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Public Law 93-112 93rd Congress - H. R. 8070 REHABILITATION ACT OF 1973 87 Stat. 355 September 26, 1973 REHABILITATION SERVICES ADMINISTRATION *% *% *% SEC. 3. (b) The Secretary [of Health, Education, and Welfare], through the Commissioner [of the Rehabilitation Services Adminis- tration] in coordination with other appropriate programs in the Department of Health, Education, and Welfare, in carrying out research under this Act shall establish the expertise and techno- logical competence to, and shall, in consultation with, the National Science Foundation and the NATIONAL ACADEMY OF SCIENCES develop and support, and stimulate the development and utilization (including production and distribution of new and existing devices) of, innovative methods of applying advanced medical technology, scientific achievement, and psychological and social knowledge to solve rehabilitation problems, and be responsible for carrying out the activities described in section 202(b)(2){*] (87 Stat. 358 No longer codified] [*]SEC. 202. (b)\(2) [RESEARCH AND TRAINING.] Establishment and support of Rehabilitation Engineering Research Centers to (A) develop innovative methods of applying advanced medical tech- nology, scientific achievement, and psychological and social knowl- edge to solve rehabilitation problems through planning and con- ducting research, including cooperative research-with public or private agencies and organizations, designed to produce new scientific knowledge, equipment, and devices suitable for solving problems in the rehabilitation of handicapped individuals and for reducing environmental barriers, and to (B) cooperate with State agencies designated pursuant to section 101 in developing systems of 103
information exchange and coordination to promote the prompt utilization of engineering and other scientific research to assist in solving problems in the rehabilitation of handicapped individuals. [87 Stat. 375 29 U.S.C. § 762 (b)(2)] LEGISLATIVE HISTORY: HOUSE REPORTS: No. 93-244 (Committee on Education and Labor). No. 93-500 (Committee of Conference). SENATE REPORTS: No. 93-318 accompanying S. 1875 (Committee on Labor and Public Welfare). No. 93-391 (Committee of Conference). CONGRESSIONAL RECORD: Vol. 119 (1973): June 5, considered and passed House. July 18, considered and passed Senate, amended, in lieu of S. 1875. Sept. 13, Senate agreed to conference report. Sept. 18, House agreed to conference report. WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS: Vol. 9, No. 39: Sept. 26, Presidential statement. REPORT RESULTING FROM THIS LEGISLATION: Ability Testing of Handicapped People: Dilemma for Government, Science, and the Public 104
Public Law 93-154 93rd Congress - S. 2410 EMERGENCY MEDICAL SERVICES SYSTEMS ACT OF 1973 87 Stat. 594 November 16, 1973 as amended by Public Law 94-573 94th Congress - S. 2548 EMERGENCY MEDICAL SERVICES AMENDMENTS OF 1976 90 Stat. 2709 October 21, 1976 INTERAGENCY COMMITTEE ON EMERGENCY MEDICAL SERVICES SEC. 1209. (b) The Secretary [of Health, Education, and Welfare] or his designee shall serve as Chairman of the Committee [Interagency Committee on Emergency Medical Services], the mem- bership of which shall include (1) appropriate scientific, medical, or technical representation from the Department of Transportation, the Department of Justice, the Department of Defense, the Veter- ans' Administration, the National Science Foundation, the Federal Communications Commission, and such other Federal agencies and offices (including appropriate agencies and offices of the Depart- ment of Health, Education, and Welfare) and from the NATIONAL ACADEMY OF SCIENCES, as the Secretary determines administer programs directly affecting the functions or responsibilities of emer- gency medical services systems, and (2) five individuals from the general public appointed by the President from individuals who by virtue of their training or experience are particularly qualified to participate in the performance of the Committee's functions. The Committee shall meet at the call of the Chairman, but not less often than four times a year. [87 Stat. 603 No longer codified] 105
