health plans for inpatient and outpatient hospital services, physicians' services, prenatal and well-baby and well-child care, diagnostic tests, inpatient prescription drugs, and emergency services. Allows such plans to impose cost-sharing for covered services with limitations. Prohibits the issuer of such plans from canceling or refusing to renew a policy except in the case of willful fraud, failure to pay premiums, or nonavailability. Prohibits premiums on plan renewals from taking into account claims experience or changes in health status. Subtitle B: Requirements for Current Employer Health Benefit Plans - Sets forth requirements with respect to conversion offers. Title III: Requirements on Employers - Sets forth requirements for employers with respect to withholding and remitting premiums and employee notification of contribution amounts. Requires the addition to employee wages of employer health plan contributions. Title IV: Requirements for States; Preemption of Certain State Laws; Changes in Medicaid and Medicare Programs - Requires each State, as a condition of receiving Federal funds for health care programs, to: (1) establish a he… 2026-03-23T12:41:21Z  
102-s-3256 102 s 3256 Minority Biomedical Research Construction Act Health 1992-09-21 1992-11-20 Referred to the Subcommittee on Health and the Environment. Senate Sen. Hatch, Orrin G. [R-UT] UT R H000338 1 Minority Biomedical Research Construction Act - Amends the Public Health Service Act to authorize grants to eligible institutions, including historically Black colleges and universities, for the acquisition, construction, remodeling, expansion, or equipping of graduate biomedical research facilities. Defines as eligible an institution that has at least one-half of its students from disadvantaged backgrounds and that awards doctoral degrees in the health professions or biomedical sciences. Authorizes approprations. 2025-08-26T15:17:13Z  
102-sjres-340 102 sjres 340 A joint resolution designating the week of February 14 through February 20, 1993, as "National Visiting Nurse Associations Week". Health 1992-09-21 1992-09-21 Read twice and referred to the Committee on Judiciary. Senate Sen. Bradley, Bill [D-NJ] NJ D B001225 51 Designates the week of February 14 through 20, 1993, as National Visiting Nurse Associations Week. 2025-07-21T19:32:26Z  
102-hr-5970 102 hr 5970 American Health Care Access Improvements Act of 1992 Health 1992-09-17 1992-10-16 Referred to the Subcommittee on Health and the Environment. House Rep. Johnson, Sam [R-TX-3] TX R J000174 5 American Health Care Access Improvements Act of 1992 - Title I: Health Care Access Improvements - Subtitle A: Health Insurance Deduction Fairness - Amends the Internal Revenue Code to make permanent and increase from 25 to 100 percent the health insurance tax deduction for the self-employed. Subtitle B: Extension of Special Treatment Rules for Medicare-Dependent, Small Rural Hospitals - Amends title XVIII (Medicare) of the Social Security Act to extend for one year special treatment rules for Medicare-dependent small rural hospitals. Subtitle C: Benefits and Services Requirements for Exemption From Tax for Hospitals - Amends the Internal Revenue Code to set forth requirements for hospitals to maintain tax-exempt status, including: (1) the provision of certain emergency medical care; (2) the acceptance of Medicaid and Medicare patients; and (3) the provision of community health centers and clinics in medically underserved areas. Title II: Insurance Availability - Requires eligible uninsured individuals to register with the Secretary of Health and Human Services for enrollment in a qualified Federal health plan. Provides for the collection of premiums through the income tax system. Authorizes appropriations. Title III: Health Care Cost Containment - Subtitle A: Paperwork and Administrative Expense Reduction - Requires the Director of the Office of Management and Budget to: (1) identify, inventory, and assess the Federal paperwork burden associated with health care services; and (2) establish a goal for reducing such burden in each of the fiscal years 1993 through 1998 by at least five percent of the preceding fiscal year's paperwork burden. Provides a bonus for providers who initiate the use of electronic claims under the Medicare program. Subtitle B: Medical Malpractice Liability Reform - Directs the Secretary of Health and Human Services to make grants to States for the implementation and evaluation of alternative dispute resolution (ADR) systems. Sets forth eligibility requirements for States seeking… 2025-08-26T15:16:38Z  
102-hjres-551 102 hjres 551 Designating October 4, 1992, through October 10, 1992, as "National Bone Marrow Donor Awareness Week". Health 1992-09-16 1992-10-01 Received in the Senate and read twice and referred to the Committee on Judiciary. House Rep. Young, C. W. Bill [R-FL-8] FL R Y000031 212 Designates October 4 through 10, 1992, as National Bone Marrow Donor Awareness Week. 2025-07-21T19:32:26Z  
102-hr-5952 102 hr 5952 Prescription Drug User Fee Act of 1992 Health 1992-09-16 1992-09-24 Received in the Senate. Read twice. Placed on Senate Legislative Calendar under General Orders. Calendar No. 702. Pursuant to the order of September 22, 1992. House Rep. Dingell, John D. [D-MI-16] MI D D000355 8 Prescription Drug User Fee Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to provide authority for the Secretary of Health and Human Services to assess and collect fees from manufacturers of prescription drugs beginning in FY 1993. Establishes a schedule for human drug application and supplement fees, prescription drug establishment fees, and prescription drug product fees. Provides for the annual adjustment of such fees to reflect increases in the Consumer Price Index for urban consumers or increases in Federal pay. Authorizes the Secretary to waive or reduce fees. Prohibits the assessment of fees for a fiscal year after FY 1993 unless appropriations for salaries and expenses of the Food and Drug Administration (FDA) are equal or greater than such appropriations for FY 1992. Credits such fees to the appropriation account for salaries and expenses of the FDA. Authorizes appropriations for FY 1993 through 1997. Provides a mechanism for collecting unpaid fees. Requires the FDA to make annual reports to the Congress on this Act. Requires the Secretary to conduct a study to evaluate whether to impose user fees to supplement appropriated funds to improve the process of reviewing applications for new animal drugs. Requires a report to specified congressional committees on the results of such study. 2024-02-05T14:30:09Z  
102-hr-5936 102 hr 5936 Managed Competition Act of 1992 Health 1992-09-15 1992-10-16 Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness. House Rep. Cooper, Jim [D-TN-4] TN D C000754 21 Managed Competition Act of 1992 - Title I: Managed Competition in Employer-Based Health Plans: Incentives to Control Costs - Subtitle A: Use of Tax Incentives to Purchase Cost Effective Plans - Amends the Internal Revenue Code to impose an excise tax on the excess health plan expenses of employers. Allows a full and permanent deduction for the health plan premium expenses of self-employed individuals, except with respect to excess health plan expenses. Excludes from gross income contributions by a partnership or S corporation to an accident or health plan covering its partners or shareholders. Subtitle B: Health Plan Purchasing Cooperatives (HPPCs) - Provides for the establishment of health plan purchasing cooperatives as not-for-profit corporations in or among States to: (1) enter into agreements with accountable health plans; (2) enter into agreements with small employers; (3) enroll individuals in accountable health plans; (4) receive and forward adjusted premiums, including the reconciliation of low-income assistance among such plans; and (5) coordinate and carryout other functions as required by this title. Subtitle C: Accountable Health Plans (AHPs) - Sets forth requirements for accountable health plans with respect to: registration and qualifications, uniform benefits, cost-sharing for low-income individuals, standardized information, prohibition of discrimination based on health status, standard premiums, financial solvency, grievance mechanisms, and coordinating benefits. Preempts State laws for accountable health plans. Subtitle D: National Health Board - Establishes a National Health Board to: (1) specify a uniform set of effective benefits by October 1, 1993; (2) provide for an advisory Health Benefits and Data Standards Board and a Health Plan Standards Board; (3) register accountable health plans; (4) establish rules for the process of risk-adjustment premiums; (5) establish standards for a national health data system; (6) measure the quality of care in specialized centers; and (7) make speci… 2026-03-23T12:41:21Z  
102-hr-5938 102 hr 5938 Mammography Quality Standards Act of 1992 Health 1992-09-15 1992-10-08 Read twice and referred to the Committee on Labor and Human Resources. House Rep. Dingell, John D. [D-MI-16] MI D D000355 23 Mammography Quality Standards Act of 1992 - Amends the Public Health Service Act to require certification (or provisional certification) in order for a facility to perform or interpret mammograms, inspect equipment, or provide for the processing of mammography film. Authorizes the Secretary of Health and Human Services to issue and renew certificates for a specified period of time. Allows the Secretary to approve a private nonprofit organization or State agency to be an accreditation body if it meets certain standards and provides certain assurances. Mandates standards to assure the safety and accuracy of mammograms, including regarding: (1) quality assurance and control programs; (2) radiation doses; (3) equipment used; (4) licensing, certification, and training of personnel; and (5) recordkeeping and retention. Directs the Secretary to conduct annual inspections of certified facilities. Requires, subject to waiver, 48 hours notice of inspections. Provides for: (1) directed plans of correction, on site monitoring costs payment, and civil money penalties; (2) suspension, revocation, and limitation of certificates; and (3) injunctions. Limits State inspection fees to the costs of conducting the inspections. Requires annual publication of a list of facilities convicted of fraud and abuse, false billings, or kickbacks, facilities that have had certificates revoked, suspended, or limited, and facilities that have been the subject of a sanction or other similar matters. Establishes the National Mammography Quality Assurance Advisory Committee. Mandates grants to establish surveillance systems to evaluate breast cancer screening programs. Authorizes appropriations to carry out this Act. 2025-04-21T12:24:17Z  
