[Senate Report 104-22]
[From the U.S. Government Publishing Office]





                                     

        104th Congress, 1st Session -  -  -  -  -  -  -  -  -  - Senate 
Report 104-22

                    REPORT ON LEGISLATIVE ACTIVITIES

                                 OF THE
 
                 COMMITTEE ON LABOR AND HUMAN RESOURCES

                          UNITED STATES SENATE

                               DURING THE



                             103D CONGRESS

                                1993-94

                              PURSUANT TO

 SECTION 136 OF THE LEGISLATIVE REORGANIZATION ACT OF 1946, AS AMENDED 
             BY THE LEGISLATIVE REORGANIZATION ACT OF 1970




   March 30 (legislative day, March 27), 1995.--Ordered to be printed

                            [103d Congress]

                 COMMITTEE ON LABOR AND HUMAN RESOURCES

EDWARD M. KENNEDY, Massachusetts, 
             Chairman
                                     CLAIBORNE PELL, Rhode Island
                                     HOWARD M. METZENBAUM, Ohio
                                     CHRISTOPHER J. DODD, Connecticut
                                     PAUL SIMON, Illinois
                                     TOM HARKIN, Iowa
                                     BARBARA A. MIKULSKI, Maryland
                                     JEFF BINGAMAN, New Mexico
                                     PAUL D. WELLSTONE, Minnesota
NANCY LANDON KASSEBAUM, Kansas       HARRIS WOFFORD, Pennsylvania
JIM JEFFORDS, Vermont
DAN COATS, Indiana
JUDD GREGG, New Hampshire
STROM THURMOND, South Carolina
ORRIN G. HATCH, Utah
DAVE DURENBERGER, Minnesota
 Nick Littlefield, Staff Director 
         and Chief Counsel
 Susan K. Hattan, Minority Staff 
             Director
  
                                 ______

                            [104th Congress]

                 COMMITTEE ON LABOR AND HUMAN RESOURCES

 NANCY LANDON KASSEBAUM, Kansas, 
             Chairman
                                     JAMES M. JEFFORDS, Vermont
                                     DAN COATS, Indiana
                                     JUDD GREGG, New Hampshire
                                     BILL FRIST, Tennessee
                                     MIKE DeWINE, Ohio
                                     JOHN ASHCROFT, Missouri
                                     SPENCER ABRAHAM, Michigan
EDWARD M. KENNEDY, Massachusetts     SLADE GORTON, Washington
CLAIBORNE PELL, Rhode Island
CHRISTOPHER J. DODD, Connecticut
PAUL SIMON, Illinois
TOM HARKIN, Iowa
BARBARA A. MIKULSKI, Maryland
PAUL D. WELLSTONE, Minnesota
  Susan K. Hattan, Staff Director
 Nick Littlefield, Minority Staff 
    Director and Chief Counsel

                                FOREWORD

    This report on the legislative review of the Committee on 
Labor and Human Resources during the 103d Congress is submitted 
pursuant to section 136 of the Legislative Reorganization Act 
of 1946 (2 U.S.C. 190d), as amended by Public Laws 91-050, 92-
136, and 93-344. The statute requires standing committees of 
the House and Senate to ``review and study, on a continuing 
basis, the application, administration, and execution'' of laws 
within their jurisdiction and to submit biennial reports to the 
Congress. The full text of section 136 follows:
    Sec. 136. (a) In order to assist the Congress----
        (1) its analysis, appraisal, and evaluation of the 
            application, administration, and execution of the 
            laws enacted by the Congress, and
        (2) its formulation, consideration and enactment of 
            such modifications of or changes in those laws, and 
            of such additional legislation, as may be necessary 
            or appropriate, each standing committee of the 
            Senate and the House of Representatives shall 
            review and study, on a continuing basis, the 
            application, administration, and execution of those 
            laws, or parts of laws, the subject matter of which 
            is within the jurisdiction of that committee. Such 
            committees may carry out the required analysis 
            appraisal, and evaluation themselves, or by 
            contract, or may require a government agency to do 
            so and furnish a report thereon to the Congress. 
            Such committees may rely on such techniques as 
            pilot testing, analysis of costs in comparison with 
            benefits, or provision for evaluation after a 
            defined period of time.
    (b) In each odd-numbered year beginning on or after January 
    1, 1973, each standing committee of the Senate shall 
    submit, not later than March 31, to the Senate, and each 
    standing committee of the House shall submit, not later 
    than January 2, to the House, a report on the activities of 
    that committee under this section during the Congress 
    ending at noon on January 3 of such year.
    (c) The preceding provisions of the section do not apply to 
    the Committees on Appropriations and the Budget of the 
    Senate and the Committees on Appropriations, the Budget, 
    House Administration, Rules, and Standards of Official 
    Conduct of the House.

                                  Nancy Landon Kassebaum, Chairman.


                            C O N T E N T S

                                 ______
                                                                   Page

Foreword.........................................................   III
Committee jurisdiction...........................................     1
Committee organization...........................................     2
Legislative review activity......................................     5
Full committee activities........................................     5

 I. Principal Bills from the Labor and Human Resources Committee      6
    Enacted in the 103d Congress.
        A. Education and Training:
            Elementary and Secondary Education Act (ESEA)             6
              Reauthorization.
            Technology for Education Act of 1993.................     6
            Goals 2000: Educate America Act......................     6
            Safe Schools Act of 1993.............................     6
            School-to-Work Opportunities Act of 1993.............     7
            Student Loan Reform Act..............................     7
            National and Community Service Trust Act.............     7
            Human Services Reauthorization Act of 1994...........     7
        B. Job Security:
            Family and Medical Leave Act.........................     7
            National Community Economic Partnership Act of 1993..     7
            Workers Technology Skills Development Act of 1993....     8
        C. Health Care:
            National Institutes of Health Revitalization Act.....     8
            Breast and Cervical Cancer Amendments of 1993 and         8
              Preventive Health Amendments of 1993.
            Childhood Immunization Initiative: Childhood Vaccine      8
              Initiative.
            Developmental Disabilities Assistance and Bill of         8
              Rights Act Amendments.
            Freedom of Access to Clinic Entrances Act............     9
            Dietary Supplement Health and Education Act of 1994..     9

II. Listing of Public Laws of the 103d Congress from the Labor and    9
    Human Resources Committee.

III.
    Major Hearings of the Labor and Human Resources Committee........10
        Full Committee Field Hearings in the 103d Congress.......    10

IV. Anticipated Activities for the 104th Congress....................10
        Program Consolidation....................................    11
        Oversight of Programs With Expiring Authorizations.......    12
        Other Oversight Activities...............................    14
    Committee printing...........................................    15



                                APPENDIX

 I. Reports of the Subcommittees, Committee on Labor and Human       16
    Resources.

        Labor....................................................    16
        Education, Arts and Humanities...........................    19
        Employment and Productivity..............................    22
        Disability Policy........................................    25
        Children, Family, Drugs and Alcoholism...................    28
        Aging....................................................    32

II. Reports of the Committee on Labor and Human Resources............35

III.
    Public laws enacted during the 103d Congress.....................38

IV. Hearings by full committee and subcommittees.....................40

 V. Statistical Summary..............................................56
VI. Rules of Procedure...............................................57



104th Congress                                                   Report
                                 SENATE

 1st Session                                                     104-22
_______________________________________________________________________



 REPORT ON LEGISLATIVE ACTIVITIES OF THE COMMITTEE ON LABOR AND HUMAN 
                               RESOURCES

                                _______


   March 30 (legislative day, March 27), 1995.--Ordered to be printed

_______________________________________________________________________


   Mrs. Kassebaum, from the Committee on Labor and Human Resources, 
                        submitted the following

                              R E P O R T

[Pursuant to section 136 of the Legislative Reorganization Act of 1946, 
 as amended by the Legislative Reorganization Act of 1970, as amended]
                                             COMMITTEE JURISDICTION
    The jurisdiction of the Labor and Human Resources Committee 
in the 103d Congress was set forth in paragraph 1.(1) of Rule 
XXV of the Standing Rules of the Senate as follows:

      (m)(1) Committee on Labor and Human Resources, to which 
        committee shall be referred all proposed legislation, 
        messages, petitions, memorials, and other matters 
        relating to the following subjects:

         1. Measures relating to education, labor, health, and 
            public welfare.
         2. Aging.
         3. Agricultural colleges.
         4. Arts and humanities.
         5. Biomedical research and development.
         6. Child labor.
         7. Convict labor and the entry of goods made by 
            convicts into interstate commerce.
         8. Domestic activities of the American National Red 
            Cross.
         9. Equal employment opportunity.
        10. Gallaudet College, Howard University, and Saint 
            Elizabeths Hospital.
        11. Handicapped individuals.
        12. Labor standards and labor statistics.
        13. Mediation and arbitration of labor disputes.
        14. Occupational safety and health, including the 
            welfare of miners.
        15. Private pension plans.
        16. Public health.
        17. Railway labor and retirement.
        18. Regulation of foreign laborers.
        19. Student loans.
        20. Wages and hours of labor.

      (2) Such committee shall also study and review, on a 
        comprehensive basis, matters relating to health, 
        education and training, and public welfare, and report 
        thereon from time to time.


