HR 4577 PP

106th CONGRESS

2d Session

H. R. 4577

IN THE HOUSE OF REPRESENTATIVES

June 30, 2000

Ordered to be printed with the amendments of the Senate numbered


AN ACT

Making appropriations for the Departments of Labor, Health and Human Services, and Education, and related agencies for the fiscal year ending September 30, 2001, and for other purposes.

[Struck out->] TITLE I--DEPARTMENT OF LABOR [<-Struck out]

[Struck out->] Employment and Training Administration [<-Struck out]

[Struck out->] TRAINING AND EMPLOYMENT SERVICES [<-Struck out]

[Struck out->] COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS [<-Struck out]

[Struck out->] FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES [<-Struck out]

[Struck out->] STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS [<-Struck out]

[Struck out->] ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS [<-Struck out]

[Struck out->] PROGRAM ADMINISTRATION [<-Struck out]

[Struck out->] Pension and Welfare Benefits Administration [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Pension Benefit Guaranty Corporation [<-Struck out]

[Struck out->] PENSION BENEFIT GUARANTY CORPORATION FUND [<-Struck out]

[Struck out->] Employment Standards Administration [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] SPECIAL BENEFITS [<-Struck out]

[Struck out->] (INCLUDING TRANSFER OF FUNDS) [<-Struck out]

[Struck out->] BLACK LUNG DISABILITY TRUST FUND [<-Struck out]

[Struck out->] (INCLUDING TRANSFER OF FUNDS) [<-Struck out]

[Struck out->] Occupational Safety and Health Administration [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Mine Safety and Health Administration [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Bureau of Labor Statistics [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Departmental Management [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] ASSISTANT SECRETARY FOR VETERANS EMPLOYMENT AND TRAINING [<-Struck out]

[Struck out->] OFFICE OF INSPECTOR GENERAL [<-Struck out]

[Struck out->] GENERAL PROVISIONS [<-Struck out]

[Struck out->] (TRANSFER OF FUNDS) [<-Struck out]

[Struck out->] TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES [<-Struck out]

[Struck out->] Health Resources and Services Administration [<-Struck out]

[Struck out->] HEALTH RESOURCES AND SERVICES [<-Struck out]

[Struck out->] HEALTH EDUCATION ASSISTANCE LOANS PROGRAM [<-Struck out]

[Struck out->] VACCINE INJURY COMPENSATION PROGRAM TRUST FUND [<-Struck out]

[Struck out->] Centers for Disease Control and Prevention [<-Struck out]

[Struck out->] DISEASE CONTROL, RESEARCH, AND TRAINING [<-Struck out]

[Struck out->] National Institutes of Health [<-Struck out]

[Struck out->] NATIONAL CANCER INSTITUTE [<-Struck out]

[Struck out->] NATIONAL HEART, LUNG, AND BLOOD INSTITUTE [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT [<-Struck out]

[Struck out->] NATIONAL EYE INSTITUTE [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES [<-Struck out]

[Struck out->] NATIONAL INSTITUTE ON AGING [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES [<-Struck out]

[Struck out->] NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF NURSING RESEARCH [<-Struck out]

[Struck out->] NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM [<-Struck out]

[Struck out->] NATIONAL INSTITUTE ON DRUG ABUSE [<-Struck out]

[Struck out->] NATIONAL INSTITUTE OF MENTAL HEALTH [<-Struck out]

[Struck out->] NATIONAL HUMAN GENOME RESEARCH INSTITUTE [<-Struck out]

[Struck out->] NATIONAL CENTER FOR RESEARCH RESOURCES [<-Struck out]

[Struck out->] JOHN E. FOGARTY INTERNATIONAL CENTER [<-Struck out]

[Struck out->] NATIONAL LIBRARY OF MEDICINE [<-Struck out]

[Struck out->] NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE [<-Struck out]

[Struck out->] OFFICE OF THE DIRECTOR [<-Struck out]

