99–010

Calendar No. 215

107TH CONGRESS REPORT

1st Session " ! SENATE 107–93

COMMUNITY ACCESS TO EMERGENCY DEFIBRILLATION

ACT OF 2001

NOVEMBER 2 (legislative day, NOVEMBER 1), 2001.—Ordered to be printed

Mr. KENNEDY, from the Committee on Health, Education, Labor,

and Pensions, submitted the following

R E P O R T

[To accompany S. 1275]

The Committee on Health, Education, Labor, and Pensions, to

which was referred the bill (S. 1275) to amend the Public Health

Service Act to provide grants for public access defibrillation programs and public access defibrillation demonstration projects, and

for other purposes, having considered the same, reports favorably

thereon with an amendment and recommends that the bill do pass.

CONTENTS

Page

I. Purpose and summary of the bill ................................................................. 1

II. Background and need for legislation ............................................................ 2

III. Legislative history and committee action .................................................... 4

IV. Committee views ............................................................................................ 4

V. Cost estimate .................................................................................................. 5

VI. Application of law to the legislative branch ................................................ 7

VII. Regulatory impact statement ........................................................................ 7

VIII. Section-by-section analysis ............................................................................ 7

IX. Changes in existing law ................................................................................ 8

I. PURPOSE AND SUMMARY OF BILL

As reported by the Committee on Health, Education, Labor and

Pensions, S. 1275 authorizes grants for public access defibrillation

programs and public access defibrillation projects and for the establishment of a national clearinghouse to provide information to increase public access to defibrillation in schools under Sections 312,

313, and 313A of Title III of the Public Health Service Act. In

doing so, the committee is acting to increase public access to emergency defibrillation in order to decrease the death toll each year inVerDate 13-OCT-2001 04:52 Nov 03, 2001 Jkt 099010 PO 00000 Frm 00001 Fmt 6659 Sfmt 6602 E:\HR\OC\SR093.XXX pfrm01 PsN: SR093
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curred by sudden cardiac arrest. The programs included in this act

are:

Community grants programs to establish comprehensive initiatives to increase public access to automated external defibrillators

(AEDs), authorized under section 312. This program authorizes $50

million for each of the fiscal years 2002 through 2007 for communities to establish public access defibrillation programs in order to

train local emergency medical services personnel to administer immediate care, including CPR and automated external defibrillation,

to cardiac arrest victims, purchase and place automated external

defibrillators in public places where cardiac arrests are likely to

occur, train personnel in places with defibrillators to use them

properly and administer CPR to cardiac arrest victims, inform local

emergency medical services personnel, including dispatchers, about

the location of defibrillators in their community, train members of

the public in CPR and automated external defibrillation, ensure

proper maintenance and testing of defibrillators in the community,

encourage private companies in the community to purchase automated external defibrillators and train employees in CPR and

emergency defibrillation, and collect data to evaluate the effectiveness of funded programs in increasing the out-of-hospital cardiac

arrest survival rate in the community.

Community demonstration projects to develop innovative AED

access programs, authorized under section 313. This program authorizes $5 million for each of the fiscal years 2002 through 2007

for community-based demonstration projects in order to develop innovative approaches to maximize community access to automated

external defibrillation and provide emergency defibrillation to cardiac arrest victims in unique settings.

A program to promote public access to defibrillation in schools,

authorized under section 313A. This program authorizes eight hundred thousand dollars for each of the fiscal years 2002 through

2006 to provide information regarding public access defibrillation

program implementation and development; to develop program materials for the establishment of public access defibrillation programs in schools; to provide support for CPR and AED training

programs, to foster community partnerships to promote public access to defibrillation in schools, to establish a database for information on sudden cardiac arrest in youth; and to provide assistance

to communities wishing to develop screening programs for at risk

youth.