AMENDMENT: (1976) Section 10(b) of Public Law 94-573 amended section 1209(b) by inserting "and from the NATIONAL ACADEMY OF SCIENCES" after "Education, and Welfare)." [90 Stat. 2716 No longer codified] LEGISLATIVE HISTORY: HOUSE REPORT: No. 93-601 accompanying H.R. 10956 (Committee on Interstate and Foreign Commerce). SENATE REPORT: No. 93-397 (Committee on Labor and Public Welfare). CONGRESSIONAL RECORD: Vol. 119 (1973): Sept. 19, considered and passed Senate. Oct. 25, considered and passed House, amended, in lieu of H.R. 10956. Oct. 30, Senate agreed to House amendment with amendments. Oct. 31, House concurred in Senate amendments. 106
Public Law 93-222 93rd Congress - S. 14 HEALTH MAINTENANCE ORGANIZATION ACT OF 1973 87 Stat. 914 December 29, 1973 HEALTH CARE QUALITY ASSURANCE PROGRAMS STUDY SEC. 4 (a) The Secretary of Health, Education, and Welfare shall contract, in accordance with subsection (b), for the conduct of a study to-- (1) analyze past and present mechanisms (both required by law and voluntary) to assure the quality of health care, identify the strengths and weaknesses of current major prototypes of health care quality assurance systems, and identify on a comparable basis the costs of such prototypes; (2) provide a set of basic principles to be followed by any effec- tive health care quality assurance system, including principles affecting the scope of the system, methods for assessing care, data requirements, specifications for the development of criteria and standards which relate to desired outcomes of care, and means for assessing the responsiveness of such care to the needs and percep- tions of the consumers of such care; (3) provide an assessment of programs for improving the per- formance of health practitioners and institutions in providing high- quality health care, including a study of the effectiveness of sanc- tions and educational programs; (4) define the specific needs for a program of research and evaluation in health care quality assurance methods, including the design of prospective evaluations protocols for health care quality assurance systems; and (5) provide methods for assessing the quality of health care from the point of view of consumers of such care. (b) The Secretary shall contract for the conduct of the study required by subsection (a) with a nonprofit private organization which-- (1) has a national reputation for objectivity in the conduct of studies for the Federal Government; (2) has the capacity to readily marshall the widest possible range of expertise and advice relevant to the conduct of such study; 107
(3) has a membership and competent staff which have back- grounds in government, the health sciences, and the social sciences; (4) has a history of interest and activity in health policy issues related to such study; and (5) has extensive existing contracts with interested public and private agencies and organizations. The Secretary shall enter into such contract within 90 days of the date of the enactment of the first Act making an appropriation under subsection (d). (c) An interim report providing a plan for the study required by subsection (a) shall be submitted by the organization conducting the study to the Committee on Interstate and Foreign Commerce of the House of Representatives and the Committee on Labor and Public Welfare of the Senate by June 30, 1974; and a final report giving the results of the study and providing specifications for an effective quality assurance system shall be submitted by such organization to the Committee on Interstate and Foreign Commerce of the House of Representatives and the Committee on Labor and Public Welfare of the Senate by January 31, 1976. (d) There is authorized to be appropriated $10,000,000, which shall be available without fiscal year limitation, for the conduct of the study required by subsection (a). [87 Stat. 934-35 42 U.S.C § 300e note] The legislative history provides in relevant part: It is the intention of the conferees that the INSTITUTE OF MEDICINE of the NATIONAL ACADEMY OF SCIENCES should be included among the organizations to be given an opportunity to re- ceive a contract to conduct the study. SENATE REPORT No. 621, 93rd Congress, Ist Session, p. 30, re- printed in 1974 U. S. CODE CONGRESSIONAL AND ADMINISTRA- TIVE NEWS, p. 3152. 108