[Struck out->] (INCLUDING TRANSFER OF FUNDS) [<-Struck out]

[Struck out->] BUILDINGS AND FACILITIES [<-Struck out]

[Struck out->] Substance Abuse and Mental Health Services Administration [<-Struck out]

[Struck out->] SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES [<-Struck out]

[Struck out->] Agency for Healthcare Research and Quality [<-Struck out]

[Struck out->] HEALTHCARE RESEARCH AND QUALITY [<-Struck out]

[Struck out->] Health Care Financing Administration [<-Struck out]

[Struck out->] GRANTS TO STATES FOR MEDICAID [<-Struck out]

[Struck out->] PAYMENTS TO HEALTH CARE TRUST FUNDS [<-Struck out]

[Struck out->] PROGRAM MANAGEMENT [<-Struck out]

[Struck out->] HEALTH MAINTENANCE ORGANIZATION LOAN AND LOAN GUARANTEE FUND [<-Struck out]

[Struck out->] Administration for Children and Families [<-Struck out]

[Struck out->] PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS [<-Struck out]

[Struck out->] LOW INCOME HOME ENERGY ASSISTANCE [<-Struck out]

[Struck out->] REFUGEE AND ENTRANT ASSISTANCE [<-Struck out]

[Struck out->] PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT [<-Struck out]

[Struck out->] SOCIAL SERVICES BLOCK GRANT [<-Struck out]

[Struck out->] CHILDREN AND FAMILIES SERVICES PROGRAMS [<-Struck out]

[Struck out->] (INCLUDING RESCISSIONS) [<-Struck out]

[Struck out->] PROMOTING SAFE AND STABLE FAMILIES [<-Struck out]

[Struck out->] PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE [<-Struck out]

[Struck out->] Administration on Aging [<-Struck out]

[Struck out->] AGING SERVICES PROGRAMS [<-Struck out]

[Struck out->] Office of the Secretary [<-Struck out]

[Struck out->] GENERAL DEPARTMENTAL MANAGEMENT [<-Struck out]

[Struck out->] OFFICE OF INSPECTOR GENERAL [<-Struck out]

[Struck out->] OFFICE FOR CIVIL RIGHTS [<-Struck out]

[Struck out->] POLICY RESEARCH [<-Struck out]

[Struck out->] RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS [<-Struck out]

[Struck out->] PUBLIC HEALTH AND SOCIAL SERVICES EMERGENCY FUND [<-Struck out]

[Struck out->] GENERAL PROVISIONS [<-Struck out]

[Struck out->] (TRANSFER OF FUNDS) [<-Struck out]

[Struck out->] TITLE III--DEPARTMENT OF EDUCATION [<-Struck out]

[Struck out->] EDUCATION REFORM [<-Struck out]

[Struck out->] EDUCATION FOR THE DISADVANTAGED [<-Struck out]

[Struck out->] IMPACT AID [<-Struck out]

[Struck out->] SCHOOL IMPROVEMENT PROGRAMS [<-Struck out]

[Struck out->] READING EXCELLENCE [<-Struck out]

[Struck out->] INDIAN EDUCATION [<-Struck out]

[Struck out->] BILINGUAL AND IMMIGRANT EDUCATION [<-Struck out]

[Struck out->] SPECIAL EDUCATION [<-Struck out]

[Struck out->] REHABILITATION SERVICES AND DISABILITY RESEARCH [<-Struck out]

[Struck out->] Special Institutions for Persons With Disabilities [<-Struck out]

[Struck out->] AMERICAN PRINTING HOUSE FOR THE BLIND [<-Struck out]

[Struck out->] NATIONAL TECHNICAL INSTITUTE FOR THE DEAF [<-Struck out]

[Struck out->] GALLAUDET UNIVERSITY [<-Struck out]

[Struck out->] VOCATIONAL AND ADULT EDUCATION [<-Struck out]

[Struck out->] STUDENT FINANCIAL ASSISTANCE [<-Struck out]

