I

106TH CONGRESS

2D SESSION H. R. 4964

To amend title III of the Public Health Service Act to enhance the Nation’s

capacity to address public health threats and emergencies.

IN THE HOUSE OF REPRESENTATIVES

JULY 26, 2000

Mr. BURR of North Carolina (for himself and Mr. STUPAK) introduced the

following bill; which was referred to the Committee on Commerce

A BILL

To amend title III of the Public Health Service Act to

enhance the Nation’s capacity to address public health

threats and emergencies.

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 ‘‘Public Health Threats

5 and Emergencies Act’’.

6 SEC. 2. AMENDMENTS TO THE PUBLIC HEALTH SERVICE

7 ACT.

8 Part B of title III of the Public Health Service Act

9 (42 U.S.C. 243 et seq.) is amended by striking section

10 319 and inserting the following:
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1 ‘‘SEC. 319. PUBLIC HEALTH EMERGENCIES.

2 ‘‘(a) EMERGENCIES.—If the Secretary determines,

3 after consultation with the Director of the Centers for Dis4 ease Control and Prevention and other public health offi5 cials as may be necessary, that—

6 ‘‘(1) a disease or disorder presents a public

7 health emergency; or

8 ‘‘(2) a public health emergency, including sig9 nificant outbreaks of infectious diseases or bioter10 rorist attacks, otherwise exists,

11 the Secretary may take such action as may be appropriate

12 to respond to the public health emergency, including mak13 ing grants and entering into contracts and conducting and

14 supporting investigations into the cause, treatment, or

15 prevention of a disease or disorder as described in para16 graphs (1) and (2).

17 ‘‘(b) PUBLIC HEALTH EMERGENCY FUND.—

18 ‘‘(1) IN GENERAL.—There is established in the

19 Treasury a fund to be designated as the ‘Public

20 Health Emergency Fund’ to be made available to

21 the Secretary without fiscal year limitation to carry

22 out subsection (a) only if a public health emergency

23 has been declared by the Secretary under such sub24 section. There is authorized to be appropriated to

25 the Fund such sums as may be necessary.
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1 ‘‘(2) REPORT.—Not later than 90 days after

2 the end of each fiscal year, the Secretary shall pre3 pare and submit to the Committee on Health, Edu4 cation, Labor, and Pensions of the Senate and the

5 Committee on Commerce of the House of Represent6 atives a report describing—

7 ‘‘(A) the expenditures made from the Pub8 lic Health Emergency Fund in such fiscal year;

9 and

10 ‘‘(B) each public health emergency for

11 which the expenditures were made and the ac12 tivities undertaken with respect to each emer13 gency which was conducted or supported by ex14 penditures from the Fund.

15 ‘‘(c) SUPPLEMENT NOT SUPPLANT.—Funds appro16 priated under this section shall be used to supplement and

17 not supplant other Federal, State, and local public funds

18 provided for activities under this section.

19 ‘‘SEC. 319A. NATIONAL NEEDS TO COMBAT THREATS TO

20 PUBLIC HEALTH.

21 ‘‘(a) CAPACITIES.—

22 ‘‘(1) IN GENERAL.—Not later than 1 year after

23 the date of enactment of this section, the Secretary,

24 and such Administrators, Directors, or Commis25 sioners, as may be appropriate, and in collaboration
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1 with State and local health officials, shall establish

2 reasonable capacities that are appropriate for na3 tional, State, and local public health systems and the

4 personnel or work forces of such systems. Such ca5 pacities shall be revised every 10 years, or more fre6 quently as the Secretary determines to be necessary.

7 ‘‘(2) BASIS.—The capacities established under

8 paragraph (1) shall improve, enhance or expand the

9 capacity of national, state and local public health

10 agencies to detect and respond effectively to signifi11 cant public health threats, including major out12 breaks of infectious disease, pathogens resistant to

13 antimicrobial agents and acts of bioterrorism. Such

14 capacities may include the capacity to—

15 ‘‘(A) recognize the clinical signs and epide16 miological characteristic of significant outbreaks

17 of infectious disease;

18 ‘‘(B) identify disease-causing pathogens

19 rapidly and accurately;

20 ‘‘(C) develop and implement plans to pro21 vide medical care for persons infected with dis22 ease-causing agents and to provide preventive

23 care as needed for individuals likely to be ex24 posed to disease-causing agents;
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1 ‘‘(D) communicate information relevant to

2 significant public health threats rapidly to local,

3 State and national health agencies; or

4 ‘‘(E) develop or implement policies to pre5 vent the spread of infectious disease or anti6 microbial resistance.

