II 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 


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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Early Hearing Detec3 tion and Intervention Act of 2017’’. 

4 SEC. 2. FINDINGS. 

5 Congress finds as follows: 

6 (1) Deaf and hard-of-hearing newborns, infants, 

7 and young children require access to specialized 

8 early intervention providers and programs in order 

9 to help them meet their linguistic and cognitive po10 tential. 

11 (2) Families of deaf and hard-of-hearing 

12 newborns, infants, and young children benefit from 

13 comprehensive early intervention programs that as14 sist them in supporting their child’s development in 

15 all domains. 

16 (3) Best practices principles for early interven17 tion for deaf and hard-of-hearing newborns, infants, 

18 and young children have been identified in a range 

19 of areas including listening and spoken language and 

20 visual and signed language acquisition, family-to21 family support, support from individuals who are 

22 deaf or hard-of-hearing, progress monitoring, and 

23 others. 

24 (4) Effective hearing screening and early inter25 vention programs must be in place to identify hear26 ing levels in deaf and hard-of-hearing newborns, inVerDate Sep 11 2014 21:40 May 01, 2017 Jkt 069200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6401 E:\BILLS\S652.RS S652

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1 fants, and young children so that they may access 

2 appropriate early intervention programs in a timely 

3 manner. 

4 SEC. 3. REAUTHORIZATION OF PROGRAM FOR EARLY DE5 TECTION, DIAGNOSIS, AND TREATMENT RE6 GARDING DEAF AND HARD-OF-HEARING 

7 NEWBORNS, INFANTS, AND YOUNG CHIL8 DREN. 

9 Section 399M of the Public Health Service Act (42 

10 U.S.C. 280g–1) is amended to read as follows: 

11 ‘‘SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREAT12 MENT REGARDING DEAF AND HARD-OF13 HEARING NEWBORNS, INFANTS, AND YOUNG 

14 CHILDREN. 

15 ‘‘(a) HEALTH RESOURCES AND SERVICES ADMINIS16 TRATION.—The Secretary, acting through the Adminis17 trator of the Health Resources and Services Administra18 tion, shall make awards of grants or cooperative agree19 ments to develop statewide newborn, infant, and young 

20 childhood hearing screening, diagnosis, evaluation, and 

21 intervention programs and systems, and to assist in the 

22 recruitment, retention, education, and training of qualified 

23 personnel and health care providers (including education 

24 and training of family members) for the following pur25 poses: 


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1 ‘‘(1) To develop and monitor the efficacy of 

2 statewide programs and systems for hearing screen3 ing of newborns, infants, and young children, 

4 prompt evaluation and diagnosis of newborns, in5 fants, and young children referred from screening 

6 programs, and appropriate educational, audiological, 

7 medical, and communications (or language acquisi8 tion) interventions (including family support) for 

9 newborns, infants, and young children identified as 

10 deaf or hard-of-hearing, consistent with the fol11 lowing: 

12 ‘‘(A) Early intervention includes referral 

13 to, and delivery of, information and services by 

14 organizations such as schools and agencies (in15 cluding community, consumer, and family-based 

16 agencies), medical homes for children, and 

17 other programs under part C of the Individuals 

18 with Disabilities Education Act, which offer 

19 programs specifically designed to meet the 

20 unique language and communication needs of 

21 deaf and hard-of-hearing newborns, infants, and 

22 young children. 

23 ‘‘(B) Information provided to parents shall 

24 be accurate, comprehensive, and, where appro25 priate, evidence-based, allowing families to 


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1 make important decisions for their children in 

2 a timely way, including decisions relating to all 

3 possible assistive hearing technologies (such as 

4 hearing aids, cochlear implants, and 

5 osseointegrated devices) and communication 

6 modalities (such as oral and visual communica7 tions and language acquisition services and pro8 grams). 

9 ‘‘(C) Programs and systems under this 

10 paragraph shall offer mechanisms that foster 

11 family-to-family and deaf and hard-of-hearing 

12 consumer-to-family supports. 