                         COMMITTEE ORGANIZATION
    During the 103d Congress, the committee was organized into 
the following subcommittees:

                                 Labor

                        Mr. Metzenbaum, Chairman

Mr. Harkin                          Mr. Hatch
Mr. Dodd                            Mrs. Kassebaum
Mr. Kennedy                         Mr. Jeffords
Mr. Wellstone                       Mr. Thurmond

                     Education, Arts and Humanities

                           Mr. Pell, Chairman

Mr. Metzenbaum                      Mr. Jeffords
Mr. Dodd                            Mrs. Kassebaum
Mr. Simon                           Mr. Coats
Ms. Mikulski                        Mr. Gregg
Mr. Bingaman                        Mr. Thurmond
Mr. Kennedy                         Mr. Hatch
Mr. Wellstone                       Mr. Durenberger
Mr. Wofford
Mr. Harkin

                      Employment and Productivity

                          Mr. Simon, Chairman

Mr. Harkin                          Mr. Thurmond
Ms. Mikulski                        Mr. Coats
Mr. Bingaman                        Mr. Gregg
Mr. Kennedy (ex officio)            Mrs. Kassebaum (ex officio)

                           Disability Policy

                          Mr. Harkin, Chairman

Mr. Metzenbaum                      Mr. Durenberger
Mr. Simon                           Mr. Jeffords
Mr. Bingaman                        Mr. Hatch
Mr. Kennedy (ex officio)            Mrs. Kassebaum (ex officio)

                 Children, Family, Drugs and Alcoholism

                           Mr. Dodd, Chairman

Mr. Pell                            Mr. Coats
Ms. Mikulski                        Mrs. Kassebaum
Mr. Bingaman                        Mr. Jeffords
Mr. Kennedy                         Mr. Gregg
Mr. Wellstone                       Mr. Thurmond
Mr. Wofford                         Mr. Durenberger

                                 Aging

                        Mrs. Mikulski, Chairman

Mr. Pell                            Mr. Gregg
Mr. Metzenbaum                      Mr. Coats
Mr. Dodd                            Mr. Durenberger
Mr. Wofford                         Mrs. Kassebaum (ex officio)
Mr. Kennedy (ex officio)

                  LEGISLATIVE REVIEW ACTIVITY

    During the 103d Congress the members of the Labor and Human 
Resources Committee and its chairman, Senator Edward M. 
Kennedy, worked closely with President Clinton and the 
administration on legislation to expand opportunity and build 
security for working families. Major new measures were adopted 
in the areas of education and training, job security, and 
health care. In the committee and in the Senate as a whole, 
this legislation was often approved and enacted with broad 
bipartisan support.
    Also, the committee devoted a substantial amount of its 
time in the 103d Congress to the consideration of national 
health care reform. The effort included 47 committee hearings, 
8 days in executive session, and 10 days of debates on the 
Senate floor, in addition to numerous negotiating sessions and 
related meetings during both sessions of the 103d Congress.
    During the two sessions of the 103d Congress, over 250 
bills and resolutions were referred to the Senate Committee on 
Labor and Human Resources, which has jurisdiction over 1,100 
Federal programs relating to health, education, labor, and 
public welfare. The programs are found in the Departments of 
Labor, Education, and Health and Human Services, as well as in 
123 independent agencies, councils, and bureaus.

                   FULL COMMITTEE ACTIVITIES

    A total of 299 bills and resolutions were referred to the 
Committee on Labor and Human Resources during the 103d 
Congress. Of this number, 237 pertained to legislative matters 
of the full committee; 20 to the Subcommittee on Labor; 28 to 
the Subcommittee on Education, Arts and Humanities; 5 to the 
Subcommittee on Employment and Training; 8 to the Subcommittee 
on Children, Family, Drugs and Alcoholism; 1 to the 
Subcommittee on Aging; and none to the Subcommittee on 
Disability Policy.
    During the 103d Congress, 34 committee legislative 
initiatives were passed by the Senate, with 19 of them enacted 
into law. There were 36 bills reported by the committee. The 
committee also received 15 Presidential messages and 268 other 
executive communications during the 103d Congress.
    Also, 1,169 nominations, including appointees to high 
offices in the government and a number of nominations and 
promotions in the U.S. Public Health Service Corps, were 
referred to the committee. Of these, 1,137 were reported to the 
Senate and 1,137 were confirmed by the Senate. One nomination 
was withdrawn and 31 were returned to the President at the 
adjournment of the 103d Congress.
    The committee and its subcommittees conducted 155 days of 
public hearings, held 40 executive sessions and met 5 days in 
conference with the House, for a total of 45 executive 
meetings.

I. PRINCIPAL BILLS FROM THE LABOR AND HUMAN RESOURCES COMMITTEE 
                  ENACTED IN THE 103D CONGRESS

                   A. Education and Training

     Elementary and Secondary Education Act (ESEA) Reauthorization

    Restructures the largest single source of Federal education 
funding, providing over $60 billion for schools over 5 years. 
Targets funding to the middle-income and low-income communities 
that need it most. Broadly reforms Federal educational programs 
to cut red tape; increase flexibility for local schools to 
carry out their own school reform programs; encourage high 
standards for all students; encourage teacher development; and 
support local initiatives to increase the use of technology in 
schools and prevent violence and drug abuse among students. 
Massachusetts will receive approximately $156 million in fixed 
grants in fiscal year 1995, and could receive more than $10 
million in additional competitive grants under this 
legislation. [P.L. 103-382 (enacted 10/20/94), Improving 
America's Schools Act of 1993, H.R. 6 (S. 1513).]

                  Technolgy For Education Act of 1993

    Modernizes education and prepares students for the 
workplace of the 21st century by putting more computers in 
classrooms and training teachers to take full advantage of 
them. Funds grants for innovative uses of technology in 
education. Provides technical support and information to 
schools throughout the United States. [P.L. 103-382 (enacted 
10/20/94), H.R. 6 (S. 1513, originally S. 1040).]

                    Goals 2000: Educate America Act

    Authorizes nearly $5 billion in grants over the next 5 
years for schools to carry out their own locally developed 
reform programs. Encourages the development of voluntary 
standards for school courses to help teachers, parents and 
local communities plan core curricula. Supports teacher 
development and training to revitalize teaching in American 
schools. Provides greater local flexibility in the use of 
federal funds. Creates National Skill Standards Board to set 
standards for training needed to prepare students and workers 
for jobs in the high-technology workplace. [P.L. 103-227 
(enacted 3/31/94), Goals 2000: Educate America Act, H.R. 1804 
(S. 1150, originally S. 846).]

                        Safe Schools Act of 1993

    Helps local school systems eradicate drugs and violence by 
funding local prevention efforts as well as national education, 
research and evaluation programs. Seeks to meet Goal Six of the 
National Education Goals, which provides that by the year 2000, 
every school in America will offer a disciplined environment 
conducive to learning and free of drugs and violence. [P.L. 
103-227, (enacted 3/31/94), Goals 2000: Educate America Act, 
H.R. 6 (S. 1150, originally S. 1804).]

                School-To-Work Opportunities Act of 1993

    Helps the 50 percent of high school graduates who do not go 
on to college to make the transition from school to the 
workplace. Provides seed money for local school-to-work systems 
designed and run by local business, education, community and 
labor leaders within a broad Federal framework. [P.L. 103-239 
(enacted 5/4/94), School-to-Work Opportunities Act of 1993, S. 
1361.]

                        Student Loan Reform Act

    Streamlines and modernizes the Federal student loan system 
through institution of a direct loan program. Saves taxpayers 
and students more than $6.5 billion over 5 years by reducing 
interest payments and loan origination fees and by cutting out 
the loan middleman. Gives students more flexible repayment 
options to allow them to enter essential but low-paying 
careers. [P.L. 103-66 (enacted 8/10/93), The Budget 
Reconciliation Act of 1993, H.R. 2264 (S. 920, H.R. 2055).]

                National and Community Service Trust Act

    Supports full- and part-time service by Americans of all 
ages. Encourages integration of community service with school 
and community-based educational programs. Establishes the 
domestic youth corps (AmeriCorps) and creates National Service 
Trust to fund vouchers and loan forgiveness for higher 
education and job training in return for service. [P.L. 103-82 
(enacted 9/21/93), National and Community Service Trust Act, 
H.R. 2010 (S. 919).]

               Human Services Reauthorization Act of 1994

    Puts Head Start on a path to reach all eligible children. 
Expands program to cover pregnant women and young children in 
the 0-3 age group, authorizing $1 billion over 5 years for 
these services. [P.L. 103-252 (enacted 5/18/94), Human Services 
Reauthorization Act of 1994, S. 2000.]

                        B. Job Security

                      Family and Medical Leave Act

    Provides workers in firms with 50 or more employees 12 
weeks of unpaid leave to care for a new child or an immediate 
family member with a serious illness. Ensures for the first 
time that working parents will not have to choose between the 
job they need and a child, spouse, or parent who needs care. 
[P.L. 103-3 (enacted 2/5/93, previously vetoed by President 
Bush in 1992), Family and Medical Leave Act, S. 5.]

          National Community Economic Partnership Act of 1993

    Brings jobs and business opportunities into urban and rural 
areas. Stimulates growth of small and mid-sized businesses 
through public and private partnerships facilitated by 
community development corporations (``CDCs''). [P.L. 103-322 
(enacted 9/13/94), The Violent Crime Control and Law 
Enforcement Act of 1994, H.R. 3355 (S. 24).]

           Workers Technology Skills Development Act of 1993

    Promotes economic growth and creates jobs by involving 
workers in the development and implementation of advanced 
workplace technologies and practices, and by identifying and 
disseminating information on effective workplace practices. 
[P.L. 103-382 (enacted 10/20/94), Improving America's Schools 
Act of 1993, H.R. 6, (S. 1513, originally S. 1020).]

                         C. Health Care

            National Institutes of Health Revitalization Act

    Makes women's health issues such as breast and cervical 
cancer, osteoporosis, and heart disease a priority at NIH. 
Increases NIH's emphasis on diseases that strike children. 
Lifts the ban on fetal tissue research to advance innovative 
and potentially life-saving treatment for Parkinson's disease, 
diabetes, and Alzheimer's disease. Reauthorizes National Cancer 
Institute and National Heart, Lung and Blood Institute to 
continue the fight against cancer and other serious diseases. 
Creates Office of AIDS Research to seek an end to the epidemic. 
[P.L. 103-43 (enacted 6/10/93, previously vetoed by President 
Bush in 1992), National Institutes of Health Revitalization 
Act, S. 1.]