II. BACKGROUND AND NEED FOR LEGISLATION

Cardiac arrest takes a tremendous toll on the American public,

killing over 220,000 people annually. Defibrillation is the only effective treatment for sudden cardiac arrest. However, as many as

50,000 lives a year could be saved with increased access to automated emergency defibrillation.

Ninety percent of cardiac arrest victims who are treated with a

defibrillator within one minute of arrest can be saved, but every

minute after the initial event that a patient goes without treatment

decreases a patient’s chance of survival by 10 percent. However,

few communities have programs to make emergency defibrillation

widely accessible to cardiac arrest victims.

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Automated external defibrillators (AEDs) have a 97 percent success rate in terminating ventricular fibrillation, yet fewer than half

of the nation’s ambulance services, 10–15 percent of emergency

service fire units, and less than 1 percent of police vehicles are

equipped with AEDs.

In order to save 50,000 lives nationally each year through widespread use of defibrillators, public access defibrillator programs

need only achieve a survival rate for out-of-hospital cardiac arrests

of 25 percent. In fact, communities that have implemented public

access programs have achieved average survival rates for out-ofhospital cardiac arrest that are even higher than 25 percent. A

study of Seattle’s defibrillator program revealed that the survival

rate from ventricular fibrillation would have been only 17 percent

if AEDs had not been available. Instead, the authors of the study

observed a 30 percent survival rate. Another study, conducted in

casinos in Las Vegas, Nevada, has shown that the implementation

of a successful public access defibrillation program has achieved

survival rates as high as 74 percent if patients received

defibrillation within 3 minutes and 49 percent for those receiving

defibrillation after more than three minutes. When American Airlines installed AEDs aboard its aircrafts, the survival rate for patients receiving defibrillation rose to 40 percent. Other successful

programs include the ‘‘First Responder Defibrillator Program,’’ in

Boston, Massachusetts. Under this program, Boston Emergency

Medical Services provides free CPR and AED training to any company that purchases a defibrillator. Since the program was

launched, 5,000 people have been trained, AEDs have been placed

in over 90 locations throughout the city, and the cardiac arrest survival rate has increased by 50 percent. In another successful program, the Rochester, Minnesota police became the first police department in the country equipped with AEDs. Since then, cardiac

arrest survival rates in Rochester have increased by over 40 percent.

The Community Access to Emergency Defibrillation (Community

AED) Act provides for public health initiatives like these in order

to increase use of emergency defibrillation and to expand public access to lifesaving AEDs in communities across America.

Organizations supporting the Community AED Act include the

American Heart Association; American Red Cross; AdvaMed; American College of Cardiology; American College of Emergency Physicians; Building Owners and Managers Association (BOMA) International; Cardiac Science; Citizen CPR Foundation; Complient Corporation; Congressional Fire Services Institute; Emergency Nurses

Association; Medical Device Manufacturers Association; Medical

Research Laboratories, Inc.; Medtronic/Physio-Control;

MeetingMed; National Center for Early Defibrillation; National

Emergency Medical Services Academy; National Fire Protection Association; National Volunteer Fire Council; North American Society

of Pacing and Electrophysiology (NASPE); Philips Medical Systems;

Survivalink; The Institute for Critical Care Medicine; The National

SAFE KIDS Campaign; TRI-PAC; and WomenHeart: The National

Coalition for Women with Heart Disease.

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III. LEGISLATIVE HISTORY AND COMMITTEE ACTION

S. 1275 was introduced on July 31, 2001 by Senator Frist for

himself and Senator Kennedy and was cosponsored by Senators

Jeffords, Tim Hutchinson, Dodd, Collins, Bingaman, Feingold, Murray, Edwards, and Corzine. S. 1275 was referred to the Committee

on Health, Education, Labor, and Pensions. On August 1, 2001, the

Senate Committee on Health, Education, Labor, and Pensions held

an executive session to consider S. 1275. S. 1275 was ordered reported favorably by a unanimous voice vote.