LEGISLATIVE HISTORY: HOUSE REPORTS: SENATE REPORTS: CONGRESSIONAL RECORD: Vol. 119 (1973): No. 93-451 accompanying H.R. 7974 (Committee on Interstate and Foreign Commerce). No. 93-714 (Committee of Conference). No. 93-129 (Committee on Labor and Public Welfare). No. 93-621 (Committee of Conference). May 14, 15, considered and passed Senate. Sept. 12, considered and passed House, amended, in lieu of H.R. 7974. Dec. 18, House agreed to conference report. Dec. 19, Senate agreed to conference report. WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS: Vol. 10, No. | (1974): Dec. 29, 1973, Presidential statement. REPORT RESULTING FROM THIS LEGISLATION: Assessing Quality in Health Care: An Evaluation 109
Public Law 95-83 95th Congress - H. R. 4975 HEALTH PLANNING AND HEALTH SERVICES RESEARCH AND STATISTICS EXTENSION ACT OF 1977 91 Stat. 383 August I, 1977 (INTERNATIONAL HEALTH ACTIVITIES STUDY] SEC. 315. (aX1) The Secretary of Health, Education, and Wel- fare (hereinafter in this section referred to as "Secretary") shall arrange for the conduct of a study or studies to determine oppor- tunities, if any, for broadened Federal program activities in areas of international health. Such study or studies shall consider biomedical and behavioral research, health services research, health professions education, immunization and public health activities, and other areas that might improve our and other nations' capacities to pre- vent, diagnose, control, or cure disease, and to organize and deliver effective and efficient health services. (2) An interim report on such study or studies shall be completed no later than October 1, 1977. A final report thereon shall be com- pleted no later than January |, 1978. Both reports shall be submitted to the Secretary, the Committee on Human Resources of the Senate, and the Committee on Interstate and Foreign Commerce of the House of Representatives. (bX1) The Secretary shall request the NATIONAL ACADEMY OF SCIENCES (hereinafter in this section referred to as "ACADEMY") to conduct such study or studies under an arrangement whereby the actual expenses incurred by the ACADEMY directly related to the conduct of such study or studies will be paid by the Secretary. If the ACADEMY is willing to do so, the Secretary shall enter into such an arrangement with the ACADEMY. (2) If the ACADEMY is unwilling to conduct one or more of such studies under such an arrangement, then the Secretary shall enter into a similar arrangement with other appropriate nonprofit private groups or associations to conduct such study or studies and prepare and submit the reports thereon as provided in subsection (a)(2). [91 Stat. 398-99 42 U.S.C. § 2421 note] 110
LEGISLATIVE HISTORY: HOUSE REPORTS: SENATE REPORTS: CONGRESSIONAL RECORD: Vol. 123 (1977): No. 95-117. No. 95-116 accompanying H.R. 4974, No. 95-118 accompanying H.R. 4976. (All from Committee on Interstate and Foreign Commerce). No. 95-500 (Committee of Conference). No. 95-102 (Committee on Human Resources). No. 95-349 (Committee of Conference). Mar. 31, considered and passed House; H.R. 4974 and H.R. 4976 considered and passed House. May 4, considered and passed Senate, amended. May 11, House agreed to Senate amendment with an amendment. July 15, Senate agreed to conference report. July 20, House agreed to conference report. REPORT RESULTING FROM THIS LEGISLATION: Strengthening U.S. Programs to Improve Health in Developing Countries Lit
_ Public Law 98-551 98th Congress - S. 77 | HEALTH PROMOTION AND DISEASE PREVENTION AMENDMENTS OF 1984 98 Stat. 2815 October 30, 1984 SEC. 8&8 Section 309 of the Public Health Service Act...is amended to read as follows: COUNCIL ON HEALTH CARE TECHNOLOGY SEC. 309. (a)(1) In accordance with this section, the Secretary [of Health and Human Services] shall make grants for the planning, development, establishment, and operation of a Council on Health Care Technology. The Council shall comply with the provisions of this section. (2)(A) The Secretary shall make an initial grant under paragraph (1) to the NATIONAL ACADEMY OF SCIENCES for the planning, development, and establishment of the Council with the membership prescribed by subsection (d)(1). The amount of such grant may not exceed $500,000 and may be made for not more than two-thirds of the cost of the planning, development, and establishment of the Council. (B) The Secretary may not make a grant for the operation of the Council unless the application submitted to the Secretary for the grant contains written assurances from the applicant that the applicant will expend from non-Federal sources for the operation of the Council an amount equal to at least twice the amount of the grant applied for. (b) The purposes of the Council shall include-- (1) promoting the development and application of appropriate health care technology assessments; and (2) the review of existing health care technologies in order to identify obsolete or inappropriately used health care technologies. (c)(1) The Council shall- (A) serve as a clearinghouse for information on health care technologies and health care technology assessment; (B) collect and analyze data concerning specific health care technologies; 112
