Tuberculosis Prevention and Control Amendments of 1995

Summary: Tuberculosis Prevention and Control Amendments of 1995 - Amends the Public Health Service Act to authorize appropriations for grants for the prevention, control, and elimination of tuberculosis. Includes services regarding incarceration in the purposes for which the grants may be expended.  Increases the amount authorized to be reserved for emergency grants for geographic areas with high numbers or substantial increases in the number of cases. 
Authorizes appropriations for grants for bulk purchases of medications and other supplies regarding tuberculosis. 
Authorizes appropriations for expenditures (directly or through grants) for research, demonstration projects, public information and education, education of health professionals, support of centers, and collaboration with international organizations and foreign countries. 
Authorizes grants for the establishment and operation of not more than five centers to train health professionals regarding tuberculosis, including regarding screening and referral and provision of facilities and equipment.  Mandates, directly or through contracts, evaluation of the centers.  Authorizes appropriations. 
Authorizes appropriations for conducting or supporting research and research training on tuberculosis. 
Authorizes grants for:  (1) construction or modernization of outpatient medical facilities located apart from hospitals and providing services for medically underserved populations; (2) conversion of existing facilities into outpatient medical facilities or long-term care facilities for such populations; (3) renovation of inpatient facilities; and (4) construction or renovation of facilities to provide services regarding incarceration.  Authorizes appropriations.

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Tuberculosis Prevention and Control 
Amendments of 1995''.

SEC. 2. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION.

    (a) Provision of Services for Prevention, Control, and 
Elimination.--
            (1) In general.--Section 317E of the Public Health Service 
        Act (42 U.S.C. 247b-6), as added by section 301 of Public Law 
        103-183 (107 Stat. 2233), is amended in subsection (g)(1)(A)--
                    (A) by striking ``and'' after ``1994,''; and
                    (B) by striking ``for each'' and all that follows 
                and inserting the following: ``for fiscal year 1995, 
                $385,000,000 for fiscal year 1996, and such sums as may 
                be necessary for each of the fiscal years 1997 through 
                2000.''.
            (2) Authority for emergency grants.--Section 317E(g)(1)(B) 
        of the Public Health Service Act (42 U.S.C. 247b-6(g)(1)(B)) is 
        amended by striking ``$50,000,000'' and inserting 
        ``$85,000,000''.
            (3) Bulk purchases.--
                    (A) Subject to subparagraph (B), in addition to the 
                authorization of appropriations established in section 
                317E(g)(1)(A) of the Public Health Service Act for 
                grants for the prevention, control, and elimination of 
                tuberculosis, there are authorized to be appropriated 
                for such grants $80,000,000 for fiscal year 1996, and 
                such sums as may be necessary for each of the fiscal 
                years 1997 through 2000.
                    (B) Amounts appropriated under subparagraph (A) 
                shall be administered by the Secretary of Health and 
                Human Services, acting through the Director of the 
                Centers for Disease Control and Prevention. For 
                purposes of the program of grants referred to in such 
                subparagraph, such amounts are available for making 
                bulk purchases of medications and other supplies with 
                respect to tuberculosis.
            (4) Other purposes.--Section 317E(a) of the Public Health 
        Service Act (42 U.S.C. 247b-6(a)) is amended by adding at the 
        end the following sentence: ``The purposes for which such 
        grants may be expended include services with respect to 
        incarceration.''.
    (b) Research, Demonstration Projects, Education, and Training.--
Section 317E(g)(2) of the Public Health Service Act (42 U.S.C. 247b-
6(g)(2)) is amended by striking ``1994'' and all that follows and 
inserting the following: ``1994 and 1995, $80,000,000 for fiscal year 
1996, and such sums as may be necessary for each of the fiscal years 
1997 through 2000.''.
    (c) Training Centers Regarding Health Professionals.--
            (1) In general.--The Secretary of Health and Human Services 
        (in this subsection referred to as the ``Secretary''), acting 
        through the Director of the Centers for Disease Control and 
        Prevention, may make grants to public and nonprofit private 
        entities for the establishment and operation of not more than 5 
        centers to train health professionals with respect to the 
        prevention and control of tuberculosis, including training in 
        identifying multi-drug resistant forms of such disease.
            (2) Screenings; other health services.--The purposes for 
        which the Secretary may authorize an entity to expend a grant 
        under paragraph (1) include screening individuals for 
        tuberculosis, providing treatment for such disease, and 
        referring individuals for services.
            (3) Facilities and equipment.--The purposes for which the 
        Secretary may authorize an entity to expend a grant under 
        paragraph (1) include providing for facilities and equipment 
for the center under such paragraph.
            (4) Quality of laboratories.--The Secretary may make a 
        grant under paragraph (1) only if the entity involved provides 
        assurances satisfactory to the Secretary that the laboratories 
        of the center under such paragraph will have the facilities and 
        equipment to provide sophisticated training to health 
        professionals with respect to tuberculosis.
            (5) Application for grant.--The Secretary may make a grant 
        under paragraph (1) only if an application for the grant is 
        submitted to the Secretary and the application is in such form, 
        is made in such manner, and contains such agreements, 
        assurances, and information as the Secretary determines to be 
        necessary to carry out this subsection.
            (6) Amount and duration of grant.--
                    (A) The Secretary may not make a grant under 
                paragraph (1) for a fiscal year in an amount exceeding 
                $5,000,000.
                    (B) The period during which payments are made to an 
                entity from a grant under paragraph (1) may not exceed 
                3 years. The provision of such payments shall be 
                subject to annual approval by the Secretary of the 
                payments and subject to the availability of 
                appropriations for the fiscal year involved to make the 
                payments.
            (7) Evaluations; dissemination of information.--The 
        Secretary shall, directly or through contracts with public or 
        private entities, provide for evaluations of centers operated 
        pursuant to paragraph (1) and for the dissemination of 
        information developed as a result of the centers.
            (8) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated $25,000,000 for fiscal year 1996, and such sums as 
        may be necessary for each of the fiscal years 1997 through 
        2000.

