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Federal Telemedicine Legislation 105th
Congress
H.R.
337 "Managed Care Consumer Protection Act of
1997"
Section 9918 of the bill
addressed required minimum childbirth benefits and would direct
the Secretary of Health and Human Services to consider
telemedicine and other innovative means to provide follow-up care
to newborns and their mothers in promulgating regulations under
the bill. Introduced: January 7, 1997. Sponsor: Rep. Stark (D-CA).
H.R. 966 "Improved
Access for Telehealth Act of 1997"
This bill is the
House companion measure to S. 385. The bill mandates that the
Health Care Financing Administration (HCFA) reimburse any
Medicare eligible provider for Telehealth services provided to
rural and underserved areas by July 1, 1998. The bill also
asks the Secretary of Health and Human Services to submit an
initial report to Congress on the status efforts to ease
licensure barriers by January 1, 1998 and an annual report to
Congress to follow-up on the Secretary's initial report. Also,
the bill provides for seed money to encourage health care
provides to join with other segments of the community to
jointly use telecommunications resources. Introduced March 6,
1997. Sponsor: Rep. Combest (R-TX).
H.R. 1054 "Internet
Tax Freedom Act"
A bill to amend the
Communications Act of 1934 to establish a national policy
against State and local interference with interstate commerce
on the Internet or interactive computer services, and to
exercise congressional jurisdiction over interstate commerce
by establishing a moratorium on the imposition of exactions
that would interfere with the free flow of commerce via the
Internet, and for other purposes. Introduced March 13, 1997.
Sponsor: Rep. Cox (R-CA).
H.R. 1101 "Medicare
Telemedicine and Medical Informatics Demonstration Act of 1997"
The bill would
provide for a project to demonstrate the application of
telemedicine and medical informatics to improve the quality
and cost-effectiveness in the delivery of health care services
under the Medicare Program and other health programs.
Introduced on March 18, 1997 by Rep. Amo Houghton (R-NY).
H.R. 1189 "Rural
Health Improvement Act of 1997"
Section 601 of the
bill would require the Secretary of Health and Human Services
to implement a methodology for making payments under part B of
Medicare for Telemedicine Services. Sponsor: Rep. Jim Nussle
(R-IA).
H.R. 1415 "Patient
Access to Responsible Care Act of 1997"
A bill to amend the Public Health Service Act and the
Employee Retirement Income Security Act of 1974 to establish
standards for relationships between group health plans and health
insurance issuers with enrollees, health professionals, and
providers.
H.R. 1670 "Airline
Passenger Safety Act of 1997"
A bill to amend title
49, United States Code, to require air carriers to establish
procedures for responding to in flight medical emergencies,
and for other purposes. Introduced May 20, 1997. Sponsor:
Kennelly (D-CT).
H.R. 1715 "National
Institute of Biomedical Imaging Establishment Act"
National Institute of
Biomedical Imaging Establishment Act - Amends the Public
Health Service Act to establish: (1) the National Institute of
Biomedical Imaging in the National Institutes of Health; and
(2) the National Biomedical Imaging Program. Authorizes
appropriations.
H.R. 2015 "Balanced
Budget Act of 1997"
A bill to provide for
reconciliation pursuant to subsections (b)(1) and (c) of
section 105 of the concurrent resolution on the budget for
fiscal year 1998. As it relates to telemedicine, the bill
would allow for Medicare reimbursement of telehealth services
no later than July 1, 1998. Additionally, the bill would
require the Secretary of Health and Human Services to submit a
report to Congress which, among other things, would determine
the cost-effectiveness of providing telehealth services.
H.R. 2015 "Balanced
Budget Act of 1997 (Final Version)"
A telemedicine
Medicare reimbursement provision was included in the final
version of H.R. 2015. Section 4206 provides that not later
that January 1, 1999, the Secretary of Health and Human
Services shall make Medicare payments for professional
consultations via telecommunications systems with a physician
or practitioner for patients in rural areas which have been
designated as health professional shortage areas (HPSA). There
are currently 2,776 HPSAs in all 50 states. The payments are
to be shared between the referring physician or practitioner
and the consulting physician or practitioner.
Section 4207 of the Balanced Budget Act of 1997 includes a
provision which would establish a single demonstration project to
use eligible health care provider telemedicine networks to apply
high-capacity computing and advanced networks to provide care to
Medicare beneficiaries in rural areas with diabetes mellitus. The
provision requires that the demonstration project is to be
established within 9 months of the enactment of the bill and that
the Secretary of Health and Human Services report to Congress
within 6 months of the conclusion of the project.
H.R. 2112 "Telephone
Slamming Prevention and Internet Connection
Act"
A bill to amend the Communications Act of 1934 to increase
the forfeiture penalty for telephone service slamming and to
require providers of such service to report slamming incidents,
and for other purposes. Introduced July 8, 1997. Sponsor: Franks,
B. (R-N.J.)
H.R. 2160 "Agriculture, Rural
Development, Food and Drug Administration, and Related Agencies
Appropriations Act, 1998"
A bill making appropriations for Agriculture, Rural
Development, Food and Drug Administration, and Related Agencies
programs for the fiscal year ending September 30, 1998, and for
other purposes.
H.R. 2338
To amend title 3 8, United States Code, to require that
health-care professionals of the Department of Veterans Affairs be
assigned to facilities of the Department only in States in which
they are licensed to practice, and to require that the Secretary
of Veterans Affairs follow State requirements concerning the
filing of death certificates.