[Struck out->] FEDERAL FAMILY EDUCATION LOAN PROGRAM ACCOUNT [<-Struck out]

[Struck out->] HIGHER EDUCATION [<-Struck out]

[Struck out->] HOWARD UNIVERSITY [<-Struck out]

[Struck out->] COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS PROGRAM [<-Struck out]

[Struck out->] HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL FINANCING PROGRAM ACCOUNT [<-Struck out]

[Struck out->] EDUCATION RESEARCH, STATISTICS, AND IMPROVEMENT [<-Struck out]

[Struck out->] Departmental Management [<-Struck out]

[Struck out->] PROGRAM ADMINISTRATION [<-Struck out]

[Struck out->] OFFICE FOR CIVIL RIGHTS [<-Struck out]

[Struck out->] OFFICE OF INSPECTOR GENERAL [<-Struck out]

[Struck out->] GENERAL PROVISIONS [<-Struck out]

[Struck out->] TITLE IV--RELATED AGENCIES [<-Struck out]

[Struck out->] ARMED FORCES RETIREMENT HOME [<-Struck out]

[Struck out->] Corporation for National and Community Service [<-Struck out]

[Struck out->] DOMESTIC VOLUNTEER SERVICE PROGRAMS, OPERATING EXPENSES [<-Struck out]

[Struck out->] Corporation for Public Broadcasting [<-Struck out]

[Struck out->] Federal Mediation and Conciliation Service [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Federal Mine Safety and Health Review Commission [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Institute of Museum and Library Services [<-Struck out]

[Struck out->] Office of Library Services: Grants and Administration [<-Struck out]

[Struck out->] Medicare Payment Advisory Commission [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] National Commission on Libraries and Information Science [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] National Council on Disability [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] National Labor Relations Board [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] National Mediation Board [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Occupational Safety and Health Review Commission [<-Struck out]

[Struck out->] SALARIES AND EXPENSES [<-Struck out]

[Struck out->] Railroad Retirement Board [<-Struck out]

[Struck out->] DUAL BENEFITS PAYMENTS ACCOUNT [<-Struck out]

[Struck out->] FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNTS [<-Struck out]

[Struck out->] LIMITATION ON ADMINISTRATION [<-Struck out]

[Struck out->] LIMITATION ON THE OFFICE OF INSPECTOR GENERAL [<-Struck out]

[Struck out->] Social Security Administration [<-Struck out]

[Struck out->] PAYMENTS TO SOCIAL SECURITY TRUST FUNDS [<-Struck out]

[Struck out->] SPECIAL BENEFITS FOR DISABLED COAL MINERS [<-Struck out]

[Struck out->] SUPPLEMENTAL SECURITY INCOME PROGRAM [<-Struck out]

[Struck out->] LIMITATION ON ADMINISTRATIVE EXPENSES [<-Struck out]

[Struck out->] OFFICE OF INSPECTOR GENERAL [<-Struck out]

[Struck out->] (INCLUDING TRANSFER OF FUNDS) [<-Struck out]

[Struck out->] United States Institute of Peace [<-Struck out]

[Struck out->] OPERATING EXPENSES [<-Struck out]

[Struck out->] TITLE V--GENERAL PROVISIONS [<-Struck out]

DIVISION A--DEPARTMENTS OF LABOR, HEALTH AND HUMAN SERVICES, AND EDUCATION, AND RELATED AGENCIES

TITLE I--DEPARTMENT OF LABOR

Employment and Training Administration

TRAINING AND EMPLOYMENT SERVICES

COMMUNITY SERVICE EMPLOYMENT FOR OLDER AMERICANS

FEDERAL UNEMPLOYMENT BENEFITS AND ALLOWANCES

STATE UNEMPLOYMENT INSURANCE AND EMPLOYMENT SERVICE OPERATIONS

ADVANCES TO THE UNEMPLOYMENT TRUST FUND AND OTHER FUNDS

PROGRAM ADMINISTRATION

Pension and Welfare Benefits Administration

SALARIES AND EXPENSES

Pension Benefit Guaranty Corporation

PENSION BENEFIT GUARANTY CORPORATION FUND

Employment Standards Administration

SALARIES AND EXPENSES

SPECIAL BENEFITS

(INCLUDING TRANSFER OF FUNDS)