13 ‘‘(2) To continue to provide technical support to 

14 States, through one or more technical resource cen15 ters, to assist in further developing and enhancing 

16 State early hearing detection and intervention pro17 grams. 

18 ‘‘(3) To identify or develop efficient models 

19 (educational and medical) to ensure that newborns, 

20 infants, and young children who are identified 

21 through screening as deaf or hard of hearing receive, 

22 as appropriate, follow-up by qualified early interven23 tion providers, qualified health care providers, or 

24 medical homes for children and referrals to early 

25 intervention services under part C of the Individuals 


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1 with Disabilities Education Act. State agencies shall 

2 be encouraged to effectively increase the rate of such 

3 follow-up and referral. 

4 ‘‘(b) TECHNICAL ASSISTANCE, DATA MANAGEMENT, 

5 AND APPLIED RESEARCH.— 

6 ‘‘(1) CENTERS FOR DISEASE CONTROL AND

7 PREVENTION.— 

8 ‘‘(A) IN GENERAL.—The Secretary, acting 

9 through the Director of the Centers for Disease 

10 Control and Prevention, shall make awards of 

11 grants or cooperative agreements to provide 

12 technical assistance to State agencies or des13 ignated entities of States— 

14 ‘‘(i) for the development, mainte15 nance, and improvement of data tracking 

16 and surveillance systems on newborn, in17 fant, and young childhood hearing screen18 ing, audiologic evaluations, medical evalua19 tions, language-acquisition evaluations, and 

20 intervention services; 

21 ‘‘(ii) to conduct applied research re22 lated to services and outcomes; 

23 ‘‘(iii) to provide technical assistance 

24 related to newborn, infant, and young 

25 childhood hearing screening, evaluation, 


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1 and intervention programs, and informa2 tion systems; 

3 ‘‘(iv) to ensure high-quality moni4 toring of hearing screening, evaluation, 

5 and intervention programs and systems for 

6 newborns, infants, and young children; and 

7 ‘‘(v) to coordinate developing stand8 ardized procedures for data management 

9 and assessing program and cost effective10 ness. 

11 ‘‘(B) USE OF AWARDS.—The awards under 

12 subparagraph (A) may be used— 

13 ‘‘(i) to provide technical assistance on 

14 data collection and management; 

15 ‘‘(ii) to study and report on the costs 

16 and effectiveness of newborn, infant, and 

17 young childhood hearing screening, evalua18 tion, diagnosis, intervention programs, and 

19 systems in order to address issues of im20 portance to State and national policy mak21 ers; 

22 ‘‘(iii) to collect data and report on 

23 newborn, infant, and young childhood 

24 hearing screening, evaluation, diagnosis, 

25 and intervention programs and systems 


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1 that can be used for applied research, pro2 gram evaluation, and policy development; 

3 ‘‘(iv) to identify the causes and risk 

4 factors for congenital hearing loss; 

5 ‘‘(v) to study the effectiveness of new6 born, infant, and young childhood hearing 

7 screening, audiologic evaluations, medical 

8 evaluations, and intervention programs and 

9 systems by assessing the health, intellec10 tual and social developmental, cognitive, 

11 and hearing status of children at school 

12 age; and 

13 ‘‘(vi) to promote the integration, link14 age, and interoperability of data regarding 

15 early hearing loss and multiple sources to 

16 increase information exchanges between 

17 clinical care and public health, including 

18 the ability of States and territories to ex19 change and share data. 

20 ‘‘(2) NATIONAL INSTITUTES OF HEALTH.—The 

21 Director of the National Institutes of Health, acting 

22 through the Director of the National Institute on 

23 Deafness and Other Communication Disorders, 

24 shall, for purposes of this section, continue a pro25 gram of research and development on the efficacy of 


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1 new screening techniques and technology, including 

2 clinical studies of screening methods, studies on effi3 cacy of intervention, and related research. 

