```

[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 652 Reported in Senate (RS)]

<DOC>

                                                        Calendar No. 44
115th CONGRESS
  1st Session
                                 S. 652

  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.

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                             March 15, 2017

 Mr. Portman (for himself, Mr. Kaine, Mr. Whitehouse, Mr. Cornyn, Mr. 
Brown, Mr. Blumenthal, Mr. Leahy, Mr. Cochran, Mr. Alexander, and Mrs. 
    Murray) introduced the following bill; which was read twice and 
  referred to the Committee on Health, Education, Labor, and Pensions

                              May 1, 2017

              Reported by Mr. Alexander, with an amendment
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL

 
  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,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Early Hearing Detection and 
Intervention Act of 2017''.</DELETED>

<DELETED>SEC. 2. FINDINGS.</DELETED>

<DELETED>    Congress finds as follows:</DELETED>
        <DELETED>    (1) Deaf and hard-of-hearing newborns, infants, 
        and young children require access to specialized early 
        intervention providers and programs in order to help them meet 
        their linguistic and cognitive potential.</DELETED>
        <DELETED>    (2) Families of deaf and hard-of-hearing newborns, 
        infants, and young children benefit from comprehensive early 
        intervention programs that assist them in supporting their 
        child's development in all domains.</DELETED>
        <DELETED>    (3) Best practices principles for early 
        intervention for deaf and hard-of-hearing newborns, infants, 
        and young children have been identified in a range of areas 
        including listening and spoken language and visual and signed 
        language acquisition, family-to-family support, support from 
        individuals who are deaf or hard-of-hearing, progress 
        monitoring, and others.</DELETED>
        <DELETED>    (4) Effective hearing screening and early 
        intervention programs must be in place to identify hearing 
        levels in deaf and hard-of-hearing newborns, infants, and young 
        children so that they may access appropriate early intervention 
        programs in a timely manner.</DELETED>

<DELETED>SEC. 3. REAUTHORIZATION OF PROGRAM FOR EARLY DETECTION, 
              DIAGNOSIS, AND TREATMENT REGARDING DEAF AND HARD-OF-
              HEARING NEWBORNS, INFANTS, AND YOUNG CHILDREN.</DELETED>

<DELETED>    Section 399M of the Public Health Service Act (42 U.S.C. 
280g-1) is amended to read as follows:</DELETED>

<DELETED>``SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREATMENT 
              REGARDING DEAF AND HARD-OF-HEARING NEWBORNS, INFANTS, AND 
              YOUNG CHILDREN.</DELETED>

<DELETED>    ``(a) Health Resources and Services Administration.--The 
Secretary, acting through the Administrator of the Health Resources and 
Services Administration, shall make awards of grants or cooperative 
agreements to develop statewide newborn, infant, and young childhood 
hearing screening, diagnosis, evaluation, and intervention programs and 
systems, and to assist in the recruitment, retention, education, and 
training of qualified personnel and health care providers (including 
education and training of family members) for the following 
purposes:</DELETED>
        <DELETED>    ``(1) To develop and monitor the efficacy of 
        statewide programs and systems for hearing screening of 
        newborns, infants, and young children, prompt evaluation and 
        diagnosis of newborns, infants, and young children referred 
        from screening programs, and appropriate educational, 
        audiological, medical, and communications (or language 
        acquisition) interventions (including family support) for 
        newborns, infants, and young children identified as deaf or 
        hard-of-hearing, consistent with the following:</DELETED>
                <DELETED>    ``(A) Early intervention includes referral 
                to, and delivery of, information and services by 
                organizations such as schools and agencies (including 
                community, consumer, and family-based agencies), 
                medical homes for children, and other programs under 
                part C of the Individuals with Disabilities Education 
                Act, which offer programs specifically designed to meet 
                the unique language and communication needs of deaf and 
                hard-of-hearing newborns, infants, and young 
                children.</DELETED>
                <DELETED>    ``(B) Information provided to parents 
                shall be accurate, comprehensive, and, where 
                appropriate, evidence-based, allowing families to make 
                important decisions for their children in a timely way, 
                including decisions relating to all possible assistive 
                hearing technologies (such as hearing aids, cochlear 