7 ‘‘(b) REPORT.—Not later than 1 year after the date

8 of enactment of this section, and every 10 years thereafter,

9 the Secretary shall prepare and submit to the Committee

10 on Health, Education, Labor, and Pensions of the Senate

11 and the Committee on Commerce of the House of Rep12 resentatives a report describing the capacities established

13 pursuant to subsection (a).

14 ‘‘(c) SUPPLEMENT NOT SUPPLANT.—Funds appro15 priated under this section shall be used to supplement and

16 not supplant other Federal, State, and local public funds

17 provided for activities under this section.

18 ‘‘(d) TECHNICAL ASSISTANCE.—The Secretary shall

19 provide technical assistance to the States to assist such

20 States in fulfilling the requirements of this section.

21 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There

22 is authorized to be appropriated to carry out this section

23 such sums as may be necessary for each of the fiscal years

24 2001 through 2006.
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1 ‘‘SEC. 319B. ASSESSMENT OF PUBLIC HEALTH NEEDS.

2 ‘‘(a) PROGRAM AUTHORIZED.—Not later than 1 year

3 after the date of enactment of this section and every 10

4 years thereafter, the Secretary shall award grants to

5 States to perform, in collaboration with local public health

6 agencies, an evaluation to determine the extent to which

7 States or local public health agencies can achieve the ca8 pacities applicable to State and local public health agen9 cies described in subsection (a) of section 319A. The Sec10 retary shall provide technical assistance to States in addi11 tion to awarding such grants.

12 ‘‘(b) PROCEDURE.—

13 ‘‘(1) IN GENERAL.—A State may contract with

14 an outside entity to perform the evaluation described

15 in subsection (a).

16 ‘‘(2) METHODS.—To the extent practicable, the

17 evaluation described in subsection (a) shall be com18 pleted by using commonly accepted methods.

19 ‘‘(c) REPORT BY STATE.—Not later than 1 year after

20 the date on which a State receives a grant under this sub21 section, such State shall prepare and submit to the Sec22 retary a report describing the results of the evaluation de23 scribed in subsection (a) with respect to such State.

24 ‘‘(d) SUPPLEMENT NOT SUPPLANT.—Funds appro25 priated under this section shall be used to supplement and
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1 not supplant other Federal, State, and local public funds

2 provided for activities under this section.

3 ‘‘(E) AUTHORIZATION OF APPROPRIATIONS.—There

4 is authorized to be appropriated to carry out this section

5 such sums as may be necessary for each of the fiscal years

6 2002 and 2003.

7 ‘‘SEC. 319C. GRANTS TO IMPROVE STATE AND LOCAL PUB8 LIC HEALTH AGENCIES.

9 ‘‘(a) PROGRAM AUTHORIZED.—The Secretary shall

10 award competitive grants to eligible entities to address

11 core public health capacity needs using the capacities de12 veloped under section 319A, with a particular focus on

13 building capacity to identify, detect, monitor, and respond

14 to threats to the public health.

15 ‘‘(b) ELIGIBLE ENTITIES.—A State or political sub16 division of a State, or a consortium of 2 or more States

17 or political subdivisions of States, that has completed an

18 evaluation under section 319B(a), or an evaluation that

19 is substantially equivalent as determined by the Secretary

20 under section 319B(a), shall be eligible for grants under

21 subsection (b).

22 ‘‘(c) USE OF FUNDS.—An eligible entity that receives

23 a grant under subsection (b), may use funds received

24 under such grant to—

25 ‘‘(1) train public health personnel;
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1 ‘‘(2) develop, enhance, coordinate, or improve

2 participation in an electronic network by which dis3 ease detection and public health related information

4 can be rapidly shared among national, regional,

5 State, and local public health agencies and health

6 care providers;

7 ‘‘(3) develop a plan for responding to public

8 health emergencies, including significant outbreaks

9 of infectious diseases or bioterrorism attacks, which

10 is coordinated with the capacities of applicable na11 tional, State, and local national health agencies; and

12 ‘‘(4) enhance laboratory capacity and facilities.