102-s-3232 102 s 3232 Medicare Communication Disorders and Services Amendments Act of 1992 Health 1992-09-15 1992-09-15 Read twice and referred to the Committee on Finance. Senate Sen. Shelby, Richard C. [D-AL] AL D S000320 0 Medicare Communication Disorders and Services Amendments Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to provide expanded coverage of speech-language pathology and audiology services under the Medicare program. Excludes from program coverage procedures performed for selecting or fitting hearing aids. 2025-08-26T15:15:16Z  
102-s-3226 102 s 3226 Child Immunization Access Act of 1992 Health 1992-09-10 1992-09-10 Read twice and referred to the Committee on Finance. Senate Sen. Boren, David L. [D-OK] OK D B000639 1 Child Immunization Access Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to require States to provide for the establishment and operation of a vaccine replacement system, unless such a system is not appropriate or cost-effective or a bulk vaccine purchasing program (universal vaccine distribution system) is already in operation. Defines vaccine replacement system as a State program which purchases vaccines at the lowest practicable prices and distributes them free of charge to medical providers for immunization of Medicaid-eligible children. Provides for payments to States for costs incurred with respect to establishing and operating a vaccine replacement system or a bulk vaccine purchasing program. 2025-08-26T15:18:02Z  
102-hr-5919 102 hr 5919 Comprehensive Health Reform Act of 1992 Health 1992-09-09 1992-10-16 Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness. House Rep. Michel, Robert H. [R-IL-18] IL R M000692 3 Comprehensive Health Reform Act of 1992 - Title I: Deduction of Health Insurance Costs of Self-Employed Individuals - Health Benefits for Self-Employed Individuals Act of 1992 - Amends the Internal Revenue Code with respect to the income tax deduction for the health insurance costs of self-employed individuals to: (1) make the deduction permanent; and (2) phase in an increase in it, reaching 100 percent of costs for taxable years beginning in 1996. Title II: Health Insurance Market Reform - Health Insurance Market Reform Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, Requirements Concerning Health Insurance. States that the purposes of part A of new SSA title XXI are to increase the availability, portability, and affordability of health insurance, particularly to small employers and their employees and dependents, by seeking to ensure, among other things, that: (1) affordable health insurance is available to individuals and groups, and premiums do not vary substantially, regardless of health status or claims experience; (2) States regulating health insurance do not place an undue burden on small employers; and (3) insurers, providers, purchasers, and consumers are encouraged to contain costs of health care and health insurance. Applies the provisions of new SSA title XXI to health insurance plans offered in any State and to insurers offering such plans. Provides for the establishment of Federal and State regulatory programs implementing the requirements of parts B and C of new SSA title XXI. Requires the Secretary of Health and Human Services to: (1) request the National Assoication of Insurance Commissioners (NAIC) to recommend model standards for compliance with such requirements; and (2) using such model standards, with revisions as necessary, publish implementing regulations. Requires the Secretary to determine whether each State has established a regulatory program adequate to ensure compliance with such requirements. Allows State programs to establish standards more string… 2026-03-23T12:41:21Z  
102-hr-5922 102 hr 5922 To establish a congressional commemorative medal for organ donors and their families. Health 1992-09-09 1992-09-15 Referred to the Subcommittee on Consumer Affairs and Coinage. House Rep. Stark, Fortney Pete [D-CA-9] CA D S000810 0 Directs the Secretary of the Treasury (the Secretary) to design and strike a bronze medal in commemoration of organ donors and their families. Declares that any organ donor, or donor's family, is eligible for the medal. Requires the Secretary of Health and Human Services to arrange for medal presentation to eligible individuals through a qualified organ procurement organization. Declares the medals to be national medals. Authorizes the Secretary of the Treasury to enter into an agreement with the entity operating the Organ Procurement and Transplantation Network with respect to the solicitation of donations to offset expenditures relating to medal issuance. 2024-02-06T19:38:08Z  
102-hr-5833 102 hr 5833 Rural Health Care Access Improvement Act of 1992 Health 1992-08-12 1992-10-09 Referred to the Subcommittee on Economic and Commercial Law. House Rep. LaRocco, Larry [D-ID-1] ID D L000098 0 Rural Health Care Access Improvement Act of 1992 - Title I: Provisions Relating to Physicians' Services - Subtitle A: Incentives Under Medicare - Amends title XVIII (Medicare) of the Social Security Act to modify requirements regarding payments to new physicians and other new health care practitioners for services in a rural area. Prohibits failure to make Medicare payments based on the failure of an individual to complete a questionnaire concerning the existence of a primary plan. Declares that any such payment remains conditional. Regulates the use, by carriers used for the administration of Medicare benefits, of extrapolation. Prohibits fees (by carriers or the Secretary of Health and Human Services) for filing a claim concerning physicians' services, related errors or appeals, applications for unique identifiers, responding to inquiries respecting physicians' services, or providing information with respect to medical review of such services. Requires consideration, in applying standards and criteria for contracts with carriers, of evaluations submitted by medical societies representing physicians served by the carrier. Provides for appeals of carrier actions. Requires carriers to provide for review (of denial of payments for physicians' services) by a physician in the same medical specialty. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to modify the circumstances in which payments may be made to a physician for services provided by a second physician. Amends the Social Security Act to exclude surgical procedures performed in a rural area from requirements of utilization and quality control review. Subtitle B: Increasing Number of Physicians Practicing in Rural Areas - Amends the Internal Revenue Code to allow a personal interest deduction for qualified medical education loan interest which accrues while the physician is providing primary care to residents of a medically underserved rural area. Amends the Higher Education Act of 1965 to declare that two-year time limits do… 2025-08-26T15:17:32Z  
102-hr-5837 102 hr 5837 American Health Security Plan Act of 1992 Health 1992-08-12 1992-10-09 Referred to the Subcommittee on Labor-Management Relations. House Rep. Andrews, Thomas H. [D-ME-1] ME D A000211 0 American Health Security Plan of 1992 - Title I: Eligibility and Enrollment - Entitles every U.S. resident citizen, national, and lawful resident alien to health care services and long-term care services under this Act. Requires each State program to provide for a mechanism for enrollment and issuance of an identification and processing card. Provides for portability, including mandating use of a uniform claims form. Title II: Benefits - Subtitle A: Health Care Services - Includes as covered services: (1) inpatient and outpatient hospital care; (2) diagnostic and screening tests; (3) services furnished by health care professionals, including medically necessary dental care; (4) preventive care; (5) prescription drugs, biologicals, and devices; (6) substance abuse services; (7) outpatient mental health services; (8) hospice care; (9) habilitation and rehabilitation; (10) home medical equipment and prosthetic devices; and (11) approved experimental treatment. Prohibits States from limiting the amount, duration, or scope of services except as provided in this Act. Excludes cosmetic surgery and certain inpatient amenities. Requires: (1) the Federal Health Board established by this Act to provide, subject to certain requirements, for copayments and out-of-pocket limits; and (2) the Federal Health Priorities Council established by this Act to study: (1) whether out-of-pocket limits should be modified to take into account family size and composition; (2) whether co-payments effectively contain costs and whether they are an administrative burden on providers; (3) the effects of the continuation of duplicative private insurance on the quality, access, and cost of the public insurance program; and (4) whether cost sharing should be different for individuals who engage in practices deemed to increase the likelihood of service use. Subtitle B: Long-Term Care Services - Requires that the Board set standards for eligibility, long-term care services coverage, income protection, and case management. Requires that long-t… 2026-03-23T12:41:21Z  
102-hr-5854 102 hr 5854 Savings Through Health Protocol and Malpractice Reform Act of 1992 Health 1992-08-12 1992-10-09 Referred to the Subcommittee on Economic and Commercial Law. House Rep. Hunter, Duncan [R-CA-45] CA R H000981 0 Savings Through Health Protocols and Malpractice Reform Act of 1992 - Title I: Development and Implementation of Diagnostic and Treatment Protocols - Mandates grants or contracts for the operation of four to six centers to develop: (1) diagnostic and treatment protocols for various health conditions; and (2) model programs for training health care providers regarding the protocols. Requires establishment of an advisory council to make recommendations on carrying out this title. Title II: Medical Malpractice Liability Reform - Provides for certification of a State if it has enacted certain medical malpractice liability reforms, including: (1) several and not joint liability for non-economic damages, with determination of percentages of liability; (2) specified dollar limits on non-economic damages; (3) mandatory offsets for collateral source damages paid; and (4) at least one alternative dispute resolution mechanism. Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to mandate a reduction in uncertified States and an increase in certified States of: (1) Medicare payments to hospitals for inpatient services; and (2) certain Medicaid payments to States. Amends Federal law relating to tort claims procedures to mandate, with regard to health care liability actions against the United States: (1) several and not joint liability for non-economic damages, with determination of percentages of liability; (2) specified dollar limits on non-economic damages; and (3) mandatory offsets for collateral source damages paid. 2025-08-26T15:17:50Z  
