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I 107 TH CONGRESS 1 ST S ESSION H. R. 1784 To establish an Office on Women’s Health within the Department of Health and Human Services, and for other purposes. IN THE HOUSE OF REPRESENTATIVES M AY 9, 2001 Mrs. M ORELLA (for herself, Mrs. M ALONEY of New York, Mr. W AXMAN , Mr. T OM D AVIS of Virginia, Ms. S LAUGHTER , Mr. M C N ULTY , Mr. H ONDA , Ms. B ROWN of Florida, Mrs. T HURMAN , Ms. E SHOO , Mr. L ANTOS , Ms. L EE , Mr. W YNN , Mr. F ROST , Ms. N ORTON , Ms. M C C ARTHY of Missouri, Mr. H ILLIARD , Mr. H ORN , Ms. B ALDWIN , Ms. M ILLENDER -M C D ONALD , Mrs. C HRISTENSEN , Ms. D E L AURO , Ms. J ACKSON -L EE of Texas, Mr. W EXLER , Ms. S OLIS , Mrs. R OUKEMA , Mr. K ILDEE , Ms. K APTUR , Ms. H ARMAN , Ms. S CHAKOWSKY , Mr. B ENTSEN , and Mrs. J ONES of Ohio) in- troduced the following bill; which was referred to the Committee on En- ergy and Commerce A BILL To establish an Office on Women’s Health within the Depart- ment of Health and Human Services, and for other pur- poses. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled,2 SECTION 1. SHORT TITLE.3 This Act may be cited as the ‘‘Women’s Health Office4 Act of 2001’’.5 2 •HR 1784 IH SEC. 2. HEALTH AND HUMAN SERVICES OFFICE ON WOM-1 EN’S HEALTH.2 Part A of title II of the Public Health Service Act3 (42 U.S.C. 202 et seq.) is amended by adding at the end4 the following:5 ‘‘SEC. 229. HEALTH AND HUMAN SERVICES OFFICE ON6 WOMEN’S HEALTH.7 ‘‘(a) E STABLISHMENT OF O FFICE .—There is estab-8 lished within the Office of the Secretary an Office on9 Women’s Health (referred to in this section as the ‘Of-10 fice’). The Office on Women’s Health shall be headed by11 a Deputy Assistant Secretary for Women’s Health.12 ‘‘(b) D UTIES .—The Office shall, with respect to the13 health concerns of women—14 ‘‘(1) establish short-range and long-range goals15 and objectives and coordinate all activities within the16 Department of Health and Human Services that re-17 late to disease prevention, health promotion, service18 delivery, research, and public and health care profes-19 sional education concerning women;20 ‘‘(2) provide expert advice and consultation to21 the Secretary concerning scientific, legal ethical, and22 policy issues relating to women’s health;23 ‘‘(3) monitor the Department of Health and24 Human Services offices, agencies, and regional ac-25 tivities regarding women’s health and stimulate ac-26 3 •HR 1784 IH tivities and facilitate coordination of such depart-1 mental and agency offices on women’s health;2 ‘‘(4) establish a Department of Health and3 Human Services Coordinating Committee on Wom-4 en’s Health to be chaired by the Deputy Assistant5 Secretary for Women’s Health which shall be com-6 posed of senior level representatives from each of the7 agencies and offices of the Department of Health8 and Human Services;9 ‘‘(5) establish a National Women’s Health In-10 formation Center to—11 ‘‘(A) facilitate the exchange of information12 regarding matters relating to health HAI DUONG'S FDI IN THE FIRST QUARTER OF THE YEAR 2013 (Up to 31/03/2013) No 10 11 12 13 14 15 16 17 18 19 20 21 22 23 Investors Malaysia Japan Hong Kong Taiwan Samoa Korea The United State China Thailand Bristish Virgin Island Germany Denmark Singapore England Brunei Australia Canada Holland Mauritus France Russia Sec Senegan Number of projetcs 48 20 43 11 52 Total Investment capital 2263.208 851.862 680.062 617.062 355.669 313.702 Fixed capital 453.17 261.923 115.08 177.912 139.129 153.375 24 166.4 136.676 69.006 88 64.886 59.856 1 1 247 40.896 40.05 34 30.946 22.9 17.375 6.48 5.936 4.271 1.85 1.75 1.088 5.693,700 21.962 40.05 3.00 4.246 7.05 7.045 2.894 5.936 0.6 1.367 0.95 1.75 0.6 1.525,742 TOP 20 PROVINCES, CITIES ATTRACTED THE LARGEST FDI (Up to 31/3/2013) No Provinces, cities Ho Chi Minh city Ba Ria - Vung Tau Number of projects Total registration Capital (USD) Fixed Capital 4401 32,463,778,815 11,885,947,360 287 26,297,964,396 7,311,116,440 Ha Noi 2485 21,282,902,795 7,679,012,096 Binh Duong 2263 18,295,597,061 6,595,395,548 Dong Nai 1113 18,129,728,968 7,463,863,868 Ha Tinh 46 10,564,403,000 3,640,717,630 44 9,950,235,144 2,718,958,987 376 7,368,179,379 2,470,328,913 57 6,531,204,438 1,473,136,655 Thanh Hoa Hai Phong Phu Yen 10 Hai Duong* 247 5,693,700,000 1,525,742,000 11 Quang Nam 79 4,984,233,719 1,229,309,806 12 Quang Ninh 98 4,208,154,054 1,169,072,220 13 Bac