69–006 

110TH CONGRESS REPORT " ! HOUSE OF REPRESENTATIVES 1st Session 110–378 

CHRISTOPHER AND DANA REEVE PARALYSIS ACT 

OCTOBER 15, 2007.—Committed to the Committee of the Whole House on the State 

of the Union and ordered to be printed 

Mr. DINGELL, from the Committee on Energy and Commerce, 

submitted the following 

R E P O R T 

[To accompany H.R. 1727] 

[Including cost estimate of the Congressional Budget Office] 

The Committee on Energy and Commerce, to whom was referred 

the bill (H.R. 1727) to enhance and further research into paralysis 

and to improve rehabilitation and the quality of life for persons living with paralysis and other physical disabilities, and for other 

purposes, having considered the same, report favorably thereon 

with an amendment and recommend that the bill as amended do 

pass. 

CONTENTS 

Page 

Amendment .............................................................................................................. 2 

Purpose and Summary ............................................................................................ 4 

Background and Need for Legislation .................................................................... 4 

Hearings ................................................................................................................... 5 

Committee Consideration ........................................................................................ 5 

Committee Votes ...................................................................................................... 5 

Committee Oversight Findings ............................................................................... 5 

Statement of General Performance Goals and Objectives .................................... 5 

New Budget Authority, Entitlement Authority, and Tax Expenditures ............. 6 

Earmarks and Tax and Tariff Benefits .................................................................. 6 

Committee Cost Estimate ....................................................................................... 6 

Congressional Budget Office Estimate ................................................................... 6 

Federal Mandates Statement ................................................................................. 8 

Advisory Committee Statement .............................................................................. 8 

Constitutional Authority Statement ...................................................................... 8 

Applicability to Legislative Branch ........................................................................ 8 

Section-by-Section Analysis of the Legislation ...................................................... 9 


bajohnson on PROD1PC69 with REPORTS
2 

AMENDMENT

The amendment is as follows: 

Strike all after the enacting clause and insert the following: 

SECTION 1. SHORT TITLE. 

This Act may be cited as the ‘‘Christopher and Dana Reeve Paralysis Act’’. 

SEC. 2. TABLE OF CONTENTS. 

Sec. 1. Short title. 

Sec. 2. Table of contents. 

TITLE I—PARALYSIS RESEARCH 

Sec. 101. Activities of the National Institutes of Health with respect to research on paralysis. 

TITLE II—PARALYSIS REHABILITATION RESEARCH AND CARE 

Sec. 201. Activities of the National Institutes of Health with respect to research with implications for enhancing 

daily function for persons with paralysis. 

TITLE III—IMPROVING QUALITY OF LIFE FOR PERSONS WITH PARALYSIS AND OTHER PHYSICAL 

DISABILITIES 

Sec. 301. Programs to improve quality of life for persons with paralysis and other physical disabilities. 

TITLE I—PARALYSIS RESEARCH 

SEC. 101. ACTIVITIES OF THE NATIONAL INSTITUTES OF HEALTH WITH RESPECT TO RESEARCH ON PARALYSIS. 

(a) COORDINATION.—The Director of the National Institutes of Health (referred to 

in this Act as the ‘‘Director’’), pursuant to the general authority of the Director, may 

develop mechanisms to coordinate the paralysis research and rehabilitation activities of the Institutes and Centers of the National Institutes of Health in order to 

further advance such activities and avoid duplication of activities. 

(b) CHRISTOPHER AND DANA REEVE PARALYSIS RESEARCH CONSORTIA.—

(1) IN GENERAL.—The Director may make awards of grants to public or private entities to pay all or part of the cost of planning, establishing, improving, 

and providing basic operating support for consortia in paralysis research. The 

Director shall designate each consortium funded through such grants as a 

Christopher and Dana Reeve Paralysis Research Consortium. 

(2) RESEARCH.—Each consortium under paragraph (1)—

(A) may conduct basic, translational, and clinical paralysis research; 

(B) may focus on advancing treatments and developing therapies in paralysis research; 

(C) may focus on one or more forms of paralysis that result from central 

nervous system trauma or stroke; 

(D) may facilitate and enhance the dissemination of clinical and scientific 

findings; and 

(E) may replicate the findings of consortia members or other researchers 

for scientific and translational purposes. 