102-hr-5867 102 hr 5867 Consumer Hospital Price Awareness Act of 1992 Health 1992-08-12 1992-09-08 Referred to the Subcommittee on Health. House Rep. Moody, Jim [D-WI-5] WI D M000881 1 Consumer Hospital Price Awareness Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to require as a condition of participation in the Medicare program that hospitals disclose to patients upon their request an estimate of the costs to be incurred or a statement of the costs already incurred by the hospital in providing services to the patient. 2025-08-26T15:15:26Z  
102-hr-5893 102 hr 5893 National AIDS Vaccine Development and Compensation Act of 1992 Health 1992-08-12 1992-09-14 Referred to the Subcommittee on Health and the Environment. House Rep. Stark, Fortney Pete [D-CA-9] CA D S000810 0 National AIDS Vaccine Development and Compensation Act of 1992 - Title I: Vaccines - Amends the Public Health Service Act to establish in the Department of Health and Human Services a National Program to achieve optimal prevention of the acquired immune deficiency syndrome (AIDS) through immunization. Includes in Program responsibilities AIDS vaccine research, development, safety and efficacy testing, licensing, production and procurement, distribution and use, and evaluation of need, effectiveness, and adverse effects. Establishes the AIDS Vaccine Review Advisory Committee. Authorizes appropriations. Establishes the National Vaccine Injury Compensation Program under which compensation may be paid for a human immunodeficiency virus (HIV) vaccine-related injury or death. Makes it an ethical obligation of any attorney to inform individuals consulting about such an injury or death that compensation may be available under the program. Sets forth compensation procedures. Establishes in the U.S. Claims Court an office of not more than eight special masters. Requires the special masters to issue decisions on compensation petitions. Requires proof by a preponderance of the evidence. Mandates establishment of a vaccine injury table including potential HIV vaccines and the conditions and deaths resulting from the administration of the vaccine. Requires compensation to include: (1) certain actual unreimbursable expenses; (2) in the event of death, a specified dollar amount; (3) actual or anticipated loss of earnings; (4) to a specified dollar maximum, actual and projected pain and suffering. Prohibits punitive or exemplary damages and compensation for other than the health, education, or welfare of the person who suffered the injury. Requires awarding attorney's fees and other costs. Makes the Program liable after other sources such as insurance or other Federal or State health benefits programs (other than title XIX (Medicaid) of the Social Security Act). Authorizes appropriations for payment of compensation. Sets… 2025-08-26T15:18:11Z  
102-hr-5907 102 hr 5907 Traumatic Brain Injury Act of 1992 Health 1992-08-12 1992-09-14 Referred to the Subcommittee on Health and the Environment. House Rep. Waters, Maxine [D-CA-29] CA D W000187 0 Traumatic Brain Injury Act of 1992 - Amends the Public Health Service Act to direct the Secretary of Health and Human Services, acting through the Director of the Centers for Disease Control, to conduct a study concerning traumatic brain injury. Requires the study to seek to: (1) determine the major causes of traumatic brain injury; (2) identify common therapeutic interventions which are used for the rehabilitation of individuals with traumatic brain injuries; (3) determine the preventive efforts that are being used by States and non-profit agencies to reduce the occurrence of such injuries; (4) identify effective treatment and long-term rehabilitation services needed to meet the needs of individuals with traumatic brain injuries; (5) develop practice guidelines for the treatment of traumatic brain injury; and (6) determine whether there is a need for national standards for helmets used by bicyclists and others. Requires the results of such study to be reported to the Congress not later than three years after enactment of this Act. Requires the Secretary to biennially prepare a report containing recommendations for the prevention of traumatic brain injuries, including identifying States that have mandated helmet laws for bicyclists and others. Requires such report to be disseminated to State health officers. Makes the Director responsible for gathering data concerning the number of individuals surviving traumatic brain injury and regarding the cost of such injuries. Requires the Director to establish a uniform reporting system under which hospitals and State and local health-related agencies will report on matters including: (1) the occurrence of traumatic brain injuries; (2) the amount of traumatic brain injury research, training and services; (3) the identification of States and localities that have approved mandated helmet use laws; and (4) the health insurance status of individuals with such injuries. Requires the reporting system to permit the Director to make an accurate assessment of resource needs, pr… 2025-08-26T15:13:42Z  
102-s-3176 102 s 3176 Health Care Affordability and Quality Improvement Act of 1992 Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Finance. Senate Sen. Specter, Arlen [R-PA] PA R S000709 0 Health Care Affordability and Quality Improvement Act of 1992 - Title I: Disclosure Of Certain Information To Beneficiaries Under The Medicare And Medicaid Programs - Amends part A (General Provisions) of title XI of the Social Security Act (SSA) to direct the Secretary of Health and Human Services to issue regulations requiring that each institutional health care provider receiving payment for services under SSA titles XVIII (Medicare) or XIX (Medicaid) make an annual report available to service recipients. Specifies the contents of such report, including information on mortality and infection rates and malpractice claims. Requires the Secretary to issue regulations requiring that each noninstitutional provider receiving payment for services under such titles make an annual report available to service recipients. Specifies the contents of such report, including information on provider qualifications and malpractice and other actions taken against the provider. Requires the Secretary to issue regulations requiring that each institutional and noninstitutional health care provider receiving payment for such services: (1) make available any forms required in connection with the receipt of such services which consist of any diagnostic, surgical, or other invasive procedure, before performance of such procedure; (2) disclose to any individual receiving any surgical, palliative, or other health care procedure or any drug therapy or other treatment, specified information before performance of such procedure or treatment; and (3) inform any individual receiving such services of that individual's right to refuse the information made available above and any procedure or treatment. Provides for penalties for failure to comply with the regulations issued above. Authorizes the Secretary to award grants to nonprofit private entities for outreach activities to inform Medicare beneficiaries of the information made available above. Authorizes appropriations. Amends Medicare to require the annual notice of Medicare benefits to … 2025-08-26T15:13:57Z  
102-s-3179 102 s 3179 Agency for Health Care Policy and Research Reauthorization Act of 1992 Health 1992-08-12 1992-09-25 Placed on Senate Legislative Calendar under General Orders. Calendar No. 743. Senate Sen. Kennedy, Edward M. [D-MA] MA D K000105 4 Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to add prevention of diseases and other health conditions to the purposes of the Agency for Health Care Policy and Research. Authorizes training grants in the field of health services research. Establishes at the National Library of Medicine (NLM) an information center on health services research, selected technology assessments, and clinical practice guidelines, with the information electronically collected and maintained. Mandates conducting assessments of existing and new health care technologies. Replaces provisions establishing at the NLM an information center on health care technologies and health care technology assessment with provisions mandating establishment and publication of an annual list of technology assessment under consideration by the Agency. Allows the conducting of assessments in addition to those requested by the Health Care Financing Administration or the Department of Defense. Requires: (1) development of criteria for determining the priority of assessments; and (2) development and publication of a description of the methodology used to establish assessment priorities and the process used to conduct the assessments. Authorizes grants, cooperative agreements, or contracts for collaborative arrangements to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies. Requires guidelines, standards, performance measures, and review criteria developed to include information on the risks, benefits, and costs of alternative strategies for prevention, diagnosis, treatment, and management of a given disease or condition. Mandates a study on methods for collecting and analyzing primary and secondary data to be used in generating cost estimates of alternative strategies. Requires that the Agency's Administrator carry out provisions relating to the Forum for Quality and Effectiveness in Health Care through the Forum's Director. Limits the perce… 2025-04-21T12:24:17Z  