(C) identify needs in the assessment of specific health care technologies and research on assessment methodologies; (D) develop and evaluate criteria and methodologies for health care technology assessment; (E) promote education, training, and technical assistance in the use of health care technology assessment methodologies and results; and (F) stimulate, coordinate, and commission assessments of health care technologies. (2) No funds from any grant made by the Secretary under this section for the planning, development, and establishment of the Council may be used to conduct any assessment of a health care technology. (d)(1) For purposes of a grant for the planning, development, and establishment of the Council, the Council shall be composed of: (A) At least ten members appointed by the NATIONAL ACADEMY OF SCIENCES from individuals who have education, training, experience, or expertise relating to the quality and cost- effectiveness of health care technologies and who are representa- tives of organizations of health professionals, hospitals, and other health care providers, health care insurers, employers, consumers, and manufacturers of products for health care. (B) Three members appointed by the Secretary of Health and Human Services. (C) The Director of the Office of Technology Assessment, who shall be an ex officio member. (2) Any vacancy in the Council shall not affect its power and, for purposes of a grant for the planning, development, and estab- lishment of the Council, shall be filled in the manner prescribed by paragraph (1). (f) The President of the NATIONAL ACADEMY OF SCIENCES shall designate one of the members appointed to the initial Council under subsection (d)(1)(A) as Chairman of the Council for a one-year term. Thereafter, the members of the Council shall elect one of its members as Chairman for such terms as may be determined by the Council. (g) The recipient of a grant under subsection (a) shall submit an annual report to the Committee on Energy and Commerce of the House of Representatives and the Committee on Labor and Human Resources of the Senate on the Council's activities. (h) No grant may be made under this section unless an application is submitted to the Secretary in such form and containing such information as the Secretary shall prescribe. [98 Stat. 2820-22 42 U.S.C. § 242n] 113
LEGISLATIVE HISTORY: SENATE REPORT: | No. 98-158 (Committee on Labor and Human Resources). CONGRESSIONAL RECORD: Vol. 129 (1983): Sept. 21, considered and passed Senate. Vol. 130 (1984): Oct. 9, considered and passed House, amended. Oct. 11, Senate concurred in House amendment. WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS: Vol. 20, No. 44 (1984): Oct. 30, Presidential statement. 114
P. L. 93-233: P. L. 93-348: P. L. 96-76: P. L. 97-35: Health Manpower Veterans Health Care Expansion Act of 1973 (Veteransâ Administration Personnel Require- ments) Social Security Amendments of 1973 (Physi- ciansâ Services in Teaching Hospitals) National Research Service Award Act of 1974 (Title I of the National Research Act) (Biomed- ical and Behavioral Research Personnel) (In- cludes amendments in P. L. 94â278 and P. L. 95-622) Nursing Training Amendments of 1979 (Title I of the Public Health Service Act, Amendment) (Nursing Study) Omnibus Budget Reconciliation Act of 1981 (Physician Study)
Public Law 93-82 93rd Congress - S. 59 VETERANS HEALTH CARE EXPANSION ACT OF 1973 87 Stat. 179 August 2, 1973 TITLE II--AMENDMENTS...RELATING TO THE DEPARTMENT OF MEDICINE AND SURGERY * * % SEC. 201. Section 4101 of title 38, United States Code, is amended...as follows: % * % [STUDY OF PERSONNEL REQUIREMENTS] (c)(1) Within ninety days after enactment of this subsection, the Administrator [of Veterans' Affairs], in consultation with the Chief Medical Director, is directed to conclude negotiations for an agree- ment with the NATIONAL ACADEMY OF SCIENCES under which such ACADEMY (utilizing its full resources and expertise) will conduct an extensive review and appraisal of