I

104TH CONGRESS

1ST SESSION H. R. 1140

To amend the Public Health Service Act to provide for the prevention,

control, and elimination of tuberculosis.

IN THE HOUSE OF REPRESENTATIVES

MARCH 6, 1995

Mr. SCHUMER introduced the following bill; which was referred to the

Committee on Commerce

A BILL

To amend the Public Health Service Act to provide for

the prevention, control, and elimination of tuberculosis.

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

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Tuberculosis Preven5 tion and Control Amendments of 1995’’.

6 SEC. 2. PROGRAMS OF CENTERS FOR DISEASE CONTROL

7 AND PREVENTION.

8 (a) PROVISION OF SERVICES FOR PREVENTION, CON9 TROL, AND ELIMINATION.—
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1 (1) IN GENERAL.—Section 317E of the Public

2 Health Service Act (42 U.S.C. 247b–6), as added by

3 section 301 of Public Law 103–183 (107 Stat.

4 2233), is amended in subsection (g)(1)(A)—

5 (A) by striking ‘‘and’’ after ‘‘1994,’’; and

6 (B) by striking ‘‘for each’’ and all that fol7 lows and inserting the following: ‘‘for fiscal year

8 1995, $385,000,000 for fiscal year 1996, and

9 such sums as may be necessary for each of the

10 fiscal years 1997 through 2000.’’.

11 (2) AUTHORITY FOR EMERGENCY GRANTS.—

12 Section 317E(g)(1)(B) of the Public Health Service

13 Act (42 U.S.C. 247b–6(g)(1)(B)) is amended by

14 striking ‘‘$50,000,000’’ and inserting

15 ‘‘$85,000,000’’.

16 (3) BULK PURCHASES.—

17 (A) Subject to subparagraph (B), in addi18 tion to the authorization of appropriations es19 tablished in section 317E(g)(1)(A) of the Public

20 Health Service Act for grants for the preven21 tion, control, and elimination of tuberculosis,

22 there are authorized to be appropriated for such

23 grants $80,000,000 for fiscal year 1996, and

24 such sums as may be necessary for each of the

25 fiscal years 1997 through 2000.
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1 (B) Amounts appropriated under subpara2 graph (A) shall be administered by the Sec3 retary of Health and Human Services, acting

4 through the Director of the Centers for Disease

5 Control and Prevention. For purposes of the

6 program of grants referred to in such subpara7 graph, such amounts are available for making

8 bulk purchases of medications and other sup9 plies with respect to tuberculosis.

10 (4) OTHER PURPOSES.—Section 317E(a) of the

11 Public Health Service Act (42 U.S.C. 247b–6(a)) is

12 amended by adding at the end the following sen13 tence: ‘‘The purposes for which such grants may be

14 expended include services with respect to incarcer15 ation.’’.

16 (b) RESEARCH, DEMONSTRATION PROJECTS, EDU17 CATION, AND TRAINING.—Section 317E(g)(2) of the Pub18 lic Health Service Act (42 U.S.C. 247b–6(g)(2)) is amend19 ed by striking ‘‘1994’’ and all that follows and inserting

20 the following: ‘‘1994 and 1995, $80,000,000 for fiscal

21 year 1996, and such sums as may be necessary for each

22 of the fiscal years 1997 through 2000.’’.

23 (c) TRAINING CENTERS REGARDING HEALTH PRO24 FESSIONALS.—
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1 (1) IN GENERAL.—The Secretary of Health and

2 Human Services (in this subsection referred to as

3 the ‘‘Secretary’’), acting through the Director of the

4 Centers for Disease Control and Prevention, may

5 make grants to public and nonprofit private entities

6 for the establishment and operation of not more

7 than 5 centers to train health professionals with re8 spect to the prevention and control of tuberculosis,

9 including training in identifying multi-drug resistant

10 forms of such disease.

11 (2) SCREENINGS; OTHER HEALTH SERVICES.—

12 The purposes for which the Secretary may authorize

13 an entity to expend a grant under paragraph (1) in14 clude screening individuals for tuberculosis, provid15 ing treatment for such disease, and referring individ16 uals for services.

17 (3) FACILITIES AND EQUIPMENT.—The pur18 poses for which the Secretary may authorize an en19 tity to expend a grant under paragraph (1) include

20 providing for facilities and equipment for the center

21 under such paragraph.