13 ‘‘(d) REPORT.—Not later than 1 year after the date

14 of enactment of this section and annually thereafter, the

15 Secretary shall prepare and submit to the Committee on

16 Health, Education, Labor, and Pensions of the Senate and

17 the Committee on Commerce of the House of Representa18 tives a report that describes the activities carried out

19 under this section.

20 ‘‘(e) SUPPLEMENT NOT SUPPLANT.—Funds appro21 priated under this section shall be used to supplement and

22 not supplant other Federal, State, and local public funds

23 provided for activities under this section.

24 ‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There

25 is authorized to be appropriated to carry out this section
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1 such sums as may be necessary for each of the fiscal years

2 2001 through 2006.

3 ‘‘SEC. 319D. REVITALIZING THE CENTERS FOR DISEASE

4 CONTROL AND PREVENTION.

5 ‘‘(a) FINDINGS.—Congress finds that the Centers for

6 Disease Control and Prevention have an essential role in

7 defending against and combatting public health threats of

8 the twenty-first century and requires secure and modern

9 facilities that are sufficient to enable such Centers to con10 duct this important mission.

11 ‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the

12 purposes of achieving the mission of the Centers for Dis13 ease Control and Prevention described in subsection (a),

14 for constructing new facilities and renovating existing fa15 cilities of such Centers, including laboratories, laboratory

16 support buildings, health communication facilities, office

17 buildings and other facilities and infrastructure, for better

18 conducting the capacities described in section 319A, and

19 for supporting related public health activities, there are

20 authorized to be appropriated such sums as may be nec21 essary for each of fiscal years 2001 through 2010.

22 ‘‘SEC. 319E. COMBATING ANTIMICROBIAL RESISTANCE.

23 ‘‘(a) TASK FORCE.—

24 ‘‘(1) IN GENERAL.—The Secretary shall estab25 lish an Antimicrobial Resistance Task Force to co-
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1 ordinate Federal programs relating to antimicrobial

2 resistance. The Secretary may appoint or select a

3 committee, or other organization in existence as of

4 the date of enactment of this section, to serve as

5 such a task force, if such committee, or other orga6 nization meets the requirements of this section.

7 ‘‘(2) MEMBERS OF TASK FORCE.—The task

8 force described in paragraph (1) shall be composed

9 of representatives from such Federal agencies, public

10 health constituencies, manufacturers, medical profes11 sional societies and others as determined to be nec12 essary by the Secretary, to develop and implement a

13 comprehensive strategic plan to address the public

14 health threat of antimicrobial resistance.

15 ‘‘(3) AGENDA.—

16 ‘‘(A) IN GENERAL.—The task force de17 scribed in paragraph (1) shall consider factors

18 the Secretary considers appropriate,

19 including—

20 ‘‘(i) public health factors contributing

21 to increasing antimicrobial resistance;

22 ‘‘(ii) public health needs to detect and

23 monitor antimicrobial resistance;

24 ‘‘(iii) detection, prevention, and con25 trol strategies for resistant pathogens;
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1 ‘‘(iv) the need for improved informa2 tion and data collection;

3 ‘‘(v) the assessment of the risk im4 posed by pathogens presenting a threat to

5 the public health; and

6 ‘‘(vi) any other issues which the Sec7 retary determines are relevant to anti8 microbial resistance.

9 ‘‘(B) DETECTION AND CONTROL.—The

10 Secretary, in consultation with the task force

11 described in paragraph (1) and State and local

12 public health officials, shall—

13 ‘‘(i) develop, improve, coordinate or

14 enhance participation in a surveillance plan

15 to detect and monitor emerging anti16 microbial resistance; and

17 ‘‘(ii) develop, improve, coordinate or

18 enhance participation in an integrated in19 formation system to assimilate, analyze,

20 and exchange antimicrobial resistance data

21 between public health departments.

