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[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Commission on the Removal of
Mexican-Americans to Mexico Act''.

SEC. 2. FINDINGS; PURPOSE.

(a) Findings.--Congress finds the following:
(1) From 1929 through 1941, Federal, State, and local
Government authorities and certain private sector entities
throughout the United States undertook an aggressive program to
forcibly remove individuals of Mexican ancestry from the United
States.
(2) As many as 1,200,000 individuals of Mexican ancestry
who were United States citizens were forcibly removed to
Mexico.
(3) These men, women, and children were removed outside the
United States in response to public pressure to curtail the
employment of Mexican-Americans, most of whom were United
States citizens or residing legally in the United States,
during the Depression.
(4) Massive raids were conducted on Mexican-American
communities, and many of the people who were removed were never
able to return to the United States, their country of birth.
(5) These raids targeted individuals of Mexican ancestry,
even when such individuals were United States citizens or
permanent legal residents.
(6) These raids also separated such United States citizens
and permanent legal residents from their families and deprived
them of their livelihoods and constitutional rights.
(7) No official inquiry into this matter has been made.
(b) Purpose.--It is the purpose of this Act to establish a fact
finding commission to determine whether United States citizens and
permanent legal residents were forcibly removed to Mexico from 1929 to
1941 in violation of law as a result of past directives of Federal,
State and local governments and the impact of such removal on those
individuals, their families, and the Mexican-American community in the
United States, and to recommend appropriate remedies.

SEC. 3. ESTABLISHMENT OF COMMISSION.

There is established a commission to be known as the ''Commission
on the Removal of Mexican-Americans to Mexico''.

SEC. 4. DUTIES OF THE COMMISSION.

The Commission shall--
(1) review the facts and circumstances surrounding the
removal of certain United States citizens and permanent legal
residents to Mexico from 1929 to 1941, and the impact of such
actions on these individuals, their families, and the Mexican-
American community in the United States;
(2) review past directives of Federal, State, and local
governments that required the removal of these individuals to
Mexico and any other information related to these directives;
and
(3) submit to Congress a written report of its findings and
recommendations.

SEC. 5. MEMBERSHIP.

(a) Number and Appointment.--The Commission shall be composed of
seven members, who shall be appointed within 90 days after the date of
the enactment of this Act as follows:
(1) Three members appointed by the President.
(2) Two members appointed by the Speaker of the House of
Representatives, in consultation with the minority leader of
the House of Representatives.
(3) Two members appointed by the President pro tempore of
the Senate, in consultation with the minority leader of the
Senate.
(b) Qualifications.--Members appointed under subsection (a) shall
possess knowledge or expertise related to human rights, civil rights,
immigration, labor, business, or other pertinent qualifications.
(c) Term of Office.--Each member shall be appointed for the life of
the Commission.
(d) Quorum.--Four members of the Commission shall constitute a
quorum, but a lesser number may hold hearings.
(e) Initial Meeting.--The initial meeting of the Commission shall
be called by the President within one hundred and twenty days after the
date of the enactment of this Act, or within thirty days after the date
on which legislation is enacted making appropriations to carry out this
Act, whichever is later.
(f) Chairperson and Vice Chairperson.--The Commission shall elect a
chairperson and vice chairperson from among its members. The term of
office of each shall be for the life of the Commission.
(g) Vacancies.--A vacancy in the Commission shall not affect its
powers and shall be filled in the same manner in which the original
appointment was made.

SEC. 6. POWERS.

(a) Hearings.--
(1) In general.--The Commission or on the authorization of
the Commission, any subcommittee or member thereof, may for the
purpose of carrying out this Act, hold hearings, sit and act at
times and places, take testimony, and receive evidence as the
Commission or any subcommittee or member considers appropriate.
(2) Location.--The Commission may hold public hearings in
any city of the United States that it finds appropriate.
(b) Subpoena Power.--
(1) In general.--The Commission may issue subpoenas
requiring the attendance and testimony of witnesses and the
production of any evidence relating to any matter under
investigation by the Commission which the Commission is
empowered to investigate by this Act.
(2) Failure to obey a subpoena.--If a person refuses to
obey a subpoena issued under paragraph (1), the Commission may
apply to a United States district court for an order requiring
that person to appear before the Commission to give testimony,
produce evidence, or both, relating to the matter under
investigation. The application may be made within the judicial
district where the hearing is conducted or where such person is
found, resides, or transacts business. Any failure to obey the
order of the court may be punished by the court as civil
contempt.
(3) Service of subpoena.--A subpoena of the Commission
shall be served in the manner provided for subpoenas issued by
a United States district court under the Federal Rules of Civil
Procedure for the United States district courts.
(4) Service of process.--All process of any court to which
application is made under paragraph (2) may be served in the
judicial district in which the person required to be served
resides or may be found.
(c) Obtaining Official Data.--The Commission may secure directly
from any department or agency of the United States, or from any State
or local government, information necessary to enable it to carry out
this Act. Upon request of any member, the head of such department or
agency shall furnish such information to the Commission.
(d) Contract Authority.--To the extent or in the amounts provided
in advance in appropriation Acts, the Commission may contract with and
compensate government and private agencies or persons for any services,
supplies, or other activities necessary to enable the Commission to
carry out its duties under this Act.