4 ‘‘(c) COORDINATION AND COLLABORATION.— 

5 ‘‘(1) IN GENERAL.—In carrying out programs 

6 under this section, the Administrator of the Health 

7 Resources and Services Administration, the Director 

8 of the Centers for Disease Control and Prevention, 

9 and the Director of the National Institutes of Health 

10 shall collaborate and consult with— 

11 ‘‘(A) other Federal agencies; 

12 ‘‘(B) State and local agencies, including 

13 agencies responsible for early intervention serv14 ices pursuant to title XIX of the Social Security 

15 Act (Medicaid Early and Periodic Screening, 

16 Diagnosis and Treatment Program), title XXI 

17 of the Social Security Act (State Children’s 

18 Health Insurance Program), title V of the So19 cial Security Act (Maternal and Child Health 

20 Block Grant Program), and part C of the Indi21 viduals with Disabilities Education Act; 

22 ‘‘(C) consumer groups of, and that serve, 

23 individuals who are deaf and hard-of-hearing 

24 and their families; 


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1 ‘‘(D) appropriate national medical and 

2 other health and education specialty organiza3 tions; 

4 ‘‘(E) individuals who are deaf or hard-of5 hearing and their families; 

6 ‘‘(F) other qualified professional personnel 

7 who are proficient in deaf or hard-of-hearing 

8 children’s language and who possess the special9 ized knowledge, skills, and attributes needed to 

10 serve deaf and hard-of-hearing newborns, in11 fants, young children, and their families; 

12 ‘‘(G) third-party payers and managed-care 

13 organizations; and 

14 ‘‘(H) related commercial industries. 

15 ‘‘(2) POLICY DEVELOPMENT.—The Adminis16 trator of the Health Resources and Services Admin17 istration, the Director of the Centers for Disease 

18 Control and Prevention, and the Director of the Na19 tional Institutes of Health shall coordinate and col20 laborate on recommendations for policy development 

21 at the Federal and State levels and with the private 

22 sector, including consumer, medical, and other 

23 health and education professional-based organiza24 tions, with respect to newborn and infant hearing 


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1 screening, evaluation, diagnosis, and intervention 

2 programs and systems. 

3 ‘‘(3) STATE EARLY DETECTION, DIAGNOSIS, 

4 AND INTERVENTION PROGRAMS AND SYSTEMS; DATA

5 COLLECTION.—The Administrator of the Health Re6 sources and Services Administration and the Direc7 tor of the Centers for Disease Control and Preven8 tion shall coordinate and collaborate in assisting 

9 States— 

10 ‘‘(A) to establish newborn, infant, and 

11 young childhood hearing screening, evaluation, 

12 diagnosis, and intervention programs and sys13 tems under subsection (a); and 

14 ‘‘(B) to develop a data collection system 

15 under subsection (b). 

16 ‘‘(d) RULE OF CONSTRUCTION; RELIGIOUS ACCOM17 MODATION.—Nothing in this section shall be construed to 

18 preempt or prohibit any State law, including State laws 

19 that do not require the screening for hearing loss of 

20 newborns, infants, or young children of any parent that 

21 objects to the screening on the grounds that such screen22 ing conflicts with the parent’s religious beliefs. 

23 ‘‘(e) DEFINITIONS.—For purposes of this section: 

24 ‘‘(1) The term ‘audiologic’, when used in con25 nection with evaluation, means procedures— 


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1 ‘‘(A) to assess the status of the auditory 

2 system; 

3 ‘‘(B) to establish the site of the auditory 

4 disorder, the type and degree of hearing loss, 

5 and the potential effects of hearing loss on com6 munication; and 

7 ‘‘(C) to identify appropriate treatment and 

8 referral options, including— 

9 ‘‘(i) linkage to State agencies coordi10 nating the programs under part C of the 

11 Individuals with Disabilities Education Act 

12 or other appropriate agencies; 

13 ‘‘(ii) medical evaluation; 

14 ‘‘(iii) hearing aid or sensory aid as15 sessment; 

16 ‘‘(iv) audiologic rehabilitation treat17 ment; and 

18 ‘‘(v) referral to national and local con19 sumer, self-help, family, and education or20 ganizations, and other family-centered 

21 services. 

