```

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 652 Enrolled Bill (ENR)]

        S.652

                     One Hundred Fifteenth Congress

                                 of the

                        United States of America

                          AT THE FIRST SESSION

          Begun and held at the City of Washington on Tuesday,
          the third day of January, two thousand and seventeen

                                 An Act

 
  To amend the Public Health Service Act to reauthorize a program for 
  early detection, diagnosis, and treatment regarding deaf and hard-of-
             hearing newborns, infants, and young children.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
    This Act may be cited as the ``Early Hearing Detection and 
Intervention Act of 2017''.
SEC. 2. REAUTHORIZATION OF PROGRAM FOR EARLY DETECTION, DIAGNOSIS, AND 
TREATMENT REGARDING DEAF AND HARD-OF-HEARING NEWBORNS, INFANTS, AND 
YOUNG CHILDREN.
    (a) Section Heading.--The section heading of section 399M of the 
Public Health Service Act (42 U.S.C. 280g-1) is amended to read as 
follows:
``SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREATMENT REGARDING DEAF 
AND HARD-OF-HEARING NEWBORNS, INFANTS, AND YOUNG CHILDREN.''.
    (b) Statewide Systems.--Section 399M(a) of the Public Health 
Service Act (42 U.S.C. 280g-1(a)) is amended--
        (1) in the subsection heading, by striking ``Newborn and 
    Infant'' and inserting ``Newborn, Infant, and Young Child'';
        (2) in the matter preceding paragraph (1)--
            (A) by striking ``newborn and infant'' and inserting 
        ``newborn, infant, and young child''; and
            (B) by striking ``providers,'' and inserting ``providers 
        (including, as appropriate, education and training of family 
        members),'';
        (3) in paragraph (1)--
            (A) in the first sentence--
                (i) by striking ``newborns and infants'' and inserting 
            ``newborns, infants, and young children (referred to in 
            this section as `children')''; and
                (ii) by striking ``and medical'' and all that follows 
            through the period and inserting ``medical, and 
            communication (or language acquisition) interventions 
            (including family support), for children identified as deaf 
            or hard-of-hearing, consistent with the following:'';
            (B) in the second sentence--
                (i) by striking ``Early'' and inserting the following:
            ``(A) Early'';
                (ii) by striking ``and delivery of'' and inserting ``, 
            and delivery of,'';
                (iii) by striking ``by schools'' and all that follows 
            through ``programs mandated'' and inserting ``by 
            organizations such as schools and agencies (including 
            community, consumer, and family-based agencies), in health 
            care settings (including medical homes for children), and 
            in programs mandated''; and
                (iv) by striking ``hard of hearing'' and all that 
            follows through the period and inserting ``hard-of-hearing 
            children.''; and
            (C) by striking the last sentence and inserting the 
        following:
            ``(B) Information provided to families should be accurate, 
        comprehensive, up-to-date, and evidence-based, as appropriate, 
        to allow families to make important decisions for their 
        children in a timely manner, including decisions with respect 
        to the full range of assistive hearing technologies and 
        communications modalities, as appropriate.
            ``(C) Programs and systems under this paragraph shall offer 
        mechanisms that foster family-to-family and deaf and hard-of-
        hearing consumer-to-family supports.'';
        (4) in paragraph (2), by striking ``To collect'' and all that 
    follows through the period and inserting ``To continue to provide 
    technical support to States, through one or more technical resource 
    centers, to assist in further developing and enhancing State early 
    hearing detection and intervention programs.''; and
        (5) by striking paragraph (3) and inserting the following:
        ``(3) To identify or develop efficient models (educational and 
    medical) to ensure that children who are identified as deaf or 
    hard-of-hearing through screening receive follow-up by qualified 
    early intervention providers or qualified health care providers 
    (including those at medical homes for children), and referrals, as 
    appropriate, including to early intervention services under part C 
    of the Individuals with Disabilities Education Act. State agencies 
    shall be encouraged to effectively increase the rate of such 
    follow-up and referral.''.