                implants, and osseointegrated devices) and 
                communication modalities (such as oral and visual 
                communications and language acquisition services and 
                programs).</DELETED>
                <DELETED>    ``(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.</DELETED>
        <DELETED>    ``(2) 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.</DELETED>
        <DELETED>    ``(3) To identify or develop efficient models 
        (educational and medical) to ensure that newborns, infants, and 
        young children who are identified through screening as deaf or 
        hard of hearing receive, as appropriate, follow-up by qualified 
        early intervention providers, qualified health care providers, 
        or medical homes for children and referrals 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.</DELETED>
<DELETED>    ``(b) Technical Assistance, Data Management, and Applied 
Research.--</DELETED>
        <DELETED>    ``(1) Centers for disease control and 
        prevention.--</DELETED>
                <DELETED>    ``(A) In general.--The Secretary, acting 
                through the Director of the Centers for Disease Control 
                and Prevention, shall make awards of grants or 
                cooperative agreements to provide technical assistance 
                to State agencies or designated entities of States--
                </DELETED>
                        <DELETED>    ``(i) for the development, 
                        maintenance, and improvement of data tracking 
                        and surveillance systems on newborn, infant, 
                        and young childhood hearing screening, 
                        audiologic evaluations, medical evaluations, 
                        language-acquisition evaluations, and 
                        intervention services;</DELETED>
                        <DELETED>    ``(ii) to conduct applied research 
                        related to services and outcomes;</DELETED>
                        <DELETED>    ``(iii) to provide technical 
                        assistance related to newborn, infant, and 
                        young childhood hearing screening, evaluation, 
                        and intervention programs, and information 
                        systems;</DELETED>
                        <DELETED>    ``(iv) to ensure high-quality 
                        monitoring of hearing screening, evaluation, 
                        and intervention programs and systems for 
                        newborns, infants, and young children; 
                        and</DELETED>
                        <DELETED>    ``(v) to coordinate developing 
                        standardized procedures for data management and 
                        assessing program and cost 
                        effectiveness.</DELETED>
                <DELETED>    ``(B) Use of awards.--The awards under 
                subparagraph (A) may be used--</DELETED>
                        <DELETED>    ``(i) to provide technical 
                        assistance on data collection and 
                        management;</DELETED>
                        <DELETED>    ``(ii) to study and report on the 
                        costs and effectiveness of newborn, infant, and 
                        young childhood hearing screening, evaluation, 
                        diagnosis, intervention programs, and systems 
                        in order to address issues of importance to 
                        State and national policy makers;</DELETED>
                        <DELETED>    ``(iii) to collect data and report 
                        on newborn, infant, and young childhood hearing 
                        screening, evaluation, diagnosis, and 
                        intervention programs and systems that can be 
                        used for applied research, program evaluation, 
                        and policy development;</DELETED>
                        <DELETED>    ``(iv) to identify the causes and 
                        risk factors for congenital hearing 
                        loss;</DELETED>
                        <DELETED>    ``(v) to study the effectiveness 
                        of newborn, infant, and young childhood hearing 
                        screening, audiologic evaluations, medical 
                        evaluations, and intervention programs and 
                        systems by assessing the health, intellectual 
                        and social developmental, cognitive, and 
                        hearing status of children at school age; 
                        and</DELETED>
                        <DELETED>    ``(vi) to promote the integration, 
                        linkage, and interoperability of data regarding 
                        early hearing loss and multiple sources to 
                        increase information exchanges between clinical 
                        care and public health, including the ability 