22 ‘‘(4) MEETINGS.—The task force described

23 under paragraph (1) shall convene not less than

24 twice a year, or more frequently as the Secretary de25 termines to be appropriate.
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1 ‘‘(b) RESEARCH AND DEVELOPMENT OF NEW ANTI2 MICROBIAL DRUGS AND DIAGNOSTICS.—The Director of

3 National Institute of Health and the Director of the Cen4 ter for Disease Control and Prevention, in collaboration

5 with members of the task force established under sub6 section (a), shall conduct and support research, investiga7 tions, experiments, demonstrations, and studies in the

8 health sciences that are related to—

9 ‘‘(1) the development of new therapeutics, in10 cluding vaccines and antimicrobials, against resist11 ant pathogens;

12 ‘‘(2) the development or testing of medical

13 diagnostics to detect pathogens resistant to

14 antimicrobials;

15 ‘‘(3) the epidemiology, mechanisms, and patho16 genesis of antimicrobial resistance;

17 ‘‘(4) the sequencing of the genomes of priority

18 pathogens as determined by the Director of the Na19 tional Institutes of Health in consultation with the

20 task force established under subsection (a); and

21 ‘‘(5) other relevant research areas.

22 ‘‘(c) EDUCATION OF MEDICAL AND PUBLIC HEALTH

23 PERSONNEL.—The Secretary, after consultation with the

24 Surgeon General, the Director of the Centers for Disease

25 Control and Prevention, the Director of Health Resources
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1 and Services Administration, the Director of the Agency

2 for Healthcare Research and Quality, members of the task

3 force described in subsection (a), and professional organi4 zations and societies, shall—

5 ‘‘(1) develop and implement educational pro6 grams to increase the awareness of the general pub7 lic with respect to the public health threat of anti8 microbial resistance and the appropriate use of anti9 biotics;

10 ‘‘(2) develop and implement educational pro11 grams to instruct health care professionals in the

12 prudent use of antibiotics; and

13 ‘‘(3) develop and implement programs to train

14 laboratory personnel in the recognition or identifica15 tion of resistance in pathogens.

16 ‘‘(d) GRANTS.—

17 ‘‘(1) IN GENERAL.—The Secretary shall award

18 competitive grants to eligible entities to enable such

19 entities to increase the capacity to detect, monitor,

20 and combat antimicrobial resistance.

21 ‘‘(2) ELIGIBLE ENTITIES.—Eligible entities for

22 grants under paragraph (1) shall be State or local

23 public health agencies.

24 ‘‘(3) USE OF FUNDS.—An eligible entity receiv25 ing a grant under paragraph (1) shall use funds
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1 from such grant for activities that are consistent

2 with the factors identified by the task force under

3 subsection (a)(3), which may include activities

4 that—

5 ‘‘(A) provide training to enable such entity

6 to identify patterns of resistance rapidly and

7 accurately;

8 ‘‘(B) develop, improve, coordinate or en9 hance participation in information systems by

10 which data on resistant infections can be shared

11 rapidly among relevant national, State, and

12 local health agencies and health care providers;

13 and

14 ‘‘(C) develop and implement policies to

15 control the spread of antimicrobial resistance.

16 ‘‘(e) GRANTS FOR DEMONSTRATION PROGRAMS.—

17 ‘‘(1) IN GENERAL.—The Secretary shall award

18 competitive grants to eligible entities to establish

19 demonstration programs to promote judicious use of

20 antimicrobial drugs or control the spread of anti21 microbial-resistant pathogens.

22 ‘‘(2) ELIGIBLE ENTITIES.—Eligible entities for

23 grants under paragraph (1) may include hospitals,

24 clinics, institutions of long-term care, or professional

25 medical societies.
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1 ‘‘(3) TECHNICAL ASSISTANCE.—The Secretary

2 shall provide appropriate technical assistance to eli3 gible entities that receive grants under paragraph

4 (1).

5 ‘‘(f) SUPPLEMENT NOT SUPPLANT.—Funds appro6 priated under this section shall be used to supplement and

7 not supplant other Federal, State, and local public funds

8 provided for activities under this section.

9 ‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There

10 are authorized to be appropriated to carry out this section,

11 such sums as may be necessary for each of the fiscal years

12 2001 through 2006.

13 ‘‘SEC. 319F. PUBLIC HEALTH COUNTERMEASURES TO A BIO14 TERRORIST ATTACK.