Section 3 of S. 1275 includes a provision to amend the Public

Health Service Act by adding section 313A. This section was originally introduced by Senator Feingold for himself and Senator Collins on June 14, 2001 as S. 1041 and entitled the ‘‘Automatic

Defibrillation in Adam’s Memory Act’’.

IV. COMMITTEE VIEWS

The committee recognizes that increased public access to emergency defibrillation is vital in order to decrease American deaths

from sudden cardiac arrest.

The committee recognizes the need for a comprehensive federal

program to improve programs authorized in this legislation. The

committee intends for this legislation to build on other, less comprehensive, Congressional efforts to expand public access to emergency defibrillation and public training in usage of automated external defibrillators. Past congressional efforts have included increasing rural access to emergency devices and recommendations

for federal buildings that were included in Title IV of Public Law

106–505, passed in 2000 as part of the ‘‘Public Health Improvement Act’’.

The committee wishes to stress that it views cardiac arrest as a

national problem and intends for the initiatives in the Act to be national in scope. Although the committee specifies a preference for

States, political subdivisions of a State, Indian tribe, or tribal organization that has a particularly low local survival rate for cardiac

arrests, or a particularly low local response rate for cardiac arrest

victims or demonstrates in its application the greatest commitment

to establishing and maintaining a public access defibrillation program, the committee intends for the Act to provide for improved

public access to emergency defibrillation throughout the nation.

Furthermore, it is the intent of the committee that the ‘‘Good Samaritan’’ protections regarding emergency use of automated external defibrillators outlined in Section 404 of Public Law No. 106– 505 will apply to all sections of S. 1275.

In addition, the committee wishes to clarify its views regarding

the following sections of the Act.

SECTIONS 312 AND 313

Section 312 instructs the Secretary of Health and Human Services to award grants to States, political subdivisions of States, Indian tribes, and tribal organizations to develop and implement public access defibrillation programs. The committee intends for the

programs authorized in sections 312 and 313 to be coordinated

with any existing programs intended to increase public access to

emergency defibrillation already conducted by grantees. The comVerDate 13-OCT-2001 04:52 Nov 03, 2001 Jkt 099010 PO 00000 Frm 00004 Fmt 6659 Sfmt 6602 E:\HR\OC\SR093.XXX pfrm01 PsN: SR093
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mittee intends for the programs authorized in section 312 to be

comprehensive, to include all requirements outlined in section 312

and to focus on access to emergency defibrillation in all parts of the

country in rural, urban and suburban settings. The committee also

intends that nationally recognized curricula developed by the

American Heart Association, the American Red Cross and other organizations be used to the extent practicable.

The committee also recognizes the need for public access

defibrillation programs that have been tailored to meet specific

community needs and has included demonstration projects in section 313 in order to meet needs for such programs in unique community settings and to maximize community access. The committee

intends for these projects to meet all requirements outlined in section 313. These specific needs are not intended to be limited to locational settings, but may also include other community needs necessitating a unique approach to public access to emergency

defibrillation.

The committee wishes to emphasize that communities receiving

grants authorized under section 313 must meet the same requirements for equipment maintenance, public information, and data

collection required in section 312.

The committee also wishes to emphasize the importance of evaluation of the success of the programs authorized in these sections.

Thus, the committee expects that the Department of Health and

Human Services will design and implement a rigorous program (as

described in sections 312(d)(2)(F) and 313(c)(2)(C)) to evaluate the

effectiveness of the program authorized under this section.

SECTION 313A

The committee wishes to recognize the successes of Project

ADAM (Automatic Defibrillators in Adam’s Memory) in saving the

lives of pediatric cardiac arrest victims. To recognize these efforts,

which honor the memory of the late Adam Lemel who was a victim

of cardiac arrest, the grants authorized under section IV of this legislation shall be called ‘‘ADAM Grants.’’

The committee expects that the Department of Health and

Human Services will design and implement a rigorous program to

evaluate the effectiveness of the program authorized under this

section and will describe its findings in the report authorized in

section 313A(d).