BLACK LUNG DISABILITY TRUST FUND

(INCLUDING TRANSFER OF FUNDS)

Occupational Safety and Health Administration

SALARIES AND EXPENSES

Mine Safety and Health Administration

SALARIES AND EXPENSES

Bureau of Labor Statistics

SALARIES AND EXPENSES

Departmental Management

SALARIES AND EXPENSES

VETERANS EMPLOYMENT AND TRAINING

OFFICE OF INSPECTOR GENERAL

GENERAL PROVISIONS

(TRANSFER OF FUNDS)

TITLE II--DEPARTMENT OF HEALTH AND HUMAN SERVICES

Health Resources and Services Administration

HEALTH RESOURCES AND SERVICES

RICKY RAY HEMOPHILIA RELIEF FUND PROGRAM

HEALTH EDUCATION ASSISTANCE LOANS PROGRAM ACCOUNT

VACCINE INJURY COMPENSATION PROGRAM TRUST FUND

Centers for Disease Control and Prevention

DISEASE CONTROL, RESEARCH, AND TRAINING

National Institutes of Health

NATIONAL CANCER INSTITUTE

NATIONAL HEART, LUNG, AND BLOOD INSTITUTE

NATIONAL INSTITUTE OF DENTAL AND CRANIOFACIAL RESEARCH

NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES

NATIONAL INSTITUTE OF NEUROLOGICAL DISORDERS AND STROKE

NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS DISEASES

NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

NATIONAL INSTITUTE OF CHILD HEALTH AND HUMAN DEVELOPMENT

NATIONAL EYE INSTITUTE

NATIONAL INSTITUTE OF ENVIRONMENTAL HEALTH SCIENCES

NATIONAL INSTITUTE ON AGING

NATIONAL INSTITUTE OF ARTHRITIS AND MUSCULOSKELETAL AND SKIN DISEASES

NATIONAL INSTITUTE ON DEAFNESS AND OTHER COMMUNICATION DISORDERS

NATIONAL INSTITUTE OF NURSING RESEARCH

NATIONAL INSTITUTE ON ALCOHOL ABUSE AND ALCOHOLISM

NATIONAL INSTITUTE ON DRUG ABUSE

NATIONAL INSTITUTE OF MENTAL HEALTH

NATIONAL HUMAN GENOME RESEARCH INSTITUTE

NATIONAL CENTER FOR RESEARCH RESOURCES

NATIONAL CENTER FOR COMPLEMENTARY AND ALTERNATIVE MEDICINE

JOHN E. FOGARTY INTERNATIONAL CENTER

NATIONAL LIBRARY OF MEDICINE

OFFICE OF THE DIRECTOR

(INCLUDING TRANSFER OF FUNDS)

BUILDINGS AND FACILITIES

Substance Abuse and Mental Health Services Administration

SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES

Agency for Healthcare Research and Quality

HEALTHCARE RESEARCH AND QUALITY

Health Care Financing Administration

GRANTS TO STATES FOR MEDICAID

PAYMENTS TO HEALTH CARE TRUST FUNDS

PROGRAM MANAGEMENT

Administration for Children and Families

LOW INCOME HOME ENERGY ASSISTANCE

REFUGEE AND ENTRANT ASSISTANCE

PAYMENTS TO STATES FOR CHILD SUPPORT ENFORCEMENT AND FAMILY SUPPORT PROGRAMS

PAYMENTS TO STATES FOR THE CHILD CARE AND DEVELOPMENT BLOCK GRANT

SOCIAL SERVICES BLOCK GRANT

CHILDREN AND FAMILIES SERVICES PROGRAMS

(INCLUDING RESCISSIONS)