22 ‘‘(2) The term ‘early intervention’ means— 

23 ‘‘(A) providing appropriate services for the 

24 child who is deaf or hard of hearing, including 

25 nonmedical services; and 


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1 ‘‘(B) ensuring the family of the child is— 

2 ‘‘(i) provided comprehensive, con3 sumer-oriented information about the full 

4 range of family support, training, informa5 tion services, and language acquisition in 

6 oral and visual modalities; and 

7 ‘‘(ii) given the opportunity to consider 

8 and obtain the full range of such appro9 priate services, educational and program 

10 placements, and other options for the child 

11 from highly qualified providers. 

12 ‘‘(3) The term ‘medical evaluation’ means key 

13 components performed by a physician, including his14 tory, examination, and medical decisionmaking fo15 cused on symptomatic and related body systems for 

16 the purpose of diagnosing the etiology of hearing 

17 loss and related physical conditions, and for identi18 fying appropriate treatment and referral options. 

19 ‘‘(4) The term ‘medical intervention’ means the 

20 process by which a physician provides medical diag21 nosis and direction for medical or surgical treatment 

22 options for hearing loss or other medical disorders 

23 associated with hearing loss. 

24 ‘‘(5) The term ‘newborn, infant, and young 

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1 logic procedures to detect possible hearing loss and 

2 to identify newborns, infants, and young children up 

3 to 3 years of age who require further audiologic 

4 evaluations and medical evaluations. 

5 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.— 

6 ‘‘(1) STATEWIDE NEWBORN, INFANT, AND

7 YOUNG CHILDHOOD HEARING SCREENING, EVALUA8 TION AND INTERVENTION PROGRAMS AND SYS9 TEMS.—For the purpose of carrying out subsection 

10 (a), there are authorized to be appropriated to the 

11 Health Resources and Services Administration 

12 $17,818,000 for fiscal year 2018, $18,173,800 for 

13 fiscal year 2019, $18,628,145 for fiscal year 2020, 

14 $19,056,592 for fiscal year 2021, and $19,522,758 

15 for fiscal year 2022. 

16 ‘‘(2) TECHNICAL ASSISTANCE, DATA MANAGE17 MENT, AND APPLIED RESEARCH; CENTERS FOR DIS18 EASE CONTROL AND PREVENTION.—For the purpose 

19 of carrying out subsection (b)(1), there are author20 ized to be appropriated to the Centers for Disease 

21 Control and Prevention $10,800,000 for fiscal year 

22 2018, $11,026,800 for fiscal year 2019, 

23 $11,302,470 for fiscal year 2020, $11,562,427 for 

24 fiscal year 2021, and $11,851,488 for fiscal year 

25 2022. 


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1 ‘‘(3) TECHNICAL ASSISTANCE, DATA MANAGE2 MENT, AND APPLIED RESEARCH; NATIONAL INSTI3 TUTE ON DEAFNESS AND OTHER COMMUNICATION

4 DISORDERS.—For the purpose of carrying out sub5 section (b)(2), there are authorized to be appro6 priated to the National Institute on Deafness and 

7 Other Communication Disorders, $22,400,000 for 

8 fiscal year 2018, $22,870,400 for fiscal year 2019, 

9 $23,442,160 for fiscal year 2020, $23,981,329 for 

10 fiscal year 2021, and $24,580,862 for fiscal year 

11 2022.’’. 

12 SECTION 1. SHORT TITLE. 

13 This Act may be cited as the ‘‘Early Hearing Detection 

14 and Intervention Act of 2017’’. 

15 SEC. 2. REAUTHORIZATION OF PROGRAM FOR EARLY DE16 TECTION, DIAGNOSIS, AND TREATMENT RE17 GARDING DEAF AND HARD-OF-HEARING 

18 NEWBORNS, INFANTS, AND YOUNG CHIL19 DREN. 

20 (a) SECTION HEADING.—The section heading of sec21 tion 399M of the Public Health Service Act (42 U.S.C. 

