ical dictionary produced under section 433(b), which 
promotes an understanding of health. 
(6) The right to have all health care informa-
tion, reports, and educational materials translated 
into the individual’s primary language. 
(7) The right to receive, prior to the delivery of 
any health care service, a careful, prompt, and intel-
ligible— 
(A) explanation of the indications, diag-
noses, benefits, side effects, and risks involved 
in the delivery of such service, and a description 
of all medically necessary or appropriate alter-
natives to such service (including no treatment); 
(B) answer to any question relating to 
such health care service; and 
(C) explanation of one’s health rights de-
scribed in this subtitle, and the right to have 
such health care service delivered only with the 
individual’s prior, voluntary, written consent. 
(8) The right to refuse the initial or continuing 
delivery of any health care service whenever such re-
fusal does not directly endanger the public health or, 
in accordance with State law, the health of the indi-
vidual if the individual is dangerous to himself or 
herself. 
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(9) The right to have all individually identifi-
able information and documents treated confiden-
tially and not disclosed (except for statistical pur-
poses and for the control of communicable diseases, 
drug abuse, and child abuse) without the individual’s 
prior, voluntary, and written consent. 
(10) The right of access at all times to individ-
uals or groups for counseling, health information, 
and assistance on health matters, including access to 
user advocates who shall— 
(A) assist users in choosing the most ap-
propriate sites from which to receive health 
services and the most appropriate health work-
ers from whom to receive such services; 
(B) provide counseling and assistance to 
users in filing complaints; and 
(C) investigate instances of poor quality 
services or improper treatment of users and 
bring such instances to the attention of the ap-
plicable authority. 
(11) The right to be accompanied and visited at 
any time by a friend, relative, or independent advo-
cate of the individual’s choosing, and the right to 
have routine services, such as feeding, bathing, 
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dressing, and bedding changes, performed by a 
friend or relative, if the individual so chooses. 
(12) The right, in the event of terminal illness, 
to die with a maximum degree of dignity, to be pro-
vided all necessary symptom relief, to be provided 
(and for the individual’s family to be provided) coun-
seling and comfort, and to be allowed (if desired) to 
die at home. 
(13) The right of access to a complaint and 
grievance system and to legal assistance to enforce 
these rights. 
SEC. 202. RIGHT TO PAID LEAVE TO RECEIVE HEALTH 
CARE SERVICES. 
(a) AMENDMENT
TO
FAIR
LABOR
STANDARDS 
ACT.—The Fair Labor Standards Act of 1938 is amended 
by inserting after section 7 (29 U.S.C. 207) the following 
new section: 
‘‘MINIMUM HEALTH LEAVE COMPENSATION 
‘‘SEC. 7A. Each employee of any employer who in any 
workweek is engaged in commerce or in the production 
of goods for commerce, or is employed in an enterprise 
engaged in commerce or in the production of goods for 
commerce, shall be entitled to receive from the employer, 
for each 35 hours he is employed by the employer (not 
counting more than 35 hours in any workweek), com-
pensation for one hour of employment at the regular rate 
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at which the employee is employed (as that term is used 
in section 7 of this Act) for an hour— 
‘‘(1) during the period of 52 weeks beginning 
with the workweek with which the entitlement is 
earned, and 
‘‘(2) during which the employee is unable to 
work because of the need for the employee (or a de-
pendent of that employee) to receive necessary 
health care services.’’. 