V. COST ESTIMATE

CONGRESSIONAL BUDGET OFFICE—COST ESTIMATE

S. 1275—Community Access to Emergency Defibrillation Act of

2001

Summary: S. 1275 would amend the Public Health Service Act

to authorize the Secretary of Health and Human Services (HHS) to

provide grants and conduct demonstration projects to promote more

public access to defibrillators, so victims of cardiac arrest could be

treated more quickly. S. 1275 would authorize $55 million in each of fiscal years 2002

through 2007 for grants and demonstration projects. Assuming the

appropriation of the authorized amounts, CBO estimates that imVerDate 13-OCT-2001 04:52 Nov 03, 2001 Jkt 099010 PO 00000 Frm 00005 Fmt 6659 Sfmt 6602 E:\HR\OC\SR093.XXX pfrm01 PsN: SR093
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plementing S. 1275 would cost $23 million in 2002 and $281 million over the 2002–2007 period. Enacting S. 1275 would not affect

direct spending or receipts; therefore pay-as-you-go procedures

would not apply.

S. 1275 contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act (UMRA).

However, the bill would provide funding to public entities for programs related to public access to defibrillators.

Estimated cost to the Federal Government: The estimated budgetary impact of S. 1275 is shown in the following table. For this

estimate, CBO assumes that the bill will be enacted this fall and

that the authorized amounts will be appropriated each year. The

costs of this legislation would fall within budget function 550

(health).

By fiscal year, in millions of dollars—

2002 2003 2004 2005 2006 2007

CHANGES IN SPENDING SUBJECT TO APPROPRIATION

Estimated Authorization Level ...................................................... 55 55 55 55 55 55

Estimated Outlays ........................................................................ 23 46 50 54 54 54

Basis of estimate: S. 1275 would authorize the appropriation of

$50 million in each of fiscal years 2002 through 2007 for grants to

state, local, and tribal governments to establish and operate programs to provide public access to defibrillators.

The bill also would authorize the appropriation of $5 million in

each of fiscal years 2002 through 2007 for grants to develop and

implement innovative, comprehensive, community-based demonstration projects to promote public access to defibrillators.

Finally, S. 1275 would authorize the use of $800,000 in funds already authorized to be appropriated to the Department of Health

and Human Services in each of fiscal years 2002 through 2006 to

establish a national information clearinghouse that provides information to increase public access to defibrillators in schools.

Based on spending patterns for similar grant programs, CBO estimates that HHS would spend $23 million in 2002 and $281 million over the 2002–2007 period for these grants, assuming that the

authorized amounts are appropriated.

Pay-as-you-go considerations: None.

Estimated impact on state, local, and tribal governments:

Through federal grant assistance, S. 1275 would help state, local,

and tribal governments to purchase automated external

defibrillators and to provide information and training on their use.

To be eligible for the grants, governments must apply to the Secretary of Health and Human Services and provide a comprehensive

plan for encouraging the use of the defibrillators. The bill contains

no intergovernmental mandates as defined in UMRA, and the

grants authorized by the bill have no matching requirements.

Estimated impact on the private sector: This bill contains no private-sector mandates as defined in UMRA.

Estimate prepared by: Federal Costs: Niall Brennan. Impact on

State, Local, and Tribal Governments: Leo Lex. Impact on the Private Sector: Jennifer Bowman.

Estimate approved by: Peter H. Fontaine, Deputy Assistant Director for Budget Analysis.

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VI. APPLICATION OF LAW TO THE LEGISLATIVE BRANCH

Section 102(b)(3) of Public Law 103–1, the Congressional Accountability Act, requires a description of the application of this bill

to the legislative branch. S. 1275 would amend the Public Health

Service Act to provide grants to States, political subdivisions of

States, Indian tribes, and tribal organizations to increase access to

AEDs, and grants to health care organizations to establish a clearinghouse to provide information to increase access to AEDs in

schools. This requirement would not apply to the legislative

branch.

