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H.R. 5673Became Law

Agency for Health Care Policy and Research Reauthorization Act of 1992

Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to authorize the Administrator of the Agency for Health Care Policy and Research to provide training grants in the field of health services research.

Establishes an information center on health services research and selected technology assessments and clinical practice guidelines at the National Library of Medicine.

Directs the Administrator to establish an annual list of health care technology assessments under consideration by the Agency and to develop criteria for determining the priority of assessments. Authorizes the Administrator to make grants to, or enter into cooperative agreements with, appropriate entities to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies and for related activities.

Requires the Administrator to study and report to specified congressional committees on methods for collecting and analyzing data to be used in generating cost estimates of alternative strategies for the prevention, diagnosis, treatment, or management of a disease or health condition to be included in guideline documents.

Requires the Administrator to carry out provisions relating to the Office of the Forum for Quality and Effectiveness through the Director of the Office.

Limits the percentage of members of scientific and technical review groups (regarding applications for a grant, cooperative agreement, or contract under provisions relating to the Agency) who may be U.S. officers and employees. (Current law prohibits such officers and employees from serving as members of those groups.) Revises requirements regarding which groups review which proposals.

Authorizes the Administrator to tabulate and analyze statistics and prepare studies at the request of a public or nonprofit entity, with the entity paying costs.

Sets forth requirements for the selection of individuals to serve on panels for the development and review of health care guidelines and standards.

Requires the Administrator to study and report to specified congressional committees on the process used to develop guidelines, standards, and review criteria.

Directs the Administrator to ensure that a set of guidelines, standards, performance measures, and review criteria are developed that address the prevention of no fewer than three conditions that account for significant national health expenditures.

Requires evaluations that are conducted of the effect of guidelines on the clinical practice of medicine to be developed prior to the completion of the guidelines so that baseline data concerning practice patterns and health care costs may be obtained as part of such evaluations.

Directs the Administrator, with respect to grants, cooperative agreements, or contracts for projects, to define the circumstances that constitute financial conflicts of interest and the actions to be taken in response to such conflicts.

Extends the authorization of appropriations for Agency programs and authorizes appropriations for specified activities under this Act.

Became Public Law No: 102-410.

Rep. Waxman, Henry A. [D-CA-24](D-CA)Sponsor
1committees29actions1related bills17subjects
  1. PresidentE40000

    Became Public Law No: 102-410.

  2. BecameLaw36000

    Became Public Law No: 102-410.

  3. PresidentE30000

    Signed by President.

  4. BecameLaw36000

    Signed by President.

  5. FloorE20000

    Presented to President.

  6. President28000

    Presented to President.

  7. Floor

    Message on Senate action sent to the House.

  8. Floor

    Passed Senate without amendment by Voice Vote.

  9. Floor17000

    Passed/agreed to in Senate: Passed Senate without amendment by Voice Vote.

  10. IntroReferral

    Received in the Senate, read twice.

  11. FloorH38310

    Motion to reconsider laid on the table Agreed to without objection.

  12. FloorH37300

    On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays (2/3 required): 397 - 8 (Roll No. 425).

  13. Floor8000

    Passed/agreed to in House: On motion to suspend the rules and pass the bill, as amended Agreed to by the Yeas and Nays (2/3 required): 397 - 8 (Roll No. 425).

  14. FloorH30000

    Considered as unfinished business.

  15. FloorH37220

    At the conclusion of debate, the Yeas and Nays were demanded and ordered. Pursuant to the provisions of clause 5, rule I, the chair announced that further proceedings on the motion would be postponed until Sept. 23.

  16. FloorH8D000

    DEBATE - The House proceeded with forty minutes of debate.

  17. FloorH30000

    Considered under suspension of the rules.

  18. FloorH30300

    Mr. Waxman moved to suspend the rules and pass the bill, as amended.

  19. CalendarsH12410

    Placed on the Union Calendar, Calendar No. 507.

  20. CommitteeH12200

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-892.