22 (4) QUALITY OF LABORATORIES.—The Sec23 retary may make a grant under paragraph (1) only

24 if the entity involved provides assurances satisfac25 tory to the Secretary that the laboratories of the
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1 center under such paragraph will have the facilities

2 and equipment to provide sophisticated training to

3 health professionals with respect to tuberculosis.

4 (5) APPLICATION FOR GRANT.—The Secretary

5 may make a grant under paragraph (1) only if an

6 application for the grant is submitted to the Sec7 retary and the application is in such form, is made

8 in such manner, and contains such agreements, as9 surances, and information as the Secretary deter10 mines to be necessary to carry out this subsection.

11 (6) AMOUNT AND DURATION OF GRANT.—

12 (A) The Secretary may not make a grant

13 under paragraph (1) for a fiscal year in an

14 amount exceeding $5,000,000.

15 (B) The period during which payments are

16 made to an entity from a grant under para17 graph (1) may not exceed 3 years. The provi18 sion of such payments shall be subject to an19 nual approval by the Secretary of the payments

20 and subject to the availability of appropriations

21 for the fiscal year involved to make the pay22 ments.

23 (7) EVALUATIONS; DISSEMINATION OF INFOR24 MATION.—The Secretary shall, directly or through

25 contracts with public or private entities, provide for
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1 evaluations of centers operated pursuant to para2 graph (1) and for the dissemination of information

3 developed as a result of the centers.

4 (8) AUTHORIZATION OF APPROPRIATIONS.—For

5 the purpose of carrying out this subsection, there

6 are authorized to be appropriated $25,000,000 for

7 fiscal year 1996, and such sums as may be nec8 essary for each of the fiscal years 1997 through

9 2000.

10 SEC. 3. RESEARCH THROUGH NATIONAL INSTITUTE OF AL11 LERGY AND INFECTIOUS DISEASES.

12 (a) TECHNICAL CORRECTION.—Subpart 6 of part C

13 of title IV of the Public Health Service Act (42 U.S.C.

14 285f et seq.), as amended by section 302 of Public Law

15 103–183 (107 Stat. 2235), is amended—

16 (1) by transferring the first section 447 (added

17 by such section 302) from the current placement of

18 the section;

19 (2) by redesignating the section as section

20 447A; and

21 (3) by inserting the section after section 447.

22 (b) RESEARCH.—Section 447A of the Public Health

23 Service Act, as transferred and redesignated by subsection

24 (a) of this section, is amended in the first sentence of sub25 section (b)—
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1 (1) by striking ‘‘and’’ after ‘‘1994,’’; and

2 (2) by striking ‘‘for each’’ and all that follows

3 and inserting the following: ‘‘for fiscal year 1995,

4 $75,000,000 for fiscal year 1996, and such sums as

5 may be necessary for each of the fiscal years 1997

6 through 2000.’’.

7 SEC. 4. CONSTRUCTION OR MODERNIZATION OF HEALTH

8 FACILITIES.

9 Section 1610 of the Public Health Service Act (42

10 U.S.C. 300r) is amended by adding at the end the follow11 ing subsection:

12 ‘‘(c)(1) With respect to services for the prevention,

13 control, and elimination of tuberculosis, the Secretary may

14 make grants to public and nonprofit private entities for

15 projects for (A) construction or modernization of out16 patient medical facilities which are located apart from hos17 pitals and which will provide such services for medically

18 underserved populations, (B) conversion of existing facili19 ties into outpatient medical facilities or facilities for long20 term care to provide such services for such populations,

21 (C) renovation of inpatient facilities, (D) construction or

22 renovation of facilities to provide such services with re23 spect to incarceration.

24 ‘‘(2) The amount of any grant under paragraph (1)

25 may not exceed 80 percent of the cost of the project for
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1 which the grant is made unless the project is located in

2 an area determined by the Secretary to be an urban or

3 rural poverty area, in which case the grant may cover up

4 to 100 percent of such costs.

5 ‘‘(3) There are authorized to be appropriated for

6 grants under paragraph (1) $100,000,000 for fiscal year

7 1995, $250,000,000 for fiscal year 1996, and such sums

8 as may be necessary for each of the fiscal years 1997

9 through 2000.’’.

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