SEC. 7. STAFF.

(a) In General.--The Commission may appoint and fix the pay of such
additional staff as it considers appropriate.
(b) Applicability of Certain Civil Service Laws.--Any staff of the
Commission may be appointed without regard to the provisions of title
5, United States Code, governing appointments in the competitive
service, and may be paid without regard to the provisions of chapter 51
and subchapter III of chapter 53 of such title relating to
classification and General Schedule pay rates.
(c) Experts and Consultants.--The Commission may procure temporary
and intermittent services under section 3109(b) of title 5, United
States Code.
(d) Administrative Support Services.--Upon request of the
Commission, the Administrator of General Services shall provide to the
Commission, on a reimbursable basis, the administrative support
services necessary for the Commission to carry out its duties under
this Act.

SEC. 8. REPORT.

The Commission shall submit to Congress a written report not later
than the date which is one year after the date of the initial meeting
called pursuant to section 5(d) of this Act. The report shall contain a
detailed statement of the findings and conclusions of the Commission,
together with its recommendations for legislative actions that the
Commission considers appropriate.

SEC. 9. TERMINATION.

The Commission shall terminate 30 days after submitting the report
under section 8.

SEC. 10. DEFINITIONS.

In this Act:
(1) Commission.--The term ''Commission'' means the
Commission on the Removal of Mexican-Americans to Mexico
established under section 3.
(2) Member.--The term ''member'' means a member of the
Commission.
(3) State.--The term ''State'' means any State of the
United States, the District of Columbia, the Commonwealth of
Puerto Rico, and any other commonwealth, possession, or
territory of the United States.
[A]: Commission on the Removal of Mexican-Americans to Mexico This bill establishes the Commission on the Removal of Mexican-Americans to Mexico, which shall: (1) review the facts and circumstances surrounding the 1929-1941 removal of certain U.S. citizens and permanent legal residents to Mexico and the impact of such actions on such individuals, their families, and the Mexican-American community; (2) review federal, state, and local government directives that required such removal and any other related information; and (3) report its findings, conclusions, and any recommendations for legislative actions.

[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''21st Century Community Learning
Centers Act''.

SEC. 2. FINDINGS.

The Congress finds that--
(1) a local public school often serves as a center for the
delivery of education and human resources for all members of a
community;
(2) public schools, primarily in rural and inner city
communities, should collaborate with other public and nonprofit
agencies and organizations, local businesses, educational
entities (such as vocational and adult education programs,
school to work programs, community colleges, and universities),
recreational, cultural, and other community and human service
entities for the purpose of meeting the needs and expanding the
opportunities available to the residents of the communities
served by such schools;
(3) by using school facilities, equipment, and resources,
communities can promote a more efficient use of public
education facilities, especially in rural and inner city areas
where limited financial resources have enhanced the necessity
for local public schools to become social service centers;
(4) the high technology, global economy of the 21st century
will require lifelong learning to keep America's workforce
competitive and successful, local public schools should provide
centers for lifelong learning and educational opportunities for
individuals of all ages; and
(5) 21st Century Community Learning Centers enable the
entire community to develop an education strategy that
addresses the educational needs of all members of local
communities.

SEC. 3. PROGRAM AUTHORIZATION AND DISTRIBUTION.

