| Home > 106th Congressional Bills > S. 1619 (is) To amend the Trade Act of 1974 to provide for periodic revision of retaliation lists or other remedial action implemented under section 306 of such Act. [Introduced in Senate] ...
S. 1619 (is) To amend the Trade Act of 1974 to provide for periodic revision of retaliation lists or other remedial action implemented under section 306 of such Act. [Introduced in Senate] ...
106th CONGRESS 1st Session S. 1618 To promote primary and secondary health promotion and disease prevention services and activities among the elderly, to amend title XVIII of the Social Security Act to add preventive benefits, and for other purposes. _______________________________________________________________________ IN THE SENATE OF THE UNITED STATES September 22, 1999 Mr. Graham (for himself, Mr. Jeffords, Mr. Chafee, Mr. Bryan, Mr. Rockefeller, and Mr. Kerry) introduced the following bill; which was read twice and referred to the Committee on Finance _______________________________________________________________________ A BILL To promote primary and secondary health promotion and disease prevention services and activities among the elderly, to amend title XVIII of the Social Security Act to add preventive benefits, 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 ``Medicare Wellness Act of 1999''. (b) Table of Contents.--The table of contents is as follows: Sec. 1. Short title; table of contents. Sec. 2. Finding. Sec. 3. Definitions. TITLE I--HEALTHY SENIORS PROMOTION PROGRAM Sec. 101. Healthy Seniors Promotion Program. Sec. 102. Sense of Congress regarding the response of HCFA to preventive health issues. Sec. 103. Sense of Congress regarding the efforts of HCFA to study health promotion and disease prevention for medicare beneficiaries. Sec. 104. Sense of Congress regarding the establishment of a medicare health promotion and disease prevention clearinghouse. TITLE II--MEDICARE COVERAGE OF PREVENTIVE SERVICES Sec. 201. Counseling for cessation of tobacco use. Sec. 202. Screening for hypertension. Sec. 203. Counseling for hormone replacement therapy. Sec. 204. Screening for glaucoma. Sec. 205. Screening for diminished visual acuity. Sec. 206. Screening for hearing impairment. Sec. 207. Screening and counseling for osteoporosis. Sec. 208. Screening for cholesterol. Sec. 209. Elimination of cost sharing for current preventive benefits. Sec. 210. National falls prevention education and awareness campaign. Sec. 211. Program integrity. TITLE III--MEDICARE HEALTH EDUCATION AND RISK APPRAISAL PROGRAM Sec. 301. Medicare Health Education and Risk Appraisal Program. TITLE IV--DISEASE SELF-MANAGEMENT DEMONSTRATION PROJECTS Sec. 401. Disease self-management demonstration projects. TITLE V--STUDIES AND REPORTS ADVANCING ORIGINAL RESEARCH IN THE FIELD OF DISEASE PREVENTION AND THE ELDERLY Sec. 501. MedPAC biannual report. Sec. 502. National Institute on Aging study and report. Sec. 503. Institute of Medicine 5-year medicare prevention benefit study and report. Sec. 504. Fast-track consideration of prevention benefit legislation. SEC. 2. FINDING. Congress finds that despite significant advancements in general research for health promotion and disease prevention among the elderly, there has been a failure in translating that research into practical intervention. SEC. 3. DEFINITIONS. As used in this Act: (1) Cost-effective benefit.--The term ``cost-effective benefit'' means a benefit or technique that has-- (A) been subject to peer review; (B) been described in scientific journals; and (C) demonstrated value as measured by unit costs relative to health outcomes achieved. (2) Cost-saving benefit.--The term ``cost-saving benefit'' means a benefit or technique that has-- (A) been subject to peer review; (B) been described in scientific journals; and (C) caused a net reduction in health care costs for medicare beneficiaries. (3) Medically effective.--The term ``medically effective'' means, with respect to a benefit or technique, that the benefit or technique has been-- (A) subject to peer review; (B) described in scientific journals; and (C) determined to achieve an intended goal under normal, programmatic conditions. (4) Medical efficacy; medically efficacious.--The terms ``medical efficacy'' and ``medically efficacious'' mean, with respect to a benefit or technique, that the benefit or technique has been-- (A) subject to peer review; (B) described in scientific journals; and (C) determined to achieve an intended goal under controlled conditions. (5) Medicare beneficiary.--The term ``medicare beneficiary'' means any individual who is entitled to benefits under part A or enrolled under part B of the medicare program, including any individual enrolled in a Medicare+Choice plan offered by a Medicare+Choice organization under part C of such program. (6) Medicare program.--The term ``medicare program'' means the health care program under title XVIII of the Social Security Act (42 U.S.C. 1395 et seq.). (7) Secretary.--The term ``Secretary'' means the Secretary of Health and Human Services. TITLE I--HEALTHY SENIORS PROMOTION PROGRAM SEC. 101. HEALTHY SENIORS PROMOTION PROGRAM. (a) Definitions.--As used in this section: (1) Eligible entity.--The term ``eligible entity'' means an entity that the Working Group determines has demonstrated expertise in research regarding health promotion and disease prevention among the elderly. (2) Working group.--The term ``Working Group'' means the Healthy Seniors Working Group established under subsection (d). (b) Program Authorized.--The Secretary, subject to the general policies and criteria established by the Working Group and in accordance with the provisions of this Act, is authorized to make grants to eligible entities to pay for the costs of the activities described in subsection (c). (c) Use of Funds.--An eligible entity may use payments received under this section in any fiscal year to study-- (1) whether using different types of providers of care who are not physicians and alternative settings (including community-based senior centers) for the implementation of a successful health promotion and disease prevention strategy, including the implications regarding the payment of such providers, is medically efficacious or medically effective; (2) the most medically effective means of educating medicare beneficiaries and providers of services regarding the importance of health promotion and disease prevention among the elderly and identification of incentives that would increase the use of new and existing preventive services and healthy behaviors by medicare beneficiaries; and (3) other topics designated by the Secretary. (d) Healthy Seniors Working Group.