(b) CONFORMING AMENDMENTS.—The Fair Labor 
Standards Act of 1938 is further amended— 
(1) in section 3(o), by striking ‘‘sections 6 and 
7’’ and inserting ‘‘sections 6, 7, and 7A’’; 
(2) in section 13— 
(A) in subsection (a) before paragraph (1), 
by striking ‘‘and 7’’ and inserting ‘‘, 7, and 
7A’’; 
(B) in subsection (a)(3), by striking ‘‘sec-
tions 6 and 7’’ and inserting ‘‘sections 6, 7, and 
7A’’; and 
(C) in subsections (d) and (f), by inserting 
‘‘7A,’’ after ‘‘7,’’ each place it appears; 
(3) in section 14(d), by striking ‘‘6 and 7’’ and 
inserting ‘‘6, 7, and 7A’’; 
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(4) in section 15(a), by striking ‘‘section 6 or 
section 7’’ and inserting ‘‘section 6, 7, or 7A’’; 
(5) in section 16— 
(A) in subsection (b), by striking ‘‘section 
6 or section 7’’ and inserting ‘‘section 6, 7, or 
7A’’; 
(B) in subsection (b), by striking ‘‘or their 
unpaid overtime compensation’’ and inserting 
‘‘their unpaid overtime compensation, or their 
unpaid health leave compensation’’; 
(C) in subsection (b), by inserting ‘‘or of 
unpaid 
health 
leave 
compensation’’ 
after 
‘‘amount of unpaid overtime compensation’’; 
(D) in the first sentence of subsection (c), 
by striking ‘‘section 6 or 7’’ and inserting ‘‘sec-
tion 6, 7, or 7A’’; 
(E) in the first sentence of subsection (c), 
by striking ‘‘unpaid overtime compensation’’ 
and inserting ‘‘, unpaid overtime compensation, 
or unpaid health leave compensation’’; 
(F) in the second sentence of subsection 
(c), by striking ‘‘or overtime compensation’’ and 
inserting ‘‘, overtime compensation, or health 
leave compensation’’; and 
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(G) in the third sentence of subsection (c), 
by striking ‘‘or unpaid overtime compensation 
under sections 6 and 7’’ and inserting ‘‘, unpaid 
overtime compensation, or unpaid health leave 
compensation under sections 6, 7, and 7A’’; and 
(6) in section 18(a)— 
(A) in the first sentence, by inserting ‘‘or 
minimum health leave compensation higher 
than the minimum health leave compensation 
established under this Act’’ before ‘‘, and no 
provision’’; and 
(B) the second sentence, by inserting be-
fore the period at the end the following: ‘‘, or 
justify any employer in reducing health leave 
compensation provided by him which is in ex-
cess of the applicable minimum health leave 
compensation under this Act’’. 
Subtitle B—Eligibility for, Nature 
of, and Scope of Services Pro-
vided by the Service 
SEC. 211. ELIGIBILITY FOR SERVICES. 
(a) IN GENERAL.—All individuals while within the 
United States are eligible to receive health care and sup-
plemental services under this Act. 
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(b) UNITED STATES DEFINED.—For purposes of this 
section, the term ‘‘United States’’ includes Indian reserva-
tions, the District of Columbia, the Commonwealth of 
Puerto Rico, the Virgin Islands, Guam, Samoa, and the 
Northern Mariana Islands. 
SEC. 212. ENTITLEMENT TO SERVICES. 
(a) IN GENERAL.—Except as provided in subsection 
(b), the Service shall, on and after the effective date of 
health services, provide users with all health care services 
and supplemental services described in section 213 which 
the Service determines, in accordance with this title, to 
be necessary or appropriate for the promotion and en-
hancement of health, for the prevention of disease, and 
for the diagnosis and treatment of, and rehabilitation fol-
lowing, injury, disability, or disease. 
(b) EXCLUSION.—Services provided under this Act 
shall not include personal comfort or cosmetic services un-
less the National Health Board or its designee determines 
that the services are required for health-related reasons. 
SEC. 213. PROVISION OF HEALTH CARE AND SUPPLE-
MENTAL SERVICES. 