102-s-3180 102 s 3180 State Care Act of 1992 Health 1992-08-12 1992-09-09 Committee on Finance. Hearings held. Hearings printed: S.Hrg. 102-1068. Senate Sen. Leahy, Patrick J. [D-VT] VT D L000174 18 State Care Act of 1992 - Amends the Social Security Act (SSA) to add a new title XXI, State Comprehensive Health Coverage And Cost Containment Demonstration Projects, establishing a program under which the State-Based Comprehensive Health Care Commission (established below) is required to select States to participate in health coverage and cost containment demonstration projects (State Care projects). Establishes the State-Based Comprehensive Health Care Commission (the Commission) to review, approve, and oversee State Care projects. Authorizes appropriations. Requires States desiring grants to develop State Care projects to establish a State Health Care Authority through which to develop such projects. Exempts from this requirement States that have enacted comprehensive health care plans (State Care plans) within 12 months of enactment of this Act. Establishes Federal standards for approval of applications for grants for demonstrations in up to ten States. Specifies State Care plan requirements, including those for standard and basic benefit packages, cost-control mechanisms, and quality control procedures. Details the various items and services which constitute each respective package. Sets limits on the amount, scope, and duration of certain benefits under the standard package. Details cost-sharing under the respective packages, and provides for limits on out-of-pocket package expenses. Authorizes the Commission to award grants to States receiving approval of a State Care project grant application for: (1) establishment of a data base infrastructure necessary to measure and evaluate State Care plan success in achieving cost containment and access goals; and (2) consolidation of health care budgeting, regulating, financing, and delivery responsibilities of the State. Authorizes appropriations. Prohibits payments under Medicaid (SSA title XIX) for State Care project services if payment for them may be made under the State Care plan. Directs the Secretary of Health and Human Services to pay to each State pa… 2025-08-26T15:15:47Z  
102-s-3183 102 s 3183 Comprehensive Fetal Alcohol Syndrome Prevention Act Health 1992-08-12 1992-09-30 Referred to Subcommittee on Children, Family, Drugs, Alcohol. Senate Sen. Daschle, Thomas A. [D-SD] SD D D000064 6 Comprehensive Fetal Alcohol Syndrome Prevention Act - Amends the Public Health Service Act to establish: (1) a comprehensive program to prevent Fetal Alcohol Syndrome and Fetal Alcohol Effects and coordinate related Federal efforts; and (2) an Inter-Agency Task Force on Fetal Alcohol Syndrome and Fetal Alcohol Effects. Provides for related research, technical assistance, grants, cooperative agreements, and contracts, surveillance and prevention programs, professional and public education, and diagnostic criteria. Authorizes appropriations. 2025-08-26T15:15:33Z  
102-s-3185 102 s 3185 A bill to amend title XVIII of the Social Security Act to expand and improve access to medicare select policies, and to make technical corrections to provisions relating to medicare supplemental insurance policies. Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Finance. Senate Sen. Chafee, John H. [R-RI] RI R C000269 0 Amends the Omnibus Budget Reconciliation Act of 1990 to: (1) make permanent the Medicare select policy program; (2) allow access to Medicare select policies in all States; and (3) make various technical corrections to provisions relating to Medicare supplemental policies. Amends title XVIII (Medicare) of the Social Security Act to revise the Medicare select policy program and provide for a civil penalty for misrepresentations made in connection with a Medicare select policy. 2025-01-14T18:59:41Z  
102-s-3186 102 s 3186 Ethics in Referrals and Billing Act of 1992 Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Adams, Brock [D-WA] WA D A000031 2 Ethics in Referrals and Billing Act of 1992 - Amends the Public Health Service Act to create a new title on physician referral and billing. Prohibits, subject to exceptions, referrals and related billing by physicians involving an entity in which the physician (or an immediate family member) has a financial relationship. Requires each entity providing health-related items or services to disclose certain information concerning the entity's ownership. Declares that no individual, entity, or third party payor shall be required to pay for items or services in connection with a prohibited referral. Makes any person collecting such payments liable to the payor. Requires insurance payors to report violation patterns. Provides for civil fines for persons repeatedly presenting bills, physicians repeatedly making referrals, and persons acting in concert in violation. Allows for violations: (1) suspension, revocation, or limitation of laboratory certificates; and (2) exclusion from any program under title XVIII (Medicare) of the Social Security Act. Makes it unlawful, subject to exception, for any: (1) person who furnishes ancillary health services to present a bill to any person other than the patient receiving the services; or (2) physician to present a bill to any ancillary service recipient unless the services where furnished personally or under the supervision of the referring physician or a member of that physician's group practice or by individuals employed by that physician or group practice. Makes any person collecting payments for such services liable to the payor. Provides for civil fines for persons repeatedly presenting bills in violation. Allows, for violations: (1) suspension, revocation, or limitation of laboratory certificates; and (2) exclusion from any pogram under Medicare. 2025-08-26T15:14:49Z  
102-s-3187 102 s 3187 A bill to amend title XIX of the Social Security Act to improve programs related to home and community based care and community supported living arrangements, and for other purposes. Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Finance. Senate Sen. Graham, Bob [D-FL] FL D G000352 1 Amends title XIX (Medicaid) of the Social Security Act to allow the participation in home- and community-based care programs of functionally disabled elderly individuals with: (1) incomes of up to three times the maximum amount allowed under the Supplemental Security Income program, at the State's option; and (2) two of five (currently, two of three) impaired activities of daily living. Exempts small community care settings which are not providers of home- and community-based care from survey and certification requirements. Requires case managers who have been properly trained to review such small settings for compliance with applicable requirements. Revises program funding provisions to: (1) guarantee States with a certain amount of funding over one year's election period; and (2) allow remaining funds to be carried over to the next fiscal year. Requires the Secretary of Health and Human Services to: (1) evaluate the provision of home- and community-based care by States: and (2) submit to specified congressional committees an annual report on the effectiveness of such care. Makes technical revisions in the definition of developmentally disabled individual with respect to eligibility for community supported living arrangements program services. Allows program funds remaining at the end of a fiscal year to be carried over to the next fiscal year. Requires the Secretary to: (1) evaluate the provision of community supported living arrangement services by States; and (2) submit to specified congressional committees an annual report on their effectiveness. Amends the Omnibus Budget Reconciliation Act of 1986 to reauthorize Alzheimer's disease demonstration projects. Requires the Secretary to report to the Cognress any recommendations regarding: (1) a plan under which the Federal Government would provide, and finance the provision of, both long-term and home- and community-based care; and (2) the appropriate role of the States in such a plan. 2025-01-14T18:59:41Z  
102-s-3191 102 s 3191 Medicaid Coordinated Care Improvement Act of 1992 Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Finance. Senate Sen. Moynihan, Daniel Patrick [D-NY] NY D M001054 0 Medicaid Coordinated Care Improvement Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to revise Medicaid requirements to provide States with more flexibility to use coordinated care programs. Adds new provisions to Medicaid respecting State use of coordinated care programs, including those that: (1) permit States to mandate enrollment of Medicaid-eligible individuals with program providers only if at least two risk contacting entities are available, or one such entity and a primary care case management entity, or two such case management entities; (2) mandate quality care reviews; and (3) provide for participation of federally qualified health centers and rural health clinics. Makes technical amendments to Medicaid respecting case management services and home- and community-based waivers. Provides that in the case of certain plan services prescribed under the Individuals with Disabilities Education Act for children who are eligible for medical assistance under such plan, the State or local agency administering such plan is not required to take measures to ascertain the legal liability of third parties under Medicaid for such services. Sets forth miscellaneous congressional reporting requirements respecting coordinated care programs and: (1) services for children with special needs; (2) public health services; (3) payments for hospital services; and (4) payments to risk contracting entities. 2025-08-26T15:15:17Z  
102-s-3212 102 s 3212 Medicaid Eligibility Simplification Act Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Finance. Senate Sen. Chafee, John H. [R-RI] RI R C000269 1 Medicaid Eligibility Simplification Act - Amends title XIX (Medicaid) of the Social Security Act (SSA) to: (1) permit States to extend Medicaid coverage of prenatal care services to alien pregnant women who are neither officially nor under color of law permanent residents of the United States, but who are otherwise eligible for medical assistance under Medicaid; and (2) provide for simplification of the application process for enrollment in Medicaid. Amends SSA title XVI (Supplemental Security Income) (SSI) to preserve the Medicaid and SSI eligibility of individuals who would otherwise become ineligible for Medicaid benefits and SSI payments due to their receipt of weekly or biweekly income. Amends the Medicaid program: (1) to make optional currently mandatory reporting requirements under program provisions extending Medicaid coverage to eligible families making the transition from welfare to work; (2) with respect to program provisions concerning presumptive eligibility for pregnant women to include as a qualified provider any individual employed by the State and capable of making determinations of the type described under such provisions; (3) to revise the definition of qualified Medicare beneficiary; and (4) with respect to the income methodology used in determining the eligibility of certain individuals for Medicaid benefits. 2025-08-26T15:14:26Z  