(a) Grants by the Secretary.--The Secretary is authorized in
accordance with the provisions of this subsection to make grants to
rural and inner city schools or consortia thereof to plan, implement,
or to expand projects that benefit the educational, health, social
service, cultural, and recreational needs of a rural or inner city
community.
(1) No school or consortia thereof shall receive a grant
award of less than $50,000 in each fiscal year; and
(2) such grant projects do not exceed a 3-year period.
(b) Application.--To be eligible to receive funds under this Act, a
school or consortia thereof shall submit an application to the
Secretary of Education at such time and in such manner as the Secretary
may reasonably prescribe, that shall include--
(1) a comprehensive local plan that enables such school to
serve as a center for the delivery of education and human
resources for members of a community; and
(2) an initial evaluation of needs, available resources,
and goals and objectives for the proposed community education
program to determine programs that will be developed to address
these needs:
(A) A mechanism to disseminate information in a
manner that is understandable and accessible to the
community.
(B) Identification of Federal, State, and local
programs to be merged or coordinated so that public
resources may be maximized.
(C) A description of the collaborative efforts of
community-based organizations, related public agencies,
businesses, or other appropriate organizations.
(D) A description of how the school will assist as
a delivery center for existing and new services,
especially inter-active telecommunication used for
education and professional training.
(E) The establishment of a facility utilization
policy that specifically states rules and regulations
for building and equipment use and supervision
guidelines.
(c) Priority.--The Secretary shall give priority to applications
that offer a broad selection of services that address the needs of the
community.

SEC. 4. USES OF FUNDS.

(a) Authorized Programs.--Grants awarded under this Act may be used
to plan, implement, or expand community learning centers which shall
include not less than 4 of the following activities:
(1) Literacy education programs.
(2) Senior citizen programs.
(3) Children's day care services.
(4) Integrated education, health, social service,
recreational, or cultural programs.
(5) Summer and weekend school programs in conjunction with
summer recreation programs.
(6) Nutrition, health, and/or physical therapy.
(7) Expanded library service hours to serve community
needs.
(8) Telecommunications and technology education programs
for all ages.
(9) Parenting skills education programs.
(10) Support and training for child day care providers.
(11) Employment counseling, training, and placement.
(12) Services for students who withdraw from school before
graduating high school, regardless of age.
(13) Services for individuals who are either physically or
mentally challenged.

SEC. 5. AWARD OF GRANTS.

(a) In General.--In approving grants under this part, the Secretary
shall assure an equitable distribution of assistance among the States,
among urban and rural areas of the United States, and among urban and
rural areas of a State.
(b) Grant Period--Grants may be awarded for a period not to exceed
3 years.

SEC. 6. DEFINITIONS.

For purposes of this Act--
(1) the term ''Community Learning Center'' means the
provision of educational, recreational, health, and social
service programs for residents of all ages of a local community
in public school buildings, primarily in rural and inner city
areas, operated by the local educational agency in conjunction
with local governmental agencies, businesses, vocational
education programs, community colleges, universities, and
cultural, recreational, and other community and human service
entities; and
(2) the term ''Secretary'' means the Secretary of
Education.

SEC. 7. AUTHORIZATION OF APPROPRIATIONS.

There are authorized to be appropriated $25,000,000 for fiscal year
1995 and such sums as may be necessary for each of the fiscal years
1996 through 1999.
[A]: 21st Century Community Learning Centers Act - Directs the Secretary of Education to make grants to rural and inner city schools or consortia for projects that benefit the educational, health, social security, cultural, and recreational needs of rural or inner city communities.
Authorizes appropriations.

[Q]: SECTION 1. SHORT TITLE.

This Act may be cited as the ''Rural Health Innovation
Demonstration Act of 1993''.

SEC. 2. RURAL HEALTH EXTENSION NETWORKS.

Title XVII of the Public Health Service Act (42 U.S.C. 300u et
seq.) is amended by adding at the end thereof the following new
section:

''SEC. 1709. RURAL HEALTH EXTENSION NETWORKS.