PROMOTING SAFE AND STABLE FAMILIES

PAYMENTS TO STATES FOR FOSTER CARE AND ADOPTION ASSISTANCE

Administration on Aging

AGING SERVICES PROGRAMS

Office of the Secretary

GENERAL DEPARTMENTAL MANAGEMENT

OFFICE OF INSPECTOR GENERAL

OFFICE FOR CIVIL RIGHTS

POLICY RESEARCH

RETIREMENT PAY AND MEDICAL BENEFITS FOR COMMISSIONED OFFICERS

Public Health and Social Services Emergency Fund

GENERAL PROVISIONS

(TRANSFER OF FUNDS)

TITLE III--DEPARTMENT OF EDUCATION

Office of Elementary and Secondary Education

EDUCATION REFORM

EDUCATION FOR THE DISADVANTAGED

IMPACT AID

SCHOOL IMPROVEMENT PROGRAMS

READING EXCELLENCE

INDIAN EDUCATION

Office of Bilingual Education and Minority Languages Affairs

BILINGUAL AND IMMIGRANT EDUCATION

Office of Special Education and Rehabilitative Services

SPECIAL EDUCATION

REHABILITATION SERVICES AND DISABILITY RESEARCH

Special Institutions for Persons With Disabilities

AMERICAN PRINTING HOUSE FOR THE BLIND

NATIONAL TECHNICAL INSTITUTE FOR THE DEAF

GALLAUDET UNIVERSITY

Office of Vocational and Adult Education

VOCATIONAL AND ADULT EDUCATION

Office of Student Financial Assistance

STUDENT FINANCIAL ASSISTANCE

FEDERAL FAMILY EDUCATION LOAN PROGRAM ACCOUNT

Office of Postsecondary Education

HIGHER EDUCATION

HOWARD UNIVERSITY

COLLEGE HOUSING AND ACADEMIC FACILITIES LOANS PROGRAM

HISTORICALLY BLACK COLLEGE AND UNIVERSITY CAPITAL FINANCING PROGRAM ACCOUNT

Office of Educational Research and Improvement

EDUCATION RESEARCH, STATISTICS, AND IMPROVEMENT

Departmental Management

PROGRAM ADMINISTRATION

OFFICE FOR CIVIL RIGHTS

OFFICE OF THE INSPECTOR GENERAL

GENERAL PROVISIONS

(TRANSFER OF FUNDS)

TITLE IV--RELATED AGENCIES

Armed Forces Retirement Home

ARMED FORCES RETIREMENT HOME

Corporation for National and Community Service

DOMESTIC VOLUNTEER SERVICE PROGRAMS, OPERATING EXPENSES

Corporation for Public Broadcasting

Federal Mediation and Conciliation Service

SALARIES AND EXPENSES

Federal Mine Safety and Health Review Commission

SALARIES AND EXPENSES

Institute of Museum and Library Services

OFFICE OF LIBRARY SERVICES: GRANTS AND ADMINISTRATION

Medicare Payment Advisory Commission

SALARIES AND EXPENSES

National Commission on Libraries and Information Science

SALARIES AND EXPENSES

National Council on Disability

SALARIES AND EXPENSES

National Education Goals Panel

National Labor Relations Board

SALARIES AND EXPENSES

National Mediation Board

SALARIES AND EXPENSES

Occupational Safety and Health Review Commission

SALARIES AND EXPENSES

Railroad Retirement Board

DUAL BENEFITS PAYMENTS ACCOUNT

FEDERAL PAYMENTS TO THE RAILROAD RETIREMENT ACCOUNTS

LIMITATION ON ADMINISTRATION

LIMITATION ON THE OFFICE OF INSPECTOR GENERAL

Social Security Administration

PAYMENTS TO SOCIAL SECURITY TRUST FUNDS

SPECIAL BENEFITS FOR DISABLED COAL MINERS

SUPPLEMENTAL SECURITY INCOME PROGRAM

LIMITATION ON ADMINISTRATIVE EXPENSES

OFFICE OF INSPECTOR GENERAL

(INCLUDING TRANSFER OF FUNDS)

United States Institute of Peace

OPERATING EXPENSES

TITLE V--GENERAL PROVISIONS

`PART G--REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN FACILITIES

`SEC. 581. REQUIREMENT RELATING TO THE RIGHTS OF RESIDENTS OF CERTAIN FACILITIES.

