93rd Congress > House > Vote 1029

Date: 1974-12-10

Result: 371-14

Vote Subject Matter: Social Welfare / Budget Special Interest

Bill number: HR14214

Description: TO AGREE TO THE CONFERENCE REPORT ON H.R. 14214, HEALTH REVENUES SHARING AND HEALTH SERVICES ACT OF 1974.

Bill summary: (LATEST SUMMARY) Health Revenue Sharing and Health Services Act - =Title I: Health Revenue Sharing= - Special Health Revenue Sharing Act - Authorizes the Secretary of Health, Education, and Welfare to make grants to State health and mental health authorities to assist in meeting the costs of providing comprehensive public health services under State plans approved under this Act. Sets forth the required elements of the content of such State plans. Authorizes the appropriation of (...show more) $160,000,000 for fiscal year 1975 and $160,000,000 for fiscal year 1976 to make grants pursuant to this title. =Title II: Family Planning Programs= - Family Planning and Population Research Act - Authorizes appropriations for the family planning and population research programs of the Public Health Service Act for fiscal years 1975 and 1976. Authorizes the Secretary to conduct, make grants to, or enter into contracts with, public or private entities for, projects for research in the biomedical, contraceptive development, behavioral, and program implementation fields related to family planning and population. Authorizes appropriations for fiscal years 1975 and 1976 to carry out such research. Sets forth reporting requirements for the Secretary to Congress. =Title III: Community Mental Health Centers= - Community Mental Health Centers Amendments - Presents the finding of the Congress that: (1) community mental health care is the most effective and humane form of care for a majority of mentally ill individuals; and (2) federally funded community mental health centers have had a major impact on the improvement of mental health care by fostering coordination and cooperation between various agencies responsible for mental health care which in turn has resulted in a decrease in overlapping services and more efficient utilization of available resources. Provides that the comprehensive mental health services which shall be provided through a community mental health center under the Community Mental Health Centers Act shall include: (1) inpatient services, outpatient services, day care and other partial hospitalization services, and emergency services; (2) a program of specialized services for the mental health of children; (3) a program of specialized services for the mental health of the elderly; (4) consultation and education services for health professionals, schools, courts, State and local law enforcement and correctional agencies, clergy, public welfare agencies, health services delivery agencies, and other appropriate entities; (5) assistance to courts and other public agencies in screening residents of the center's area who are being considered for referral to a State mental health facility for treatment to determine if they should be so referred and provision, where appropriate, of treatment of such persons through the center as an alternative to inpatient treatment at such facility; (6) provision of followup care for residents of its area who have been discharged from a mental health facility; (7) a program of transitional half-way house services for individuals who have been discharged from a mental health facility; and (8) programs for the prevention and treatment of alcoholism and drug abuse and for the rehabilitation of alcoholics and drug addicts. Authorizes the Secretary to make grants to public and nonprofit private entities to carry out projects to develop community mental health center programs. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Authorizes the Secretary to make grants to public and nonprofit private community mental health centers to assist them in meeting their costs of operation during the first 8 years after their establishment. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Authorizes the Secretary to make annual grants to any community mental health center for the costs of providing consultation and education services under this Act. Sets forth criteria for such grants. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Sets forth regulations governing grants made under this Act. Authorizes the Secretary to make grants for the operation of community mental health centers which are under financial distress. Sets forth the eligibility criteria for such grants. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Directs the Secretary to pay the Federal share of projects for the acquisition, leasing, and construction of community mental health centers, and for the acquisition of initial equipment for such facilities. Defines "Federal share" with respect to such projects. Sets forth the procedures for approval of, payment of grants to, and allocation of funds for, projects under this Act. Directs the Secretary to establish within the National Institute of Mental Health a center to be known as the National Center for the Prevention and Control of Rape. Directs the Secretary to conduct a study of: (1) the effectiveness of existing Federal, State, and local laws dealing with rape; (2) the relationship, if any, between traditional legal and social attitudes toward sexual roles, the act of rape, and the formulation of laws dealing with rape; (3) the treatment of the victims of rape by law enforcement agencies, hospitals, or other medical institutions, prosecutors, and the courts; (4) the causes of rape; (5) sexual assaults in correctional institutions; (6) the actual incidence of forcible rape as compared to the reported cases and the reasons therefor; and (7) local and State government education and counseling programs designed to prevent and control rape. Makes it the duty of the Center to: (1) compile, analyze, and publish and annually submit, through the Secretary, to Congress a summary of the continuing study conducted under this Act; (2) develop and maintain an information clearinghouse with regard to the prevention and control of rape, the treatment and counseling of the victims of rape and their families, and the rehabilitation of offenders; and (3) compile and publish training materials for personnel who are engaged or intend to engage in programs designed to prevent and control rape. Directs the Secretary, through the Center, to make grants to community mental health centers, nonprofit private organizations, and public agencies (determined by the Secretary to be qualified), for the purpose of conducting research and demonstration projects concerning the control and prevention of rape. Directs the Secretary to establish an advisory committee to advise, consult with, and make recommendations to him on matters relating to rape prevention and control. Authorizes to be appropriated $10,000,000 for fiscal year 1975 and $10,000,000 for fiscal year 1976 to carry out specified provisions of this title. =Title IV: Migrant Health Centers= - Defines the terms used in this Title. Authorizes the Secretary of Health, Education, and Welfare to make grants to public and nonprofit private entities for projects to plan and develop health centers to serve migratory and seasonal agricultural workers and their families in high impact areas. Authorizes the Secretary to make grants to and enter into contracts with, public and private entities, in areas in which no migrant health centers exist and which are not high impact areas. Authorizes appropriations for the payment of such grants for fiscal years 1975 and 1976. Directs the Secretary to appoint a National Advisory Council on Migrant Health. Directs the Secretary to conduct a study