II

107TH CONGRESS

1ST SESSION S. 1275

To amend the Public Health Service Act to provide grants for public access

defibrillation programs and public access defibrillation demonstration

projects, and for other purposes.

IN THE SENATE OF THE UNITED STATES

JULY 31, 2001

Mr. FRIST (for himself, Mr. KENNEDY, Mr. JEFFORDS, Mr. HUTCHINSON,

Mr. DODD, Ms. COLLINS, Mr. BINGAMAN, Mr. FEINGOLD, Mrs. MURRAY,

Mr. EDWARDS, and Mr. CORZINE) introduced the following bill; which

was read twice and referred to the Committee on Health, Education,

Labor, and Pensions

A BILL

To amend the Public Health Service Act to provide grants

for public access defibrillation programs and public access defibrillation demonstration projects, and for other

purposes.

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 ‘‘Community Access to

5 Emergency Defibrillation Act of 2001’’.

6 SEC. 2. FINDINGS.

7 Congress makes the following findings:
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1 (1) Over 220,000 Americans die each year from

2 cardiac arrest. Every 2 minutes, an individual goes

3 into cardiac arrest in the United States.

4 (2) The chance of successfully returning to a

5 normal heart rhythm diminishes by 10 percent each

6 minute following sudden cardiac arrest.

7 (3) Eighty percent of cardiac arrests are caused

8 by ventricular fibrillation, for which defibrillation is

9 the only effective treatment.

10 (4) Sixty percent of all cardiac arrests occur

11 outside the hospital. The average national survival

12 rate for out-of-hospital cardiac arrest is only 5 per13 cent.

14 (5) Communities that have established and im15 plemented public access defibrillation programs have

16 achieved average survival rates for out-of-hospital

17 cardiac arrest as high as 50 percent.

18 (6) According to the American Heart Associa19 tion, wide use of defibrillators could save as many as

20 50,000 lives nationally each year.

21 (7) Successful public access defibrillation pro22 grams ensure that cardiac arrest victims have access

23 to early 911 notification, early cardiopulmonary re24 suscitation, early defibrillation, and early advanced

25 care.
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1 SEC. 3. PUBLIC ACCESS DEFIBRILLATION PROGRAMS AND

2 PROJECTS.

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

4 (42 U.S.C. 243 et seq.), as amended by Public Law 106–

5 310, is amended by adding after section 311 the following:

6 ‘‘SEC. 312. PUBLIC ACCESS DEFIBRILLATION PROGRAMS.

7 ‘‘(a) IN GENERAL.—The Secretary shall award

8 grants to States, political subdivisions of States, Indian

9 tribes, and tribal organizations to develop and implement

10 public access defibrillation programs—

11 ‘‘(1) by training and equipping local emergency

12 medical services personnel, including firefighters, po13 lice officers, paramedics, emergency medical techni14 cians, and other first responders, to administer im15 mediate care, including cardiopulmonary resuscita16 tion and automated external defibrillation, to cardiac

17 arrest victims;

18 ‘‘(2) by purchasing automated external

19 defibrillators, placing the defibrillators in public

20 places where cardiac arrests are likely to occur, and

21 training personnel in such places to administer

22 cardiopulmonary resuscitation and automated exter23 nal defibrillation to cardiac arrest victims;

24 ‘‘(3) by setting procedures for proper mainte25 nance and testing of such devices, according to the

26 guidelines of the manufacturers of the devices;
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1 ‘‘(4) by providing training to members of the

2 public in cardiopulmonary resuscitation and auto3 mated external defibrillation;

4 ‘‘(5) by integrating the emergency medical serv5 ices system with the public access defibrillation pro6 grams so that emergency medical services personnel,

7 including dispatchers, are informed about the loca8 tion of automated external defibrillators in their

9 community; and

10 ‘‘(6) by encouraging private companies, includ11 ing small businesses, to purchase automated external

12 defibrillators and provide training for their employ13 ees to administer cardiopulmonary resuscitation and

14 external automated defibrillation to cardiac arrest

15 victims in their community.

16 ‘‘(b) PREFERENCE.—In awarding grants under sub17 section (a), the Secretary shall give a preference to a

18 State, political subdivision of a State, Indian tribe, or trib19 al organization that—

20 ‘‘(1) has a particularly low local survival rate

21 for cardiac arrests, or a particularly low local re22 sponse rate for cardiac arrest victims; or

23 ‘‘(2) demonstrates in its application the great24 est commitment to establishing and maintaining a

25 public access defibrillation program.
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1 ‘‘(c) USE OF FUNDS.—A State, political subdivision

2 of a State, Indian tribe, or tribal organization that receives

3 a grant under subsection (a) may use funds received

4 through such grant to—

5 ‘‘(1) purchase automated external defibrillators

6 that have been approved, or cleared for marketing,

7 by the Food and Drug Administration;

8 ‘‘(2) provide automated external defibrillation

9 and basic life support training in automated external

10 defibrillator usage through nationally recognized

11 courses;

12 ‘‘(3) provide information to community mem13 bers about the public access defibrillation program

14 to be funded with the grant;

15 ‘‘(4) provide information to the local emergency

16 medical services system regarding the placement of

17 automated external defibrillators in public places;

18 ‘‘(5) produce such materials as may be nec19 essary to encourage private companies, including

20 small businesses, to purchase automated external

21 defibrillators; and

22 ‘‘(6) carry out other activities that the Sec23 retary determines are necessary or useful to pursue

24 the purposes of this section.

25 ‘‘(d) APPLICATION.—
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1 ‘‘(1) IN GENERAL.—To be eligible to receive a

2 grant under subsection (a), a State, political subdivi3 sion of a State, Indian tribe, or tribal organization

4 shall prepare and submit an application to the Sec5 retary at such time, in such manner, and containing

6 such information as the Secretary may reasonably

7 require.