  Breast and Cervical Cancer Amendments of 1993 and Preventive Health 
                           Amendments of 1993

    Expands Federal efforts to protect women's health, 
including initiatives to prevent breast cancer, cervical 
cancer, and violence against women. Acts to prevent and control 
the spread of tuberculosis and sexually transmitted diseases by 
extending the Federal grant program under the Public Health 
Service Act. [P.L. 103-183 (enacted 12/14/93), Breast and 
Cervical Cancer Amendments of 1993 and Preventive Health 
Amendments of 1993, H.R. 2202 (S. 1318).]

    Childhood Immunization Initiative: Childhood Vaccine Initiative

    Sets Nation on track toward universal immunization to 
protect all children from vaccine-preventable illnesses. 
Establishes an initiative at the National Institutes of Health 
to research and develop new vaccines. Expands availability of 
immunization services in communities at those times and 
locations most convenient to families and removes barriers to 
immunization through public outreach and education aided by 
immunization registries. [P.L. 103-43 (enacted 6/10/94), NIH 
Revitalization Act, S. 1 (originally S. 732--largely 
implemented through administrative changes at the Centers for 
Disease Control supported by directed appropriations).]

Developmental Disabilities Assistance and Bill of Rights Act Amendments

    Promotes independence, productivity, integration and 
inclusion in community life for individuals with developmental 
disabilities. Supports state developmental disability councils 
to develop comprehensive systems of service for individuals 
with developmental disabilities and their families. Funds 
programs to provide legal and advocacy services, training, 
technical assistance, and direct services including school-to-
work transition assistance. [P.L. 103-230 (enacted 4/6/94), 
Developmental Disabilities Assistance and Bill of Rights Act 
Amendments, S. 1284.]

               Freedom of Access to Clinic Entrances Act

    Protects women's access to reproductive health services. 
Provides Federal criminal and civil penalties for those who use 
violence against abortion providers or physically obstruct 
access to clinics that provide reproductive health services. 
Already applied in convicting the killer of a doctor and his 
bodyguard at a clinic in Pensacola, FL. [P.L. 103-259 (enacted 
5/26/94), Freedom of Access to Clinic Entrances Act, S. 636.]

          Dietary Supplement Health and Education Act of 1994

    Assures consumers of dietary supplements continued freedom 
of choice and an unhindered flow of new products while also 
guaranteeing access to reliable health claims, accurate up-to-
date information, and quick removal of unsafe products from the 
market. [P.L. 103-417 (enacted 10/25/94), Dietary Supplement 
Health and Education Act of 1994, S. 784.]

II. LISTING OF PUBLIC LAWS OF THE 103D CONGRESS FROM THE LABOR 
                 AND HUMAN RESOURCES COMMITTEE

    P.L. 103-3 [enacted 2/5/93], Family and Medical Leave Act 
of 1993 (H.R. 1).
    P.L. 103-7 [enacted 3/17/93], Pension Benefit Guaranty 
Corporation Lease Settlements Act of 1993 (S. 400).
    P.L. 103-33 [enacted 5/25/93], authorizes conduct and 
development of NAEP assessments for fiscal year 1994 (S. 801).
    P.L. 103-43 [enacted 6/10/93], National Institutes of 
Health Revitalization Act of 1993 (S. 1).
    P.L. 103-59 [enacted 8/2/93], extends the operation of the 
migrant student record transfer system (H.R. 2683).
    P.L. 103-73 [enacted 8/11/93], Rehabilitation Act 
Amendments of 1993 (S. 1295).
    P.L. 103-82 [enacted 9/21/93], National Service Trust Act 
of 1993 (H.R. 2010).
    P.L. 103-183 [enacted 12/14/93], Preventive Health 
Amendments of 1993 (H.R. 2202)
    P.L. 103-208 [enacted 12/20/93], Higher Education Technical 
Amendments Act of 1993 (S. 1507).
    P.L. 103-218 [enacted 3/9/94], amends Technology-Related 
Assistance for Individuals with Disabilities Act of 1988, to 
authorize appropriations for fiscal year 1994-98 (H.R. 2339).
    P.L. 103-227 [enacted 3/31/94], Goals 2000: Educate America 
Act (H.R. 1804).
    P.L. 103-230 [enacted 4/6/94], Developmental Disabilities 
Assistance and Bill of Rights Act Amendments of 1993 (S. 1284).
    P.L. 103-239 [enacted 5/4/94], School-to-Work Opportunities 
Act of 1993 (H.R. 2884).
    P.L. 103-252 [enacted 5/18/94], Head Start Amendments of 
1994 (S. 2000).
    P.L. 103-259 [enacted 5/26/94], Freedom of Access to Clinic 
Entrances Act of 1993 (S. 636).
    P.L. 103-261 [enacted 5/26/94], Nutrition Labeling and 
Education Act Amendments of 1994(5.2087).
    P.L. 103-290 [enacted 8/1/94], terminates the National 
Education Commission on Time and Learning on September 30,1994 
(S. 1880).
    P.L. 103-382 [enacted 10/20/94], Improving America's 
Schools Act of 1994 (H.R. 6).
    P.L. 103-417 [enacted 10/25/94], Dietary Supplements Act 
(S. 784).

 III. MAJOR HEARINGS OF THE LABOR AND HUMAN RESOURCES COMMITTEE

    Comprehensive Child Immunization Act of 1993--4/21/93
    Goals 2000: Educate America Act--5/4 and 14/93
    National Service Trust Act of 1992--5/11, 18 and 6/8/93
    Freedom of Access to Clinic Entrances Act of 1993--5/12/93
    Coverage for Mental and Addictive Disorders in Health Care 
Reform: A Cost-Effective Approach--5/13/93
    Comprehensive Health Care Reform: The Need for Action--5/
20/93
    Student Loan Reform--5/26/93
    The Disadvantaged Minority Health Improvement Act--6/30/93
    Making the Future Work: Technology, Workers and the 
Workplace--7/1/93
    The Occupational Safety and Health Act: Making the Case for 
Reform--7/14/93
    Technology for Education Act of 1993--7/21/93
    America Cares Act--7/21/93
    Lyme Disease: A Diagnostic and Treatment Dilemma--8/5/93
    Pesticides in Food--9/21 /93
    Health Security Act of 1993--9/29, 30, 10/5, 6, 15, and 19, 
1993 (Part 1); 10/20, 11/8, 9, 10, and 16, 1993 (Part 2); 11/
17, 18, and 12/8, 1993 (Part 3); 1/26, 2/2, 4, 22, 3/2 and 8, 
1994 (Part 4).
    North American Free Trade Agreement: Effects on Workers--
10/13/93
    Biomedical Ethics and Public Policy--10/14/93
    Legislative Issues Related to the Regulation of Dietary 
Supplements--10/21/93
    Implications of the Fair Labor Standards Act for Inmates, 
Correctional Institutions, Private Industry and Labor--10/28/93
    Partners in Creating a 21st Century Head Start--1/12/94
    Comprehensive Occupational Safety and Health Reform Act--2/
9 and 3/22/94
    Improving America's Schools: ESEA Reauthorization--3/2 and 
18, 1994 (Full Committee)
    The Reemployment and Training Act of 1994--3/16/94
    Reauthorization of the National Science Foundation--3/23/94
    Indian Issues in Head Start Reauthorization--(Joint hearing 
with Committee on Indian Affairs) 3/25/94
    Black Lung Benefits Restoration Act--5/15/94
    Reemployment and Retraining Act--5/12/94 Preemption of 
State Prevailing Wage Laws--5/10/94
    Access to Medical Treatment Act--7/22/94
    Dual Standard: Health Insurance for American and Foreign 
Employees of Multinational Corporations--7/22/94
    Davis-Bacon Reform--7/28/94
    Sickle Cell Research: An Update--7/28/94
    Employment Non-Discrimination Act of 1994--7/29/94
    Reforming and Consolidating Federal Job Training Programs--
9/28/94

           Full Committee Field Hearings in the 103d Congress

    Improving Women's Health Through Biomedical and Behavioral 
Research--1/11/93, Boston, MA
    Solving the Urban Health Care Crisis: The Role for 
Prevention--3/15/93, Philadelphia, PA
    Oversight of the Radiation Exposure Compensation Act--6/5/
93, Shiprock, NM
    Technology for Education Act of 1993--8/18/93, Albuquerque, 
NM
    Preparing American Indian Students for the 21st Century--8/
20/93, Santa Fe, NM
    Human Subjects Research: Radiation Experimentation--1/13/
94, Waltham, MA
    Labor Implications of Railroad Sales--7/5/94, St. Albans, 
VT

         IV. ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

    During the 104th Congress, the committee plans to focus on 
oversight of the programs and policies under its jurisdiction. 
Over the years, the number of these programs has grown 
substantially in response to needs identified in the wide range 
of education, health care, work force, and social service 
issues covered by the committee.
    In too many cases, these programs have proliferated without 
adequate attention being given to their interaction with one 
another or to their effectiveness in meeting stated goals. To 
assure accountability both to taxpayers and to the individuals 
receiving direct services from these programs, it is important 
that the committee determine whether the programs work and 
whether they offer the best approach for addressing particular 
needs.

