| Home > 104th Congressional Bills > H.R. 2508 (eh) To amend the Federal Food, Drug, and Cosmetic Act to provide for improvements in the process of approving and using animal drugs, and for other purposes. [Engrossed in House] ...
H.R. 2508 (eh) To amend the Federal Food, Drug, and Cosmetic Act to provide for improvements in the process of approving and using animal drugs, and for other purposes. [Engrossed in House] ...
108th CONGRESS 1st Session H. R. 2507 To amend the Public Health Service Act to provide for a public response to the public health crisis of pain, and for other purposes. _______________________________________________________________________ IN THE HOUSE OF REPRESENTATIVES June 18, 2003 Ms. Hooley of Oregon introduced the following bill; which was referred to the Committee on Energy and Commerce, and in addition to the Committee on Ways and Means, for a period to be subsequently determined by the Speaker, in each case for consideration of such provisions as fall within the jurisdiction of the committee concerned _______________________________________________________________________ A BILL To amend the Public Health Service Act to provide for a public response to the public health crisis of pain, and for other purposes. Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, SECTION 1. SHORT TITLE; TABLE OF CONTENTS. (a) Short Title.--This Act may be cited as the ``Conquering Pain Act of 2003''. (b) Table of Contents.--The table of contents for this Act is as follows: Sec. 1. Short title. Sec. 2. Findings. Sec. 3. Definitions. TITLE I--EMERGENCY RESPONSE TO THE PUBLIC HEALTH CRISIS OF PAIN Sec. 101. Guidelines for the treatment of pain. Sec. 102. Patient expectations to have pain and symptom management. Sec. 103. Quality improvement projects. Sec. 104. Pain coverage quality evaluation and information. Sec. 105. Surgeon General's report. TITLE II--DEVELOPING COMMUNITY RESOURCES Sec. 201. Family support networks in pain and symptom management. TITLE III--REIMBURSEMENT BARRIERS Sec. 301. Reimbursement barriers report. Sec. 302. Insurance coverage of pain and symptom management. TITLE IV--IMPROVING FEDERAL COORDINATION OF POLICY, RESEARCH, AND INFORMATION Sec. 401. Advisory Committee on Pain and Symptom Management. Sec. 402. Institutes of Medicine report on controlled substance regulation and the use of pain medications. Sec. 403. Conference on pain research and care. TITLE V--DEMONSTRATION PROJECTS Sec. 501. Provider performance standards for improvement in pain and symptom management. Sec. 502. End of life care demonstration projects. SEC. 2. FINDINGS. Congress finds that-- (1) pain is often left untreated or under-treated especially among older patients, African Americans, Hispanics and other minorities, and children; (2) chronic pain is a public health problem affecting at least 50,000,000 Americans through some form of persisting or recurring symptom; (3) 40 to 50 percent of patients experience moderate to severe pain at least half the time in their last days of life; (4) 70 to 80 percent of cancer patients experience significant pain during their illness; (5) one in 7 nursing home residents experience persistent pain that may diminish their quality of life; (6) despite the best intentions of physicians, nurses, pharmacists, and other health care professionals, pain is often under-treated because of the inadequate training of clinicians in pain management; (7) despite the best intentions of physicians, nurses, pharmacists, mental health professionals, and other health care professionals, pain and symptom management is often suboptimal because the health care system has focused on cure of disease rather than the management of a patient's pain and other symptoms; (8) the technology and scientific basis to adequately manage most pain is known; (9) pain should be considered the fifth vital sign; and (10) coordination of Federal efforts is needed to improve access to high quality effective pain and symptom management in order to assure the needs of chronic pain patients and those who are terminally ill are met. SEC. 3. DEFINITIONS. In this Act: (1) Chronic pain.--The term ``chronic pain'' means a pain state that is persistent and in which the cause of the pain cannot be removed or otherwise alleviated. Such term includes pain that may be associated with long-term incurable or intractable medical conditions or disease. (2) End of life care.--The term ``end of life care'' means a range of services, including hospice care, provided to a patient, in the final stages of his or her life, who is suffering from 1 or more conditions for which treatment toward a cure or reasonable improvement is not possible, and whose focus of care is palliative rather than curative. (3) Family support network.--The term ``family support network'' means an association of 2 or more individuals or entities in a collaborative effort to develop multi- disciplinary integrated patient care approaches that involve medical staff and ancillary services to provide support to chronic pain patients and patients at the end of life and their caregivers across a broad range of settings in which pain management might be delivered. (4) Hospice.--The term ``hospice care'' has the meaning given such term in section 1861(dd)(1) of the Social Security Act (42 U.S.C. 1395x(dd)(1)). (5) Medication therapy management services.--The term ``medication therapy management services'' means consultations with a physician or other health care professional (including a pharmacist) who is practicing within the scope of the professional's license, concerning a patient which results in-- (A) a change in the drug regimen of the patient to avoid an adverse drug interaction with another drug or disease state; (B) a change in inappropriate drug dosage or dosage form with respect to the patient; (C) discontinuing an unnecessary or harmful medication with respect to the patient; (D) an initiation of medication therapy for a medical condition of the patient; (E) consultation with the patient or a caregiver in a manner that results in a significant improvement in drug regimen compliance; or (F) patient and caregiver understanding of the appropriate use and adherence to medication therapy. (6) Pain and symptom management.--The term ``pain and symptom management'' means services provided to relieve physical or psychological pain or suffering, including any 1 or more of the following physical complaints-- (A) weakness and fatigue; (B) shortness of breath; (C) nausea and vomiting; (D) diminished appetite; (E) wasting of muscle mass; (F) difficulty in swallowing; (G) bowel problems; (H) dry mouth; (I) failure of lymph drainage resulting in tissue swelling; (J) confusion; (K) dementia; (L) delirium; (M) anxiety; (N) depression; and (O) other related symptoms (7) Palliative care.