of: (1) the quality of housing which is available to agricultural migratory workers in the United States while away from their permanent abodes; (2) the effect on the health of migrant workers of deficiencies in such housing; and (3) Federal, State, and local government standards respecting housing conditions for such workers during such period. Sets forth the reporting requirements for the Secretary for such study. =Title V: Community Health Centers= - Defines the term "community health center" as meaning under the Public Health Service Act an entity which provides primary health services and referral to providers of supplemental health services for all residents of the area it serves. Requires the services of a community health center to be provided directly through its staff and supporting resources or through contracts or cooperative arrangements with public or private entities. Requires primary health services to be available and accessible in the area served by the center promptly, as appropriate, and in a manner which assures continuity. Provides that the governing body of a community health center shall have at least a majority of its members selected in a democratic manner by the persons receiving services from the center, shall meet at least once a month, shall establish general policies for the center, shall approve the center's annual budget, and shall approve the selection of a director for the center. Authorizes the Secretary to make grants to public and nonprofit private entitles to assist in: (1) the establishment and initial operation of community health centers which will service a medically underserved population; and (2) meeting the cost of the continued operation of such centers. Authorizes appropriations for payments under this title for fiscal years 1975 and 1976. =Title VI: Miscellaneous= - Authorizes to be appropriated $15,000,000 for a program for the control of diseases borne by rodents. Authorizes the Secretary to make grants to meet the initial costs of establishing and operating home health services agencies and expanding the services available in existing agencies, and to meet the costs of compensating professional and paraprofessional personnel during the initial operation of such agencies or the expansion of services in existing agencies. Authorizes to be appropriated to make such payments $12,000,000 for fiscal year 1976. Authorizes the Secretary to make grants to public and nonprofit private agencies and institutions to assist them in demonstrating the training of professional and paraprofessional personnel to provide home health services. Authorizes to be appropriated $3,000,000 for fiscal year 1976 for making such grants. Directs the Secretary to appoint a Committee on Mental Health and Illness of the Edlerly to make a study of, and recommendations respecting: (1) the future needs for mental health facilities, manpower, research and training to meet the mental health care needs of elderly persons; (2) the appropriate care of elderly persons who are in mental institutions or who have been discharged from such institutions; and (3) proposals for implementing the recommendations of the 1971 White House Conference on Aging respecting the mental health of the elderly. Requires the Secretary to report, within on year, the findings of the Committee, to the Committee on Labor and Public Welfare of the Senate and the Committee on Interstate and Foreign Commerce of the House of Representatives. Establishes a temporary commission to be known as the Commission for the control of Epilepsy and Its Consequences. Provides that such Commission shall exist for a period not to exceed one year and one month. Makes it the duty of the Commission to: (1) make a comprehensive study of the state of the art of medical and social management of the epileptics in the United States; (2) investigate and make recommendations concerning the proper roles of the Federal and State governments, and the national and local public and private agencies, in research, prevention, identification, treatment, and rehabilitation of persons with epilepsy; (3) develop a comprehensive national plan for the control of epilepsy and its consequences, based on the most thorough, complete, and accurate data and information available; and (4) transmit to the President and the Congress, no later than one year after the date of enactment of this Act, a report detailing the findings and conclusions of the Commission, together with recommendations, including recommendations for legislation and appropriations, as it deems advisable. Establishes a temporary commission to be known as the Commission for the Control of Huntington's Disease and Its Consequences. Makes it the duty of the Commission to: (1) make a comprehensive study of the state of the art of medical and social management of Huntington's disease in the United States; (2) investigate and make recommendations concerning the proper roles of Federal and State governments and national and local public and private agencies in research, prevention, identification, treatment, and rehabilitation of persons with Huntington's disease; (3) develop a comprehensive national plan for the control of Huntington's disease and its consequences based on the most thorough, data available; and (4) transmit to the President and the Committee on Labor and Public Welfare of the Senate and the Committee on Interstate and Foreign Commerce of the House of Representatives, not later than one year after the date of enactment of this Act, a report detailing the findings and conclusions of the Commission, together with recommendations for legislation and appropriations. Authorizes the Secretary to make grants to public and nonprofit private entities, and enter into competitive contracts with public and private entities for projects for the establishment of hemophilia diagnostic and treatment centers. Provides that no grant or contract may be made under this part unless an application therefor has been submitted to and approved by the Secretary. Requires that such application shall be in such form, submitted in such manner and contain such information, as the Secretary shall by regulation prescribe. Authorizes to be appropriated to carry out these provisions $3,000,000 for fiscal year 1975 and $5,000,000 for fiscal year 1976. Directs the Secretary, in accordance with regulations promulgated by him, to make grants to public and private nonprofit entities to develop and/or expand blood-separation centers within existing facilities for the purpose of separating and making available for distribution, blood components to providers of blood services and manufacturers of blood fractions. Provides that in the event the Secretary finds that there is an insufficient supply of blood fractions available to meet the medical treatment demands for hemophilia, and that public and other nonprofit centers already engaged in the production of blood fractions could alleviate such insufficiency with assistance, he may make grants not to exceed $500,000 to each such center for the purpose of alleviating the insufficiency. Authorizes, for purpose of making payments pursuant to such grants and contracts, the appropriation of $5,000,000 for fiscal year 1975 and $5,000,000 for fiscal year 1976. Makes technical amendments to the Public Health Service Act.

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Bill titles: A bill to amend the Public Health Services Act and related laws, to revise and extend programs of health revenue sharing and health services.

Original source documents: Digest of the Congressional Record vol. 120-171, p. H11496;

Links for more info on the vote: congress.gov

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