                         Program Consolidation

    A particular emphasis of the committee will be the 
consolidation of programs serving similar purposes or 
populations. The accumulation of separate categorical programs 
leads to unnecessary administrative costs and, more 
importantly, to confusion and frustration on the part of 
intended beneficiaries. Specific areas of consolidation 
include:

      (1) JOB TRAINING PROGRAMS.--The General Accounting Office 
        has identified 163 separate Federal job training 
        programs, administered by 15 different agencies. The 
        committee will be examining ways to streamline current 
        programs, to increase flexibility, and to improve 
        accountability.
      In addition, the expiring authorizations of the Carl D. 
        Perkins Vocational and Applied Technology Education 
        Act, the Adult Education Act, and the National Literacy 
        Act will be considered in connection with these efforts 
        to forge stronger ties among technical and job-related 
        education, specific training programs, and the private 
        job market.
      (2) CHILD CARE PROGRAMS.--The Federal Government also 
        supports a variety of child care activities. A change 
        in a parent's income or program participation status 
        often results in a child's transfer to a new care 
        setting.
      The expiring authorization of the Child Care and 
        Development Block Grant offers an opportunity to fold 
        other Federal child care activities into the block 
        grant structure. In addition, a cohesive child care 
        system will be an important component in assuring the 
        success of the welfare reform efforts to be undertaken 
        in the 104th Congress.
      (3) HEALTH PROFESSIONS EDUCATION PROGRAMS.--The Federal 
        Government provides over $400 million for 44 separate 
        health professions programs administered by the U.S. 
        Public Health Service. The goal of these programs is to 
        improve the supply and distribution of a variety of 
        types of health professionals and to improve the 
        representation of minorities and disadvantaged 
        individuals in the health professions. The 
        authorization for a majority of the existing programs 
        will expire during the 104th Congress. The committee 
        will explore means to promote this goal within a 
        simplified structure containing a strong evaluation 
        component.
      (4) CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC).--
        The CDC administers a wide range of public health grant 
        programs and demonstration projects. The committee will 
        be examining ways in which a series of narrowly defined 
        categorical programs can be combined into a more 
        flexible program focusing on broad public health goals 
        and functions.
      (5) YOUTH DEVELOPMENT.--The Federal Government spends 
        several billion dollars on an array of programs focused 
        on youth ``at-risk.'' The programs deal with issues 
        such as alcohol or drug abuse, delinquency, and 
        dropping out of school. Although these programs are 
        well intentioned, few young people fit neatly into any 
        given category. The committee will review ways in which 
        these efforts can be combined to address multiple needs 
        and to offer maximum flexibility to local communities 
        in designing youth prevention programs.

           Oversight of Programs With Expiring Authorizations

    In addition to those programs identified as candidates for 
consolidation, there are a number of other programs under the 
jurisdiction of the committee with expiring authorizations. The 
committee intends to review these programs individually to 
determine: (A) whether they are operating effectively, (B) 
whether they continue to serve a Federal purpose, and (C) if 
so, whether program changes are needed to improve their 
operation. Among the major programs in this category are:

                             Aging

      **OLDER AMERICANS ACT.--This act authorizes a variety of 
        social service programs for the elderly--including 
        senior centers and nutrition programs.

                     Children and Families

      **CHILD ABUSE PREVENTION AND TREATMENT ACT (CAPTA).--This 
        act identifies Federal policies on child abuse and 
        neglect. It also incorporates the Family Violence 
        Prevention and Treatment Act, which deals with domestic 
        violence. The Community-Based Family Resource Program, 
        created in 1994, may also be considered as part of the 
        CAPTA reauthorization. This program consolidates family 
        resource centers, child abuse challenge grants, and 
        emergency protection grants--substance abuse.

                       Disability Policy

      **INDIVIDUALS WITH DISABILITIES EDUCATION ACT (IDEA).--
        This authorizes education programs serving disabled 
        students. Components of the bill include the Office of 
        Special Education Programs; state grant program for 
        disabled students; preschool grant program for disabled 
        children; personnel training; research; discretionary 
        programs; and the disabled infant and toddlers grant 
        program.

      **PROTECTION AND ADVOCACY FOR MENTALLY ILL INDIVIDUALS 
        ACT.--This act authorizes a formula grant program to 
        assist protection and advocacy systems in the states. 
        It authorizes State systems to investigate incidents of 
        abuse and neglect of individuals with mental illness. 
        There are 56 protection and advocacy systems.

                 Education, Arts and Humanities

      **NATIONAL FOUNDATION ON THE ARTS AND THE HUMANITIES 
        ACT.--This act authorizes the National Endowment for 
        the Arts, National Endowment for the Humanities, and 
        the Institute of Museum Services.

      **LIBRARY SERVICES AND CONSTRUCTION ACT (LSCA).--This act 
        authorizes several activities supporting public 
        libraries, including: State formula grants for library 
        services, construction, and interlibrary cooperation: 
        competitive grants for foreign language materials and 
        library literacy programs: research and demonstration 
        grants; library services for Indian tribes: research 
        library assistance: and college library technology.

      **NATIONAL SCIENCE FOUNDATION ACT (NSFA).--This act 
        authorizes all NSF programs, including research and 
        related activities, education and human resources, the 
        U.S. Antarctic Program, and academic research 
        facilities modernization.

                             Health

      **RYAN WHITE CARE ACT.--This act is designed to improve 
        the quality and availability of medical and support 
        services for individuals with HIV disease and their 
        families. The act has four titles. Under the two major 
        titles, hard-hit cities and states receive formula 
        grant funding. The other two titles support early 
        intervention services and provide demonstration grants 
        for research and services for pediatric patients.

      **COMMUNITY HEALTH CENTERS.--These Public Health Service 
        programs provide grant support for community and 
        migrant health centers. There are approximately 2,000 
        such centers nationwide, which provide primary and 
        preventive health services to individuals in inner 
        cities and rural areas.

      **SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES 
        ADMINISTRATION (SAMHSA).--SAMHSA was created when the 
        Alcohol, Drug Abuse, and Mental Health Administration 
        was dissolved in the 1992 reauthorization. Service 
        programs were moved to SAMHSA, while research programs 
        were moved to the National Institutes of Health. SAMHSA 
        programs include the Mental Health Block Grant, the 
        Substance Abuse Block Grant, and a variety of smaller 
        categorical programs.

      **ORGAN TRANSPLANT AMENDMENTS ACT.--This act establishes 
        guidelines and authorizes funding for the national 
        organ transplant system.

      **NATIONAL BONE MARROW DONOR PROGRAM AND REGISTRY.--This 
        act establishes guidelines and authorizes funding for 
        the national bone marrow donor program. It was 
        considered during the 103d Congress in conjunction with 
        the organ transplant bill.

      **ORPHAN DRUG ACT.--This act is designed to encourage the 
        development of drugs for rare diseases and conditions 
        by offering protocol assistance, a 7-year exclusive 
        marketing period, and an orphan drug research grant 
        program.

      **THE AGENCY FOR HEALTH CARE POLICY AND RESEARCH.--This 
        agency is responsible for conducting health policy 
        research, conducting technology effectiveness studies 
        and creating practice guidelines.

      **CHILDHOOD IMMUNIZATION PROGRAMS.--Under the Childhood 
        Immunization program, the CDC makes grants to the 
        States for the purchase of vaccines and the conduct of 
        programs to administer vaccines. The National Vaccine 
        program is an effort to coordinate government efforts 
        to develop, improve, and better distribute vaccines.

                 National and Community Service

      **NATIONAL AND COMMUNITY SERVICE ACT.--This act, signed 
        into law in 1993, established the Corporation for 
        National and Community Service to administer national 
        and community service programs (``AmeriCorps'') and 
        reauthorized the Federal domestic volunteer service 
        programs administered by the ACTION agency (VISTA, 
        Foster Grandparents, Senior Companion, etc). The ACTION 
        agency and the former Commission for National and 
        Community Service are subsumed into the structure of 
        the Corporation. There are separate authorizations for 
        national service, service learning, and each of the 
        domestic volunteer programs.

                       Other Oversight Activities

    The committee also intends to examine several other 
programs, issues, and agencies--and is likely to develop 
legislative solutions to problems identified during the 
oversight process. These include:

      (1) JOB CORPS.--In October 1994, the committee held its 
        first Job Corps oversight hearing in over 10 years. 
        That hearing underscored problems identified and 
        documented by the Inspector General of the Department 
        of Labor over a period of several years. The committee 
        plans to continue oversight of the Job Corps in the 
        104th Congress.

      (2) DAVIS-BACON ACT.--This act requires contractors on 
        Federal construction projects costing over $2,000 to 
        pay their workers no less than the ``prevailing wage,'' 
        which often exceeds the market wage. Enacted in 1931, 
        the act was designed for very different economic times 
        and is in need of close review.

      (3) OCCUPATIONAL HEALTH AND SAFETY ADMINISTRATION 
        (OSHA).--The committee plans to review the 
        effectiveness of current OSHA regulations and 
        procedures in assuring workplace safety, with a view 
        toward identifying less punitive approaches to 
        achieving this goal.

      (4) EQUAL EMPLOYMENT OPPORTUNITY COMMISSION (EEOC).--The 
        committee plans oversight hearings on the EEOC, 
        focusing in particular on the current backlog of cases.

      (5) FOOD AND DRUG ADMINISTRATION (FDA).--The committee 
        will also hold oversight hearings on the FDA to 
        consider a variety of proposals related to the 
        restructuring of the agency, risk standards, and means 
        for improving the approval process and export policy 
        for drugs, biologics, and devices.

      (6) HEALTH CARE MARKET AND REFORM EFFORTS.--The committee 
        will review the changing health care market and 
        proposals for reform in areas including insurance, the 
        Employee Retirement Income Security Act (ERISA), and 
        medical liability.

      (7) DIRECT STUDENT LOAN PROGRAM.--The committee will 
        review the operation of the direct student loan program 
        enacted in 1992 and expanded in 1993. The 
        administration of the program, its cost, and 
        comparisons with the guaranteed student loan programs 
        will be among the issues to be examined.

    The committee may also review issues related to other 
legislation enacted in the 103d Congress, including the Goals 
2000: Educate America Act and the Elementary and Secondary 
Education Act. In addition, the committee expects to review a 
variety of issues related to the Fair Labor Standards Act 
(FLSA), as well as considering revisions to the National Labor 
Relations Act (NLRA) designed to improve employer-employee 
cooperation.