-- (1) Establishment.--There is established within the Department of Health and Human Services a Healthy Seniors Working Group. (2) Composition.--Subject to paragraph (3), the Working Group established pursuant to subsection (b) shall be composed of 5 members as follows: (A) The Administrator of the Health Care Financing Administration. (B) The Director of the Centers for Disease Control and Prevention. (C) The Administrator of the Agency for Health Care Policy and Research. (D) The Assistant Secretary for Aging. (E) The Director of the National Institute on Aging. (3) Alternative membership.-- (A) Appointment.--Any member of the Working Group described in a subparagraph of paragraph (2) may appoint an individual who is an officer or employee of the Federal Government to serve as a member of the Working Group instead of the member described in such subparagraph. (B) Deadline.--If a member described in subparagraph (A) elects to appoint an individual under such subparagraph, such individual shall be appointed not later than December 31, 2000. (4) General policies and criteria.--The Working Group shall establish general policies and criteria with respect to the functions of the Secretary under this section including-- (A) priorities for the approval of applications; (B) procedures for developing, monitoring, and evaluating research efforts conducted under this section; and (C) such other matters as are recommended by the Working Group and approved by the Secretary. (5) Chairperson.--The Chairperson of the Working Group shall be the Administrator of the Agency for Health Care Policy and Research. (6) Quorum.--A majority of the members of the Working Group shall constitute a quorum, but a lesser number of members may hold hearings. (7) Meetings.--The Working Group shall meet at the call of the Chairperson, except that-- (A) it shall meet not less than 4 times each year; and (B) it shall meet whenever a majority of the appointed members request a meeting in writing. (8) Compensation of members.--Each member of the Working Group shall be an officer or employee of the Federal Government and shall serve without compensation in addition to that received for their service as an officer or employee of the Federal Government. (e) Application.-- (1) In general.--Each eligible entity which desires to receive a grant under this section shall submit an application to the Secretary, at such time, in such manner, and accompanied by such additional information as the Secretary may reasonably require. (2) Contents.--Each application submitted pursuant to paragraph (1) shall-- (A) describe the activities for which assistance under this section is sought; (B) describe how the research effort proposed to be conducted will reflect the medical, behavioral, and social aspects of care for the elderly, lead to the development of cost-effective benefits and cost-saving benefits, and impact the quality of life of medicare beneficiaries; (C) provide evidence that the eligible entity meets the general policies established by the Working Group pursuant to subsection (d)(4); (D) provide assurances that the eligible entity will take such steps as may be available to it to continue the activities for which the eligible entity is making application after the period for which assistance is sought; and (E) provide such additional assurances as the Secretary determines to be essential to ensure compliance with the requirements of this Act. (3) Joint application.--A consortium of eligible entities may file a joint application under the provisions of paragraph (1) of this subsection. (f) Approval of Application.--The Secretary shall approve applications in accordance with the general policies established by the Working Group under subsection (d). (g) Payments.--The Secretary shall pay to each eligible entity having an application approved under subsection (f) the cost of the activities described in the application. (h) Evaluation and Report.-- (1) Evaluation.--The Secretary shall conduct an annual evaluation of grants made under this section to determine-- (A) the results of the overall applied research conducted under this Act; (B) the extent to which research assisted under this section has improved or expanded the general research for health promotion and disease prevention among the elderly and identified practical interventions based upon such research; (C) a list of specific recommendations based upon research conducted under this section which show promise as practical interventions for health promotion and disease prevention among the elderly; (D) whether or not as a result of the applied research effort certain health promotion and disease prevention benefits or education efforts should be added to the medicare program, including discussions of quality of life, translating the applied research results into a benefit under the medicare program, and whether each additional benefit would be a cost- effective benefit or cost-saving benefit for each proposed addition; (E) the utility of, potential for, and issues surrounding health risk appraisals sponsored under the medicare program and targeted followup; and (F) how best to increase utilization of existing and recommended health promotion and disease prevention services, including an education and public awareness component discussion of financial incentives for providers of services and medicare beneficiaries to improve utilization and other administrative means of increasing utilization. (2) Annual report.--Not later than December 31, 2002, and each year thereafter through 2005, the Secretary shall submit a report to Congress based on the annual studies made under paragraph (1), which shall contain a detailed statement of the findings and conclusions of the Working Group together with its recommendations for such legislation and administrative actions as it considers appropriate. (i) Authorization of Appropriations.--There are authorized to be
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