                        of States and territories to exchange and share 
                        data.</DELETED>
        <DELETED>    ``(2) National institutes of health.--The Director 
        of the National Institutes of Health, acting through the 
        Director of the National Institute on Deafness and Other 
        Communication Disorders, shall, for purposes of this section, 
        continue a program of research and development on the efficacy 
        of new screening techniques and technology, including clinical 
        studies of screening methods, studies on efficacy of 
        intervention, and related research.</DELETED>
<DELETED>    ``(c) Coordination and Collaboration.--</DELETED>
        <DELETED>    ``(1) In general.--In carrying out programs under 
        this section, the Administrator of the Health Resources and 
        Services Administration, the Director of the Centers for 
        Disease Control and Prevention, and the Director of the 
        National Institutes of Health shall collaborate and consult 
        with--</DELETED>
                <DELETED>    ``(A) other Federal agencies;</DELETED>
                <DELETED>    ``(B) State and local agencies, including 
                agencies responsible for early intervention services 
                pursuant to title XIX of the Social Security Act 
                (Medicaid Early and Periodic Screening, Diagnosis and 
                Treatment Program), title XXI of the Social Security 
                Act (State Children's Health Insurance Program), title 
                V of the Social Security Act (Maternal and Child Health 
                Block Grant Program), and part C of the Individuals 
                with Disabilities Education Act;</DELETED>
                <DELETED>    ``(C) consumer groups of, and that serve, 
                individuals who are deaf and hard-of-hearing and their 
                families;</DELETED>
                <DELETED>    ``(D) appropriate national medical and 
                other health and education specialty 
                organizations;</DELETED>
                <DELETED>    ``(E) individuals who are deaf or hard-of-
                hearing and their families;</DELETED>
                <DELETED>    ``(F) other qualified professional 
                personnel who are proficient in deaf or hard-of-hearing 
                children's language and who possess the specialized 
                knowledge, skills, and attributes needed to serve deaf 
                and hard-of-hearing newborns, infants, young children, 
                and their families;</DELETED>
                <DELETED>    ``(G) third-party payers and managed-care 
                organizations; and</DELETED>
                <DELETED>    ``(H) related commercial 
                industries.</DELETED>
        <DELETED>    ``(2) Policy development.--The Administrator of 
        the Health Resources and Services Administration, the Director 
        of the Centers for Disease Control and Prevention, and the 
        Director of the National Institutes of Health shall coordinate 
        and collaborate on recommendations for policy development at 
        the Federal and State levels and with the private sector, 
        including consumer, medical, and other health and education 
        professional-based organizations, with respect to newborn and 
        infant hearing screening, evaluation, diagnosis, and 
        intervention programs and systems.</DELETED>
        <DELETED>    ``(3) State early detection, diagnosis, and 
        intervention programs and systems; data collection.--The 
        Administrator of the Health Resources and Services 
        Administration and the Director of the Centers for Disease 
        Control and Prevention shall coordinate and collaborate in 
        assisting States--</DELETED>
                <DELETED>    ``(A) to establish newborn, infant, and 
                young childhood hearing screening, evaluation, 
                diagnosis, and intervention programs and systems under 
                subsection (a); and</DELETED>
                <DELETED>    ``(B) to develop a data collection system 
                under subsection (b).</DELETED>
<DELETED>    ``(d) Rule of Construction; Religious Accommodation.--
Nothing in this section shall be construed to preempt or prohibit any 
State law, including State laws that do not require the screening for 
hearing loss of newborns, infants, or young children of any parent that 
objects to the screening on the grounds that such screening conflicts 
with the parent's religious beliefs.</DELETED>
<DELETED>    ``(e) Definitions.--For purposes of this 
section:</DELETED>
        <DELETED>    ``(1) The term `audiologic', when used in 
        connection with evaluation, means procedures--</DELETED>
                <DELETED>    ``(A) to assess the status of the auditory 
                system;</DELETED>
                <DELETED>    ``(B) to establish the site of the 
                auditory disorder, the type and degree of hearing loss, 
                and the potential effects of hearing loss on 