                           Committee Printing

    The committee printed a total of 160 copies of hearings and 
committee prints during the 103d Congress. These encompassed 
17,850 volumes, and consisted of 2,549,790 pages. The committee 
also bound 22 volumes of executive meetings of the 103d 
Congress in hardback books for its permanent records. The 
committee also has on Micro Fiche and 16mm film the legislative 
hearings, bills, and public laws.
                            APPENDIX

 I. REPORTS OF THE SUBCOMMITTEES, COMMITTEE ON LABOR AND HUMAN 
                           RESOURCES

                             LABOR

                     Subcommittee on Labor:

                 Howard M. Metzenbaum, Chairman

    The Subcommittee on Labor, chaired by Senator Metzenbaum, 
considered the following legislation during the 103d Congress:
    S. 55, the Striker Replacement Act, was introduced on 
January 21, 1993. The bill amends the National Labor Relations 
Act to outlaw the use of permanent replacement workers during 
economic strikes and to prevent discrimination based on 
participation in labor disputes. A hearing was held on S. 55 on 
March 30, 1993, and the bill was considered in executive 
session by full committee and ordered favorably reported on May 
5, 1993. The bill was reported to the Senate, S. Rept. 103-110, 
on July 27, 1993 without amendment.
    S. 68, the Food and Drug Administration Nutrition 
Advertising Act of 1993, was introduced by Senator Metzenbaum 
on January 21, 1993. The act is to amend the Federal Food, Drug 
and Cosmetic Act to prevent misleading advertising of the 
health benefits of foods. The bill was referred to full 
committee on January 21, 1993.
    S. 86, to amend the Fair Labor Standards Act of 1938, was 
introduced by Senator Metzenbaum on January 21, 1993. The act 
was intended to improve enforcement of the child labor 
provisions of the act, and for other purposes. The bill was 
referred to the full committee on January 21, 1993.
    S. 575, the Comprehensive Occupational Safety and Health 
Reform Act, was introduced by Senator Kennedy, for himself and 
Senator Metzenbaum, on March 11, 1993, and it was then referred 
to the full committee. The act was intended to amend the 
Occupational Safety and Health Act of 1970 to improve the 
provisions of the act with respect to the health and safety of 
employees, and for other purposes.
    S. 996, was introduced by Senator Metzenbaum on May 20, 
1993, and it was then referred to the full committee. The bill 
was intended to require that educational organizations that 
offer educational programs to minors for a fee disclose certain 
information.
    S. 1224, was introduced by Senator Metzenbaum on July 14, 
1993, and it was then referred to the full committee. On 
September 14, 1993, the bill was referred to the Subcommittee 
on Children, Family, Drugs and Alcoholism. On October 6, 1993, 
it was considered in executive session by the full committee 
and ordered favorably reported with an amendment in the nature 
of a substitute. The bill was reported to the Senate by Senator 
Kennedy on March 3, 1994. The bill was intended to prohibit an 
agency, or entity, that receives Federal assistance and is 
involved in adoption or foster care programs from delaying or 
denying the placement of a child based on the race, color, or 
national origin of the child or adoptive or foster parent or 
parents involved, and for other purposes.
    S. 1312, was introduced by Senator Metzenbaum on July 29, 
1993 and it was then referred to the full committee. A hearing 
was held on August 2, 1993. The Senate passed S. 1312 on 
November 1, 1993, and it was then referred to the House 
Committee on Education and Labor. On October 3, 1994, the bill 
was passed by the House and was then signed into law (P.L. 103-
410) by the President on October 12, 1994. The law amends the 
Employee Retirement Income Security Act of 1974 in order to 
provide for the availability of remedies for certain former 
pension plan participants and beneficiaries.
    S. 2504, was introduced by Senator Metzenbaum, for himself 
and Senator Simon, on October 5, 1994, and it was then referred 
to the full committee. The bill was referred to the 
Subcommittee on Labor on October 17, 1994. The bill was 
intended to extend the protections of Federal labor and civil 
rights laws to part-time, temporary, and leased employees, 
independent contractors, and other contingent workers, and to 
ensure equitable treatment of such workers.
    S. 2531, was introduced by Senator Metzenbaum on October 6, 
1994, and it was then referred to the full committee. On 
October 17, 1994, the bill was referred to the Subcommittee on 
Labor. It was intended to amend the Employee Retirement Income 
Security Act of 1974 to improve the pension and welfare 
benefits of working men and women, and for other purposes.

               SUBCOMMITTEE HEARINGS IN THE 103D CONGRESS

    February 23, 1993, on Revisiting the Warn Act: Coverage, 
Compliance and Enforcement.
    March 2, 1993, on Retiree Health Benefits: The Impact on 
Workers and Businesses.
    March 30, 1993, on S. 55, Prohibiting Discrimination 
Against Economic Strikers.
    June 15, 1993, Toward a Disposable Workforce: The 
Increasing Use of ``Contingent'' Labor.
    August 2, 1993, on S. 1312, Recent Court Decisions 
Affecting ERISA and Executive Life Annuities.
    October 5, 1993, on OSHA Reform: Coverage and Enforcement.
    October 19, 1993, Single Payer Health Care Systems: Issues 
and Options.
    February 3, 1994, Will Patients and Doctors Be Protected 
Under Health Care Reform?
    April 19, 1994, on H.R. 2722, Age Discrimination Against 
Public Safety Officers.
    July 26, 1994, on The Reemployment Act & Warn: Helping 
Workers Make Successful Transitions.
    September 21, 1994, on Child Labor and the New Global 
Marketplace: Reaping Profits at the Expense of Children?

           ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

    Legislative and oversight responsibilities previously under 
the jurisdiction of the Subcommittee on Labor will be assumed 
by the full committee. The full committee intends to consider 
legislation to clarify section 8(a)2 of the National Labor 
Relations Act to ensure that efforts to encourage employee 
involvement in the workplace will continue. The committee will 
also consider legislation to repeal the Davis-Bacon Act. -In 
addition, the committee will conduct oversight of the 
Occupational Health and Safety Administration, with the 
intention of improving cooperative efforts between employers 
and the agency in order to encourage efforts to improve worker 
health and safety. Finally, the committee will also conduct a 
review of the Fair Labor Standards Act, to determine whether 
the act should be revised to reflect recent changes in the 
workplace.
                 EDUCATION, ARTS AND HUMANITIES

        Subcommittee on Education, Arts and Humanities:

                    Claiborne Pell, Chairman

    The Subcommittee on Education, Arts and Humanities has 
authorizing jurisdiction and oversight of more than $26 billion 
in Federal education programs. These include elementary and 
secondary education, vocational and adult education, student 
financial assistance and higher education programs. In 
addition, the Subcommittee has responsibility for the National 
Endowment for the Arts, National Endowment for the Humanities, 
the Institute of Museum Services, and public libraries. The 
subcommittee is chaired by Senator Claiborne Pell (D-RI) who 
has served in that capacity from 1969-81 and from 1987 until 
the present. Senator Pell served as the ranking minority member 
on the subcommittee from 1981-87.
    The principal work of the Subcommittee in the 103d Congress 
was reauthorization of the Elementary and Secondary Education 
Act. This effort resulted in a major rewrite of the act.

 REAUTHORIZATION OF THE ELEMENTARY AND SECONDARY EDUCATION ACT

    The process of reauthorizing the Elementary and Secondary 
Education Act began with a series of hearings between June 1993 
and May 1994. Nine hearings were held in Washington, DC. There 
were 3 field hearings: one in Rhode Island, one in Vermont, and 
one in Illinois.
    S. 1513 was introduced on October 4, 1993 by Senator 
Kennedy for himself, Senators Pell, Kassebaum, and Jeffords and 
served as the legislative vehicle for reauthorization. On May 
17 the subcommittee met in executive session to consider S. 
1513 and reported it favorably, with one amendment by Senator 
Dodd, by a vote of 17-0. On June 15, the full committee met and 
reported favorably S. 1513, with amendments, by a vote of 16-1.
    The bill as reported was passed by the full Senate on 
August 2, 1994, with a roll call vote of 94-6. The House of 
Representatives passed a different version of the bill on March 
24, 1994.
    The House and Senate subsequently met in conference on the 
two different bills to resolve items in disagreement. The 
conference report passed the Senate on October 5, 1994. The 
House of Representatives passed the report on September 30, 
1994. The President signed the bill into law on October 20, 
1994.
    The Improving America's Schools Act of 1994 was the most 
important reauthorization vehicle of the Elementary and 
Secondary Education Act since its landmark inception in 1965. 
Many significant changes were made in this reauthorization. The 
Title I program, the backbone of the bill, which provides 
education assistance to educationally deprived children in 
areas of poverty was refined to better target it to children 
most in need, and linked it to the achievement of challenging 
academic and student performance standards.
    The Eisenhower Math and Science program was expanded to 
include professional development in not only the areas of 
mathematics and science but also in other disciplines such as 
English and History.
    Support for technology in education was included, to ensure 
that instruction is state of the art, and that students, 
teachers and schools will have access to the latest 
advancements in technology.
    Ensuring that a school is a safe haven for learning and 
that weapons will not be tolerated in the classroom played a 
major role in bolstering the former Drug-Free Schools and 
Communities Act, which became the Safe and Drug-Free Schools 
and Communities program.
    Among others, important programs were improved upon and 
maintained such as Impact Aid, Bilingual Education, Magnet 
Schools and the Dropout Prevention Assistance Program. Some 
smaller, but particularly important education programs were 
established or continued such as Reading is Fundamental, the We 
the People Program, the Gifted and Talented Program, the Close 
Up Program and the Fund for the Improvement of Education. They 
also covered new initiatives in areas such as Extended Time for 
Learning and a Longer School Year, Arts in Education and 
Cultural Partnerships for At-Risk Children and Youth.
    The Improving America's Schools Act of 1994 (S. 1513) also 
incorporated the ideas and proposals embodied in legislation 
introduced by other Members of the Senate. Among others, these 
included: S. 70 by Senator Cochran, S. 232 by Senator Hatfield, 
S. 266 by Senator Simon, S. 429 by Senator Durenberger, S. 881 
by Senator Dodd, S. 996 by Senator Metzenbaum, S. 1020 by 
Senators Wofford and Kennedy, S. 1040 by Senators Bingaman and 
Kennedy, S. 1142 by Senator Harkin, S. 1267 by Senator 
Hatfield, S. 1446 by Senator Wofford, S. 1463, S. 1464 and S. 
1465 by Senators Mikulski, Kennedy, Harkin, Simon, Moseley-
Braun, Sarbanes, Inouye, Boxer, and Murray, S. 1471 by Senators 
Wellstone and Simon, S. 1472 by Senators Simon, Wellstone and 
Jeffords, S. 1990 by Senator Jeffords and S. 2034 by Senator 
Moseley-Braun.

           ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

             NATIONAL FOUNDATION ON THE ARTS AND HUMANITIES

    Reauthorization of the National Foundation on the Arts and 
Humanities Act, which encompasses the National Endowment for 
the Arts, the National Endowment for the Humanities, and the 
Institute of Museum Services, will be a major focus of the 
subcommittee during the 104th Congress. The current authorizing 
law expired in fiscal year 1993. It is anticipated that the 
subcommittee will have a legislative proposal ready by mid-
spring.

    CARL D. PERKINS VOCATIONAL AND APPLIED TECHNOLOGY EDUCATION ACT

    This act provides Federal assistance for secondary and 
postsecondary vocational education. Issues to be considered in 
this year's reauthorization include: greater flexibility for 
States and local school districts, greater emphasis regarding 
the integration of traditional academics and vocational 
instruction, relationship of school to work and tech prep 
programs to vocational education, and strengthening the 
transition between secondary and postsecondary vocational 
education activities.

                      DIRECT STUDENT LOAN PROGRAM

    The subcommittee will hold oversight hearings on this issue 
in the spring. The 1992 Higher Education Act included a pilot 
program to test the Federal Government's ability to make direct 
loans to students attending institutions of higher education. 
The program was expanded under the Omnibus Reconciliation Act 
of 1993.

                 LIBRARY SERVICES AND CONSTRUCTION ACT

    This act authorizes several activities supporting public 
libraries: State formula grants for library services, 
construction/interlibrary cooperation, competitive grants for 
foreign language materials, library literacy programs, research 
library assistance, research and demonstration grants, and 
college library technology. The subcommittee may hold hearings 
on the LSCA reauthorization later this year.
                  EMPLOYMENT AND PRODUCTIVITY

          Subcommittee on Employment and Productivity:

                      Paul Simon, Chairman

                          JOB TRAINING

                             School-to-Work

    The primary focus of the subcommittee in the l03d Congress 
was the School to Work Opportunities Act. On February 25, 1993, 
Senator Simon introduced S. 456, the Career Pathways Act of 
1993 for himself and Senator Wofford. The legislation 
established a school-to-work program for all students. The 
subcommittee held a hearing on the Career Pathways Act on March 
3, 1993.
    The administration developed S. 1361, the School-to-Work 
Opportunities Act. Senator Simon introduced S. 1361 on August 
5, 1993. This bill's cosponsors were Senators Wofford, Kennedy, 
Pell, Metzenbaum, Dodd, Moseley-Braun, Breaux, Murray, 
Durenberger, and Hatfield. S. 1361 was developed by the Clinton 
administration building on the Career Pathways Act and the 
ideas and work of others interested in facilitating the 
transition from school to employment. The legislation 
established a national framework for the development of School-
to-Work Opportunities systems in all States.
    The Senate subcommittee held hearings on the School-to-Work 
Opportunities Act on September 28, 1993, and October 14, 1993. 
The House passed its version of the bill, H.R. 2884, on 
November 15, 1993. The Senate passed S. 1361 on February 8, 
1994, by a vote of 62 to 31.
    The conference report on the School-to-Work Opportunities 
Act was filed on April 19, 1994. The House passed the report, 
339 to 79, on April 20, 1994, and the Senate passed it by 
unanimous consent on April 21, 1994. President Clinton signed 
the legislation into law on May 4, 1994.

                       Job Training Consolidation

    On March 10, 1994, Senator Simon held a hearing to examine 
proposals to create a national employment system by 
consolidating various current Federal training programs.

                       WORKER PROTECTION

                      The American Labor Movement

    To further examine the status of labor/management relations 
in the United States, Senator Simon held a hearing on this 
issue, with a particular focus on labor membership on March 20, 
1993. The hearing was held in Chicago, IL.
    Senator Simon introduced a series of bills on labor law 
reform as a means of keeping the United States competitive and 
prosperous in a global economy. These bills were intended to 
encourage labor-management cooperation and the participation of 
workers in decisions that affect the workplace.
    On October 7, 1993, Senator Simon introduced the first of 
this series of bills. These were: S. 1528, the National Labor 
Relations Board Ruling Time Act; S. 1529, the Labor Relations 
Representative Amendment Act; S. 1530, The Federal Contracts 
Debarment Act; S. 1531, the National Labor Relations Penalty 
Act; and S. 1532, the Labor Organizations Equal Presentation 
Time Act.
    On October 18, 1993, Senator Simon added to the series. He 
introduced S. 1553, the Labor Relations Remedies Act of 1993, 
and he introduced S. 1554, for himself and Senator Wellstone, 
the Labor Relations First Contract Act of 1993.

                                Privacy

    The Privacy for Workers and Consumers Act was introduced by 
Senator Simon on May 19, 1994, and referred to the subcommittee 
on June 22, 1994. S. 984 was designed to prevent potential 
abuses of electronic monitoring in the workplace. It would 
provide employees with the right to know when they are being 
monitored. A hearing was held on June 22, 1993.

                                HEARINGS

    During the l03d Congress, the Subcommittee on Employment 
and Productivity held 8 days of hearings:
    Career Pathways Act of 1993 on March 3, 1993. The hearing 
examined issues surrounding the establishment of the school-to-
work transition programs for students.
    The American Labor Movement on March 20, 1993, in Chicago, 
IL. This hearing looked at the status of the United States in 
terms of labor/management relations and particularly, labor 
membership.
    The Privacy for Consumers and Workers Act on June 22, 1993. 
This hearing examined the issues surrounding the prevention of 
abuse by electronic monitoring in the workplace.
    The School-to-Work Opportunities Act on September 28, 1993, 
and October 14, 1993. These hearings examined the establishment 
of a national framework for the development of School-to-Work 
Opportunities in all States.
    Creating Public Service Jobs on January 27, 1994. This 
hearing looked at proposals to reform the current welfare 
system and the system of producing public sector employees.
    Creating a National Employment Training System on March 10, 
1994. This hearing examined proposals to create a national 
employment system by consolidating various current Federal job 
training programs.

           ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

    Legislative and oversight responsibilities previously under 
the jurisdiction of the Employment and Productivity 
Subcommittee will be assumed by the full committee. The full 
committee will actively pursue comprehensive job training 
reform by considering legislation to consolidate the multitude 
of existing job training programs into a more rational, 
comprehensive system. Special emphasis will be given to 
providing for greater participation from employers, greater 
accountability from service providers, and greater flexibility 
to States and localities.
    The committee will also conduct oversight of the Job Corps, 
with a view toward ensuring that the program adequately meets 
the needs of the disadvantaged youths the program was designed 
to serve. In addition, the committee intends to oversee the 
activities of the Equal Employment Opportunity Commission, 
focusing on efforts to alleviate the backlog of cases that has 
developed in recent years.
                       DISABILITY POLICY

               Subcommittee on Disability Policy:

                      Tom Harkin, Chairman

    The Subcommittee on Disability Policy, chaired by Senator 
Tom Harkin has jurisdiction over a variety of Federal programs 
related to disability policy, including the Americans with 
Disabilities Act, the Individuals with Disabilities Education 
Act, the Rehabilitation Act of 1973, the Developmental 
Disabilities Assistance and Bill of Rights Act, the Protection 
and Advocacy for Mentally Ill Individuals Act, the Technology-
Related Assistance for Individuals with Disabilities Act, the 
Education of the Deaf Act, the Javits-Wagner O-Day Act, and the 
Randolph-Shepherd Act.

               LEGISLATION CONSIDERED BY THE SUBCOMMITTEE

    S. 1283, The Technology-Related Assistance Act Amendments 
of 1993 was introduced by Senator Harkin on August 6, 1993. The 
bill extends and revises the programs of the Technology-Related 
Assistance for Individuals with Disabilities Act of 1988 (The 
Tech Act). The legislation provides assistance to States to 
coordinate activities designed to facilitate access to, 
provision of, and funding for assistive technology devices and 
services for individuals with disabilities.
    The subcommittee held a hearing on the legislation on June 
29, 1993. H.R. 2339, the companion bill in the House of 
Representatives, passed on August 2, 1993. S. 1283 was 
considered and passed by the Senate on August 5, 1993 (S. Rept. 
103-119). On that day, the Senate also passed H.R. 2339, and 
substituted in lieu thereof the text of S. 1283. On February 8, 
1994, the House concurred in the Senate amendment with an 
amendment. On February 11, 1994, the Senate concurred in the 
House amendment. The bill was signed into law on March 9, 1994 
(Public Law 103-218).
    S. 1284, the Developmental Disabilities Assistance and Bill 
of Rights Act Amendments of 1994 was introduced by Senator 
Harkin on July 23, 1993. The bill revises and extends the 
programs of the Developmental Disabilities Assistance and Bill 
of Rights Act, including the Developmental Disabilities 
Councils, the Protection and Advocacy Systems, the University 
Affiliated Programs, and the Programs of National Significance. 
A hearing was held on June 29, 1993.
    S. 1284 was considered and passed by the Senate on August 
5, 1993 (S. Rept. 103-120). On November 21, the House of 
Representatives considered and passed H.R. 3505 and then passed 
S. 1284 and substituted in lieu thereof the text of H.R. 3505. 
On March 21, 1994, the House of Representatives agreed to the 
conference report (H. Rept. 103-442). On March 24, 1994 the 
Senate agreed to the conference report. The legislation was 
signed into law on April 6, 1994 (Public Law 103-230). S. 2144, 
the Support for Families with Children with Disabilities Act of 
1994, was introduced by Senator Harkin on May 23, 1994. The 
bill provides assistance to States to develop or enhance 
family-centered and family-directed, community-centered, 
comprehensive statewide systems of family support for families 
of children with disabilities. A hearing was held on May 10, 
1994. The bill was included as part of S. 1513 and H.R. 6, the 
Improving America's Schools Act. The legislation was signed 
into law on October 20, 1994.