personnel and other resource requirements in Veteransâ Administration hospitals, clinics, and other medical facilities to determine a basis for the optimum numbers and categories of such personnel and other resources needed to insure the provision to eligible veterans of high quality care in all hospital, medical, domiciliary, and nursing home facili- ties. Such agreement shall provide that (A) at the earliest feasible date interim reports and the final report will be submitted by the NATIONAL ACADEMY OF SCIENCES to the Administrator, the President of the Senate, and the Speaker of the House of Represen- tatives, and (B) the final report will be submitted no later than twenty-four months after the date of the agreement except that the Administrator, in consultation with the Chief Medical Director and after consultation with the House and Senate Committees on Veterans' Affairs, may permit an extension up to twelve additional months. (2) Within ninety days after the submission of the final report described in subsection [(c)(1)] of this section, the Administrator 117
shall submit to the Senate and House Committees on Veteransâ Affairs a detailed report of his views on the NATIONAL ACADEMY â OF SCIENCES' findings and recommendations submitted in such report, including (A) the steps and timetable therefor (to be carried out in not less than three years) he proposes to take to implement such findings and recommendations and (B) any disagreements, and the reasons therefor, with respect to such findings and recommenda- tions. (3) The Administrator shall cooperate fully with the NATIONAL ACADEMY OF SCIENCES, and make available to the ACADEMY all such staff, information, records, and other assistance, and shall set aside for such purposes such sums, as are necessary to insure the success of the study. [87 Stat. 187-8 No longer codified] LEGISLATIVE HISTORY: HOUSE REPORT: No. 93-368 accompanying H.R. 9048 (Committee on Veterans' Affairs). SENATE REPORT: No. 93-54 (Committee on Veteransâ Affairs). CONGRESSIONAL RECORD: Vol. 119 (1973): Mar. 6, considered and passed Senate. July 17, considered and passed House, amended, in lieu of H.R. 9048. July 19, Senate agreed to House amendment. WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS: Vol. 9, No. 31: Aug. 2, Presidential statement. REPORT RESULTING FROM THIS LEGISLATION: Health Care for American Veterans 118
Public Law 93-233 | 93rd Congress - H. R. 11333 SOCIAL SECURITY AMENDMENTS OF 1973 87 Stat. 947 December 31, 1973 PAYMENT FOR SERVICES OF PHYSICIANS RENDERED IN A TEACHING HOSPITAL * * * SEC. 15. (c)(1) The Secretary of Health, Education, and Wel- fare shall arrange for the conduct of a study or studies concerning (A) appropriate and equitable methods of reimbursement for physi- Cians' services under titles XVIII and XIX of the Social Security Act in hospitals which have a teaching program approved as specified in section 1861(b)(6) of such Act, (B) the extent to which funds expended under such titles are supporting the training of medical specialties which are in excess supply, (C) how such funds could be expended in ways which support more rational distribution of physician manpower both geographically and by specialty, (D) the extent to which such funds support or encourage teaching programs which tend to disproportionately attract foreign medical graduates, and (E) the existing and appropriate role that part of such funds which are expended to meet in whole or in part the cost of salaries of interns and residents in teaching programs approved as specified in section 1861(b)(6) of such Act. (2) The studies required by paragraph (1) shall be the subject of an interim report thereon submitted not later than December Il, 1974, and a final report not later than July 1, 1975. Such reports shall be submitted to the Secretary, the Committee on Finance of the Senate, and the Committee on Ways and Means of the House of Representatives, simultaneously. (3) The Secretary shall request the NATIONAL ACADEMY OF SCIENCES to conduct such studies under an arrangement under which the actual expenses incurred by such ACADEMY in con- ducting such studies will be paid by the Secretary. If the NATIONAL ACADEMY OF SCIENCES is willing to do so, the Secretary shall en- ter into such an arrangement with such ACADEMY for the conduct of such studies. 119