(3) COORDINATION OF CONSORTIA; REPORTS.—The Director may, as appropriate, provide for the coordination of information among consortia under paragraph (1) and ensure regular communication among members of the consortia, 

and may require the periodic preparation of reports on the activities of the consortia and the submission of the reports to the Director. 

(4) ORGANIZATION OF CONSORTIA.—Each consortium under paragraph (1) may 

use the facilities of a single lead institution, or be formed from several cooperating institutions, meeting such requirements as may be prescribed by the Director. 

(c) PUBLIC INPUT.—The Director may provide for a mechanism to educate and disseminate information on the existing and planned programs and research activities 

of the National Institutes of Health with respect to paralysis and through which the 

Director can receive comments from the public regarding such programs and activities. 


bajohnson on PROD1PC69 with REPORTS
3 

TITLE II—PARALYSIS REHABILITATION 

RESEARCH AND CARE 

SEC. 201. ACTIVITIES OF THE NATIONAL INSTITUTES OF HEALTH WITH RESPECT TO RESEARCH WITH IMPLICATIONS FOR ENHANCING DAILY FUNCTION FOR PERSONS 

WITH PARALYSIS. 

(a) IN GENERAL.—The Director, pursuant to the general authority of the Director, 

may make awards of grants to public or private entities to pay all or part of the 

costs of planning, establishing, improving, and providing basic operating support to 

multicenter networks of clinical sites that will collaborate to design clinical rehabilitation intervention protocols and measures of outcomes on one or more forms of paralysis that result from central nervous system trauma, disorders, or stroke, or any 

combination of such conditions. 

(b) RESEARCH.—A multicenter network of clinical sites funded through this section 

may—

(1) focus on areas of key scientific concern, including—

(A) improving functional mobility; 

(B) promoting behavioral adaptation to functional losses, especially to 

prevent secondary complications; 

(C) assessing the efficacy and outcomes of medical rehabilitation therapies and practices and assisting technologies; 

(D) developing improved assistive technology to improve function and 

independence; and 

(E) understanding whole body system responses to physical impairments, 

disabilities, and societal and functional limitations; and 

(2) replicate the findings of network members or other researchers for scientific and translation purposes. 

(c) COORDINATION OF CLINICAL TRIALS NETWORKS; REPORTS.—The Director may, 

as appropriate, provide for the coordination of information among networks funded 

through this section and ensure regular communication among members of the networks, and may require the periodic preparation of reports on the activities of the 

networks and submission of reports to the Director. 

TITLE III—IMPROVING QUALITY OF LIFE FOR 

PERSONS WITH PARALYSIS AND OTHER 

PHYSICAL DISABILITIES 

SEC. 301. PROGRAMS TO IMPROVE QUALITY OF LIFE FOR PERSONS WITH PARALYSIS AND 

OTHER PHYSICAL DISABILITIES. 

(a) IN GENERAL.—The Secretary of Health and Human Services (in this title referred to as the ‘‘Secretary’’) may study the unique health challenges associated with 

paralysis and other physical disabilities and carry out projects and interventions to 

improve the quality of life and long-term health status of persons with paralysis and 

other physical disabilities. The Secretary may carry out such projects directly and 

through awards of grants or contracts. 

(b) CERTAIN ACTIVITIES.—Activities under subsection (a) may include—

(1) the development of a national paralysis and physical disability quality of 

life action plan, to promote health and wellness in order to enhance full participation, independent living, self-sufficiency, and equality of opportunity in partnership with voluntary health agencies focused on paralysis and other physical 

disabilities, to be carried out in coordination with the State-based Disability and 

Health Program of the Centers for Disease Control and Prevention; 

(2) support for programs to disseminate information involving care and rehabilitation options and quality of life grant programs supportive of communitybased programs and support systems for persons with paralysis and other physical disabilities; 

(3) in collaboration with other centers and national voluntary health agencies, 

the establishment of a population-based database that may be used for longitudinal and other research on paralysis and other disabling conditions; and 

(4) the replication and translation of best practices and the sharing of information across States, as well as the development of comprehensive, unique, and 

innovative programs, services, and demonstrations within existing State-based 

disability and health programs of the Centers for Disease Control and Prevention which are designed to support and advance quality of life programs for persons living with paralysis and other physical disabilities focusing on—


bajohnson on PROD1PC69 with REPORTS
4 

(A) caregiver education; 

(B) promoting proper nutrition, increasing physical activity, and reducing 

tobacco use; 

(C) education and awareness programs for health care providers; 

(D) prevention of secondary complications; 

(E) home- and community-based interventions; 

(F) coordinating services and removing barriers that prevent full participation and integration into the community; and 

(G) recognizing the unique needs of underserved populations. 