                    OTHER SUBCOMMITTEE INVOLVEMENTS

    Senator Harkin, the chair of the subcommittee, worked with 
other members of the subcommittee and the Committee on Labor 
and Human Resources to ensure that other legislation reported 
out of the committee and signed into law addressed the special 
needs of individuals with disabilities and their families, 
including the Goals 2000: Educate America Act (Public Law 103-
227); The National and Community Service Trust Act of 1993 
(Public Law 103-82); the School-to-Work Opportunities Act 
(Public Law 103-239); and Improving America's School Act.
    In addition, the subcommittee developed significant efforts 
overseeing the implementation of the Americans with 
Disabilities Act and the 1992 Amendments to the Rehabilitation 
Act of 1993.
    Furthermore, the subcommittee, in conjunction with the 
Committee on Labor and Human Resources held a hearing on the 
health care needs of individuals with disabilities in February 
22, 1994, and worked with the chairman of the committee on 
provisions in the Health Security Act of particular interest to 
individuals with disabilities.

           ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

    The subcommittee's agenda for the 104th Congress includes 
reauthorization of Parts C through H and a review of Part B of 
the Individuals with Disabilities Education Act (IDEA), and 
reauthorization of the Protection and Advocacy for Mentally Ill 
Individuals Act.
    The subcommittee will hold hearings on what helps students 
with disabilities learn; how progress of students with 
disabilities should be measured; what helps teachers, who work 
with students with disabilities, to be effective; what are the 
characteristics of effective service delivery when serving 
children and youth with disabilities, especially with regard to 
entering and exiting programs; what are the characteristics of 
schools that are maximally responsible to students with 
disabilities and their families; and what innovations and 
flexibility, with regard to funding, have demonstrable benefits 
for students with disabilities.
    In developing reauthorization legislation, the following 
issues will be reviewed and considered: the current funding 
formula for Part B; eligibility criteria for participation in 
Part B programs; discipline policy with regard to students with 
disabilities; consolidation of programs under Parts C through G 
of IDEA; ways to simplify and streamline State grant 
applications under Part B; mediation as an option in the due 
process provisions of Part B; conditions under which pooling of 
funds might be permissible; strategies for setting priorities 
under Part D of IDEA; ways to address the educational needs 
more effectively of children and youth from minority 
backgrounds; circumstances under which negotiated rule making 
is warranted; incentives to encourage decision making based on 
a disabled student's service needs as well as on placement 
options available; access and participation of students with 
disabilities in model school programs and school reform 
initiatives; effects of Part H and preschool programs on 
infants, toddlers, and preschoolers with disabilities; and best 
practices available for serving students with high incidence 
and low-incidence disabilities.
    The subcommittee will hold a hearing on the Americans with 
Disabilities Act to review its effects on individuals with 
disabilities, their families, and communities.
    The subcommittee will also participate in and advise on 
education and job training legislation that would affect 
individuals with disabilities.
             CHILDREN, FAMILY, DRUGS AND ALCOHOLISM

    Subcommittee on Children, Family, Drugs and Alcoholism:

                 Christopher J. Dodd, Chairman

    The Subcommittee on Children, Family, Drugs and Alcoholism, 
chaired by Senator Christopher J. Dodd, has jurisdiction over a 
variety of Federal programs related to children, families, and 
substance abuse treatment and prevention. During the 103d 
Congress, the subcommittee focused its efforts in several 
critical areas. Early in the Congress, the Family and Medical 
Leave Act was signed into law, fulfilling the promise of 7 
years of effort by the subcommittee. The subcommittee also 
focused significant attention on the problem of youth violence. 
In addition, the needs of young children remained central to 
the work of the subcommittee during the 103d Congress with the 
reauthorization of the Head Start program and hearings on 
children's health, child care, and child support.
    In the course of the 103d Congress, the subcommittee 
conducted 17 hearings on a variety of family-related issues. 
Major subcommittee initiatives approved by the 103d Congress 
include the Family and Medical Leave Act, the Reauthorization 
of Head Start, the Community Services Block Grant Amendments, 
the Low-Income Home Energy Assistance Program and Community-
Based Family Resource Programs (as part of the Human Services 
Reauthorization), the Domestic Volunteer Services Act (as part 
of the National Community Services Act), the Multiethnic 
Placement Act (as part of the Elementary and Secondary 
Education Act), and the Ounce of Prevention amendment (as part 
of the Violent Crime Control and Law Enforcement Act of 1994).

               LEGISLATION CONSIDERED BY THE SUBCOMMITTEE

    The subcommittee considered the following legislation 
during the 103d Congress:
    S. 5, the Family Medical Leave Act provides employees with 
12 weeks of unpaid, job protected leave for medical emergencies 
or the birth or adoption of a child. The bill was introduced by 
Senator Dodd on January 21, 1993. A hearing was held in the 
subcommittee the next day, January 22, 1993, and the bill was 
reported by the Committee on Labor and Human Resources on 
January 26, 1993. It passed the Congress February 4 and was 
signed into law (P.L. 103-3) on February 5, 1993.
    S. 2000, the Human Services Reauthorization authorizes 
appropriations for the Head Start, the Community Services Block 
Grant and for other programs (Low-Income Home Energy Assistance 
and Community-Based Family Resource programs). On February 10 
and March 15, 1994, the Subcommittee held hearings on S. 2000. 
The bill was introduced on March 25, 1994, reported by the 
Committee on Labor and Human Resources on April 13, 1994, and 
passed the Senate April 21, 1994. The House approved a 
companion measure on April 28, 1994. A conference was held on 
the bill, and on May 11, 1994, the Senate agreed to the 
conference report on the bill, by recorded vote of 98 yeas and 
2 nays (Roll No. 109). May 12, 1994, the House agreed to 
conference report on the bill, by a recorded vote of 393 yeas 
and 20 nays (Roll No. 170)--clearing the measure for the 
President's signature. On May 19, 1994, S. 2000 was signed into 
law (P.L. 103-252).
    S. 561, Police Partnerships for Children (formerly the 
Child and Family Services and Law Enforcement Partnership Act), 
authorizes the Secretary of Health and Human Services to award 
grants for the establishment of child and family services and 
law enforcement partnership programs. The legislation was 
introduced by Senator Dodd on March 10, 1993, and the 
subcommittee held a hearing on this measure on the same date. 
S. 561, with minor changes, was adopted as a part of the 
Violent Crime Control and Law Enforcement Act of 1994 (P.L. 
103-322).
    S. 1572, Domestic Violence Community Initiative Act of 1993 
amends the Family Violence Prevention and Services Act to 
authorize the Secretary of Health and Human Services to 
administer a Federal demonstration program to coordinate 
response and strategy within many sectors of local communities 
for intervention and prevention of domestic violence. Senator 
Hatfield introduced this legislation on October 20, and this 
measure was considered at a subcommittee hearing on October 28, 
1993. S. 1572 passed as part the National Community Services 
Act of 1993 (P.L. 103-82).
    S. 1224, Multiethnic Placement Act of 1993 prohibits an 
agency, or entity, that receives Federal assistance and is 
involved in adoptive or foster care placements from delaying or 
denying the placement of a child solely on the basis of race, 
color, or national origin of the adoptive or foster parent or 
parents involved. Senator Metzenbaum introduced this 
legislation on July 14, 1993, and it was considered during a 
subcommittee hearing on July 15, 1993. It was reported by the 
Committee on Labor and Human Resources on October 6, 1993. It 
was adopted as an amendment to the Improving America's Schools 
Act (P.L. 103-382).
    S. 1462, Nonviolent Futures For Children Act, directs the 
Secretary of Education to award competitive grants to eligible 
local educational agencies for preventive services and 
interventions to reduce the incidence of violence among youth. 
S. 1462, introduced by Senator Dodd, was considered in the 
context of the Safe Schools Act, also introduced by Senator 
Dodd, which was considered and adopted as a part of the Goals 
2000 legislation.
    S. 495, Child Care Public-Private Partnership Act of 1993, 
directs the Secretary of Health and Human Services to establish 
a business incentive grant program to provide child care 
through public-private partnerships. Senator Dodd introduced 
this legislation, and it was considered at subcommittee 
hearings on child care.
    S. 1420, National Commission to Prevent Infant Mortality 
Reauthorization of 1993, introduced by Senator Glenn, amends 
the National Commission to Prevent Infant Mortality Act of 1986 
to: (1) reauthorize and extend the National Commission to 
Prevent Infant Mortality; and (2) make changes regarding 
Commission duties, powers, and staff.
    S. 870, Child Safety Act of 1993, protects children from 
the trauma of witnessing and/or experiencing violence, sexual 
abuse, neglect, abduction, and rape or death during parent/
child visitation exchanges. Senator Wellstone introduced this 
measure on May 4, 1993, and it was considered at a subcommittee 
hearing on October 28, 1993.
    S. 1138, Community Schools Demonstration Program Act of 
1993 amends the Anti-Drug Abuse Act of 1988 to establish the 
community schools demonstration program. Senator Danforth 
introduced this legislation on June 22, 1993, and it was 
discussed at the subcommittee hearing on May 17, 1994. It was 
enacted as a part of the Violent Crime Control and Law 
Enforcement Act of 1994 (P.L. 103-322).