(4) If the NATIONAL ACADEMY OF SCIENCES is unwilling to conduct the studies required under this section, under such an â arrangement with the Secretary, then the Secretary shall enter into a similar arrangement with other appropriate nonprofit private groups or associations under which such groups or associations shall conduct such studies and prepare and submit the reports thereon as provided in paragraph (2). (5) The Social Security Administration shall study the interim report called for in paragraph (2) and shall submit its analysis of such interim report to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives not later than March 1, 1975. The Social Security Administration shall study and submit its analysis of the final report to the Committee on Finance of the Senate and the Committee on Ways and Means of the House of Representatives by October 1, 1975. [87 Stat. 966 42 U.S.C. § 1395x note] LEGISLATIVE HISTORY: HOUSE REPORT: No. 93-627 (Committee on Ways and Means). CONGRESSIONAL RECORD: Vol. 119 (1973): Nov. 13-15, considered and passed House. Dec. 20, 21, considered and passed Senate, amended. Dec. 21, House agreed to Senate amendment. WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS: Vol. 10, No. 1 (1974): Jan. 3, Presidential statement. REPORT RESULTING FROM THIS LEGISLATION: Medicare-Medicaid Reimbursement Policies 120
Public Law 93-348 | 93rd Congress - H. R. 7724 NATIONAL RESEARCH SERVICE AWARD ACT OF 1974 (TITLE 1 OF THE NATIONAL RESEARCH ACT) 88 Stat. 342 July 12, 1974 as amended by Public Law 94-278 94th Congress - H. R. 7988 HEALTH RESEARCH AND HEALTH SERVICES AMENDMENTS OF 1976 90 Stat. 401 April 22, 1976 and Public Law 95-622 95th Congress - S. 2450 BIOMEDICAL RESEARCH AND RESEARCH TRAINING AMENDMENTS OF 1978 (TITLE Il OF COMMUNITY MENTAL HEALTH CENTERS ACT, AMENDMENTS) 92 Stat. 3420 November 9, 1978 STUDIES RESPECTING BIOMEDICAL AND BEHAVIORAL RESEARCH PERSONNEL SEC. 473. (a) The Secretary [of Health, Education, and Welfare] shall, in accordance with subsection (b), arrange for the conduct of a continuing study to-- 12]
(1) establish (A) the Nation's overall need for biomedical and behavioral research personnel, (B) the subject areas in which such - personnel are needed and the number of such personnel needed in each such area, and (C) the kinds and extent of training which should be provided such personnel; (2) assess (A) current training programs available for the train- ing of biomedical and behavioral research personnel which are con- ducted under this Act at or through institutes under the National Institutes of Health and the Alcohol, Drug Abuse, and Mental Health Administration, and (B) other current training programs available for the training of such personne]; (3) identify the kinds of research positions available to and held by individuals completing such programs; (4) determine, to the extent feasible, whether the programs referred to in clause (B) of paragraph (2) would be adequate to meet the needs established under paragraph (1) if the programs referred to in clause (A) of paragraph (2) were terminated; and (5) determine what modifications in the programs referred to in paragraph (2) are required to meet the needs established under para- graph (1). (b)(1) The Secretary shall request the NATIONAL ACADEMY OF SCIENCES to conduct the study required by subsection (a) under an arrangement under which the actual expenses incurred by such ACADEMY in conducting such study will be paid by the Secretary. If the NATIONAL ACADEMY OF SCIENCES is willing to do so, the Secretary shall enter into such an arrangement with such ACADEMY for the conduct of such a study. (2) If the NATIONAL ACADEMY OF SCIENCES is unwilling to conduct such study under such an arrangement, then the Secretary shall enter into a similar arrangement with other appropriate non- profit private groups or associations under which such groups or asso- Ciations will conduct such study and prepare and submit the reports thereon as provided in subsection (c). (3) The NATIONAL ACADEMY OF SCIENCES or other group or association conducting the study required by subsection (a) shall conduct such study in consultation with the Director of the National Institutes of Health. (c) A report on the results of such study shall be submitted by the Secretary to the Committee on Interstate and Foreign Com- merce of the House of Representatives and the Committee on Labor and Public Welfare of the Senate at least once every two years. [88 Stat. 345-46 42 U.S.C. § 2891-2] 122