102-sjres-334 102 sjres 334 A joint resolution designating September 1992 as "Childhood Cancer Month". Health 1992-08-12 1992-08-12 Read twice and referred to the Committee on Judiciary. Senate Sen. Mitchell, George J. [D-ME] ME D M000811 54 Designates September 1992 as Childhood Cancer Month. 2025-07-21T19:32:26Z  
102-hjres-538 102 hjres 538 Designating December 1, 1992, as "World AIDS Day". Health 1992-08-11 1992-10-08 Read twice and referred to the Committee on Judiciary. House Rep. McDermott, Jim [D-WA-7] WA D M000404 220 Designates December 1, 1992, as World AIDS Day. 2025-07-21T19:32:26Z  
102-hr-5812 102 hr 5812 Health Insurance Purchasing Cooperatives Act Health 1992-08-11 1992-09-14 Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness. House Rep. Brown, George E., Jr. [D-CA-36] CA D B000918 4 Health Insurance Purchasing Cooperatives Act - Mandates grants to States for the administrative costs of planning and implementing coordinated buying programs through which small employers may purchase employee health insurance. Requires that the programs be the sole mechanism for small employers to purchase such insurance. Requires that a State program provide each small employer in the State access to health insurance for its employees and their dependents through one or more Health Insurance Purchasing Cooperatives, each covering a defined geographic district. Sets forth Cooperative duties, including issuing contracts and administering all aspects of coverage for all small employers within the district. Waives Federal and State antitrust laws. Authorizes appropriations. Establishes the National Health Board. Requires the Board to establish Coordinated Buying Program Precepts setting forth certain criteria, including regarding a uniform data system, collection of outcomes data, and determining minimum benefit requirements. Authorizes appropriations. Requires the Board to establish minimum benefit requirements for plans offered through Cooperatives, including inpatient and outpatient hospital care and physician services, diagnostic tests, prenatal and well-baby care, preventive and early intervention services, and certain inpatient and outpatient mental disorder services. Allows managed care and different levels of payments for different providers. Requires the Board to establish minimum benefit requirements for two additional health benefit plans providing more extensive or more innovative benefits. Amends provisions of the Public Health Service Act relating to health maintenance organizations (HMOs) to exempt from those provisions HMOs that provide services meeting the requirements under this Act. Establishes the National Health Insurance Data System, consisting of: (1) a National Data Base for Health Insurance and Health Outcomes Information; (2) no more than five Regional Health Insurance Data Centers;… 2025-08-26T15:13:49Z  
102-hr-5825 102 hr 5825 To amend title XVIII of the Social Security Act to clarify coverage of certified nurse-midwife services performed outside the maternity cycle under the medicare and medicaid programs. Health 1992-08-11 1992-09-14 Referred to the Subcommittee on Health and the Environment. House Rep. Richardson, Bill [D-NM-3] NM D R000229 0 Amends title XVIII (Medicare) of the Social Security Act to change the definition of certified nurse-midwife services (and thus allow certified nurse-midwives to receive payment under Medicare for all services which such practitioners are legally authorized to perform under State law or regulations). 2024-02-07T16:32:33Z  
102-s-3165 102 s 3165 Health Insurance Purchasing Cooperatives Act Health 1992-08-11 1992-08-11 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Bingaman, Jeff [D-NM] NM D B000468 3 Health Insurance Purchasing Cooperatives Act - Mandates grants to States for the administrative costs of planning and implementing coordinated buying programs through which small employers may purchase employee health insurance. Requires that the programs be the sole mechanism for small employers to purchase such insurance. Allow exceptions for insurance purchased from certain associations that offer health insurance as a service to members. Requires that a State program provide each small employer in the State access to health insurance for its employees and their dependents through one or more Health Insurance Purchasing Cooperatives, each covering a defined geographic district. Regulates Cooperative governance. Sets forth Cooperative duties, including issuing contracts and administering all aspects of coverage for all small employers within the district. Waives Federal and State antitrust laws. Mandates that the State program require any small employer that chooses to provide a health benefit plan to do so by purchasing insurance through the Cooperative, nothwithstanding specified provisions of the Employee Retirement Income Security Act of of 1974. Authorizes appropriations. Establishes the National Health Care Board. Requires the Board to establish Coordinated Buying Program Precepts setting forth certain criteria, including regarding a uniform data system, collection of outcomes data, and determining minimum benefit requirements. Authorizes appropriations. Requires the Board to establish minimum benefit requirements for plans offered through Cooperatives, including inpatient and outpatient hospital care and physician services, diagnostic tests, prenatal and well-baby care, preventive and early intervention services, and certain inpatient and outpatient mental disorder services. Declares that nothing in State law or this Act: (1) prohibits managed care or different levels of payments for different providers; or (2) requires payment to any provider excluded from participation in any Federal health c… 2025-08-26T15:14:19Z  
102-s-3163 102 s 3163 Prescription Drug Amendments of 1992 Health 1992-08-10 1992-08-26 Became Public Law No: 102-353. Senate Sen. Kennedy, Edward M. [D-MA] MA D K000105 1 Prescription Drug Amendments of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to require interstate wholesale drug distributors, as an alternative to the current requirement of State licensing, to register with the Secretry of Health and Human Services. Ends the requirement on September 14, 1994. Modifies requirements regarding penalties for certain prescription drug marketing violations. Removes provisions prohibiting such penalties unless the violation is committed with intent to defraud or mislead. Changes drug sample distribution requirements. 2021-09-25T05:34:39Z  
102-hr-5792 102 hr 5792 To provide for the inclusion of specific items in any listing of impairments for the evaluation of human immunodeficiency virus (HIV) infection prescribed in regulations of the Secretary for use in making determinations of disability under titles II and XVI of the Social Security Act. Health 1992-08-06 1992-08-12 Subcommittee Consideration and Mark-up Session Held. House Rep. Jacobs, Andrew, Jr. [D-IN-10] IN D J000033 7 Requires the Secretary of Health and Human Services to include specific items in any listing of impairments for the evaluation of human immunodeficiency virus (HIV) infection used in making determinations of disability under titles II (Old Age, Survivors and Disability Insurance) and XVI (Supplemental Security Income) of the Social Security Act. Provides that, with respect to any item in such a listing, any requirement for a functional test shall be treated as met if certain specified requirements are met. 2024-02-07T16:32:33Z  
102-s-3148 102 s 3148 Intergovernmental Health Care Fraud and Abuse Task Force Act of 1992 Health 1992-08-06 1992-08-06 Read twice and referred to the Committee on Finance. Senate Sen. Pryor, David H. [D-AR] AR D P000556 7 Intergovernmental Health Care Fraud and Abuse Task Force Act of 1992 - Amends title XI of the Social Security Act to establish the Intergovernmental Task Force on Health Care Fraud and Abuse to: (1) investigate the nature, magnitude, and cost of health care fraud and abuse in the United States; and (2) identify and develop the most effective methods of preventing and eliminating such fraud and abuse. 2025-08-26T15:16:39Z  
102-hr-5783 102 hr 5783 Vaccine Access and Registry Act Health 1992-08-05 1992-09-14 Referred to the Subcommittee on Health and the Environment. House Rep. Slaughter, Louise McIntosh [D-NY-30] NY D S000480 22 Vaccine Access and Registry Act - Title I: Universal Vaccine Grant Program - Authorizes the Secretary of Health and Human Services to make grants to States for the establishment and operation of programs to purchase vaccines from manufacturers at the federally negotiated bulk rate and distribute them free of charge to health care providers for the immunization of children. Sets forth application requirements for such program. Allocates funding based on the five-year birth average of a State. Requires the Secretary to annually review the compliance of a State and to establish sanctions for noncompliance. Authorizes two-year renewals of such grants. Requires the Secretary to include a description of activities under this title in annual status reports to the President and the Congress. Authorizes appropriations for FY 1993 through 1995. Title II: Amendment to Public Health Service Act Concerning Federally Negotiated Bulk Rate - Amends the Public Health Service Act to prohibit the Secretary from procuring a vaccine that may be used to immunize children under the age of 13 from any person who does not agree as a condition to the procurement to sell the vaccine to a State at the same price as the person offers the Secretary. Title III: Immunization Registry Grant Program - Authorizes the Secretary to make grants to States for the establishment and operation of State immunization registries by State agencies with legal responsibility for disease control under State law. Allows the Secretary to make such grants to two or more cooperating States for regional immunization registries. Requires the Secretary to annually review the compliance of a State and to establish sanctions for noncompliance. Requires the Secretary to include a description of activities under this title in annual status reports to the President and the Congress. Authorizes appropriations for FY 1993 through 1995. 2025-08-26T15:14:40Z  