''(a) Grants.--The Secretary, acting through the Health Resources
and Services Administration, may award competitive grants to eligible
entities to enable such entities to facilitate the development of
networks among rural and urban health care providers to preserve and
share health care resources and enhance the quality and availability of
health care in rural areas. Such networks may be statewide or
regionalized in focus.
''(b) Eligible Entities.--To be eligible to receive a grant under
subsection (a) an entity shall--
''(1)(A) be a rural health extension network that meets the
requirements of subsection (c); or
''(B) be an Area Health Education Center Program;
''(2) prepare and submit to the Secretary an application at
such time, in such form and containing such information as the
Secretary may require; and
''(3) meets such other requirements as the Secretary
determines appropriate.
''(c) Networks.--For purposes of subsection (b)(1), a rural health
extension network shall be an association or consortium of three or
more rural health care providers, and may include one or more urban
health care provider, for the purposes of applying for a grant under
this section and using amounts received under such grant to provide the
services described in subsection (d).
''(d) Services.--
''(1) In general.--An entity that receives a grant under
subsection (a) shall use amounts received under such grant to--
''(A) provide education and community
decisionmaking support for health care providers in the
rural areas served by the network;
''(B) utilize existing health care provider
education programs, including but not limited to, the
program for area health education centers under section
781, to provide educational services to health care
providers and trainees including, but not limited to,
physicians, nurses and nursing students in the areas
served by the network;
''(C) make appropriately trained facilitators
available to health care providers located in the areas
served by the network to assist such providers in
developing cooperative approaches to health care in
such area;
''(D) facilitate linkage building through the
organization of discussion and planning groups and the
dissemination of information concerning the health care
resources where available, within the area served by
the network;
''(E) support telecommunications and consultative
projects to link rural hospitals and other health care
providers, and urban or tertiary hospitals in the areas
served by the network; or
''(F) carry out any other activity determined
appropriate by the Secretary.
''(2) Education.--In carrying out activities under
paragraph (1)(B), an entity shall support the development of an
information and resource sharing system, including elements
targeted towards high risk populations and focusing on health
promotion, to facilitate the ability of rural health care
providers to have access to needed health care information.
Such activities may include the provision of training to enable
individuals to serve as coordinators of health education
programs in rural areas.
''(3) Collection and dissemination of data.--The chief
executive officer of a State shall designate a State agency
that shall be responsible for collecting and regularly
disseminating information concerning the activities of the
rural health extension networks in that State.
''(e) Matching Requirement.--An entity that receives a grant under
subsection (a) shall make available (directly or through donations from
public or private entities), non-Federal contributions towards the
costs of the operations of the network in an amount equal to the amount
of the grant.
''(f) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $10,000,000 for each of the
fiscal years 1994 through 1997.
''(g) Definition.--As used in this section and section 1710, the
term 'rural health care providers' means health care professionals and
hospitals located in rural areas. The Secretary shall ensure that for
purposes of this definition, rural areas shall include any area that
meets any applicable Federal or State definition of rural area.
''(h) Relation to Other Laws.--
''(1) In general.--Notwithstanding any provision of the
antitrust laws, it shall not be considered a violation of the
antitrust laws for entities to develop and operate networks in
accordance with this section.
''(2) Definition.--For purposes of this subsection, the
term 'antitrust laws' means--
''(A) the Act entitled 'An Act to protect trade and
commerce against unlawful restraints and monopolies',
approved July 2, 1890, commonly known as the 'Sherman
Act' (26 Stat. 209; chapter 647; 15 U.S.C. 1 et seq.);
''(B) the Federal Trade Commission Act, approved
September 26, 1914 (38 Stat. 717; chapter 311; 15
U.S.C. 41 et seq.);
''(C) the Act entitled 'An Act to supplement
existing laws against unlawful restraints and
monopolies, and for other purposes', approved October
15, 1914, commonly known as the 'Clayton Act' (38 Stat.
730; chapter 323; 15 U.S.C. 12 et seq.; 18 U.S.C. 402,
660, 3285, 3691; 29 U.S.C. 52, 53);
''(D) the Act of June 19, 1936, commonly known as
the Robinson-Patman Antidiscrimination Act (15 U.S.C.
13 et seq.); and
''(E) any State antitrust laws that would prohibit
the activities described in paragraph (1).''.

SEC. 3. RURAL MANAGED CARE COOPERATIVES.

Title XVII of the Public Health Service Act (42 U.S.C. 300u et
seq.) as amended by section 2 is further amended by adding at the end
thereof the following new section:

''SEC. 1710. RURAL MANAGED CARE COOPERATIVES.