VII. REGULATORY IMPACT STATEMENT

The committee has determined that there will be minimal increases in the regulatory burden imposed by this bill. The committee intends for the programs authorized in this bill to decrease

the impact and burden of sudden cardiac arrest across the Nation.

VIII. SECTION-BY-SECTION ANALYSIS

Section 1. Short Title

Section 1 provides that this Act may be cited as the ‘‘Community

Access to Emergency Defibrillation Act of 2001’’.

Section 2. Findings

Section 2 provides information that attests to the importance and

need for the programs authorized in this legislation. The findings

are facts about the frequency of sudden cardiac arrest and the importance and utility of public access defibrillation programs in decreasing the number of deaths due to cardiac arrest each year.

Section III. Public Access Defibrillation Programs and Projects

Section 3 amends Part B of Title III of the Public Health Service

Act by adding Sections 312, 313 and 313A after Section 311. Section 312 authorizes $50 million for each of fiscal years 2002

through 2007 for the Secretary to award grants to States, political

subdivisions of States, Indian tribes, and tribal organizations to develop and implement public access defibrillation programs. These

programs shall include training of local emergency medical services

personnel, personnel in places with defibrillators and members of

the public in CPR and automated external defibrillation, purchasing and placement of automated external defibrillators in public places where cardiac arrests are likely to occur, informing local

emergency medical services personnel about the location of

defibrillators in their community, and ensuring proper maintenance and testing of defibrillators in the community. These programs are also meant to include provisions to encourage private

companies in the community to purchase automated external

defibrillators and train employees in CPR and emergency

defibrillation and to collect data to evaluate the effectiveness of the

program in increasing the out-of-hospital cardiac arrest survival

rate in the community.

Section 313 authorizes $5 million for each of fiscal years 2002

through 2007 for the Secretary to award grants to political subdivisions of States, Indian tribes, and tribal organizations to develop

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and implement innovative, comprehensive, community-based public

access defibrillation demonstration projects. These projects shall

provide cardiopulmonary resuscitation and automated emergency

defibrillation to cardiac arrest victims in unique settings, provide

training to community members in cardiopulmonary resuscitation

and automated external defibrillation, and develop innovative approaches to maximize community access to automated external

defibrillation.

Section 313A authorizes $800,000 for each of fiscal years 2002

through 2006 for the Secretary to award a grant to a health care

organization to establish a national information clearinghouse that

provides information to increase public access to defibrillation in

school programs. This clearinghouse shall provide information regarding public access defibrillation program implementation and

development, develop program materials for the establishment of

public access defibrillation programs in schools, provide support for

CPR and AED training programs, foster community partnerships

to promote public access to defibrillation in schools, establish a

database for information on sudden cardiac arrest in youth, and

provide assistance to communities wishing to develop screening

programs for at risk youth.

IX. CHANGES IN EXISTING LAW

In compliance with rule XXVI paragraph 12 of the Standing

Rules of the Senate, the following provides a print of the statute

or the part or section thereof to be amended or replaced (existing

law proposed to be omitted is enclosed in black brackets, new matter is printed in italic, existing law in which no change is proposed

is shown in roman):

PUBLIC HEALTH SERVICE ACT

* * * * * * *

PART B—FEDERAL–STATE COOPERATION

IN GENERAL

SEC. 311. ø243¿ (a) * * *

* * * * * * *

SEC. 312. PUBLIC ACCESS DEFIBRILLATION PROGRAMS.