(c) GRANTS.—The Secretary may award grants in accordance with the following: 

(1) To State and local health and disability agencies for the purpose of— (A) establishing a population-based database that may be used for longitudinal and other research on paralysis and other disabling conditions; 

(B) developing comprehensive paralysis and other physical disability action plans and activities focused on the items listed in subsection (b)(4); 

(C) assisting State-based programs in establishing and implementing 

partnerships and collaborations that maximize the input and support of 

people with paralysis and other physical disabilities and their constituent 

organizations; 

(D) coordinating paralysis and physical disability activities with existing 

State-based disability and health programs; 

(E) providing education and training opportunities and programs for 

health professionals and allied caregivers; and 

(F) developing, testing, evaluating, and replicating effective intervention 

programs to maintain or improve health and quality of life. 

(2) To private health and disability organizations for the purpose of— (A) disseminating information to the public; 

(B) improving access to services for persons living with paralysis and 

other physical disabilities and their caregivers; 

(C) testing model intervention programs to improve health and quality of 

life; and 

(D) coordinating existing services with State-based disability and health 

programs. 

(d) COORDINATION OF ACTIVITIES.—The Secretary shall ensure that activities 

under this section are coordinated as appropriate by the agencies of the Department 

of Health and Human Services. 

(e) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of carrying out this sec- tion, there is authorized to be appropriated $25,000,000 for each of fiscal years 2008 

through 2011. 

PURPOSE AND SUMMARY

The purpose of H.R. 1727, the Christopher and Dana Reeve Paralysis Act, is to enhance and further research into paralysis and 

to improve rehabilitation and the quality of life for persons living 

with paralysis and other physical disabilities, and for other purposes. 

BACKGROUND AND NEED FOR LEGISLATION

It is estimated that a quarter of a million Americans are currently living with spinal cord injuries and approximately 4 to 5 million Americans are living with paralysis of the extremities. There 

are an estimated 10,000 to 12,000 spinal cord injuries every year 

in the United States. 

Spinal cord injuries often occur because, although the hard bones 

of the spinal column protect the soft tissues of the spinal cord, 

vertebrae can still be broken or dislocated in a variety of ways and 

cause traumatic injury to the spinal cord. Injuries can occur at any 

level of the spinal cord. The segment of the cord that is injured, 

and the severity of the injury, will determine which body functions 

are compromised or lost. Because the spinal cord acts as the main 

information pathway between the brain and the rest of the body, 

a spinal cord injury can have significant physiological consequences. 


bajohnson on PROD1PC69 with REPORTS
5 

Catastrophic falls, being thrown from a horse or through a windshield, or any kind of physical trauma that crushes and compresses 

the vertebrae in the neck, can cause irreversible damage at the cervical level of the spinal cord and below. Paralysis of most of the 

body including the arms and legs, called quadriplegia, is the likely 

result. Automobile accidents are often responsible for spinal cord 

damage in the middle back—the thoracic or lumbar area—which 

can cause paralysis of the lower trunk and lower extremities, called 

paraplegia. 

Most injuries to the spinal cord do not completely sever the spinal cord. Instead, an injury is more likely to cause fractures and 

compression of the vertebrae, which then crush and destroy the 

axons—extensions of nerve cells that carry signals up and down 

the spinal cord between the brain and the rest of the body. An injury to the spinal cord can damage a few, many, or nearly all of 

these axons. Some injuries will allow almost complete recovery, 

while others will result in complete paralysis. 

HEARINGS

The Committee on Energy and Commerce has not held hearings 

on the legislation. 

COMMITTEE CONSIDERATION

On Thursday, September 27, 2007, the Committee on Energy and 

Commerce met in open markup session and ordered H.R. 1727 favorably reported to the House, amended, by a voice vote. 

COMMITTEE VOTES

Clause 3(b) of rule XIII of the Rules of the House of Representatives requires the Committee to list the record votes on the motion 

to report legislation and amendments thereto. There were no 

record votes taken during consideration or in ordering reported 

H.R. 1727 to the House. A motion by Mr. Dingell to order H.R. 

1727 favorably reported to the House, amended, was agreed to by 

a voice vote. 