Ninh 14 Quang Ngai 15 Da Nang 248 3,686,864,776 1,668,084,058 16 Long An 465 3,525,811,856 1,442,570,424 17 Kien Giang 35 3,059,440,937 1,441,984,465 18 Vinh Phuc 148 2,466,927,298 303 4,203,835,552 894,187,432 23 3,911,568,479 657,837,449 723,249,269 19 Hung Yen 20 Thai Nguyen * According to statistics of Foreign Investment Agency (FIA) 250 2,190,883,392 831,280,489 33 2,164,414,337 202,541,405 277 5,403,716,056 1,623,956,490 Source: Foreign Economic Bureau – Hai Duong’s DPI and Foreign Investment Agency (FIA) I 110 TH CONGRESS 1 ST S ESSION H. R. 1072 To improve the health of women through the establishment of Offices of Women’s Health within the Department of Health and Human Services. IN THE HOUSE OF REPRESENTATIVES F EBRUARY 15, 2007 Mrs. M ALONEY of New York (for herself, Ms. P RYCE of Ohio, Mr. V AN H OLLEN , Mrs. C APPS , Ms. D E L AURO , Ms. N ORTON , Mr. C ROWLEY , Mrs. L OWEY , Mr. M ARSHALL , Ms. S LAUGHTER , Ms. S UTTON , and Mr. F ATTAH ) introduced the following bill; which was referred to the Com- mittee on Energy and Commerce A BILL To improve the health of women through the establishment of Offices of Women’s Health within the Department of Health and Human Services. Be it enacted by the Senate and House of Representa-1 tives of the United States of America in Congress assembled, 2 SECTION 1. SHORT TITLE. 3 This Act may be cited as the ‘‘Women’s Health Office 4 Act of 2007’’. 5 VerDate Aug 31 2005 01:34 Feb 21, 2007 Jkt 059200 PO 00000 Frm 00001 Fmt 6652 Sfmt 6201 E:\BILLS\H1072.IH H1072 mstockstill on PROD1PC66 with BILLS 2 •HR 1072 IH SEC. 2. HEALTH AND HUMAN SERVICES OFFICE ON WOM-1 EN’S HEALTH. 2 (a) E STABLISHMENT .—Part A of title II of the Pub-3 lic Health Service Act (42 U.S.C. 202 et seq.) is amended 4 by adding at the end the following: 5 ‘‘SEC. 229. HEALTH AND HUMAN SERVICES OFFICE ON 6 WOMEN’S HEALTH. 7 ‘‘(a) E STABLISHMENT OF O FFICE .—There is estab-8 lished within the Office of the Secretary, an Office on 9 Women’s Health (referred to in this section as the ‘Of-10 fice’). The Office shall be headed by a Deputy Assistant 11 Secretary for Women’s Health who may report to the Sec-12 retary. 13 ‘‘(b) D UTIES .—The Secretary, acting through the Of-14 fice, with respect to the health concerns of women, shall— 15 ‘‘(1) establish short-range and long-range goals 16 and objectives within the Department of Health and 17 Human Services and, as relevant and appropriate, 18 coordinate with other appropriate offices on activi-19 ties within the Department that relate to disease 20 prevention, health promotion, service delivery, re-21 search, and public and health care professional edu-22 cation, for issues of particular concern to women; 23 ‘‘(2) provide expert advice and consultation to 24 the Secretary concerning scientific, legal, ethical, 25 and policy issues relating to women’s health; 26 VerDate Aug 31 2005 01:34 Feb 21, 2007 Jkt 059200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H1072.IH H1072 mstockstill on PROD1PC66 with BILLS 3 •HR 1072 IH ‘‘(3) Department of Health and Human Services 200 Independence Avenue S.W., Washington, D.C. 20201 This document also available at http://www.hhs.gov/asrt/ob/docbudget/2011budgetinbrief.pdf. TABLE OF CONTENTS Overview……………………………………………………………………………………. 1 Health Reform……………….………………………………………………………… 12 American Recovery and Reinvestment Act……………………………………………… 13 Food and Drug Administration…………………………………………………………… 19 Health Resources and Services Administration…………………………………………… 22 Indian Health Service………………………………………………………………………. 27 Centers for Disease Control and Prevention……………………………………………… 31 National Institutes of Health……………………………………………………………… 37 Substance Abuse and Mental Health Services Administration…………………………… 43 Agency for Healthcare Research and Quality……………………………………………… 47 Centers for Medicare & Medicaid Services………………………………………………… 51 Medicare……………………………………………………………………………… 53 Program Integrity Initiative………………………………… 57 Medicaid……………………………………………………………………………… 60 Children’s Health Insurance Program………………………………………………… 64 State Grants and Demonstrations……………………………………………………… 66 Program Management………………………………………………………………… 69 Administration for Children and Families………………………………………………… 74 Discretionary Spending………………………………………………………… 75 Entitlement Spending………………………………………………………………… 79 Administration on Aging…………………………………………………………………… 86 Office of the Secretary General Departmental Management………… ……………………………………… 89 Office of Medicare Hearings and Appeals………………………… …………………. 