Bone Marrow Donor Program Reauthorization Act of 1993

Summary: Bone Marrow Donor Program Reauthorization Act of 1993 - Amends the Public Health Service Act to provide for the terms of office for members of the board of the National Bone Marrow Donor Registry. Modifies Registry functions. 
Authorizes grants and contracts to increase bone marrow donation, including through public education, training individuals in requesting donations, and testing and enrolling marrow donors. 
Authorizes appropriations. 
Mandates establishment, through grant or contract, of an office of patient advocacy and case management.  (Current law requires the Registry to establish a system for patient advocacy.)

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Bone Marrow Donor Program 
Reauthorization Act of 1993''.

SEC. 2. REAUTHORIZATION.

    (a) Establishment of Registry.--Section 379(a) of the Public Health 
Service Act (42 U.S.C. 274k(a)) is amended by adding at the end thereof 
the following: ``With respect to the board of directors--
            ``(1) each member of the board shall serve for a term of 5 
        years, except that the terms of each member who is serving on 
        the date of enactment of the Bone Marrow Donor Program 
        Reauthorization Act of 1993 shall expire at times determined by 
        the Secretary, in consultation with the board;
            ``(2) a member of the board may continue to serve after the 
        expiration of the term of such member until a successor is 
        appointed; and
            ``(3) to ensure the continuity of the board, not more than 
        one-fifth of the board shall be composed of newly appointed 
        members each year.''.
    (b) Program for Recruitment of Donors.--Section 379(b) of such Act 
(42 U.S.C. 274k(b)) is amended--
            (1) in paragraph (5) to read as follows:
            ``(5) establish a program for the recruitment of bone 
        marrow donors that includes the compilation and distribution of 
        informational materials and processes to educate and update 
        potential donors;'';
            (2) by redesignating paragraphs (6) and (7) as paragraphs 
        (7) and (8), respectively; and
            (3) by inserting after paragraph (5), the following new 
        paragraph:
            ``(6) regularly update the Registry to account for changes 
        in potential donor status;''.
    (c) Information and Education Program.--Section 379 of such Act (42 
U.S.C. 274k) is amended--
            (1) by redesignating subsection (j) as subsection (k);
            (2) by inserting after subsection (i), the following new 
        subsection:
    ``(j) Information and Education Program.--
            ``(1) In general.--The Secretary may award grants to, and 
        enter into contracts with, public or nonprofit private entities 
        for the purpose of increasing bone marrow donation by enabling 
        such entities to--
                    ``(A) plan and conduct programs to provide 
                information and education to the public on the need for 
                donations of bone marrow;
                    ``(B) train individuals in requesting such 
                donations; and
                    ``(C) test and enroll marrow donors.
            ``(2) Priorities.--In awarding grants and contracts under 
        paragraph (1), the Secretary shall give priority to carrying 
        out the purposes described in such paragraph with respect to 
        minority populations.''; and
            (3) in subsection (k) (as so redesignated), by striking 
        ``1991'' and all that follows and inserting ``1994, and such 
        sums as may be necessary for each of the fiscal years 1995 and 
        1996.''.
    (d) Patient advocacy and Case Management.--
            (1) In general.--Section 379 of such Act (42 U.S.C. 274k), 
        as amended by subsection (c), is amended--
                    (A) by redesignating subsection (k) as subsection 
                (l); and
                    (B) by inserting after subsection (j), the 
                following new subsection:
    ``(k) Patient Advocacy and Case Management.--
            ``(1) Establishment.--The Secretary shall by grant or 
        contract establish and maintain an office of patient advocacy 
        and case management that meets the requirements of this 
        subsection.
            ``(2) Provisions relating to grants and contracts.--
                    ``(A) Application.--To be eligible for a grant or 
                contract under this subsection an entity shall prepare 
                and submit to the Secretary for approval an application 
                that shall be in such form, submitted in such manner, 
                and contain such information as the Secretary shall by 
                regulation prescribe.
                    ``(B) Limitations.--A grant or contract under this 
                subsection shall be for a period of 3 years. No grant 
                or contract may exceed $500,000 for any such year.
            ``(3) Functions.--The office established under paragraph 
        (1) shall--
                    ``(A) be headed by a director who shall serve as an 
                advocate on behalf of--
                            ``(i) individuals who are registered with 
                        the Registry to search for a biologically 
                        unrelated bone marrow donor; and
                            ``(ii) the physicians involved;
                    ``(B) establish and maintain a system for patient 
                advocacy that directly assists patients, their 
                families, and their physicians in a search for an 
                unrelated donor;
                    ``(C) provide individual case management services 
                to directly assist individuals and physicians referred 
                to in subparagraph (A), including--
                            ``(i) individualized case assessment, 
                        tracking of preliminary search through 
                        activation, and follow up when the search 
                        process is interrupted or discontinued;
                            ``(ii) informing individuals and physicians 
                        of progress made in searching for appropriate 
                        donors; and
                            ``(iii) identifying and resolving 
                        individual search problems or concerns;
                    ``(D) collect and analyze data concerning the 
                number and percentage of individuals proceeding from 
                preliminary to formal search and the number and 
                percentage of patients unable to complete the search 
                process; and
                    ``(E) survey patients to evaluate how well such 
                patients are being served and make recommendations for 
                streamlining the search process.
            ``(4) Evaluation.--
                    ``(A) In general.--The Secretary shall evaluate the 
                system established under paragraph (1) and make 
                recommendations to Congress concerning the success or 
                failure of such system in improving patient 
                satisfaction, and any impact the system has had on 
                assisting individuals in proceeding to transplant.
                    ``(B) Report.--Not later than April 1, 1996, the 
                Secretary shall prepare and submit to the Committee on 
                Energy and Commerce of the House of Representatives and 
                the Committee on Labor and Human Resources of the 
                Senate a report concerning the evaluation conducted 
                under subparagraph (A), including the recommendations 
                developed under such subparagraph.''.
            (2) Registry functions.--Section 379(b)(2) of such Act (42 
        U.S.C. 274k(b)(2)) is amended by striking ``establish'' and all 
        that follows through ``directly assists'' and inserting 
        ``cooperate with the patient advocacy and case management 
        office established under subsection (j) and make available 
        information on (A) the resources available through the National 
        Bone Marrow Donor Program, (B) the comparative costs incurred 
        by patients prior to transplant, and (C) the marrow donor 
        registries that meet the standards described in subsection 
        (c)(3) and (d)(1), to assist''.
            (3) Effective date.--The amendments made by this subsection 
        shall take effect on April 1, 1995.

            Passed the Senate November 22, 1993.

            Attest:

                                                MARTHA S. POPE,

                                                             Secretary.