SEC. 3. RESEARCH THROUGH NATIONAL INSTITUTE OF ALLERGY AND INFECTIOUS 
              DISEASES.

    (a) Technical Correction.--Subpart 6 of part C of title IV of the 
Public Health Service Act (42 U.S.C. 285f et seq.), as amended by 
section 302 of Public Law 103-183 (107 Stat. 2235), is amended--
            (1) by transferring the first section 447 (added by such 
        section 302) from the current placement of the section;
            (2) by redesignating the section as section 447A; and
            (3) by inserting the section after section 447.
    (b) Research.--Section 447A of the Public Health Service Act, as 
transferred and redesignated by subsection (a) of this section, is 
amended in the first sentence of subsection (b)--
            (1) by striking ``and'' after ``1994,''; and
            (2) by striking ``for each'' and all that follows and 
        inserting the following: ``for fiscal year 1995, $75,000,000 
        for fiscal year 1996, and such sums as may be necessary for 
        each of the fiscal years 1997 through 2000.''.

SEC. 4. CONSTRUCTION OR MODERNIZATION OF HEALTH FACILITIES.

    Section 1610 of the Public Health Service Act (42 U.S.C. 300r) is 
amended by adding at the end the following subsection:
    ``(c)(1) With respect to services for the prevention, control, and 
elimination of tuberculosis, the Secretary may make grants to public 
and nonprofit private entities for projects for (A) construction or 
modernization of outpatient medical facilities which are located apart 
from hospitals and which will provide such services for medically 
underserved populations, (B) conversion of existing facilities into 
outpatient medical facilities or facilities for long-term care to 
provide such services for such populations, (C) renovation of inpatient 
facilities, (D) construction or renovation of facilities to provide 
such services with respect to incarceration.
    ``(2) The amount of any grant under paragraph (1) may not exceed 80 
percent of the cost of the project for which the grant is made unless 
the project is located in an area determined by the Secretary to be an 
urban or rural poverty area, in which case the grant may cover up to 
100 percent of such costs.
    ``(3) There are authorized to be appropriated for grants under 
paragraph (1) $100,000,000 for fiscal year 1995, $250,000,000 for 
fiscal year 1996, and such sums as may be necessary for each of the 
fiscal years 1997 through 2000.''.