`SEC. 582. REPORTING REQUIREMENT.

`SEC. 583. REGULATIONS AND ENFORCEMENT.

TITLE VI--CHILDREN'S INTERNET PROTECTION

`(aa) material that is obscene;

`(bb) child pornography; and

`(cc) any other material that the library determines to be inappropriate for minors; and

`(aa) has selected a technology for its computer or computers with Internet access in order to filter or block Internet access through such computer or computers to child pornography; and

`(bb) is enforcing a policy to ensure the operation of the technology during any use of such computer or computers.

TITLE VII--UNIVERSAL SERVICE FOR SCHOOLS AND LIBRARIES

TITLE VIII--SOCIAL SECURITY AND MEDICARE OFF-BUDGET LOCKBOX ACT OF 2000

`EXCLUSION OF MEDICARE TRUST FUND FROM ALL BUDGETS

`Sec. 1100. Protection of social security and medicare surpluses

TITLE IX--GENETIC INFORMATION AND SERVICES

`SEC. 714. PROHIBITING PREMIUM DISCRIMINATION AGAINST GROUPS ON THE BASIS OF PREDICTIVE GENETIC INFORMATION.

`SEC. 2707. PROHIBITING PREMIUM DISCRIMINATION AGAINST GROUPS ON THE BASIS OF PREDICTIVE GENETIC INFORMATION IN THE GROUP MARKET.

`SEC. 2753. PROHIBITION OF HEALTH DISCRIMINATION ON THE BASIS OF PREDICTIVE GENETIC INFORMATION.

`SEC. 9813. PROHIBITING PREMIUM DISCRIMINATION AGAINST GROUPS ON THE BASIS OF PREDICTIVE GENETIC INFORMATION.

DIVISION B--HEALTH CARE ACCESS AND PROTECTIONS FOR CONSUMERS

SEC. 2001. SHORT TITLE.

TITLE XXI--TAX-RELATED HEALTH CARE PROVISIONS

Subtitle A--Health Care and Long-Term Care

SEC. 2101. DEDUCTION FOR HEALTH AND LONG-TERM CARE INSURANCE COSTS OF INDIVIDUALS NOT PARTICIPATING IN EMPLOYER-SUBSIDIZED HEALTH PLANS.

`SEC. 222. HEALTH AND LONG-TERM CARE INSURANCE COSTS.

`For taxable years beginning

--The applicable

in calendar year--

--percentage is--

--25

--35

--65

--100.

`Sec. 222. Health and long-term care insurance costs.

`Sec. 223. Cross reference.'.

SEC. 2102. DEDUCTION FOR 100 PERCENT OF HEALTH INSURANCE COSTS OF SELF-EMPLOYED INDIVIDUALS.

SEC. 2103. LONG-TERM CARE INSURANCE PERMITTED TO BE OFFERED UNDER CAFETERIA PLANS AND FLEXIBLE SPENDING ARRANGEMENTS.

SEC. 2104. ADDITIONAL PERSONAL EXEMPTION FOR TAXPAYER CARING FOR ELDERLY FAMILY MEMBER IN TAXPAYER'S HOME.

SEC. 2105. STUDY OF LONG-TERM CARE NEEDS IN THE 21ST CENTURY.

Subtitle B--Medical Savings Accounts

SEC. 2111. EXPANSION OF AVAILABILITY OF MEDICAL SAVINGS ACCOUNTS.