''(a) Grants.--The Secretary, acting through the Health Resources
and Services Administration, may award competitive grants to eligible
entities to enable such entities to develop and administer cooperatives
in rural areas that will establish an effective case management and
reimbursement system designed to support the economic viability of
essential public or private health services, facilities, health care
systems and health care resources in such rural areas.
''(b) Eligible Entities.--To be eligible to receive a grant under
subsection (a) an entity shall--
''(1) prepare and submit to the Secretary an application at
such time, in such form and containing such information as the
Secretary may require, including a description of the
cooperative that the entity intends to develop and operate
using grant funds; and
''(2) meet such other requirements as the Secretary
determines appropriate.
''(c) Cooperatives.--
''(1) In general.--Amounts provided under a grant awarded
under subsection (a) shall be used to establish and operate a
cooperative made up of all types of health care providers,
hospitals, primary access hospitals, other alternate rural
health care facilities, physicians, rural health clinics, rural
nurse practitioners and physician assistant practitioners,
public health departments and others located in, but not
restricted to, the rural areas to be served by the cooperative.
''(2) Board of directors.--A cooperative established under
paragraph (1) shall be administered by a board of directors
elected by the members of the cooperative, a majority of whom
shall represent rural providers from the local community and
include representatives from the local community. Such members
shall serve at the pleasure of such members.
''(3) Executive director.--The members of a cooperative
established under paragraph (1) shall elect an executive
director who shall serve as the chief operating officer of the
cooperative. The executive director shall be responsible for
conducting the day the day operation of the cooperative
including--
''(A) maintaining an accounting system for the
cooperative;
''(B) maintaining the business records of the
cooperative;
''(C) negotiating contracts with provider members
of the cooperative; and
''(D) coordinating the membership and programs of
the cooperative.
''(4) Reimbursements.--
''(A) Negotiations.--A cooperative established
under paragraph (1) shall facilitate negotiations among
member health care providers and third party payors
concerning the rates at which such providers will be
reimbursed for services provided to individuals for
which such payors may be liable.
''(B) Agreements.--Agreements reached under
subparagraph (A) shall be binding on the members of the
cooperative.
''(C) Employers.--Employer entities may become
members of a cooperative established under paragraph
(a) in order to provide, through a member third party
payor, health insurance coverage for its employees.
Deductibles shall only be charged to employees covered
under such insurance if such employees receive health
care services from a provider that is not a member of
the cooperative if similar services would have been
available from a member provider.
''(D) Malpractice insurance.--A cooperative
established under subsection (a) shall be responsible
for identifying and implementing an affordable
malpractice insurance program that shall include a
requirement that such cooperative assume responsibility
for the payment of a portion of the malpractice
insurance premium of providers members.
''(5) Managed care and practice standards.--A cooperative
established under paragraph (1) shall establish joint case
management and patient care practice standards programs that
health care providers that are members of such cooperative must
meet to be eligible to participate in agreements entered into
under paragraph (4). Such standards shall be developed by such
provider members and shall be subject to the approval of a
majority of the board of directors. Such programs shall include
cost and quality of care guidelines including a requirement
that such providers make available preadmission screening,
selective case management services, joint patient care practice
standards development and compliance and joint utilization
review.
''(6) Confidentiality.--
''(A) In general.--Patients records, records of
peer review, utilization review, and quality assurance
proceedings conducted by the cooperative should be
considered confidential and protected from release
outside of the cooperative. The provider members of the
cooperative shall be indemnified by the cooperative for
the good faith participation by such members in such
the required activities.
''(B) Quality data.--Notwithstanding any other
provision of law, quality data obtained by a hospital
or other member of a cooperative in the normal course
of the operations of the hospital or member shall be
immune from discovery regardless of whether such data
is used for purposes other than peer review or is
disclosed to other members of the cooperative involved.
''(d) Linkages.--A cooperative shall create linkages among member
health care providers, employers, and payors for the joint consultation
and formulation of the types, rates, costs, and quality of health care
provided in rural areas served by the cooperative.
''(e) Matching Requirement.--An entity that receives a grant under
subsection (a) shall make available (directly or through donations from
public or private entities), non-Federal contributions towards the
costs of the operations of the network in an amount equal to the amount
of the grant.
''(f) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $15,000,000 for each of the
fiscal years 1994 through 1997.
''(g) Relation to Other Laws.--
''(1) In general.--Notwithstanding any provision of the
antitrust laws, it shall not be considered a violation of the
antitrust laws for entities to develop and operate cooperatives
in accordance with this section.
''(2) Definition.--For purposes of this subsection, the
term 'antitrust laws' means--
''(A) the Act entitled 'An Act to protect trade and
commerce against unlawful restraints and monopolies',
approved July 2, 1890, commonly known as the 'Sherman
Act' (26 Stat. 209; chapter 647; 15 U.S.C. 1 et seq.);
''(B) the Federal Trade Commission Act, approved
September 26, 1914 (38 Stat. 717; chapter 311; 15
U.S.C. 41 et seq.);
''(C) the Act entitled 'An Act to supplement
existing laws against unlawful restraints and
monopolies, and for other purposes', approved October
15, 1914, commonly known as the 'Clayton Act' (38 Stat.
730; chapter 323; 15 U.S.C. 12 et seq.; 18 U.S.C. 402,
660, 3285, 3691; 29 U.S.C. 52, 53);
''(D) the Act of June 19, 1936, commonly known as
the Robinson-Patman Antidiscrimination Act (15 U.S.C.
13 et seq.); and
''(E) any State antitrust laws that would prohibit
the activities described in paragraph (1).''.