COMMITTEE OVERSIGHT FINDINGS

Regarding clause 3(c)(1) of rule XIII of the Rules of the House 

of Representatives, the oversight findings of the Committee are reflected in this report. 

STATEMENT OF GENERAL PERFORMANCE GOALS AND OBJECTIVES

H.R. 1727 states that the Director of the National Institutes of 

Health (NIH) may develop mechanisms to coordinate the paralysis 

research and rehabilitation activities of the Institutes and Centers 

of NIH in order to further advance such activities and avoid duplication of activities. H.R. 1727 permits the Director of NIH to make 

awards of grants to public or private entities to pay all or part of 

the cost of planning, establishing, improving, and providing basic 

operating support for consortia in paralysis research and requires 

that the Director shall designate each consortium, funded through 

such grants, as a Christopher and Dana Reeve Paralysis Research 

Consortium. This legislation permits the Secretary of Health and 

Human Services (HHS) to study the health challenges associated 


bajohnson on PROD1PC69 with REPORTS
6 

with paralysis and other physical disabilities and carry out projects 

and interventions to improve the quality of life and long-term 

health status of individuals with such conditions. H.R. 1727 permits the Secretary to award grants for activities related to paralysis, including to: (1) establish paralysis registries, and (2) disseminate information to the public. 

NEW BUDGET AUTHORITY, ENTITLEMENT AUTHORITY, AND TAX

EXPENDITURES

In compliance with clause 3(c)(2) of rule XIII of the Rules of the 

House of Representatives, the Committee finds that H.R. 1727 

would result in no new or increased budget authority, entitlement 

authority, or tax expenditures. 

EARMARKS AND TAX AND TARIFF BENEFITS

In compliance with clause 9 of rule XXI of the Rules of the House 

of Representatives, H.R. 1727 does not contain any congressional 

earmarks, limited tax benefits, or limited tariff benefits as defined 

in clause 9(d), 9(e), or 9(f) of rule XXI. 

COMMITTEE COST ESTIMATE

The Committee adopts as its own the cost estimate prepared by 

the Director of the Congressional Budget Office pursuant to section 

402 of the Congressional Budget Act of 1974. 

CONGRESSIONAL BUDGET OFFICE ESTIMATE

Pursuant to clause 3(c)(3) of rule XIII of the Rules of the House 

of Representatives, the following is the cost estimate provided by 

the Congressional Budget Office pursuant to section 402 of the 

Congressional Budget Act of 1974: 

U.S. CONGRESS, 

CONGRESSIONAL BUDGET OFFICE, 

Washington, DC, October 15, 2007. 

Hon. JOHN D. DINGELL, 

Chairman, Committee on Energy and Commerce, 

House of Representatives, Washington, DC. 

DEAR MR. CHAIRMAN: The Congressional Budget Office has prepared the enclosed cost estimate for H.R. 1727, the Christopher 

and Dana Reeve Paralysis Act. 

If you wish further details on this estimate, we will be pleased 

to provide them. The CBO staff contact is Sarah Evans. 

Sincerely, 

ROBERT A. SUNSHINE

(For Peter R. Orszag, Director). 

Enclosure. 

H.R. 1727—Christopher and Dana Reeve Paralysis Act 

Summary: H.R. 1727 would authorize the appropriation of $25 

million a year for fiscal years 2008 through 2011 for the Secretary 

of Health and Human Services (HHS) to undertake activities to improve the quality of life of those with paralysis and to establish a 

population-based database to be used for paralysis research. The 

bill also would authorize the Director of the National Institutes of 


bajohnson on PROD1PC69 with REPORTS
7 

Health (NIH) to award grants for the cost of planning, establishing, 

improving, and providing basic operating support to consortia focused on paralysis research and for multicenter networks focused 

on paralysis rehabilitation. CBO estimates that implementing the bill would cost $10 million in 2008 and $93 million over the 2008–2012 period, assuming the 

appropriation of the authorized amounts. Enacting H.R. 1727 

would not affect direct spending or revenues. 

The bill contains no intergovernmental or private-sector mandates as defined in the Unfunded Mandates Reform Act (UMRA); 

any costs to state and local governments would be incurred voluntarily. 

Estimated cost to the Federal Government: The estimated budgetary impact of H.R. 1727 is shown in the following table. The costs 

of this legislation fall within budget function 550 (health). 