    Energy and Commerce Committee
  21. Committee5000

    Reported (Amended) by the Committee on Energy and Commerce. H. Rept. 102-892.

    Energy and Commerce Committee
  22. CommitteeH19000

    Ordered to be Reported (Amended) by the Yeas and Nays: 22 - 1.

    Energy and Commerce Committee
  23. CommitteeH15000-B

    Committee Consideration and Mark-up Session Held.

    Energy and Commerce Committee
  24. CommitteeH22000

    Subcommittee Consideration and Mark-up Session Held.

    Health and Environment Subcommittee
  25. CommitteeH11000

    Referred to the Subcommittee on Health and the Environment.

    Health and Environment Subcommittee
  26. CommitteeH23000

    Forwarded by Subcommittee to Full Committee.

    Health and Environment Subcommittee
  27. IntroReferralH11100

    Referred to the House Committee on Energy and Commerce.

    Energy and Commerce Committee
  28. IntroReferralIntro-H

    Introduced in House

  29. IntroReferral1000

    Introduced in House

Sep 24, 199236

Agency for Health Care Policy and Research Reauthorization Act of 1992 - Amends the Public Health Service Act to authorize the Administrator of the Agency for Health Care Policy and Research to provide training grants in the field of health services research.

Establishes an information center on health services research and selected technology assessments and clinical practice guidelines at the National Library of Medicine.

Directs the Administrator to establish an annual list of health care technology assessments under consideration by the Agency and to develop criteria for determining the priority of assessments. Authorizes the Administrator to make grants to, or enter into cooperative agreements with, appropriate entities to conduct assessments of experimental, emerging, existing, or potentially outmoded health care technologies and for related activities.

Requires the Administrator to study and report to specified congressional committees on methods for collecting and analyzing data to be used in generating cost estimates of alternative strategies for the prevention, diagnosis, treatment, or management of a disease or health condition to be included in guideline documents.

Requires the Administrator to carry out provisions relating to the Office of the Forum for Quality and Effectiveness through the Director of the Office.

Limits the percentage of members of scientific and technical review groups (regarding applications for a grant, cooperative agreement, or contract under provisions relating to the Agency) who may be U.S. officers and employees. (Current law prohibits such officers and employees from serving as members of those groups.) Revises requirements regarding which groups review which proposals.

Authorizes the Administrator to tabulate and analyze statistics and prepare studies at the request of a public or nonprofit entity, with the entity paying costs.

Sets forth requirements for the selection of individuals to serve on panels for the development and review of health care guidelines and standards.

Requires the Administrator to study and report to specified congressional committees on the process used to develop guidelines, standards, and review criteria.

Directs the Administrator to ensure that a set of guidelines, standards, performance measures, and review criteria are developed that address the prevention of no fewer than three conditions that account for significant national health expenditures.

Requires evaluations that are conducted of the effect of guidelines on the clinical practice of medicine to be developed prior to the completion of the guidelines so that baseline data concerning practice patterns and health care costs may be obtained as part of such evaluations.

Directs the Administrator, with respect to grants, cooperative agreements, or contracts for projects, to define the circumstances that constitute financial conflicts of interest and the actions to be taken in response to such conflicts.

Extends the authorization of appropriations for Agency programs and authorizes appropriations for specified activities under this Act.

Jul 22, 199200

Health Care Policy and Research Amendments of 1992 - Amends the Public Health Service Act to require that the Administrator of the Agency for Health Care Policy and Research carry out provisions relating to the Office of the Forum for Quality and Effectiveness through the Director of the Office.

Limits the percentage of members of scientific and technical review groups (regarding applications for a grant, cooperative agreement, or contract under provisions relating to the Agency) who may be U.S. officers and employees. (Current law prohibits such officers and employees from serving as members of those groups.) Revises requirements regarding which groups review which proposals.

Authorizes the Administrator to tabulate and analyze statistics and prepare studies at the request of a public or nonprofit entity, with the entity paying costs.

Authorizes appropriations to carry out provisions relating to the Agency.

Agency for Health Care Policy and Research Reauthorization Act of 1992 — Informed