SEC. 4. RURAL MENTAL HEALTH OUTREACH GRANTS.

Subpart 3 of part B of title V of the Public Health Service Act (42
U.S.C. 290cc-11 et seq.) is amended by adding at the end thereof the
following new section:

''SEC. 520C. RURAL MENTAL HEALTH OUTREACH GRANTS.

''(a) In General.--The Secretary may award competitive grants to
eligible entities to enable such entities to develop and implement a
plan for mental health outreach programs in rural areas.
''(b) Eligible Entities.--To be eligible to receive a grant under
subsection (a) an entity shall--
''(1) prepare and submit to the Secretary an application at
such time, in such form and containing such information as the
Secretary may require, including a description of the
activities that the entity intends to undertake using grant
funds; and
''(2) meet such other requirements as the Secretary
determines appropriate.
''(c) Priority.--In awarding grants under subsection (a), the
Secretary shall give priority to applications that place emphasis on
mental health services for the elderly or children. Priority shall also
be given to applications that involve relationships between the
applicant and rural managed care cooperatives.
''(d) Matching Requirement.--An entity that receives a grant under
subsection (a) shall make available (directly or through donations from
public or private entities), non-Federal contributions toward the costs
of the operations of the network in an amount equal to the amount of
the grant.
''(e) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section, $5,000,000 for each of the
fiscal years 1994 through 1997.''.

SEC. 5. AREA HEALTH EDUCATION CENTERS.

(a) Section 746(a) of the Public Health Service Act (42 U.S.C.
293j(a)) is amended by adding at the end thereof the following new
paragraph:
''(4) Stipends.--
''(A) The Secretary make award grants under this
section to rural communities to enable such communities
to provide stipends to physicians, nurses, nurse
practitioners, physician assistants, and other health
professional trainees to encourage such individuals to
provide health care services in such rural communities.
In addition, the Secretary may award grants under this
section to rural communities to enable such communities
to provide stipends to physicians, nurses, nurse
practitioners, physician assistants, and other health
professionals that are practicing in rural areas to
retain such individuals in such areas.
''(B) A community that receives a grant under
subparagraph (A) shall make available (directly or
through donations from public or private entities),
non-Federal contributions toward the costs of the
operations of the network in an amount equal to the
amount of the grant.''.
(b) Reauthorization.--Section 746(i)(1)(A) of such Act (42 U.S.C.
293j(i)(1)(A)) is amended by striking out ''$25,000,000'' and all that
follows through ''1995'' and inserting in lieu thereof ''$25,000,000
for fiscal year 1993, and $42,000,000 for each of the fiscal years 1994
through 1997''.
[A]:
Rural Health Innovation Demonstration Act of 1993 - Amends the Public Health Service Act to authorize competitive grants for the development of networks among rural and urban health care providers to preserve and share health care resources and enhance the quality and availability of health care in rural areas. Allows the networks to be statewide or regional. Specifies the services for which grant amounts must be used. Authorizes appropriations.
Authorizes competitive grants to develop and administer cooperatives in rural areas that will establish an effective case management and reimbursement system designed to support the economic viability of essential public or private health services, facilities, health care systems, and health care resources. Involves the cooperative in matters such as third party reimbursement, employee health insurance, malpractice insurance, and managed care and practice standards. Authorizes appropriations.
Authorizes competitive grants to develop and implement a plan for mental health outreach programs in rural areas. Authorizes appropriations.
Authorizes grants to enable rural communities to provide stipends to physicians, nurses, physician assistants, and other health professional trainees to: (1) encourage such individuals to provide health care services in such communities; and (2) encourage such individuals who are already practicing in such communities to stay in such areas.
Authorizes appropriations to carry out provisions relating to area health education centers.