    (c) Technical Assistance, Data Management, and Applied Research.--
Section 399M(b)(1) of the Public Health Service Act (42 U.S.C. 280g-
1(b)(1)) is amended--
        (1) in the first sentence--
            (A) by striking ``The Secretary'' and inserting the 
        following:
            ``(A) In general.--The Secretary'';
            (B) by striking ``to complement an intramural program and'' 
        and inserting the following: ``or designated entities of 
        States--
                ``(i) to develop, maintain, and improve data collection 
            systems related to newborn, infant, and young child hearing 
            screening, evaluation (including audiologic, medical, and 
            language acquisition evaluations), diagnosis, and 
            intervention services;'';
            (C) by striking ``to conduct'' and inserting the following:
                ``(ii) to conduct''; and
            (D) by striking ``newborn'' and all that follows through 
        the period and inserting the following: ``newborn, infant, and 
        young child hearing screening, evaluation, and intervention 
        programs and outcomes;
                ``(iii) to ensure quality monitoring of hearing 
            screening, evaluation, and intervention programs and 
            systems for newborns, infants, and young children; and
                ``(iv) to support newborn, infant, and young child 
            hearing screening, evaluation, and intervention programs, 
            and information systems.'';
        (2) in the second sentence--
            (A) by striking the matter that precedes subparagraph (A) 
        and all that follows through subparagraph (C) and inserting the 
        following:
            ``(B) Use of awards.--The awards made under subparagraph 
        (A) may be used--
                ``(i) to provide technical assistance on data 
            collection and management, including to coordinate and 
            develop standardized procedures for data management;
                ``(ii) to assess and report on the cost and program 
            effectiveness of newborn, infant, and young child hearing 
            screening, evaluation, and intervention programs and 
            systems;
                ``(iii) to collect data and report on newborn, infant, 
            and young child hearing screening, evaluation, diagnosis, 
            and intervention programs and systems for applied research, 
            program evaluation, and policy improvement;'';
            (B) by redesignating subparagraphs (D), (E), and (F) as 
        clauses (iv), (v), and (vi), respectively, and aligning the 
        margins of those clauses with the margins of clause (i) of 
        subparagraph (B) (as inserted by subparagraph (A) of this 
        paragraph);
            (C) in clause (v) (as redesignated by subparagraph (B) of 
        this paragraph)--
                (i) by striking ``newborn and infant'' and inserting 
            ``newborn, infant, and young child''; and
                (ii) by striking ``language status'' and inserting 
            ``hearing status''; and
            (D) in clause (vi) (as redesignated by subparagraph (B) of 
        this paragraph)--
                (i) by striking ``sharing'' and inserting ``integration 
            and interoperability''; and
                (ii) by striking ``with State-based'' and all that 
            follows through the period and inserting ``across multiple 
            sources to increase the flow of information between 
            clinical care and public health settings, including the 
            ability of States and territories to exchange and share 
            data.''.
    (d) Coordination and Collaboration.--Section 399M(c) of the Public 
Health Service Act (42 U.S.C. 280g-1(c)) is amended--
        (1) in paragraph (1)--
            (A) by striking ``consult with'' and inserting ``consult 
        with--'';
            (B) by striking ``other Federal'' and inserting the 
        following:
            ``(A) other Federal'';
            (C) by striking ``State and local agencies, including 
        those'' and inserting the following:
            ``(B) State and local agencies, including agencies'';
            (D) by striking ``consumer groups of and that serve'' and 
        inserting the following:
            ``(C) consumer groups of, and that serve,'';
            (E) by striking ``appropriate national'' and inserting the 
        following:
            ``(D) appropriate national'';
            (F) by striking ``persons who are deaf and'' and inserting 
        the following:
            ``(E) individuals who are deaf or'';
            (G) by striking ``other qualified'' and inserting the 
        following:
            ``(F) other qualified'';
            (H) by striking ``newborns, infants, toddlers, children,'' 
        and inserting ``children,'';
            (I) by striking ``third-party'' and inserting the 
        following:
            ``(G) third-party''; and
            (J) by striking ``related commercial'' and inserting the 
        following:
            ``(H) related commercial''; and
        (2) in paragraph (3)--
            (A) by striking ``States to establish newborn and infant'' 
        and inserting the following: ``States--
            ``(A) to establish newborn, infant, and young child'';
            (B) by inserting a semicolon after ``subsection (a)''; and
            (C) by striking ``to develop'' and inserting the following:
            ``(B) to develop''.