22 280g–1) is amended to read as follows: 


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1 ‘‘SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREAT2 MENT REGARDING DEAF AND HARD-OF-HEAR3 ING NEWBORNS, INFANTS, AND YOUNG CHIL4 DREN.’’. 

5 (b) STATEWIDE SYSTEMS.—Section 399M(a) of the 

6 Public Health Service Act (42 U.S.C. 280g–1(a)) is amend7 ed— 

8 (1) in the subsection heading, by striking ‘‘NEW9 BORN AND INFANT’’ and inserting ‘‘NEWBORN, IN10 FANT, AND YOUNG CHILD’’; 

11 (2) in the matter preceding paragraph (1)— 

12 (A) by striking ‘‘newborn and infant’’ and 

13 inserting ‘‘newborn, infant, and young child’’; 

14 and 

15 (B) by striking ‘‘providers,’’ and inserting 

16 ‘‘providers (including, as appropriate, education 

17 and training of family members),’’; 

18 (3) in paragraph (1)— 

19 (A) in the first sentence— 

20 (i) by striking ‘‘newborns and infants’’ 

21 and inserting ‘‘newborns, infants, and 

22 young children (referred to in this section 

23 as ‘children’)’’; and 

24 (ii) by striking ‘‘and medical’’ and all 

25 that follows through the period and insert26 ing ‘‘medical, and communication (or lanVerDate Sep 11 2014 21:40 May 01, 2017 Jkt 069200 PO 00000 Frm 00016 Fmt 6652 Sfmt 6203 E:\BILLS\S652.RS S652

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1 guage acquisition) interventions (including 

2 family support), for children identified as 

3 deaf or hard-of-hearing, consistent with the 

4 following:’’; 

5 (B) in the second sentence— 

6 (i) by striking ‘‘Early’’ and inserting 

7 the following: 

8 ‘‘(A) Early’’; 

9 (ii) by striking ‘‘and delivery of’’ and 

10 inserting ‘‘, and delivery of,’’; 

11 (iii) by striking ‘‘by schools’’ and all 

12 that follows through ‘‘programs mandated’’ 

13 and inserting ‘‘by organizations such as 

14 schools and agencies (including community, 

15 consumer, and family-based agencies), in 

16 health care settings (including medical 

17 homes for children), and in programs man18 dated’’; and 

19 (iv) by striking ‘‘hard of hearing’’ and 

20 all that follows through the period and in21 serting ‘‘hard-of-hearing children.’’; and 

22 (C) by striking the last sentence and insert23 ing the following: 

24 ‘‘(B) Information provided to families 

25 should be accurate, comprehensive, up-to-date, 


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1 and evidence-based, as appropriate, to allow 

2 families to make important decisions for their 

3 children in a timely manner, including decisions 

4 with respect to the full range of assistive hearing 

5 technologies and communications modalities, as 

6 appropriate. 

7 ‘‘(C) Programs and systems under this 

8 paragraph shall offer mechanisms that foster 

9 family-to-family and deaf and hard-of-hearing 

10 consumer-to-family supports.’’; 

11 (4) in paragraph (2), by striking ‘‘To collect’’ 

12 and all that follows through the period and inserting 

13 ‘‘To continue to provide technical support to States, 

14 through one or more technical resource centers, to as15 sist in further developing and enhancing State early 

16 hearing detection and intervention programs.’’; and 

17 (5) by striking paragraph (3) and inserting the 

18 following: 

19 ‘‘(3) To identify or develop efficient models (edu20 cational and medical) to ensure that children who are 

21 identified as deaf or hard-of-hearing through screen22 ing receive follow-up by qualified early intervention 

23 providers or qualified health care providers (includ24 ing those at medical homes for children), and refer25 rals, as appropriate, including to early intervention 


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1 services under part C of the Individuals with Disabil2 ities Education Act. State agencies shall be encour3 aged to effectively increase the rate of such follow-up 

4 and referral.’’. 