SEC. 2112. AMENDMENTS TO TITLE 5, UNITED STATES CODE, RELATING TO MEDICAL SAVINGS ACCOUNTS AND HIGH DEDUCTIBLE HEALTH PLANS UNDER FEHBP.

`Sec. 8906a. Government contributions to medical savings accounts

`Sec. 8906b. Individual contributions to medical savings accounts

SEC. 2113. RULE WITH RESPECT TO CERTAIN PLANS.

Subtitle C--Other Health-Related Provisions

SEC. 2121. EXPANDED HUMAN CLINICAL TRIALS QUALIFYING FOR ORPHAN DRUG CREDIT.

SEC. 2122. CARRYOVER OF UNUSED BENEFITS FROM CAFETERIA PLANS, FLEXIBLE SPENDING ARRANGEMENTS, AND HEALTH FLEXIBLE SPENDING ACCOUNTS.

SEC. 2123. REDUCTION IN TAX ON VACCINES.

Subtitle D--Miscellaneous Provisions

SEC. 2131. NO IMPACT ON SOCIAL SECURITY TRUST FUND.

SEC. 2132. CUSTOMS USER FEES.

SEC. 2133. ESTABLISHMENT OF MEDICARE ADMINISTRATIVE FEE FOR SUBMISSION OF PAPER CLAIMS.

SEC. 2134. ESTABLISHMENT OF MEDICARE ADMINISTRATIVE FEE FOR SUBMISSION OF DUPLICATE AND UNPROCESSABLE CLAIMS.

TITLE XXII--PATIENTS' BILL OF RIGHTS

Subtitle A--Right to Advice and Care

SEC. 2201. PATIENT RIGHT TO MEDICAL ADVICE AND CARE.

`Subpart C--Patient Right to Medical Advice and Care

`SEC. 721. ACCESS TO EMERGENCY MEDICAL CARE.

`SEC. 722. OFFERING OF CHOICE OF COVERAGE OPTIONS.

`SEC. 723. PATIENT ACCESS TO OBSTETRIC AND GYNECOLOGICAL CARE.

`SEC. 724. ACCESS TO PEDIATRIC CARE.

`SEC. 725. TIMELY ACCESS TO SPECIALISTS.

`SEC. 726. CONTINUITY OF CARE.

`SEC. 727. PROTECTION OF PATIENT-PROVIDER COMMUNICATIONS.

`SEC. 728. PATIENT'S RIGHT TO PRESCRIPTION DRUGS.

`SEC. 729. SELF-PAYMENT FOR BEHAVIORAL HEALTH CARE SERVICES.

`SEC. 730. COVERAGE FOR INDIVIDUALS PARTICIPATING IN APPROVED CANCER CLINICAL TRIALS.

`SEC. 730A. PROHIBITION OF DISCRIMINATION AGAINST PROVIDERS BASED ON LICENSURE.

`SEC. 730B. GENERALLY APPLICABLE PROVISION.

`SUBPART C--PATIENT RIGHT TO MEDICAL ADVICE AND CARE

SEC. 2202. CONFORMING AMENDMENT TO THE INTERNAL REVENUE CODE OF 1986.

`Sec. 9813. Standard relating to patient's bill of rights.';

`SEC. 9813. STANDARD RELATING TO PATIENTS' BILL OF RIGHTS.

SEC. 2203. EFFECTIVE DATE AND RELATED RULES.

Subtitle B--Right to Information About Plans and Providers

SEC. 2211. INFORMATION ABOUT PLANS.

`SEC. 714. HEALTH PLAN INFORMATION.

SEC. 2212. INFORMATION ABOUT PROVIDERS.

Subtitle C--Right to Hold Health Plans Accountable

SEC. 2221. AMENDMENTS TO EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.

`SEC. 503A. CLAIMS AND INTERNAL APPEALS PROCEDURES FOR GROUP HEALTH PLANS.