(a) IN GENERAL.—The Service shall provide in the 
United States the following health care services in or 
through facilities established by the Service— 
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(1) the promotion of health and well-being 
through health education programs to be carried out 
in facilities of the Service as well as in workplaces, 
schools, and elsewhere utilizing all appropriate 
media, and by assisting other Government agencies 
in taking appropriate actions to promote health and 
well-being; 
(2) the prevention of illness, injury, and death 
through education and advocacy addressed to the so-
cial, occupational, and environmental causes of ill 
health; through the provision of appropriate preven-
tive services including social, medical, occupational, 
and environmental health services, on both an emer-
gency and sustained basis; through screening and 
other early detection programs to identify and ame-
liorate the primary causes of ill health; and, where 
appropriate, through actions taken on an emergency 
basis to halt environmental threats to life and 
health; 
(3) the diagnosis and treatment of illness and 
injury, including emergency medical services, com-
prehensive outpatient and inpatient health care serv-
ices, occupational health services, mental health 
services, dental care, vision care, long-term care, and 
home health services; 
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(4) the rehabilitation of the sick and disabled, 
including physical, psychological, occupational, and 
other specialized therapies; and 
(5) the provision of drugs, therapeutic devices, 
appliances, equipment, and other medical supplies 
(including eyeglasses, other visual aids, dental aids, 
hearing aids, and prosthetic devices) certified effec-
tive in the National Pharmacy and Medical Supply 
Formulary (published under section 432(a)) and fur-
nished or prescribed by authorized health workers. 
(b) SUPPLEMENTAL SERVICES.—The Service shall 
provide the following services supplemental to the delivery 
of health care services in or through health care facilities 
established by the Service— 
(1) ambulance and other transportation services 
to insure ready and timely access to necessary health 
care; 
(2) child care services for individuals who, dur-
ing the time they receive outpatient health care serv-
ices from the Service or are working in a health care 
facility of the Service, are responsible for a child’s 
care; 
(3) homemaking and home health services— 
(A) to enable the provision of inpatient 
health services at a health care facility of the 
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Service to an individual who has the sole re-
sponsibility for the care— 
(i) of a child under 15 years of age, 
or 
(ii) of a physically or mentally handi-
capped individual who requires the care of 
another individual, and 
(B) for the bedfast or severely handicapped 
individual; and 
(4) such counseling and social service assistance 
as will avoid the unnecessary provision of health care 
services. 
(c) LOCAL PUBLIC HEALTH SERVICES.—The Service 
shall maintain the functions, especially those related to en-
vironmental health and the prevention of illness, currently 
performed by the departments of health of the States and 
localities, to the extent consistent with Federal, State, and 
local law, and shall cooperate with State and local govern-
ments in its conduct of such functions. 
(d) EMERGENCY HEALTH CARE SERVICES.—The 
Service shall provide, at rates established by the National 
Health Board, for reimbursement of the cost of emergency 
health care services furnished in facilities not operated by 
the Service or by health workers not employed by the Serv-
ice, when an injury or acute illness requires immediate 
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medical attention under circumstances making it medi-
cally impractical for the ill or injured individual to receive 
care in a Service facility or by an employee of the Service. 
Subtitle C—Health Care Facilities 
and Delivery of Health Care 
Services 
SEC. 221. ESTABLISHMENT OF HEALTH CARE FACILITIES 
AND 
DISTRIBUTION 
OF 
DELIVERY 
OF 
HEALTH CARE AND OTHER SERVICES. 
(a) HEALTH SERVICE AREAS.—The National Health 
Board, in consultation with local authorities and residents 
of the local communities affected, shall establish such 
health care facilities as are necessary to provide all nec-
essary comprehensive primary and specialized health care 
services, including distributing such health care resources 
in a manner as to overcome present shortages and ensure 
equitable access for every resident to needed health care 
resources. In establishing such facilities, the National 
Health Board shall rely primarily on existing political 
boundaries for the purposes of allocating health services, 
including cities, counties, perinatal services regions, 
States, and Federal Medicare regions, and shall determine 
the need to establish additional or supplementary regional 
health service areas that may cross existing boundaries. 
(b) HEALTH CARE FACILITIES.— 
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