5 (c) TECHNICAL ASSISTANCE, DATA MANAGEMENT, AND

6 APPLIED RESEARCH.—Section 399M(b)(1) of the Public 

7 Health Service Act (42 U.S.C. 280g–1(b)(1)) is amended— 

8 (1) in the first sentence— 

9 (A) by striking ‘‘The Secretary’’ and insert10 ing the following: 

11 ‘‘(A) IN GENERAL.—The Secretary’’; 

12 (B) by striking ‘‘to complement an intra13 mural program and’’ and inserting the fol14 lowing: ‘‘or designated entities of States— 

15 ‘‘(i) to develop, maintain, and improve 

16 data collection systems related to newborn, 

17 infant, and young child hearing screening, 

18 evaluation (including audiologic, medical, 

19 and language acquisition evaluations), di20 agnosis, and intervention services;’’; 

21 (C) by striking ‘‘to conduct’’ and inserting 

22 the following: 

23 ‘‘(ii) to conduct’’; and 

24 (D) by striking ‘‘newborn’’ and all that fol25 lows through the period and inserting the folVerDate Sep 11 2014 21:40 May 01, 2017 Jkt 069200 PO 00000 Frm 00019 Fmt 6652 Sfmt 6203 E:\BILLS\S652.RS S652

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1 lowing: ‘‘newborn, infant, and young child hear2 ing screening, evaluation, and intervention pro3 grams and outcomes; 

4 ‘‘(iii) to ensure quality monitoring of 

5 hearing screening, evaluation, and interven6 tion programs and systems for newborns, 

7 infants, and young children; and 

8 ‘‘(iv) to support newborn, infant, and 

9 young child hearing screening, evaluation, 

10 and intervention programs, and informa11 tion systems.’’; 

12 (2) in the second sentence— 

13 (A) by striking the matter that precedes 

14 subparagraph (A) and all that follows through 

15 subparagraph (C) and inserting the following: 

16 ‘‘(B) USE OF AWARDS.—The awards made 

17 under subparagraph (A) may be used— 

18 ‘‘(i) to provide technical assistance on 

19 data collection and management, including 

20 to coordinate and develop standardized pro21 cedures for data management; 

22 ‘‘(ii) to assess and report on the cost 

23 and program effectiveness of newborn, in24 fant, and young child hearing screening, 


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1 evaluation, and intervention programs and 

2 systems; 

3 ‘‘(iii) to collect data and report on 

4 newborn, infant, and young child hearing 

5 screening, evaluation, diagnosis, and inter6 vention programs and systems for applied 

7 research, program evaluation, and policy 

8 improvement;’’; 

9 (B) by redesignating subparagraphs (D), 

10 (E), and (F) as clauses (iv), (v), and (vi), re11 spectively, and aligning the margins of those 

12 clauses with the margins of clause (i) of subpara13 graph (B) (as inserted by subparagraph (A) of 

14 this paragraph); 

15 (C) in clause (v) (as redesignated by sub16 paragraph (B) of this paragraph)— 

17 (i) by striking ‘‘newborn and infant’’ 

18 and inserting ‘‘newborn, infant, and young 

19 child’’; and 

20 (ii) by striking ‘‘language status’’ and 

21 inserting ‘‘hearing status’’; and 

22 (D) in clause (vi) (as redesignated by sub23 paragraph (B) of this paragraph)— 

24 (i) by striking ‘‘sharing’’ and inserting 

25 ‘‘integration and interoperability’’; and 


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1 (ii) by striking ‘‘with State-based’’ and 

2 all that follows through the period and in3 serting ‘‘across multiple sources to increase 

4 the flow of information between clinical care 

5 and public health settings, including the 

6 ability of States and territories to exchange 

7 and share data.’’. 