By fiscal year, in millions of dollars— 

2008 2009 2010 2011 2012 

CHANGES IN SPENDING SUBJECT TO APPROPRIATION 

Authorization Level .............................................................................. 25 25 25 25 0 

Estimated Outlays ............................................................................... 10 20 24 24 15 

Basis of estimate: For this estimate, CBO assumes that H.R. 

1727 will be enacted near the start of fiscal year 2008 and that the 

authorized amounts will be appropriated for each year. 

HHS grants for paralysis-related activities 

H.R. 1727 would authorize the appropriation of $25 million for 

each of fiscal years 2008 through 2011 for the Secretary of Health 

and Human Services to conduct studies and undertake activities to 

improve the quality of life with persons with paralysis, and to 

make grants to state and local agencies to establish a research 

database on paralysis. Based on historical spending patterns for 

similar activities, CBO estimates that implementing H.R. 1727 

would cost $10 million in 2008 and $93 million over the 2008–2012 

period. 

NIH support for research consortia 

H.R. 1727 would explicitly authorize the Director of the NIH to 

award grants to public or private organizations for the cost of planning, establishing, improving, and providing basic operating support for consortia focused on paralysis research. Each consortium, 

which could be a single institution or multiple institutions, would 

be designated as a Christopher and Dana Reeve Paralysis Research 

Consortium. 

The bill also would authorize the Director of the NIH to award 

grants to public or private entities for planning, establishing, improving, and providing basic operating support for multi-center networks that would collaborate to design protocols for clinical intervention. 

According to officials at the NIH, the institutes are currently 

funding such activities. In fiscal year 2006, the NIH spent $342 

million on stroke research, $85 million on traumatic brain injury 

research, and $66 million on spinal cord injury research. Among 

the research funded with this money are several research netVerDate Aug 31 2005 07:18 Oct 17, 2007 Jkt 069006 PO 00000 Frm 00007 Fmt 6659 Sfmt 6602 E:\HR\OC\HR378.XXX HR378

bajohnson on PROD1PC69 with REPORTS
8 

works. For example, the Neurological Emergency Treatment Trials 

network funded through the National Institutes of Neurological 

Disorders and Stroke seeks to engage providers on the front lines 

in emergency rooms to carry out multi-center clinical trials to understand neurological emergencies. The National Institute for Child 

Health and Human Development (NICHD) funds several research 

networks. For example, in fiscal year 2006, NICHD funded six 

grants to build research infrastructure in the field of medical rehabilitation. 

If H.R. 1727 were enacted, the most significant change at NIH 

would likely be the naming of research consortia after Christopher 

and Dana Reeve. CBO estimates that the NIH provisions of H.R. 

1727 would not have any significant cost. 

Intergovernmental and private-sector impact: H.R. 1727 contains 

no intergovernmental or private-sector mandates as defined in 

UMRA. Grants and research activities authorized in the bill for the 

study and treatment of paralysis and other physical disabilities 

would benefit state and local governments. Any costs to those governments to comply with grant conditions would be incurred voluntarily. 

Previous CBO estimate: On September 6, 2007, CBO transmitted 

an estimate for S. 1183 as reported by the Senate Committee on 

Health, Education, Labor and Pensions on August 3, 2007. The two 

versions of the legislation are similar, and the estimated costs over 

five years are the same. 

Estimate prepared by: Federal costs: Sarah Evans and Tim 

Gronniger; Impact on state, local, and tribal governments: Lisa Ramirez-Branum; Impact on the private sector: Keisuke Nakagawa. 

Estimate approved by: Keith J. Fontenot, Deputy Assistant Director for Health and Human Resources, Budget Analysis Division. 

FEDERAL MANDATES STATEMENT

The Committee adopts as its own the estimate of Federal mandates prepared by the Director of the Congressional Budget Office 

pursuant to section 423 of the Unfunded Mandates Reform Act. 

ADVISORY COMMITTEE STATEMENT

No advisory committees within the meaning of section 5(b) of the 

Federal Advisory Committee Act were created by this legislation. 

CONSTITUTIONAL AUTHORITY STATEMENT

Pursuant to clause 3(d)(1) of rule XIII of the Rules of the House 

of Representatives, the Committee finds that the Constitutional authority for this legislation is provided in the provisions of Article 

I, section 8, clause 1, that relate to expending funds to provide for 

the general welfare of the United States. 