91 Office of the National Coordinator for Health Information Technology… ………… 92 Office for Civil Rights………… ……………………………………………………… 95 Service and Supply Fund……………… ……………………………………………… 97 Retirement Pay and Medical Benefits for Commissioned Officers……………… …… 99 Office of Inspector General………………………………………………………………… 100 Emergency Preparedness…………………………………………………………………… 102 Abbreviations and Acronyms……………………………………………………………… 109 ADVANCING THE HEALTH, SAFETY, AND WELL-BEING OF OUR PEOPLE FY 2011 President’s Budget for HHS (dollars in millions) 2011 2009 2010 2011 +/- 2010 Budget Authority (excluding Recovery Act) 779,419 800,271 880,861 +80,591 Recovery Act Budget Authority 55,087 45,162 21,066 -24,096 Total Budget Authority 834,506 845,432 901,927 +56,495 Total Outlays 794,234 859,763 910,679 +50,916 Full-Time Equivalents 67,875 70,028 72,923 +2,895 Composition of the FY 2011 Budget $911 Billion in Outlays Children's Entitlement Programs Discretionary TANF 2.3% (includes CHIP) 3.0% Programs 10% Other Mandatory Programs 0.4% Medicare 51% Medicaid 33% General Notes Detail in this document may not add to the totals due to rounding. Budget data in this book are presented “comparably” with the FY 2011 Budget, since the location of programs may have changed in prior years or be proposed for change in FY 2011. This is consistent with past practice, and allows increases and decreases in this book to reflect true funding changes. In addition – consistent with past practice – the FY 2010 figures herein reflect final enacted levels. 1 Advancing the Health, Safety, and Well-Being of Our People ADVANCING THE HEALTH, SAFETY, AND WELL-BEING OF OUR PEOPLE The NATURAL LANGUAGE AND COMPUTER INTEBFACE DESIGN MURRAY TUROFF DEPARTMENT OF COMPU%'z~ AND IiVFORMATION SCIENCE IIEW JERSEY INSTITUTE OF TECHNOLOGY SOME ICONOCLASTIC ASSERTIONS Considering the problems we have in communicating with other h~rmans using natural language, it is not clear that we want to recreate these problems in dealing with the computer. While there is some evidence that natur- al language is useful in communications among humans, there is also considerable evidence that it is neither perfect nor ideal. Natural language is wordy (redun- dant) and imprecise. Most b,*m,m groups who have a need to communicate quickly and accurately tend to develop a rather well specified subset of natural language that is highly coded and precise in nature. Pilots and po- lice are good examples of this. Even working groups within a field or discipline tend over time to develop a jargon that minimizes the effort of communication and clarifies shared precise meanings. It is not clear that there is any group of humans or applications for computers that would be better served in the long run by natural language interfaces. One could provide such an interface for the purpose of ac- climating a group or individual to a computer or in- formation system environment but over the long run it would be highly inefficient for a h,mAn to continue to use such an interface and would in a real sense be a disservice to the user. Those retrieval systems that allow natural language like queries tend to also allow the user to discover with practice the embedded inter- face that allows very terse and concise requests to be made of the system. Take the general example of COBOL, which was designed as a language to input business oriented programs into a computer that could be under- stood by non-computer types. We find that if we don't de,and that progrmmmers follow certain standards to make this possible, they will make their programs cryptic to the point where it is not understandable to anyone but other progro,,mers. It is interesting to observe that successful inter- faces between persona and machines tend to be based upon one or the other of the two extreme choices one can make in designing a language. One is small, well defined vocabularies from which one can build rather long and complex expressions and the other is large vocabularies with short expressions. In some sense, "natural language" is the result of a compromise be- tween these two opposing extremes. If we had same better understanding of the cognitive dynamics that shape and evolve natural language, perhaps the one useful natural language interface that migjat be de- veloped would allow