8 (d) COORDINATION AND COLLABORATION.—Section 

9 399M(c) of the Public Health Service Act (42 U.S.C. 280g– 

10 1(c)) is amended— 

11 (1) in paragraph (1)— 

12 (A) by striking ‘‘consult with’’ and insert13 ing ‘‘consult with—’’; 

14 (B) by striking ‘‘other Federal’’ and insert15 ing the following: 

16 ‘‘(A) other Federal’’; 

17 (C) by striking ‘‘State and local agencies, 

18 including those’’ and inserting the following: 

19 ‘‘(B) State and local agencies, including 

20 agencies’’; 

21 (D) by striking ‘‘consumer groups of and 

22 that serve’’ and inserting the following: 

23 ‘‘(C) consumer groups of, and that serve,’’; 

24 (E) by striking ‘‘appropriate national’’ and 

25 inserting the following: 


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1 ‘‘(D) appropriate national’’; 

2 (F) by striking ‘‘persons who are deaf and’’ 

3 and inserting the following: 

4 ‘‘(E) individuals who are deaf or’’; 

5 (G) by striking ‘‘other qualified’’ and in6 serting the following: 

7 ‘‘(F) other qualified’’; 

8 (H) by striking ‘‘newborns, infants, tod9 dlers, children,’’ and inserting ‘‘children,’’; 

10 (I) by striking ‘‘third-party’’ and inserting 

11 the following: 

12 ‘‘(G) third-party’’; and 

13 (J) by striking ‘‘related commercial’’ and 

14 inserting the following: 

15 ‘‘(H) related commercial’’; and 

16 (2) in paragraph (3)— 

17 (A) by striking ‘‘States to establish newborn 

18 and infant’’ and inserting the following: 

19 ‘‘States— 

20 ‘‘(A) to establish newborn, infant, and 

21 young child’’; 

22 (B) by inserting a semicolon after ‘‘sub23 section (a)’’; and 

24 (C) by striking ‘‘to develop’’ and inserting 

25 the following: 


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1 ‘‘(B) to develop’’. 

2 (e) RULE OF CONSTRUCTION; RELIGIOUS ACCOMMODA3 TION.—Section 399M(d) of the Public Health Service Act 

4 (42 U.S.C. 280g–1(d)) is amended— 

5 (1) by striking ‘‘which’’ and inserting ‘‘that’’; 

6 (2) by striking ‘‘newborn infants or young’’; and 

7 (3) by striking ‘‘parents’ ’’ and inserting ‘‘par8 ent’s’’. 

9 (f) DEFINITIONS.—Section 399M(e) of the Public 

10 Health Service Act (42 U.S.C. 280g–1(e)) is amended— 

11 (1) in paragraph (1)— 

12 (A) by striking ‘‘(1)’’ and all that follows 

13 through ‘‘to procedures’’ and inserting the fol14 lowing: 

15 ‘‘(1) The term ‘audiologic’, when used in connec16 tion with evaluation, means procedures—’’; 

17 (B) by striking ‘‘to assess’’ and inserting the 

18 following: 

19 ‘‘(A) to assess’’; 

20 (C) by striking ‘‘to establish’’ and inserting 

21 the following: 

22 ‘‘(B) to establish’’; 

23 (D) by striking ‘‘auditory disorder;’’ and 

24 inserting ‘‘auditory disorder,’’; 


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1 (E) by striking ‘‘to identify’’ and inserting 

2 the following: 

3 ‘‘(C) to identify’’; 

4 (F) by striking ‘‘options.’’ and all that fol5 lows through ‘‘linkage’’ and inserting the fol6 lowing: ‘‘options, including— 

7 ‘‘(i) linkage’’; 

8 (G) by striking ‘‘appropriate agencies,’’ and 

9 all that follows through ‘‘national’’ and inserting 

10 the following: ‘‘appropriate agencies; 

11 ‘‘(ii) medical evaluation; 

12 ‘‘(iii) assessment for the full range of 

13 assistive hearing technologies appropriate 

14 for newborns, infants, and young children; 