APPLICABILITY TO LEGISLATIVE BRANCH

The Committee finds that the legislation does not relate to the 

terms and conditions of employment or access to public services or 

accommodations within the meaning of section 102(b)(3) of the Congressional Accountability Act. 


bajohnson on PROD1PC69 with REPORTS
9 

SECTION-BY-SECTION ANALYSIS OF THE LEGISLATION

Section 1. Short title 

Section 1 establishes the short title of the Act as the ‘‘Christopher and Dana Reeve Paralysis Act.’’

Section 2. Table of contents 

Section 2 contains the table of contents. 

TITLE I. PARALYSIS RESEARCH

Title I of this legislation addresses the activities of the National 

Institutes of Health with respect to research on paralysis. Section 

101 states that the Director of NIH may develop mechanisms to coordinate the paralysis research and rehabilitation activities of the 

Institutes and Centers of NIH in order to further advance such activities and avoid duplication of activities. The NIH Director may 

also award grants to public or private entities to pay all, or part 

of, the cost of planning, establishing, improving, and providing 

basic operating support for consortia in paralysis research. Each 

consortium funded under these grants will be designated as part of 

the Christopher and Dana Reeve Paralysis Research Consortium. 

The Director of NIH may provide for a mechanism to educate and 

disseminate information on the existing and planned programs and 

research activities of NIH with respect to paralysis and through 

which NIH can receive comments from the public regarding such 

programs and activities. 

TITLE II. PARALYSIS REHABILITATION RESEARCH AND CARE

Title II of this legislation addresses the activities of NIH with respect to research with implications for enhancing daily function for 

persons with paralysis. Section 201 states that the Director of NIH 

may make awards of grants to public or private entities to pay all, 

or part of, the costs of planning, establishing, improving, and providing basic operating support to multicenter networks of clinical 

sites that will collaborate to design clinical rehabilitation intervention protocols and measures of outcomes on one or more forms of 

paralysis that result from central nervous system trauma, disorders, or stroke. A multicenter network of clinical sites funded 

through this legislation may replicate the findings of network members or other researchers for scientific and translation purposes 

and may focus on areas of key scientific concern, including (a) improving functional mobility; (b) promoting behavioral adaptation to 

functional losses, especially to prevent secondary complications; (c) 

assessing the efficacy and outcomes of medical rehabilitation therapies and practices and assisting technologies; (d) developing improved assistive technology to improve function and independence; 

and (e) understanding whole body system responses to physical impairments, disabilities, and societal and functional limitations. The 

Director of NIH may provide for the coordination of information 

among networks and ensure regular communication between members of the networks and may require the periodic preparation of 

reports on the activities of the networks and submission of reports. 


bajohnson on PROD1PC69 with REPORTS
10 

TITLE III. IMPROVING QUALITY OF LIFE FOR PERSONS WITH PARALYSIS

AND OTHER PHYSICAL DISABILITIES

Title III of this legislation focuses on programs to improve quality of life for persons with paralysis and other physical disabilities. 

Section 301 states that the Secretary of HHS may study the unique 

health challenges associated with paralysis and other physical disabilities and carry out projects and interventions to improve the 

quality of life and long-term health status of persons with paralysis 

and other physical disabilities. The Secretary may carry out such 

projects directly and through awards of grants or contracts. The 

grants or contracts may be used to fund activities such as (1) development of a national paralysis and physical disability quality of life 

action plan, to promote health and wellness in order to enhance 

full participation, independent living, self-sufficiency, and equality 

of opportunity in partnership with voluntary health agencies focused on paralysis and other physical disabilities; (2) support for 

programs to disseminate information involving care and rehabilitation options and quality of life grant programs supportive of community-based programs and support systems for persons with paralysis and other physical disabilities; (3) collaborating with other 

centers and national voluntary health agencies to establish a population-based database that may be used for longitudinal and other 

research on paralysis and other disabling conditions; and (4) the 

replication and translation of best practices and the sharing of information across States, as well as the development of comprehensive, unique, and innovative programs, services, and demonstrations within existing State-based disability and health programs of 

the Centers for Disease Control and Prevention, which are designed to support and advance quality of life programs for persons 

living with paralysis and other physical disabilities. For the purpose of carrying out Title III, there are authorized to be appropriated $25,000,000 for each of the fiscal years 2008 through 2011. 

Æ 


bajohnson on PROD1PC69 with REPORTS