102-hr-5785 102 hr 5785 National Organ Donor Awareness Campaign Act of 1992 Health 1992-08-05 1992-09-14 Referred to the Subcommittee on Health and the Environment. House Rep. Roybal, Edward R. [D-CA-25] CA D R000485 0 National Organ Donor Awareness Campaign Act of 1992 - Mandates a national campaign to increase public awareness of organ transplantation, including development of a national clearinghouse. Requires research on the process by which individuals listed in the Organ Procurement and Transplantation Network are selected and other matters relating to public education and promotion regarding organ donation. Amends the Public Health Service Act (PHSA) to establish a Network advisory committee. Increases the Network's annual funding cap. Modifies Network functions and its board of director's composition. Amends block grant provisions of the PHSA to mandate payments to health care facilities for the dispensing of immunosuppressive drugs to eligible transplant recipients. Authorizes appropriations. Amends title XVIII (Medicare) of the Social Security Act to remove the one-year limitation on coverage of immunosuppressive drugs. Amends the PHSA to require, in making grants and contracts to increase the number of organ donors, inclusion of projects encouraging procurement from minority communities (including cultural, racial, and language minorities) and from other communities with below average donation rates. Authorizes appropriations. 2025-08-26T15:15:04Z  
102-hr-5762 102 hr 5762 Germicide Act of 1992 Health 1992-08-04 1992-10-15 Referred to the Subcommittee on Health and the Environment. House Rep. Hefley, Joel [R-CO-5] CO R H000444 0 Germicide Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to include germicides in the definition of "device." Defines "germicide" to mean an agent described in specified provisions of the Federal Insecticide, Fungicide, and Rodenticide Act which is used for sterilization or disinfection of a device. Allows classification of a germicide in class III only if necessary to provide reasonable assurance of safety and effectiveness. 2025-08-26T15:13:55Z  
102-hr-5771 102 hr 5771 Medicare Dependent Hospital Relief Act of 1992 Health 1992-08-04 1992-08-11 Referred to the Subcommittee on Health. House Rep. Shaw, E. Clay, Jr. [R-FL-15] FL R S000303 4 Medicare Dependent Hospital Relief Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to: (1) extend the period during which Medicare-dependent, small rural hospitals receive additional payments under Medicare for the operating costs of inpatient hospital services; (2) revise the criteria for determining whether hospitals are eligible for such additional payments; and (3) provide for additional payments under Medicare to other Medicare-dependent hospitals. 2025-08-26T15:14:17Z  
102-s-3120 102 s 3120 Medicaid Technical Corrections and Clarification Act of 1992 Health 1992-08-03 1992-08-03 Read twice and referred to the Committee on Finance. Senate Sen. Bentsen, Lloyd M. [D-TX] TX D B000401 1 Medicaid Technical Corrections and Clarification Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to make technical corrections, and, in certain instances, such as in item 1 of the list below, technical changes as well, to Medicaid provisions included in the Omnibus Budget Reconciliation Act of 1990 regarding: (1) reimbursement for prescribed drugs; (2) enrollment under group health plans; (3) low-income Medicare beneficiaries; (4) child health; (5) out-reach locations; (6) payment for hospital services for children under age six; (7) payment adjustments for disproportionate share hospitals; (8) federally-qualified health centers; (9) substitute physicians; (10) home and community care for frail elderly; (11) community supported living arrangements; (12) COBRA continuation coverage; (13) Medicaid transition provisions for family assistance; (14) personal care services; (15) Medicaid spenddown options; (16) optional State disability determinations; (17) special rules for health maintenance organizations; (18) home- and community-based waivers; (19) a certain demonstration project for low-income families; (20) coverage of HIV-positive individuals; (21) advanced directives; (22) physician services; and (23) nursing home reform. Makes other technical corrections to various Medicaid and Medicare provisions added or redesignated by the Omnibus Budget Reconciliation Act of 1990. 2025-08-26T15:17:59Z  
102-hr-5743 102 hr 5743 Senior Home Care Choice Fairness and Improvement Act of 1992 Health 1992-07-31 1992-10-15 Referred to the Subcommittee on Health and the Environment. House Rep. Johnson, Nancy L. [R-CT-6] CT R J000163 25 Senior Home Care Choice Fairness and Improvement Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act (SSA) to: (1) provide for the application of Medicaid spousal impoverishment rules to spouses of individuals receiving home- or community-based services; (2) increase the number of individuals allowed to receive such services; and (3) require hospitals to inform Medicaid patients of the availability of home care services and, in a State operating under a waiver program, to inform them of the availability of home- and community-based services. Mirrors such requirement with respect to Medicare (SSA title XVIII) patients. 2025-08-26T15:14:58Z  
102-hr-5748 102 hr 5748 Miscellaneous Medicare Amendments Act of 1992 Health 1992-07-31 1992-10-08 Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-1046, Part I. House Rep. Waxman, Henry A. [D-CA-24] CA D W000215 3 Miscellaneous Medicare Amendments Act of 1992 - Title I: Provisions Relating to Part B - Subtitle A: Payment for Physicians' Services - Amends part B (Supplementary Medical Insurance) of title XVIII (Medicare) of the Social Security Act to permit separate payment for interpretation of electrocardiograms. Repeals provisions with respect to payment for services by new physicians and health care practitioners. Prohibits the Secretary of Health and Human Services (HHS) from changing the part B payment methodology for anesthesia services insofar as such methodology provides for the use of actual time units in determining payments for anesthesia services. Revises the prohibition on excess physician charges for unassigned claims to require a refund of excess charges, and to extend the application of such prohibition to physician services furnished by any person. Adds provisions respecting mandatory assignment with respect to certain practitioners. Requires the Secretary to consult with representatives of physicians in reviewing geographic adjustment factors. Provides for the use of the most recent data available in the establishment of geographic indices. Limits the use of carrier user fees. Revises provisions for certain substitute billing arrangements. Requires an HHS study and report to the Congress with respect to: (1) payment under part B for certain medical physicist services; and (2) adjustments to physician fee schedules under such part to take into account practice-related taxes. Requires the Physician Payment Review Commission to study and report to the Congress on physician responses to changes in payments under the Medicare Fee Schedule compared to those in payments under the radiology services fee schedule. Subtitle B: Payment for Other Items and Services - Modifies the prohibition against distribution of medical necessity certificates by suppliers of covered items to create an exception to such prohibition for certain patient information. Provides for the treatment of nebulizers and aspirators as misc… 2024-02-07T16:32:33Z  
102-s-3117 102 s 3117 A bill to amend title XVIII of the Social Security Act to enhance certain payments made to medicare-dependent, small rural hospitals. Health 1992-07-31 1992-07-31 Read twice and referred to the Committee on Finance. Senate Sen. Dole, Robert J. [R-KS] KS R D000401 11 Amends title XVIII (Medicare) of the Social Security Act to revise payment provisions with respect to Medicare-dependent, small rural hospitals. 2025-01-03T20:55:56Z  
102-hjres-533 102 hjres 533 Designating May 1993, as "Karate Kids Just Say No to Drugs Month". Health 1992-07-30 1992-08-03 Referred to the Subcommittee on Census and Population. House Rep. Bustamante, Albert G. [D-TX-23] TX D B001172 0 Designates May 1993 as Karate Kids Just Say No to Drugs Month. 2024-02-06T20:04:02Z  
102-hr-5725 102 hr 5725 To amend title XVIII of the Social Security Act to treat nebulizers as inexpensive or routinely purchased items of durable medical equipment for purposes of part B of the medicare program. Health 1992-07-30 1992-08-26 Referred to the Subcommittee on Health and the Environment. House Rep. Volkmer, Harold L. [D-MO-9] MO D V000112 0 Amends title XVIII (Medicare) of the Social Security Act to treat nebulizers as inexpensive or routinely purchased items of durable medical equipment for purposes of part B (Supplementary Medical Insurance) of the Medicare program. 2024-02-07T16:32:33Z  
102-s-3110 102 s 3110 Germicide Act of 1992 Health 1992-07-30 1992-07-30 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Brown, Hank [R-CO] CO R B000919 0 Germicide Act of 1992 - Amends the Federal Food, Drug, and Cosmetic Act to include germicides in the definition of "device." Defines "germicide" to mean an agent described in specified provisions of the Federal Insecticide, Fungicide, and Rodenticide Act which is used for sterilization or disinfection of a device. Allows classification of a germicide in class III only if necessary to provide reasonable assurance of safety and effectiveness. 2025-08-26T15:16:27Z  
102-s-3112 102 s 3112 Public Health Service Act Technical Amendments Act Health 1992-07-30 1992-08-26 Became Public Law No: 102-352. Senate Sen. Kennedy, Edward M. [D-MA] MA D K000105 1 Public Health Service Act Technical Amendments Act - Makes technical amendments to the Public Health Service Act (PHSA), as amended by P.L. 102-321 (ADAMHA Reorganization Act). Amends the PHSA to direct the Secretary of Health and Human Services to require (currently, directs the Secretary of Health and Human Services, by regulation, to require) appropriate peer review of grants, cooperative agreements, and contracts to be administered through the Center for Substance Abuse Treatment, the Center for Substance Abuse Prevention, and the Center for Mental Health Services. Modifies formulas for determining the amount of (and minimum) allotments to territories for block grants for community mental health services. Changes requirements regarding data provided to the Secretary as a condition for such block grants. Revises requirements regarding reallotments of unpaid portions of alcohol and drug abuse and mental health services block grant allotments for fiscal year 1992. 2024-02-05T14:30:09Z  