15 ‘‘(iv) audiologic rehabilitation treat16 ment; and 

17 ‘‘(v) referral to national’’; and 

18 (H) by striking ‘‘parent, and education’’ 

19 and inserting ‘‘parent, family, and education’’; 

20 (2) by striking paragraph (2); 

21 (3) by redesignating paragraphs (3) through (6) 

22 as paragraphs (2) through (5); 

23 (4) in paragraph (2) (as redesignated by para24 graph (3) of this subsection)— 


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26 

•S 652 RS

1 (A) by striking ‘‘refers to providing’’ and 

2 inserting the following: ‘‘means— 

3 ‘‘(A) providing’’; 

4 (B) by striking ‘‘with hearing loss, includ5 ing nonmedical services,’’ and inserting ‘‘who is 

6 deaf or hard-of-hearing, including nonmedical 

7 services;’’; 

8 (C) by striking ‘‘ensuring that families of 

9 the child are provided’’ and inserting the fol10 lowing: 

11 ‘‘(B) ensuring that the family of the child 

12 is— 

13 ‘‘(i) provided’’; 

14 (D) by striking ‘‘language and communica15 tion options and are given’’ and inserting the 

16 following: ‘‘language acquisition in oral and vis17 ual modalities; and 

18 ‘‘(ii) given’’; and 

19 (E) by striking ‘‘their child’’ and inserting 

20 ‘‘the child’’; 

21 (5) in paragraph (3) (as redesignated by para22 graph (3) of this subsection), by striking ‘‘(3)’’ and 

23 all that follows through ‘‘decision making’’ and in24 serting ‘‘The term ‘medical evaluation’ means key 


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27 

•S 652 RS

1 components performed by a physician including his2 tory, examination, and medical decisionmaking’’; 

3 (6) in paragraph (4) (as redesignated by para4 graph (3) of this subsection)— 

5 (A) by striking ‘‘refers to’’ and inserting 

6 ‘‘means’’; 

7 (B) by striking ‘‘and/or surgical’’ and in8 serting ‘‘or surgical’’; and 

9 (C) by striking ‘‘of hearing’’ and all that 

10 follows through ‘‘disorder’’ and inserting ‘‘for 

11 hearing loss or other medical disorders’’; and 

12 (7) in paragraph (5) (as redesignated by para13 graph (3) of this subsection)— 

14 (A) by striking ‘‘(5)’’ and all that follows 

15 through ‘‘refers to’’ and inserting ‘‘(5) The term 

16 ‘newborn, infant, and young child hearing 

17 screening’ means’’; and 

18 (B) by striking ‘‘and infants’’ and inserting 

19 ‘‘, infants, and young children under 3 years of 

20 age’’. 

21 (g) AUTHORIZATION OF APPROPRIATIONS.—Section 

22 399M(f) of the Public Health Service Act (42 U.S.C. 280g– 

23 1(f)) is amended— 

24 (1) in paragraph (1), by striking ‘‘such sums’’ 

25 and all that follows through the period and inserting 


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28 

•S 652 RS

1 ‘‘$17,818,000 for fiscal year 2018, $18,173,800 for fis2 cal year 2019, $18,628,145 for fiscal year 2020, 

3 $19,056,592 for fiscal year 2021, and $19,522,758 for 

4 fiscal year 2022.’’; and 

5 (2) in paragraph (2), by striking ‘‘such sums’’ 

6 and all that follows through the period and inserting 

7 ‘‘$10,800,000 for fiscal year 2018, $11,026,800 for fis8 cal year 2019, $11,302,470 for fiscal year 2020, 

9 $11,562,427 for fiscal year 2021, and $11,851,488 for 

10 fiscal year 2022.’’. 


sradovich on DSK3GMQ082PROD with BILLS

sradovich on DSK3GMQ082PROD with BILLS
Calendar No. 44 

115TH CONGRESS 

1ST SESSION S. 652 

A BILL 

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

MAY 1, 2017 

Reported with an amendment 


sradovich on DSK3GMQ082PROD with BILLS