                communication; and</DELETED>
                <DELETED>    ``(C) to identify appropriate treatment 
                and referral options, including--</DELETED>
                        <DELETED>    ``(i) linkage to State agencies 
                        coordinating the programs under part C of the 
                        Individuals with Disabilities Education Act or 
                        other appropriate agencies;</DELETED>
                        <DELETED>    ``(ii) medical 
                        evaluation;</DELETED>
                        <DELETED>    ``(iii) hearing aid or sensory aid 
                        assessment;</DELETED>
                        <DELETED>    ``(iv) audiologic rehabilitation 
                        treatment; and</DELETED>
                        <DELETED>    ``(v) referral to national and 
                        local consumer, self-help, family, and 
                        education organizations, and other family-
                        centered services.</DELETED>
        <DELETED>    ``(2) The term `early intervention' means--
        </DELETED>
                <DELETED>    ``(A) providing appropriate services for 
                the child who is deaf or hard of hearing, including 
                nonmedical services; and</DELETED>
                <DELETED>    ``(B) ensuring the family of the child 
                is--</DELETED>
                        <DELETED>    ``(i) provided comprehensive, 
                        consumer-oriented information about the full 
                        range of family support, training, information 
                        services, and language acquisition in oral and 
                        visual modalities; and</DELETED>
                        <DELETED>    ``(ii) given the opportunity to 
                        consider and obtain the full range of such 
                        appropriate services, educational and program 
                        placements, and other options for the child 
                        from highly qualified providers.</DELETED>
        <DELETED>    ``(3) The term `medical evaluation' means key 
        components performed by a physician, including history, 
        examination, and medical decisionmaking focused on symptomatic 
        and related body systems for the purpose of diagnosing the 
        etiology of hearing loss and related physical conditions, and 
        for identifying appropriate treatment and referral 
        options.</DELETED>
        <DELETED>    ``(4) The term `medical intervention' means the 
        process by which a physician provides medical diagnosis and 
        direction for medical or surgical treatment options for hearing 
        loss or other medical disorders associated with hearing 
        loss.</DELETED>
        <DELETED>    ``(5) The term `newborn, infant, and young 
        childhood hearing screening' means objective physiologic 
        procedures to detect possible hearing loss and to identify 
        newborns, infants, and young children up to 3 years of age who 
        require further audiologic evaluations and medical 
        evaluations.</DELETED>
<DELETED>    ``(f) Authorization of Appropriations.--</DELETED>
        <DELETED>    ``(1) Statewide newborn, infant, and young 
        childhood hearing screening, evaluation and intervention 
        programs and systems.--For the purpose of carrying out 
        subsection (a), there are authorized to be appropriated to the 
        Health Resources and Services Administration $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.</DELETED>
        <DELETED>    ``(2) Technical assistance, data management, and 
        applied research; centers for disease control and prevention.--
        For the purpose of carrying out subsection (b)(1), there are 
        authorized to be appropriated to the Centers for Disease 
        Control and Prevention $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.</DELETED>
        <DELETED>    ``(3) Technical assistance, data management, and 
        applied research; national institute on deafness and other 
        communication disorders.--For the purpose of carrying out 
        subsection (b)(2), there are authorized to be appropriated to 
        the National Institute on Deafness and Other Communication 
        Disorders, $22,400,000 for fiscal year 2018, $22,870,400 for 
        fiscal year 2019, $23,442,160 for fiscal year 2020, $23,981,329 
        for fiscal year 2021, and $24,580,862 for fiscal year 
        2022.''.</DELETED>

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.''.
                                                        Calendar No. 44

115th CONGRESS

  1st Session

                                 S. 652

_______________________________________________________________________

                                 A BILL

  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.

_______________________________________________________________________

                              May 1, 2017

                       Reported with an amendment
```