(a) IN GENERAL.—The Secretary shall award grants to States, political subdivisions of States, Indian tribes, and tribal organizations

to develop and implement public access defibrillation programs—

(1) by training and equipping local emergency medical services personnel, including firefighters, police officers, paramedics, emergency medical technicians, and other first responders, to administer immediate care, including cardiopulmonary

resuscitation and automated external defibrillation, to cardiac

arrest victims;

(2) by purchasing automated external defibrillators, placing

the defibrillators in public places where cardiac arrests are likely to occur, and training personnel in such places to administer

cardiopulmonary resuscitation and automated external

defibrillation to cardiac arrest victims;

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(3) by setting procedures for proper maintenance and testing

of such devices, according to the guidelines of the manufacturers of the devices;

(4) by providing training to members of the public in

cardiopulmonary resuscitation and automated external

defibrillation;

(5) by integrating the emergency medical services system with

the public access defibrillation programs so that emergency

medical services personnel, including dispatchers, are informed

about the location of automated external defibrillators in their

community; and

(6) by encouraging private companies, including small businesses, to purchase automated external defibrillators and provide training for their employees to administer

cardiopulmonary resuscitation and external automated

defibrillation to cardiac arrest victims in their community.

(b) PREFERENCE.—In awarding grants under subsection (a), the

Secretary shall give a preference to a State, political subdivision of

a State, Indian tribe, or tribal organization that—

(1) has a particularly low local survival rate for cardiac arrests, or a particularly low local response rate for cardiac arrest

victims; or

(2) demonstrates in its application the greatest commitment to

establishing and maintaining a public access defibrillation program.

(c) USE OF FUNDS.—A State, political subdivision of a State, Indian tribe, or tribal organization that receives a grant under subsection (a) may use funds received through such grant to—

(1) purchase automated external defibrillators that have been

approved, or cleared for marketing, by the Food and Drug Administration;

(2) provide automated external defibrillation and basic life

support training in automated external defibrillator usage

through nationally recognized courses;

(3) provide information to community members about the

public access defibrillation program to be funded with the

grant;

(4) provide information to the local emergency medical services system regarding the placement of automated external

defibrillators in public places;

(5) produce such materials as may be necessary to encourage

private companies, including small businesses, to purchase

automated external defibrillators; and

(6) carry out other activities that the Secretary determines are

necessary or useful to pursue the purposes of this section.

(d) APPLICATION.—

(1) IN GENERAL.—To be eligible to receive a grant under subsection (a), a State, political subdivision of a State, Indian

tribe, or tribal organization shall prepare and submit an application to the Secretary at such time, in such manner, and containing such information as the Secretary may reasonably require.

(2) CONTENTS.—An application submitted under paragraph

(1) shall—

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(A) describe the comprehensive public access

defibrillation program to be funded with the grant and

demonstrate how such program would make automated external defibrillation accessible and available to cardiac arrest victims in the community;

(B) contain procedures for implementing appropriate nationally recognized training courses in performing

cardiopulmonary resuscitation and the use of automated

external defibrillators;

(C) contain procedures for ensuring direct involvement of

a licensed medical professional and coordination with the

local emergency medical services system in the oversight of

training and notification of incidents of the use of the automated external defibrillators;

(D) contain procedures for proper maintenance and testing of the automated external defibrillators, according to

the labeling of the manufacturer;

(E) contain procedures for ensuring notification of local

emergency medical services system personnel, including dispatchers, of the location and type of devices used in the

public access defibrillation program; and

(F) provide for the collection of data regarding the effectiveness of the public access defibrillation program to be

funded with the grant in affecting the out-of-hospital cardiac arrest survival rate.

(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to

be appropriated to carry out this section $50,000,000 for each of fiscal years 2002 through 2007. Not more than 10 percent of amounts

received under a grant awarded under this section may be used for

administrative expenses.

SEC. 313. PUBLIC ACCESS DEFIBRILLATION DEMONSTRATION

PROJECTS.

(a) IN GENERAL.—The Secretary shall award grants to political

subdivisions of States, Indian tribes, and tribal organizations to develop and implement innovative, comprehensive, community-based

public access defibrillation demonstration projects that—

(1) provide cardiopulmonary resuscitation and automated external defibrillation to cardiac arrest victims in unique settings;

(2) provide training to community members in

cardiopulmonary resuscitation and automated external

defibrillation; and

(3) maximize community access to automated external

defibrillators.