102-hr-5709 102 hr 5709 To eliminate the Medicare peer review system. Health 1992-07-29 1992-08-26 Referred to the Subcommittee on Health and the Environment. House Rep. Duncan, John J., Jr. [R-TN-2] TN R D000533 2 Amends title XI of the Social Security Act to repeal part B (Medicare Peer Review). 2024-02-07T16:32:33Z  
102-hr-5717 102 hr 5717 Chemical Control Amendments Act of 1992 Health 1992-07-29 1992-08-26 Referred to the Subcommittee on Health and the Environment. House Rep. Schumer, Charles E. [D-NY-10] NY D S000148 1 Chemical Control Amendments Act of 1992 - Amends the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Act) to: (1) replace references to "listed precursor chemicals" with "list I chemicals" and "listed essential chemicals" with "list II chemicals"; and (2) revise the definition of "regulated person" to include individuals who act as brokers or traders for international transactions involving a listed chemical, tableting machine, or encapsulating machine. Redefines "regulated transaction" to: (1) include international transactions involving shipment of a threshold amount of a listed chemical; and (2) exclude any transaction in a chemical mixture (current law) which the Attorney General has designated as exempt based on a finding that the mixture is formulated in such a way that it cannot be easily used in the illicit production of a controlled substance and that the listed chemical or chemicals contained in the mixture cannot be readily recovered. Removes the exemption for products in which ephedrine is the only active medicinal ingredient in therapeutic amounts. Permits the Attorney General to remove by regulation the exemption for other drugs containing listed chemicals if it is determined that they are being diverted for use in the illicit production of a controlled substance. Sets forth criteria for making such determination. Permits manufactures to retain exemptions for specific drug products if they can demonstrate that such a product is manufactured and distributed in a way which prevents diversion. Provides registration requirements for list I chemicals, including the authority to revoke or deny based on public interest grounds, immediate suspension in cases of imminent danger to the public health or safety, and criminal penalties for distribution, importation, or exportation without the required registration. Specifies that registration is not required for distribution, importation, or exportation of drug products containing list I chemicals covered by the legal drug exemption… 2025-08-26T15:14:15Z  
102-s-3097 102 s 3097 Chemical Control Amendments Act of 1992 Health 1992-07-29 1992-07-29 Read twice and referred to the Committee on Judiciary. Senate Sen. Gorton, Slade [R-WA] WA R G000333 12 Chemical Control Amendments Act of 1992 - Amends the Comprehensive Drug Abuse Prevention and Control Act of 1970 (Comprehensive Act) to: (1) replace references to "listed precursor chemicals" with "list I chemicals" and "listed essential chemicals" with "list II chemicals"; and (2) revise the definition of "regulated person" to include individuals who act as brokers or traders for international transactions involving a listed chemical, tableting machine, or encapsulating machine. Redefines "regulated transaction" to: (1) include international transactions involving shipment of a threshold amount of a listed chemical; and (2) exclude any transaction in a chemical mixture (current law) which the Attorney General has designated as exempt based on a finding that the mixture is formulated in such a way that it cannot be easily used in the illicit production of a controlled substance and that the listed chemical or chemicals contained in the mixture cannot be readily recovered. Removes the exemption for products in which ephedrine is the only active medicinal ingredient in therapeutic amounts. Permits the Attorney General to remove by regulation the exemption for other drugs containing listed chemicals if it is determined that they are being diverted for use in the illicit production of a controlled substance. Sets forth criteria for making such determination. Permits manufactures to retain exemptions for specific drug products if they can demonstrate that such a product is manufactured and distributed in a way which prevents diversion. Provides registration requirements for list I chemicals, including the authority to revoke or deny based on public interest grounds, immediate suspension in cases of imminent danger to the public health or safety, and criminal penalties for distribution, importation, or exportation without the required registration. Specifies that registration is not required for distribution, importation, or exportation of drug products containing list I chemicals covered by the legal drug exemptio… 2025-08-26T15:16:03Z  
102-hr-5707 102 hr 5707 Hospital Cost Disclosure Act of 1992 Health 1992-07-28 1992-08-07 Referred to the Subcommittee on Health and the Environment. House Rep. Moody, Jim [D-WI-5] WI D M000881 0 Hospital Cost Disclosure Act of 1992 - Amends title XVIII (Medicare) of the Social Security Act to require as a condition of participation in the Medicare program that hospitals disclose to patients upon their request a statement of the costs incurred by the hospital in providing services to the patient. 2025-08-26T15:17:09Z  
102-s-3091 102 s 3091 Omnibus Adoption Assistance and Maternal Health Certificates Act Health 1992-07-28 1992-09-21 Referred to Subcommittee on Children, Family, Drugs, Alcohol. Senate Sen. Gorton, Slade [R-WA] WA R G000333 15 Omnibus Adoption Assistance and Maternal Health Certificates Act - Establishes the National Advisory Council on Adoption (the Council), to be appointed by the Secretary of Health and Human Services (HHS). Authorizes appropriations for FY 1993 through 1995. Terminates such Council after three years. Directs the Secretary of HHS to: (1) report to the Congress, within 30 days, on the status of the implementation of the adoption data collection system required under specified provisions of the Social Security Act, including specific assurances relating to such system; (2) report monthly to the Congress on the progress made in implementing such system; and (3) consult with the Council in developing regulations to carry out such reporting requirements and assurances. Directs the Secretary to issue regulations as necessary, including appropriate requirements and incentives to ensure that the data collection system functions reliably throughout the United States. Requires the system to: (1) avoid unnecessary diversions of resources from agencies responsible for adoption and foster care; (2) use uniform definitions and methodologies; (3) include data concerning public and private agencies that receive Federal assistance and voluntary information of non-Federal agencies; and (4) provide certain other demographic characteristics. Amends the Public Health Service Act to require the Secretary to award grants to States to enable them to establish programs to provide maternal health certificates to eligible pregnant women who are residents of a maternity home, or on a waiting list or receiving out-patient services from a maternity home. Limits such women's income to 175 percent of the State poverty level, not including support received from parents, guardians, or the father of the child. Sets forth eligibility requirements for the maternity home, including that it have the capability to serve at least four pregnant women concurrently. Requires the use of certificates to pay the reasonable costs associated with residence in… 2025-08-26T15:13:40Z  
102-hr-5690 102 hr 5690 Health Care Cost Containment and Expanded Medicare Benefits Act of 1992 Health 1992-07-24 1992-08-07 Referred to the Subcommittee on Health and the Environment. House Rep. Volkmer, Harold L. [D-MO-9] MO D V000112 3 Health Care Cost Containment and Expanded Medicare Benefits Act of 1992 - Title I: Health Care Cost Containment Provisions - Amends the Internal Revenue Code to provide for full deductibility of health insurance costs for self-employed individuals, and to make such deduction permanent. Establishes the National Health Care Commission within the Department of Health and Human Services (HHS). Requires the Commission to review annually the paperwork requirements and provider service requirements imposed under health benefit plans to determine whether such requirements are necessary. Requires the Commission to report annually to the President and the Congress on national health care costs and on such review. Authorizes appropriations. Directs the Secretary of HHS to develop: (1) uniform forms for use in submitting claims under group health plans and the Medicare and Medicaid programs under titles XVIII and XIX respectively of the Social Security Act; and (2) standards for uniform reporting by health care services providers of information on the types, amounts, and costs of health services provided. Title II: Medicare Prevention Benefits - Amends the Medicare program to provide for coverage of: (1) certain immunizations; and (2) well-child services. Authorizes demonstration projects to provide for coverage of other preventive services. Authorizes appropriations. Requires an Office of Technology Assessment: (1) study to develop a process for the regular review of Medicare coverage of preventive services; and (2) report to specified congressional committees on the results. Title III: Improvements In Health Insurance For Small Employers - Subtitle A: Standards and Requirements of Small Employer Health Insurance Reform - Amends the Social Security Act to add a new title XXI, Standards For Small Employer Health Insurance and Certification of Managed Care Plans. Requires insurers that offer health insurance plans to small employers to offer only those plans which meet certain standards that incorporate specified r… 2025-08-26T15:18:11Z  