    (e) Rule of Construction; Religious Accommodation.--Section 399M(d) 
of the Public Health Service Act (42 U.S.C. 280g-1(d)) is amended--
        (1) by striking ``which'' and inserting ``that'';
        (2) by striking ``newborn infants or young''; and
        (3) by striking ``parents''' and inserting ``parent's''.
    (f) Definitions.--Section 399M(e) of the Public Health Service Act 
(42 U.S.C. 280g-1(e)) is amended--
        (1) in paragraph (1)--
            (A) by striking ``(1)'' and all that follows through ``to 
        procedures'' and inserting the following:
        ``(1) The term `audiologic', when used in connection with 
    evaluation, means procedures--'';
            (B) by striking ``to assess'' and inserting the following:
            ``(A) to assess'';
            (C) by striking ``to establish'' and inserting the 
        following:
            ``(B) to establish'';
            (D) by striking ``auditory disorder;'' and inserting 
        ``auditory disorder,'';
            (E) by striking ``to identify'' and inserting the 
        following:
            ``(C) to identify'';
            (F) by striking ``options.'' and all that follows through 
        ``linkage'' and inserting the following: ``options, including--
                ``(i) linkage'';
            (G) by striking ``appropriate agencies,'' and all that 
        follows through ``national'' and inserting the following: 
        ``appropriate agencies;
                ``(ii) medical evaluation;
                ``(iii) assessment for the full range of assistive 
            hearing technologies appropriate for newborns, infants, and 
            young children;
                ``(iv) audiologic rehabilitation treatment; and
                ``(v) referral to national''; and
            (H) by striking ``parent, and education'' and inserting 
        ``parent, family, and education'';
        (2) by striking paragraph (2);
        (3) by redesignating paragraphs (3) through (6) as paragraphs 
    (2) through (5);
        (4) in paragraph (2) (as redesignated by paragraph (3) of this 
    subsection)--
            (A) by striking ``refers to providing'' and inserting the 
        following: ``means--
            ``(A) providing'';
            (B) by striking ``with hearing loss, including nonmedical 
        services,'' and inserting ``who is deaf or hard-of-hearing, 
        including nonmedical services;'';
            (C) by striking ``ensuring that families of the child are 
        provided'' and inserting the following:
            ``(B) ensuring that the family of the child is--
                ``(i) provided'';
            (D) by striking ``language and communication options and 
        are given'' and inserting the following: ``language acquisition 
        in oral and visual modalities; and
                ``(ii) given''; and
            (E) by striking ``their child'' and inserting ``the 
        child'';
        (5) in paragraph (3) (as redesignated by paragraph (3) of this 
    subsection), by striking ``(3)'' and all that follows through 
    ``decision making'' and inserting ``The term `medical evaluation' 
    means key components performed by a physician including history, 
    examination, and medical decisionmaking'';
        (6) in paragraph (4) (as redesignated by paragraph (3) of this 
    subsection)--
            (A) by striking ``refers to'' and inserting ``means'';
            (B) by striking ``and/or surgical'' and inserting ``or 
        surgical''; and
            (C) by striking ``of hearing'' and all that follows through 
        ``disorder'' and inserting ``for hearing loss or other medical 
        disorders''; and
        (7) in paragraph (5) (as redesignated by paragraph (3) of this 
    subsection)--
            (A) by striking ``(5)'' and all that follows through 
        ``refers to'' and inserting ``(5) The term `newborn, infant, 
        and young child hearing screening' means''; and
            (B) by striking ``and infants'' and inserting ``, infants, 
        and young children under 3 years of age''.
    (g) Authorization of Appropriations.--Section 399M(f) of the Public 
Health Service Act (42 U.S.C. 280g-1(f)) is amended--
        (1) in paragraph (1), by striking ``such sums'' and all that 
    follows through the period and inserting ``$17,818,000 for fiscal 
    year 2018, $18,173,800 for fiscal year 2019, $18,628,145 for fiscal 
    year 2020, $19,056,592 for fiscal year 2021, and $19,522,758 for 
    fiscal year 2022.''; and
        (2) in paragraph (2), by striking ``such sums'' and all that 
    follows through the period and inserting ``$10,800,000 for fiscal 
    year 2018, $11,026,800 for fiscal year 2019, $11,302,470 for fiscal 
    year 2020, $11,562,427 for fiscal year 2021, and $11,851,488 for 
    fiscal year 2022.''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.
```