(b) USE OF FUNDS.—A recipient of a grant under subsection (a)

shall use the funds provided through the grant to—

(1) purchase automated external defibrillators that have been

approved, or cleared for marketing, by the Food and Drug Administration;

(2) provide basic life training in automated external

defibrillator usage through nationally recognized courses;

(3) provide information to community members about the

public access defibrillation demonstration project to be funded

with the grant;

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(4) provide information to the local emergency medical services system regarding the placement of automated external

defibrillators in the unique settings; and

(5) carry out other activities that the Secretary determines are

necessary or useful to pursue the purposes of this section.

(c) APPLICATION.— (1) IN GENERAL.—To be eligible to receive a grant under subsection (a), a political subdivision of a State, Indian tribe, or

tribal organization shall prepare and submit an application to

the Secretary at such time, in such manner, and containing

such information as the Secretary may reasonably require.

(2) CONTENTS.—An application submitted under paragraph

(1) may—

(A) describe the innovative, comprehensive, communitybased public access defibrillation demonstration project to

be funded with the grant;

(B) explain how such public access defibrillation demonstration project represents innovation in providing public

access to automated external defibrillation; and

(C) provide for the collection of data regarding the effectiveness of the demonstration project to be funded with the

grant in—

(i) providing emergency cardiopulmonary resuscitation and automated external defibrillation to cardiac

arrest victims in the setting served by the demonstration project; and

(ii) affecting the cardiac arrest survival rate in the

setting served by the demonstration project.

(d) AUTHORIZATION OF APPROPRIATIONS.—There is authorized to

be appropriated to carry out this section $5,000,000 for each of fiscal years 2002 through 2007. Not more than 10 percent of amounts

received under a grant awarded under this section may be used for

administrative expenses.

SEC. 313A. GRANTS FOR ACCESS TO DEFIBRILLATION.

(a) PROGRAM AUTHORIZED.—The Secretary of Health and Human

Services shall award a grant to a health care organization to establish a national information clearinghouse that provides information

to increase public access to defibrillation in schools.

(b) DUTIES.—The health care organization that receives a grant

under this section shall promote public access to defibrillation in

schools by—

(1) providing timely information to entities regarding public

access defibrillation program implementation and development;

(2) developing and providing comprehensive program materials to establish a public access defibrillation program in

schools;

(3) providing support to CPR and AED training programs;

(4) fostering new and existing community partnerships with

and among public and private organizations (such as local educational agencies, non-profit organizations, public health organizations, emergency medical service providers, fire and police

departments, and parent-teacher associations) to promote public

access to defibrillation in schools;

(5) establishing a data base to gather information in a central location regarding sudden cardiac arrest in the pediatric

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population and identifying or conducting further research into

the problem; and

(6) providing assistance to communities that wish to develop

screening programs for at risk youth.

(c) APPLICATION.—A health care organization desiring a grant

under this section shall submit an application to the Secretary at

such time, in such manner, and accompanied by such information

as the Secretary may reasonable require.

(d) REPORT.—Not later than 5 years after the date on which the

health care organization receives a grant under this section, such

organization shall submit to the Secretary of Health and Human

Services a report that describes activities carried out with funds received under this section. Not later than 3 months after the date on

which such report is received by the Secretary of Health and Human

Services, the Secretary shall prepare and submit to the appropriate

committees of Congress an evaluation that reviews such report and

evaluates the success of such clearinghouse.

(e) AUTHORIZATION OF APPROPRIATIONS.—From funds authorized

to be appropriated for fiscal years 2002 through 2006 for activities

and programs under the Department of Health and Human Services, $800,000 of such funds may be appropriated to carry out the

programs described in this section for each of the fiscal years 2002

through 2006.

* * * * * * *

Æ