15 ‘‘(a) WORKING GROUP ON PREPAREDNESS FOR ACTS

16 OF BIOTERRORISM.—The Secretary, in coordination with

17 the Secretary of Defense, shall establish a joint inter18 departmental working group on preparedness and readi19 ness for the medical and public health effects of a bioter20 rorist attack on the civilian population. Such joint working

21 group shall—

22 ‘‘(1) coordinate research on pathogens likely to

23 be used in a bioterrorist attack on the civilian popu24 lation as well as therapies to treat such pathogens;
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1 ‘‘(2) coordinate research and development into

2 equipment to detect pathogens likely to be used in

3 a bioterrorist attack on the civilian population and

4 protect against infection from such pathogens;

5 ‘‘(3) develop shared standards for equipment to

6 detect and to protect against infection from patho7 gens likely to be used in a bioterrorist attack on the

8 civilian population; and

9 ‘‘(4) coordinate the development, maintenance,

10 and procedures for the release of, strategic reserves

11 of vaccines, drugs, and medical supplies which may

12 be needed rapidly after a bioterrorist attack upon

13 the civilian population.

14 ‘‘(b) WORKING GROUP ON THE PUBLIC HEALTH AND

15 MEDICAL CONSEQUENCES OF BIOTERRORISM.—

16 ‘‘(1) IN GENERAL.—The Secretary, in collabo17 ration with the Director of the Federal Emergency

18 Management Agency and the Attorney General, shall

19 establish a joint interdepartmental working group to

20 address the public health and medical consequences

21 of a bioterrorist attack on the civilian population.

22 ‘‘(2) FUNCTIONS.—Such working group shall—

23 ‘‘(A) assess the priorities for and enhance

24 the preparedness of public health institutions,

25 providers of medical care, and other emergency
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1 service personnel to detect, diagnose, and re2 spond to a bioterrorist attack; and

3 ‘‘(B) in the recognition that medical and

4 public health professionals are likely to provide

5 much of the first response to such an attack,

6 develop, coordinate, enhance, and assure the

7 quality of joint planning and training programs

8 that address the public health and medical con9 sequences of a bioterrorist attack on the civilian

10 population between—

11 ‘‘(i) local firefighters, ambulance per12 sonnel, police and public security officers,

13 or other emergency response personnel;

14 and

15 ‘‘(ii) hospitals, primary care facilities,

16 or public health agencies.

17 ‘‘(3) WORKING GROUP MEMBERSHIP.—In estab18 lishing such working group, the Secretary shall act

19 through the Director of the Office of Emergency

20 Preparedness and the Director of the Centers for

21 Disease Control and Prevention.

22 ‘‘(4) COORDINATION.—The Secretary shall en23 sure coordination and communication between the

24 working groups established in this subsection and

25 subsection (a).
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1 ‘‘(c) GRANTS.—

2 ‘‘(1) IN GENERAL.—The Secretary, in coordina3 tion with the working group established under sub4 section (b), shall award grants on a competitive

5 basis to eligible entities to enable such entities to in6 crease their capacity to detect, diagnose, and re7 spond to acts of bioterrorism upon the civilian popu8 lation.

9 ‘‘(2) ELIGIBILITY.—To be an eligible entity

10 under this subsection, such entity must be a State,

11 political subdivision of a State, consortium of 2 or

12 more States or political subdivisions of States, or a

13 hospital, clinic, or primary care facility.

14 ‘‘(3) USE OF FUNDS.—An entity that receives

15 a grant under this subsection shall use such funds

16 for activities that are consistent with the priorities

17 identified by the working group under subsection

18 (b), including—

19 ‘‘(A) training health care professionals and

20 public health personnel to enhance the ability of

21 such personnel to recognize the symptoms and

22 epidemiological characteristics of exposure to a

23 potential bioweapon;

24 ‘‘(B) addressing rapid and accurate identi25 fication of potential bioweapons;
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1 ‘‘(C) coordinating medical care for individ2 uals exposed to bioweapons; and

3 ‘‘(D) facilitating and coordinating rapid

4 communication of data generated from a bioter5 rorist attack between national, State, and local

6 health agencies.

7 ‘‘(4) COORDINATION.—The Secretary, in award8 ing grants under this subsection, shall—

9 ‘‘(A) notify the Director of the Office of

10 Justice Programs, and the Director of the Na11 tional Domestic Preparedness Office annually

12 as to the amount and status of grants awarded

13 under this subsection; and

14 ‘‘(B) coordinate grants awarded under this

15 subsection with grants awarded by the Office of

16 Emergency Preparedness and the Centers for

17 Disease Control and Prevention for the purpose

18 of improving the capacity of health care pro19 viders and public health agencies to respond to

20 bioterrorist attacks on the civilian population.