                 HEARINGS CONDUCTED BY THE SUBCOMMITTEE

    Family Medical Leave Act of 1993, S. 5--January 22, 1993. 
To grant family and temporary medical leave under certain 
circumstances.
    Keeping Every Child Safe: Curbing the Epidemic of Violence 
(Joint hearing with House Select Committee on Children, Youth 
and Families)--March 10, 1993. Examining the impact of violence 
on children, and on proposed legislation to provide children 
exposed to violence with immediate assessment and intervention 
by child mental health professionals, and to provide training 
for law enforcement in child, family, and cultural issues.
    A Helping Hand: Promising Approaches For Supporting 
Families--April 28, 1993. Examining approaches for supporting 
families in an effort to eliminate abuse and neglect and to 
assist families that have, or may develop, health and related 
problems, focusing on home visiting, family-centered substance 
abuse treatment, and family resource and support programs.
    Making a Difference: Domestic Volunteer Service Programs--
May 18, 1993. Examining the impact of the Domestic Volunteer 
Service Programs and their role in the larger National Service 
legislation.
    Barriers to Adoption--July 15, 1993. Examining barriers to 
the adoption of children and considering S. 1224.
    New Challenges For Head Start--July 22, 1993. Examining the 
shape of the reauthorization for the Head Start Program, and to 
examine the impact of the Head Start Expansion and Improvement 
Act of 1990.
    New Directions in Child Support: Child Support Assurance--
August 3, 1993. Examining proposed legislation to strengthen 
State child support enforcement procedures and to create 
incentives for the custodial parents to cooperate in 
establishing paternity and support orders.
    Witness to Domestic Violence: Protecting Our Kids--October 
28, 1993. Examining the effects of domestic violence on 
children, and related measures including S. 1572 and S. 870.
    Administration Proposal For Head Start Reauthorization 
(Joint hearing with House Committee on Education and Labor)--
February 10, 1994. Examining Head Start and the 
administration's plans for expanding and improving it.
    Child Care For Working Families: Real Welfare Reform 
(Chaired by Sen. Wellstone)--February 24, 1994. Examining 
welfare reform issues, focusing on child care for working 
families.
    Reauthorization of the Low-Income Home Energy Assistance 
Program--March 15, 1994. Examining proposed legislation 
authorizing funds for the Low-Income Home Energy Assistance 
program and the Community Services Block Grant.
    Keeping Kids Safe--May 10, 1994. Examining State and local 
efforts to identify and prevent the leading causes of injuries 
to children
    Before Dreams Disappear: Preventing Youth Violence--May 17, 
1994. Examining certain provisions establishing programs to 
prevent youth violence as contained in the proposed Violent 
Crime Control and Law Enforcement Act.

           ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

    The subcommittee's top legislative priorities include 
legislation reauthorizing the Child Care and Development Block 
Grant and the Child Abuse Prevention and Treatment Act. Both 
will be considered with an eye toward enhancing service 
delivery and improving coordination among the various other 
Federal programs.
    The subcommittee will conduct oversight hearings on these 
two programs as it prepares for the reauthorization process. 
Additionally, we will look at the effect these two programs 
will have on welfare policy and reform.
    The subcommittee plans to conduct hearings on a variety of 
other subjects affecting children and families including issues 
of family stability, the importance of two-parent families on 
family structure, the role of the father as a predictor of 
child outcome, parental rights, the effect of passive smoke on 
children, domestic violence, and teen pregnancy.
    The subcommittee will also look at which Federal programs 
for children are working, and ways in which these successful 
programs can be consolidated to improve access to the services 
they provide. Proposals like the Youth Development Block Grant 
will be explored as one way to better coordinate these programs 
and allow for maximum State flexibility and experimentation.
                             AGING

                     Subcommittee on Aging:

                 Barbara A. Mikulski, Chairman

    The Subcommittee on Aging, chaired by Senator Mikulski, has 
legislative jurisdiction over the Older Americans Act, the 
National Institute on Aging, and the Domestic Volunteer Service 
Act.
    During the 103d Congress, the subcommittee focused largely 
on health issues affecting the elderly, such as long-term care, 
including community- and home-based care, as part of the 
President's health care reform proposal. In addition the 
subcommittee's activities included oversight of the 
Administration on Aging and the implementation of the newly 
authorized Older Americans Act of 1965, in particular the White 
House Conference on Aging. In the fall of 1994, the 
subcommittee also began to prepare for the next reauthorization 
of the Older Americans Act. The subcomittee also worked on a 
number of women's health issues including ensuring that NIH 
include women in clinical trials, that sufficient funding be 
devoted to diseases affecting elderly women such as breast 
cancer, cervical cancer, and osteoporosis, and that women 
receive effective and appropriate health care.

                         Hearings and Briefings

    The subcommittee held 5 hearings in Washington, DC. during 
the l03d Congress to examine a broad range of issues. The five 
hearings included: ``Examining New Directions in Policy for the 
Aging Population'' (April 28, 1993); ``Unnecessary 
Hysterectomies, the Second Most Common Major Surgery in the 
United States'' (May 5, 1993); ``Reauthorization of the CDC 
Breast and Cervical Cancer Mortality Prevention Program'' (July 
15, 1993); ``Women's Health Care in the President's Health Care 
Plan'' (March 9, 1994); ``Long-Term Care in Health Care Reform-
-Parts I and II'' (April 11 and 14, 1994).

                           Health Care Reform

    In conjunction with health care reform efforts, the 
subcommittee worked to ensure that home and community-based 
care were elements of the Labor Committee health care reform 
bill and S. 2351 sponsored by Senator Mitchell. Provisions of 
the home- and community-based care program included strong 
national standards, a requirement that States establish case 
management services for individuals receiving these services, 
and Federal standards for quality assurance. Senator Mikulski, 
as chair of the subcommittee, focused attention on the health 
needs of older women in the health care reform process ensuring 
that annual screening for mammography for women over the age 50 
was covered under a standard benefit package and allowing 
coverage for annual pap smears and pelvic exams for females who 
are at risk for cervical cancer.

                          Older Americans Act

    In preparation for the reauthorization of the Older 
Americans Act, the subcommittee held a series of round tables 
on various aspects of the act including the nutrition programs, 
legal services, the ombudsman program, targeting of services, 
and an overview of Titles III and IV of the act. The 
subcommittee also held briefings with Administration on Aging 
staff on the implementation of Titles III, IV and VII of the 
act.

                    White House Conference on Aging

    The subcommittee worked with the White House Conference on 
Aging staff in the planning and agenda setting for the 
conference. The conference will be held May 2-5, 1995. The 
theme of the conference will be ``America Now and Into the 21st 
Century: Generations Aging Together with Independence, 
Opportunity, and Dignity.'' Issues to be discussed at the 
conference will include ``Assuring Comprehensive Health Care 
Including Long-Term Care,'' ``Promoting Economic Security,'' 
``Maximizing Housing and Support Service Options,'' and 
``Maximizing Options for a Quality Life.''

                    The National Institute on Aging

    Senator Mikulski, as chair of the subcommittee, worked to 
correct biases against aging research in the research grant 
review process at NIH by requesting that NIH establish a study 
section for biomedical aging research.

                Mid-Life and Older Women's Health Issues

    Senator Mikulski made mid-life and older women's health 
issues a priority of the subcommittee. The subcommittee worked 
to increase NIH funding for research into breast cancer, 
osteoporosis, ovarian and cervical cancer and for research into 
the causes and conditions leading to hysterectomy. The 
subcommittee also worked to secure an increase in funding for 
the Women's Health Initiative--the largest clinical trial on 
mid-life and older women in this nation's history. In addition, 
the subcommittee worked to increase funding for the Office of 
Research on Women's Health at NIH and to establish new funding 
streams for offices of women's health research within the Food 
and Drug Administration, the Centers for Disease Control, the 
Health Resources and Services Administration and the Agency for 
Health Care Policy and Research.
    The subcommittee played a central role in oversight of the 
Food and Drug Administration's implementation of the 
Mammography Quality Standards Act to ensure the safety and 
accuracy of mammograms, and the implementation by the Health 
Care Financing Administration of the Clinical Laboratory 
Improvement Act.

           ANTICIPATED ACTIVITIES FOR 104TH CONGRESS

    During the 104th Congress, the Subcommittee on Aging, 
chaired by Senator Judd Gregg, will conduct oversight hearings 
on the Older Americans Act as part of the reauthorization 
process. The subcommittee expects to take this opportunity to 
review the current performance and funding policies of these 
important programs which allow senior citizens the opportunity 
to be independent, productive, and healthier. The subcommittee 
looks forward to hearing the resolutions proposed by the White 
House Conference on Aging, due to be convened in May.
    The subcommittee also plans to focus on issues relating to 
the health and quality of life of our senior population. Sound 
economic principles will be an important theme, as the 
subcommittee is very aware of the demographic challenges 
seniors' programs face in the near future. We need to extend 
our shortsighted vision, to consider the problems that will 
confront the next generations of American seniors, as well as 
those with us today.
    Barriers that stand in the way of public-private 
partnership in meeting the needs of our seniors will receive 
significant emphasis. The American people have spoken; they are 
not interested in larger or more invasive government. We will 
be looking to find ways to allow Americans to direct their own 
futures, by supporting efforts to promote positive long-term 
care initiatives, improve access to advanced medical 
technologies, and address the common battles being fought 
across geographical and gender lines, such as Alzheimer's 
Disease.