H.R. 2905
"Comprehensive Managed Health Care Reform Act of
1997"
Comprehensive Managed Health Care Reform Act of 1997 -
Applies this Act as though its provisions were included in
specified provisions of the Public Health Service Act, the
Employee Retirement Income Security Act of 1974, and the Internal
Revenue Code relating to group and individual health insurance.
Requires compliance with this Act with regard to a Medicare+Choice
or a Medicaid (titles XVIII and XIX of the Social Security Act)
managed care organization. Declares that this Act does not
supersede State laws providing greater protection. Nullifies any
contract provision or agreement in violation of this Act.
H.R. 3001 "Clinical
Research Enhancement Act of 1997"
Clinical Research
Enhancement Act of 1997 - Amends the Public Health Service Act
to require the Director of the National Institutes of Health
(NIH) to: (1) support and expand the NIH's involvement in
clinical research; (2) support and expand the resources
available for the clinical research community; and (3)
establish peer review mechanisms.
H.R. 3009 "Health Care
Consumer Protection Act of 1997"
Health Care Consumer
Protection Act of 1997 - Title I: Patient Choice; Access;
Quality of Care - Amends the Public Health Service Act (PHSA)
to require a health insurer: (1) to permit enrollees to select
a personal health professional and to change that selection;
(2) that requires use of network providers to also offer
optional coverage for out-of-network providers; (3) for
enrollees with special needs or chronic conditions to ensure
that care coordination and cost control processes do not
create an undue burden; and (4) to provide for continuity of
care.
S. 385 "The
Comprehensive Telehealth Act of 1997"
The bill mandates
that the Health Care Financing Administration (HCFA) reimburse
any Medicare eligible provider for Telehealth services
provided to rural and underserved areas by July 1, 1998. The
bill also asks the Secretary of Health and Human Services to
submit an initial report to Congress on the status efforts to
ease licensure barriers by January 1, 1998 and an annual
report to Congress to follow-up on the Secretary's initial
report. Also, the bill provides for seed money to encourage
health care provides to join with other segments of the
community to jointly use telecommunications resources.
Introduced March 3, 1997. A press release
announcing the introduction of the bill is available.
Sponsor: Sen. Conrad (D-ND)
S. 386 "Medicare
Modernization and Patient Protection Act of 1997"
Title VII of the bill
amends the Communications Act of 1934 by adding requirements
for Internet access for health care providers for rural areas.
The bill also establishes a Congressional Commission on
Telemedicine. Introduced: March 3, 1997. Sponsor: Sen. Wyden
(D-OR).
S. 644 "Patient Access
to Responsible Care Act of 1997 (Introduced in the Senate)"
Patient Access to
Responsible Care Act of 1997 - Amends the Public Health
Service Act to require a health insurance issuer to: (1)
assure that covered items and services are available and
accessible to each enrollee; (2) assure the availability and
accessibility of emergency services and urgent care 24 hours a
day, 7 days a week; (3) not require prior authorization for
emergency services; and (4) cover emergency and urgent (and
related ancillary) services. Introduced: April 24, 1997.
Committee on Labor and Human Resources. Hearings held: May 20,
97: Sponsor: Sen. D'Amato (R-NY)
S. 848 "Rural
Telemedicine Demonstration Act of 1997"
Directs the Secretary
of Health and Human Services to: (1) expand the Medicare
telemedicine demonstration project program to include the
Alaska Telemedicine Project and the Montana Healthcare
Telecommunications Alliance; and (2) report annually to the
Congress on the project's effectiveness, along with any
appropriate legislative recommendations. Introduced: June 5,
1997: Read twice and referred to the Committee on Finance.
Sponsor: Sen. Murkowski (R-AK).
S. 990 "National
Institute of Biomedical Imaging Establishment Act (Introduced in
the Senate)"
National Institute of
Biomedical Imaging Establishment Act - Amends the Public
Health Service Act to establish: (1) the National Institute of
Biomedical Imaging in the National Institutes of Health; and
(2) the National Biomedical Imaging Program. Authorizes
appropriations. Sponsor: Sen. Faircloth (R-NC)
S. 1402 "The Alaskan
Community Health Aide Program Extension Act of 1997"
A bill to amend the
Social Security Act to establish a community health aide
program for Alaskan communities that do not qualify for the
Community Health Aide Program for Alaska operated through the
Indian Health Service. Introduced: November 7, 1997. Sponsor:
Sen Murkowski (R-AK).
S. 1421 "Clinical
Research Enhancement Act of 1997 (As Introduced in the Senate)"
Clinical Research
Enhancement Act of 1997 - Amends the Public Health Service Act
to require the Director of the National Institutes of Health
(NIH) to: (1) support and expand the NIH's involvement in
clinical research; (2) support and expand the resources
available for the clinical research community; and (3)
establish peer review mechanisms. Sponsor: Sen. Kennedy (D-MA)
S.Res. 86 "A
resolution expressing the sense of the Senate with respect to
telephone access charges for use of the Internet and the growth of
advanced interactive communications networks like the Internet."
Calls for the U.S.
telecommunications policy to support the continued unfettered
growth of the Internet by encouraging: (1) greater dialogue
between the Local Exchange Carriers and the Internet community
in an effort to reach a mutually beneficial resolution to the
issues relating to connecting to the Internet; and (2) the
removal of impediments to the introduction of competition, and
in particular, in the provision of new technologies and
services to connecting to the Internet and other advanced
networks. Sponsor: Sen. Abraham
(R-MI). |
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