individuals and groups to shape their own personalized interface to a computer or in- formation system. I em quite sure that given such a powerful capability, what a group of users would end up with would be very far from a natural language. The argument is sometimes made that a natural language interface might be useful for those who are linguisti- cally disadvantaged. It might allow very young child- ten or deaf persons to better utilize the computer. I see it as immoral to provide a natural language intro- duction to computers to people who might mistakenly come to think of a computer as they would another hu- man being. I would much prefer such individuals to be introduced to the computer with an interface that will give them some appreciation for the nature of the ma- chine. For example, a very simple CAI language called PILOT has been used to teach DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Medicare & Medicaid Services Official CMS Information for Medicare Fee-For-Service Providers R Federally Qualied Health Center RURAL HEALTH FACT SHEET SERIES This publication provides the following information about Federally Qualied Health Centers (FQHC): Background; FQHC designation; Covered FQHC services; FQHC preventive primary services that are not covered; FQHC Prospective Payment System (PPS); FQHC payments; and Resources. Background The FQHC benet under Medicare was added effective October 1, 1991, when Section 1861(aa) of the Social Security Act (the Act) was amended by Section 4161 of the Omnibus Budget Reconciliation Act of 1990. FQHCs are “safety net” providers such as community health centers, public housing centers, outpatient health programs funded by the Indian Health Service, and programs serving migrants and the homeless. The main purpose of the FQHC Program is to enhance the provision of primary care services in underserved urban and rural communities. Federally Qualied Health Center (FQHC) Designation An entity may qualify as a FQHC if it: Is receiving a grant under Section 330 of the Public Health Service (PHS) Act; Is receiving funding from a grant under a contract with the recipient of a grant and meets the requirements to receive a grant under Section 330 of the PHS Act; Is not receiving a grant under Section 330 of the PHS Act but is determined by the Secretary of the Department of Health & Human Services (HHS) to meet the requirements for receiving such a grant (i.e., qualies as a FQHC look-alike) based on the recommendation of the Health Resources and Services Administration; ICN 006397 October 2012 Was treated by the Secretary of the Department of HHS for purposes of Medicare Part B as a comprehensive Federally funded health center as of January 1, 1990; or Is operating as an outpatient health program or facility of a tribe or tribal organization under the Indian Self-Determination Act or as an urban Indian organization receiving funds under Title V of the Indian Health Care Improvement Act as of October 1, 1991. Covered Federally Qualied Health Center (FQHC) Services Payments are made directly to the FQHC for covered services furnished to Medicare patients. Services are covered when furnished to a patient at the FQHC, the patient’s place of residence, or elsewhere (e.g., at the scene of an accident). A FQHC generally furnishes the following services: Physician services; Services and supplies incident to the services of physicians; Nurse practitioner (NP), physician assistant (PA), certied nurse-midwife (CNM), clinical psychologist (CP), and clinical social worker (CSW) services; Services and supplies incident to the services of NPs, PAs, CNMs, CPs, and CSWs; Visiting nurse services to the homebound in an area where the Centers for Medicare & Medicaid Services (CMS) has determined that there is a shortage of Home Health Agencies; Otherwise covered drugs that are furnished by, and incident to, services of a FQHC provider; and Outpatient diabetes self-management training and medical nutrition therapy for patients with ... statistics of Foreign Investment Agency (FIA) 250 2,190,883,392 831,280,489 33 2,164,414,337 202,541,405 277 5,403,716,056 1,623,956,490 Source: Foreign Economic Bureau – Hai Duong’s DPI and Foreign Investment. .. THE LARGEST FDI (Up to 31/3/2013) No Provinces, cities Ho Chi Minh city Ba Ria - Vung Tau Number of projects Total registration Capital (USD) Fixed Capital 4401 32,463,778,815 11,885,947,360 287