21 ‘‘(5) ACTIVITIES.—An entity that receives a

22 grant under this subsection shall, to the greatest ex23 tent practicable, coordinate activities carried out

24 with such funds with the activities of a local Metro25 politan Medical Response System.
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1 ‘‘(d) FEDERAL ASSISTANCE.—The Secretary shall

2 ensure that the Department of Health and Human Serv3 ices is able to provide such assistance as may be needed

4 to State and local health agencies to enable such agencies

5 to respond effectively to bioterrorist attacks.

6 ‘‘(e) EDUCATION.—The Secretary, in collaboration

7 with members of the working group described in sub8 section (b), and professional organizations and societies,

9 shall—

10 ‘‘(1) develop and implement educational pro11 grams to instruct public health officials, medical

12 professionals, and other personnel working in health

13 care facilities in the recognition and care of victims

14 of a bioterrorist attack; and

15 ‘‘(2) develop and implement programs to train

16 laboratory personnel in the recognition and identi17 fication of a potential bioweapon.

18 ‘‘(f) FUTURE RESOURCE DEVELOPMENT.—The Di19 rector of National Institutes of Health and the Director

20 of the Centers for Disease Control and Prevention shall

21 consult with the working group described in subsection

22 (a), to develop priorities for and conduct research, inves23 tigations, experiments, demonstrations, and studies in the

24 health sciences related to—
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1 ‘‘(1) the epidemiology and pathogenesis of po2 tential bioweapons;

3 ‘‘(2) the development of new vaccines or other

4 therapeutics against pathogens likely to be used in

5 a bioterrorist attack;

6 ‘‘(3) the development of medical diagnostics to

7 detect potential bioweapons; and

8 ‘‘(4) other relevant research areas.

9 ‘‘(g) REPORT.—Not later than 180 days after the

10 date of enactment of this section, and annually, on June

11 30 of each year thereafter, the Secretary shall prepare and

12 submit to the Committee on Health, Education, Labor,

13 and Pensions of the Senate, the Committee on Commerce

14 of the House of Representatives, the Committee on Armed

15 Services of the Senate, the Committee on Armed Services

16 of the House of Representatives, and other congressional

17 committees as may be appropriate, a report that—

18 ‘‘(1) details the activities carried out by the

19 working groups under subsections (a) and (b) during

20 the fiscal year preceding the date on which the re21 port is submitted and describing such activities to be

22 undertaken by Federal agencies to combat bioter23 rorism in the subsequent year;

24 ‘‘(2) describes the programs carried out under

25 subsection (c); and
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1 ‘‘(3) describes activities carried out by the Sec2 retary under subsections (d) and (e).

3 ‘‘(h) GENERAL ACCOUNTING OFFICE REPORT.—Not

4 later than 180 days after the date of enactment of this

5 section, the Comptroller General shall submit to the Com6 mittee on Health, Education, Labor, and Pensions of the

7 Senate and the Committee on Commerce of the House of

8 Representatives a report that describes—

9 ‘‘(1) Federal activities primarily related to re10 search on, preparedness for, and the management of

11 the public health and medical consequences of a bio12 terrorist attack against the civilian population;

13 ‘‘(2) the coordination of the activities described

14 in paragraph (1);

15 ‘‘(3) the amount of Federal funds authorized or

16 appropriated for the activities described in para17 graph (1); and

18 ‘‘(4) the effectiveness of such efforts in pre19 paring national, State, and local authorities to ad20 dress the public health and medical consequences of

21 a potential bioterrorist attack against the civilian

22 population.

23 ‘‘(i) SUPPLEMENT NOT SUPPLANT.—Funds appro24 priated under this section shall be used to supplement and
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1 not supplant other Federal, State, and local public funds

2 provided for activities under this section.

3 ‘‘(j) AUTHORIZATION OF APPROPRIATIONS.—There

4 is authorized to be appropriated to carry out this section

5 such sums as may be necessary for each of the fiscal years

6 2001 through 2006.’’.

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