`SEC. 503B. INDEPENDENT EXTERNAL APPEALS PROCEDURES FOR GROUP HEALTH PLANS.

SEC. 2222. ENFORCEMENT.

Subtitle D--Remedies

SEC. 2231. AVAILABILITY OF COURT REMEDIES.

SEC. 2232. LIMITATION ON CERTAIN CLASS ACTION LITIGATION.

SEC. 2233. SEVERABILITY.

TITLE XXIII--WOMEN'S HEALTH AND CANCER RIGHTS

SEC. 2301. WOMEN'S HEALTH AND CANCER RIGHTS.

`SEC. 715. REQUIRED COVERAGE FOR MINIMUM HOSPITAL STAY FOR MASTECTOMIES AND LYMPH NODE DISSECTIONS FOR THE TREATMENT OF BREAST CANCER AND COVERAGE FOR SECONDARY CONSULTATIONS.

`SEC. 2707. REQUIRED COVERAGE FOR MINIMUM HOSPITAL STAY FOR MASTECTOMIES AND LYMPH NODE DISSECTIONS FOR THE TREATMENT OF BREAST CANCER AND COVERAGE FOR SECONDARY CONSULTATIONS.

`SEC. 2753. REQUIRED COVERAGE FOR MINIMUM HOSPITAL STAY FOR MASTECTOMIES AND LYMPH NODE DISSECTIONS FOR THE TREATMENT OF BREAST CANCER AND SECONDARY CONSULTATIONS.

`SEC. 9814. REQUIRED COVERAGE FOR MINIMUM HOSPITAL STAY FOR MASTECTOMIES AND LYMPH NODE DISSECTIONS FOR THE TREATMENT OF BREAST CANCER AND COVERAGE FOR SECONDARY CONSULTATIONS.

TITLE XXIV--GENETIC INFORMATION AND SERVICES

SEC. 2401. SHORT TITLE.

SEC. 2402. AMENDMENTS TO EMPLOYEE RETIREMENT INCOME SECURITY ACT OF 1974.

`SEC. 716. PROHIBITING PREMIUM DISCRIMINATION AGAINST GROUPS ON THE BASIS OF PREDICTIVE GENETIC INFORMATION.

SEC. 2403. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.

`SEC. 2708. PROHIBITING PREMIUM DISCRIMINATION AGAINST GROUPS ON THE BASIS OF PREDICTIVE GENETIC INFORMATION IN THE GROUP MARKET.

`SEC. 2754. PROHIBITION OF HEALTH DISCRIMINATION ON THE BASIS OF PREDICTIVE GENETIC INFORMATION.

SEC. 2404. AMENDMENTS TO THE INTERNAL REVENUE CODE OF 1986.

`SEC. 9815. PROHIBITING PREMIUM DISCRIMINATION AGAINST GROUPS ON THE BASIS OF PREDICTIVE GENETIC INFORMATION.

TITLE XXV--PATIENT SAFETY AND ERRORS REDUCTION

SEC. 2501. SHORT TITLE.

SEC. 2502. PURPOSES.

SEC. 2503. AMENDMENT TO PUBLIC HEALTH SERVICE ACT.

`PART C--REDUCING ERRORS IN HEALTH CARE

`SEC. 921. DEFINITIONS.

`SEC. 922. RESEARCH TO IMPROVE THE QUALITY AND SAFETY OF PATIENT CARE.

`SEC. 923. MEDICAL EVENT ANALYSIS ENTITIES.

`SEC. 924. PROVIDER OF SERVICES SYSTEMS FOR REPORTING MEDICAL EVENTS.

`SEC. 925. CONFIDENTIALITY.

`SEC. 926. AUTHORIZATION OF APPROPRIATIONS.

SEC. 2504. EFFECTIVE DATE.

Passed the House of Representatives June 14, 2000.

Attest:

JEFF TRANDAHL,

Clerk.

Passed the Senate June 30, 2000.

Attest:

GARY SISCO,

Secretary.

END