--The term ``palliative care'' means the total care of patients whose disease is not responsive to curative treatment, the goal of which is to provide the best quality of life for such patients and their families. Such care-- (A) may include the control of pain and of other symptoms, including psychological, social and spiritual problems; (B) affirms life and regards dying as a normal process; (C) provides relief from pain and other distressing symptoms; (D) integrates the psychological and spiritual aspects of patient care; (E) offers a support system to help patients live as actively as possible until death; and (F) offers a support system to help the family cope during the patient's illness and in their own bereavement. (8) Secretary.--The term ``Secretary'' means the Secretary of Health and Human Services. TITLE I--EMERGENCY RESPONSE TO THE PUBLIC HEALTH CRISIS OF PAIN SEC. 101. GUIDELINES FOR THE TREATMENT OF PAIN. (a) Development of Website.--Not later than 2 months after the date of enactment of this Act, the Secretary, acting through the Agency for Healthcare Research and Quality, shall develop and maintain an Internet website to provide information to individuals, health care practitioners, and health facilities concerning evidence-based practice guidelines developed for the treatment of physical and psychological pain. Websites in existence on such date may be used if such websites meet the requirements of this section. (b) Requirements.--The website established under subsection (a) shall-- (1) be designed to be quickly referenced by health care practitioners; and (2) provide for the updating of guidelines as scientific data warrants. (c) Provider Access to Guidelines.-- (1) In general.--In establishing the website under subsection (a), the Secretary shall ensure that health care facilities have made the website known to health care practitioners and that the website is easily available to all health care personnel providing care or services at a health care facility. (2) Use of certain equipment.--In making the information described in paragraph (1) available to health care personnel, the facility involved shall-- (A) ensure that such personnel have access to the website through the computer equipment of the facility; (B) carry out efforts to inform personnel at the facility of the location of such equipment; and (C) ensure that patients, caregivers, and support groups are provided with access to the website. (3) Rural areas.-- (A) In general.--A health care facility, particularly a facility located in a rural or underserved area, without access to the Internet shall provide an alternative means of providing practice guideline information to all health care personnel. (B) Alternative means.--The Secretary shall determine appropriate alternative means by which a health care facility may make available practice guideline information on a 24-hour basis, 7 days a week if the facility does not have Internet access. The criteria for adopting such alternative means should be clear in permitting facilities to develop alternative means without placing a significant financial burden on the facility and in permitting flexibility for facilities to develop alternative means of making guidelines available. Such criteria shall be published in the Federal Register. SEC. 102. PATIENT EXPECTATIONS TO HAVE PAIN AND SYMPTOM MANAGEMENT. (a) In General.--The administrator of each of the programs described in subsection (b) shall ensure that, as part of any informational materials provided to individuals under such programs, such materials shall include information, where relevant, to inform such individuals that they should expect to have their pain assessed and should expect to be provided with effective pain and symptom relief, when receiving benefits under such program. (b) Programs.--The programs described in this subsection shall include-- (1) the medicare and medicaid programs under titles XIX and XXI of the Social Security Act (42 U.S.C. 1935 et seq., 1936 et seq.); (2) programs carried out through the Public Health Service; (3) programs carried out through the Indian Health Service; (4) programs carried out through health centers under section 330 of the Public Health Service Act (42 U.S.C. 254b); (5) the Federal Employee Health Benefits Program under title 5, United States Code; (6) the Civilian Health and Medical Program of the Uniformed Services (CHAMPUS) as defined in section 1073(4) of title 10, United States Code; and (7) other programs administered by the Secretary. SEC. 103. QUALITY IMPROVEMENT EDUCATION PROJECTS. The Secretary shall provide funds for the implementation of special education projects, in as many States as is practicable, to be carried out by peer review organizations of the type described in section 1152 of the Social Security Act (42 U.S.C. 1320c-1) to improve the quality of pain and symptom management. Such projects shall place an emphasis on improving pain and symptom management at the end of life, and may also include efforts to increase the quality of services delivered to chronic pain patients and the chronically ill for whom pain may be a significant symptom. SEC. 104. PAIN COVERAGE QUALITY EVALUATION AND INFORMATION. (a) In General.--Section 1851(d)(4) of the Social Security Act (42 U.S.C. 1395w-21(d)(4)) is amended-- (1) in subparagraph (A), by adding at the end the following: ``(ix) The organization's coverage of pain and symptom management.''; and (2) in subparagraph (D)-- (A) in clause (iii), by striking ``and'' at the end; (B) in clause (iv), by striking the period and inserting ``, and''; and (C) by adding at the end the following:
Other Popular 104th Congressional Bills Documents:
|GovRecords.org presents information on various agencies of the United States Government. Even though all information is believed to be credible and accurate, no guarantees are made on the complete accuracy of our government records archive. Care should be taken to verify the information presented by responsible parties. Please see our reference page for congressional, presidential, and judicial branch contact information. GovRecords.org values visitor privacy. Please see the privacy page for more information.|
Supreme Court Decisions
104th Congressional Documents
105th Congressional Documents
106th Congressional Documents
107th Congressional Documents
108th Congressional Documents
1994 Presidential Documents