102-hr-5665 102 hr 5665 State Health Care Reform Incentive Act of 1992 Health 1992-07-22 1992-08-07 Referred to the Subcommittee on Health and the Environment. House Rep. Lancaster, H. Martin [D-NC-3] NC D L000045 6 State Health Care Reform Incentive Act of 1992 - Amends titles XVIII (Medicare) and XIX (Medicaid) of the Social Security Act to permit States to seek waivers of program requirements in order to provide health care coverage under certain regular or alternative State programs. Establishes Federal requirements for such State programs. Sets forth payment provisions. 2025-08-26T15:16:47Z  
102-hr-5673 102 hr 5673 Agency for Health Care Policy and Research Reauthorization Act of 1992 Health 1992-07-22 1992-10-13 Became Public Law No: 102-410. House Rep. Waxman, Henry A. [D-CA-24] CA D W000215 0 Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to authorize the Administrator of the Agency for Health Care Policy and Research to provide training grants in the field of health services research. Establishes an information center on health services research and selected technology assessments and clinical practice guidelines at the National Library of Medicine. Directs the Administrator to establish an annual list of health care technology assessments under consideration by the Agency and to develop criteria for determining the priority of assessments. Authorizes the Administrator to make grants to, or enter into cooperative agreements with, appropriate entities to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies and for related activities. Requires the Administrator to study and report to specified congressional committees on methods for collecting and analyzing data to be used in generating cost estimates of alternative strategies for the prevention, diagnosis, treatment, or management of a disease or health condition to be included in guideline documents. Requires the Administrator to carry out provisions relating to the Office of the Forum for Quality and Effectiveness through the Director of the Office. Limits the percentage of members of scientific and technical review groups (regarding applications for a grant, cooperative agreement, or contract under provisions relating to the Agency) who may be U.S. officers and employees. (Current law prohibits such officers and employees from serving as members of those groups.) Revises requirements regarding which groups review which proposals. Authorizes the Administrator to tabulate and analyze statistics and prepare studies at the request of a public or nonprofit entity, with the entity paying costs. Sets forth requirements for the selection of individuals to serve on panels for the development and review of health care guidelines and standards.… 2024-02-05T14:30:09Z  
102-s-2996 102 s 2996 A bill to amend title XVIII of the Social Security Act to clarify the classification of sole community hospitals under medicare. Health 1992-07-22 1992-07-22 Read twice and referred to the Committee on Finance. Senate Sen. Danforth, John C. [R-MO] MO R D000030 3 Amends title XVIII (Medicare) of the Social Security Act with respect to the classification of sole community hospitals under Medicare. 2025-01-03T20:55:56Z  
102-s-3002 102 s 3002 Brain Injury Rehabilitation Quality Act of 1992 Health 1992-07-22 1992-07-22 Read twice and referred to the Committee on Finance. Senate Sen. Rockefeller, John D., IV [D-WV] WV D R000361 19 Brain Injury Rehabilitation Quality Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to provide for optional Medicaid coverage of services provided through a State case management program that meets specified requirements to Medicaid-eligible individuals who sustain traumatic brain injuries. Describes the services provided under such a program. Specifies criteria related to the eligibility of individuals and service providers to participate in such a program. Requires that an individual reside in a State that has designated a State coordinator for traumatic brain injuries in order to receive services under this Act. Requires such coordinator to establish policies and standards for providing services, make necessary reports to the Secretary of Health and Human Services, supervise and coordinate services for persons with traumatic brain injuries, and perform other specified duties, including establishing an advisory committee. Makes such coordinator responsible for a program of activities related to preventing and reducing the rate of traumatic brain injuries in the State. Requires the Secretary, acting through the Director of the Centers for Disease Control, to establish standards for the reporting of data on traumatic brain injuries and the operation of registries of traumatic brain injuries for coordinator use. Authorizes appropriations. Requires the Administrator for Health Care Policy and Research to conduct a study on the effectiveness of traumatic brain injury interventions. Authorizes appropriations. 2025-08-26T15:15:46Z  
102-hconres-350 102 hconres 350 Expressing the sense of the Congress that the dosage of the drug RU-486 seized from Leona Benten should be returned to her for her personal use under the supervision of her physician. Health 1992-07-21 1992-10-06 Referred to the Subcommittee on Trade. House Rep. Schroeder, Patricia [D-CO-1] CO D S000142 21 Expresses the sense of the Congress that the Secretary of the Treasury should release to Leona Benten the dosage of the drug RU-486 that was seized from her on July 1, 1992, for her personal use under the supervision of a physician of her choice. 2024-02-07T16:32:33Z  
102-s-2990 102 s 2990 Tuberculosis Prevention and Control Centers Act of 1992 Health 1992-07-21 1992-07-21 Read twice and referred to the Committee on Labor and Human Resources. Senate Sen. Bradley, Bill [D-NJ] NJ D B001225 0 Tuberculosis Prevention and Control Centers Act of 1992 - Amends the Public Health Service Act to authorize grants for the establishment of tuberculosis prevention and control centers to engage in certain activities, including: (1) screening, detection, and treatment; and (2) education and training for patients, providers, and the public. Requires the grant recipient to: (1) submit a local tuberculosis control plan; and (2) establish a local tuberculosis advisory committee. Authorizes appropriations. 2025-08-26T15:15:59Z  
102-s-2988 102 s 2988 Tuberculosis Prevention and Control Amendments of 1992 Health 1992-07-20 1992-07-20 Read twice and referred to the Committee on Finance. Senate Sen. Fowler, Wyche, Jr. [D-GA] GA D F000329 8 Tuberculosis Prevention and Control Amendments of 1992 - Amends the Public Health Service Act to authorize appropriations for grants for the prevention, control, and elimination of tuberculosis. Requires the Director of the National Institute of Allergy and Infectious Diseases to conduct or support research and research training regarding tuberculosis. Authorizes appropriations. Authorizes grants for the prevention, control, and elimination of tuberculosis for: (1) construction or modernization of outpatient medical facilities serving medically underserved populations; (2) conversion of existing facilities into outpatient or long-term care facilities for such populations; and (3) renovation of inpatient facilities. Authorizes appropriations. Amends title XIX (Medicaid) of the Social Security Act to mandate provision to eligible persons with tuberculosis of certain drugs and services under Medicaid. Allows a State to limit the provision of case management services to such persons. Adds such persons to provisions defining "medical assistance." 2025-08-26T15:16:06Z  
102-hr-5610 102 hr 5610 Administrative Health Costs Reduction Act of 1992 Health 1992-07-09 1992-08-26 Referred to the Subcommittee on Commerce, Consumer Protection and Competitiveness. House Rep. Oxley, Michael G. [R-OH-4] OH R O000163 13 Administrative Health Costs Reduction Act of 1992 - Directs the Secretary of Health and Human Services to adopt standards relating to uniform: (1) claims data elements; (2) claims forms; and (3) electronic transmission of billing information. Allows a health benefit plan to reject a nonelectronic claim not submitted on a form meeting the standards. Provides, a specified period after adoption of the standards, for direct electronic filing by providers of claims. Defines "health benefit plan" to include various employee benefit plans and the Medicare and Medicaid provisions (titles XVIII and XIX) of the Social Security Act. 2026-03-23T12:41:21Z  
102-hr-5613 102 hr 5613 To amend the Federal Food, Drug, and Cosmetic Act to require ingredient labeling for malt beverages, wine, and distilled spirits, and for other purposes. Health 1992-07-09 1992-07-24 Referred to the Subcommittee on Health and the Environment. House Rep. Schroeder, Patricia [D-CO-1] CO D S000142 20 Amends the Federal Food, Drug, and Cosmetic Act to deem a malt beverage, wine, or distilled spirit mislabeled unless it bears a label disclosing: (1) the alcoholic content; (2) the number of drinks (defining "drink" as .6 ounces of alcohol); (3) its ingredients and calories; (4) the common name of each ingredient, including additives; and (5) a toll-free number for help with a drinking problem. Authorizes appropriations for the toll-free number. 2024-02-05T14:30:09Z  
102-hr-5614 102 hr 5614 Medicaid Prescription Drug Amendments Act of 1992 Health 1992-07-09 1992-07-31 Subcommittee Hearings Held. House Rep. Slattery, Jim [D-KS-2] KS D S000477 1 Medicaid Prescription Drug Amendments Act of 1992 - Amends title XIX (Medicaid) of the Social Security Act to: (1) repeal the use of the best price mechanism used to determine rebates for prescription drugs; and (2) require manufacturers of such drugs to enter into discount pricing agreements with the Department of Veterans Affairs in order to receive payment for such drugs. 2025-08-26T15:18:09Z  

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CREATE TABLE legislation (
    bill_id TEXT PRIMARY KEY,
    congress INTEGER,
    bill_type TEXT,
    bill_number INTEGER,
    title TEXT,
    policy_area TEXT,
    introduced_date TEXT,
    latest_action_date TEXT,
    latest_action_text TEXT,
    origin_chamber TEXT,
    sponsor_name TEXT,
    sponsor_state TEXT,
    sponsor_party TEXT,
    sponsor_bioguide_id TEXT,
    cosponsor_count INTEGER DEFAULT 0,
    summary_text TEXT,
    update_date TEXT,
    url TEXT
);
CREATE INDEX idx_leg_congress ON legislation(congress);
CREATE INDEX idx_leg_type ON legislation(bill_type);
CREATE INDEX idx_leg_policy ON legislation(policy_area);
CREATE INDEX idx_leg_date ON legislation(introduced_date);
CREATE INDEX idx_leg_sponsor ON legislation(sponsor_name);
CREATE INDEX idx_leg_sponsor_bioguide ON legislation(sponsor_bioguide_id);
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