8 ‘‘(2) CONTENTS.—An application submitted

9 under paragraph (1) shall—

10 ‘‘(A) describe the comprehensive public ac11 cess defibrillation program to be funded with

12 the grant and demonstrate how such program

13 would make automated external defibrillation

14 accessible and available to cardiac arrest vic15 tims in the community;

16 ‘‘(B) contain procedures for implementing

17 appropriate nationally recognized training

18 courses in performing cardiopulmonary resus19 citation and the use of automated external

20 defibrillators;

21 ‘‘(C) contain procedures for ensuring direct

22 involvement of a licensed medical professional

23 and coordination with the local emergency med24 ical services system in the oversight of training
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1 and notification of incidents of the use of the

2 automated external defibrillators;

3 ‘‘(D) contain procedures for proper main4 tenance and testing of the automated external

5 defibrillators, according to the labeling of the

6 manufacturer;

7 ‘‘(E) contain procedures for ensuring noti8 fication of local emergency medical services sys9 tem personnel, including dispatchers, of the lo10 cation and type of devices used in the public ac11 cess defibrillation program; and

12 ‘‘(F) provide for the collection of data re13 garding the effectiveness of the public access

14 defibrillation program to be funded with the

15 grant in affecting the out-of-hospital cardiac ar16 rest survival rate.

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

18 is authorized to be appropriated to carry out this section

19 $50,000,000 for each of fiscal years 2002 through 2007.

20 Not more than 10 percent of amounts received under a

21 grant awarded under this section may be used for adminis22 trative expenses.
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1 ‘‘SEC. 313. PUBLIC ACCESS DEFIBRILLATION DEMONSTRA2 TION PROJECTS.

3 ‘‘(a) IN GENERAL.—The Secretary shall award

4 grants to political subdivisions of States, Indian tribes,

5 and tribal organizations to develop and implement innova6 tive, comprehensive, community-based public access

7 defibrillation demonstration projects that—

8 ‘‘(1) provide cardiopulmonary resuscitation and

9 automated external defibrillation to cardiac arrest

10 victims in unique settings;

11 ‘‘(2) provide training to community members in

12 cardiopulmonary resuscitation and automated exter13 nal defibrillation; and

14 ‘‘(3) maximize community access to automated

15 external defibrillators.

16 ‘‘(b) USE OF FUNDS.—A recipient of a grant under

17 subsection (a) shall use the funds provided through the

18 grant to—

19 ‘‘(1) purchase automated external defibrillators

20 that have been approved, or cleared for marketing,

21 by the Food and Drug Administration;

22 ‘‘(2) provide basic life training in automated ex23 ternal defibrillator usage through nationally recog24 nized courses;
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1 ‘‘(3) provide information to community mem2 bers about the public access defibrillation dem3 onstration project to be funded with the grant;

4 ‘‘(4) provide information to the local emergency

5 medical services system regarding the placement of

6 automated external defibrillators in the unique set7 tings; and

8 ‘‘(5) carry out other activities that the Sec9 retary determines are necessary or useful to pursue

10 the purposes of this section.

11 ‘‘(c) APPLICATION.—

12 ‘‘(1) IN GENERAL.—To be eligible to receive a

13 grant under subsection (a), a political subdivision of

14 a State, Indian tribe, or tribal organization shall

15 prepare and submit an application to the Secretary

16 at such time, in such manner, and containing such

17 information as the Secretary may reasonably re18 quire.

19 ‘‘(2) CONTENTS.—An application submitted

20 under paragraph (1) may—

21 ‘‘(A) describe the innovative, comprehen22 sive, community-based public access

23 defibrillation demonstration project to be fund24 ed with the grant;
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1 ‘‘(B) explain how such public access

2 defibrillation demonstration project represents

3 innovation in providing public access to auto4 mated external defibrillation; and

5 ‘‘(C) provide for the collection of data re6 garding the effectiveness of the demonstration

7 project to be funded with the grant in—

8 ‘‘(i) providing emergency

9 cardiopulmonary resuscitation and auto10 mated external defibrillation to cardiac ar11 rest victims in the setting served by the

12 demonstration project; and

13 ‘‘(ii) affecting the cardiac arrest sur14 vival rate in the setting served by the dem15 onstration project.

16 ‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There

17 is authorized to be appropriated to carry out this section

18 $5,000,000 for each of fiscal years 2002 through 2007.

19 Not more than 10 percent of amounts received under a

20 grant awarded under this section may be used for adminis21 trative expenses.’’.

22 ‘‘SEC. 313A. GRANTS FOR ACCESS TO DEFIBRILLATION.

23 ‘‘(a) PROGRAM AUTHORIZED.—The Secretary of

24 Health and Human Services shall award a grant to a

25 health care organization to establish a national informa-
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1 tion clearinghouse that provides information to increase

2 public access to defibrillation in schools.

3 ‘‘(b) DUTIES.—The health care organization that re4 ceives a grant under this section shall promote public ac5 cess to defibrillation in schools by—

6 ‘‘(1) providing timely information to entities re7 garding public access defibrillation program imple8 mentation and development;

9 ‘‘(2) developing and providing comprehensive

10 program materials to establish a public access

11 defibrillation program in schools;

12 ‘‘(3) providing support to CPR and AED train13 ing programs;

14 ‘‘(4) fostering new and existing community

15 partnerships with and among public and private or16 ganizations (such as local educational agencies, non17 profit organizations, public health organizations,

18 emergency medical service providers, fire and police

19 departments, and parent-teacher associations) to

20 promote public access to defibrillation in schools;

21 ‘‘(5) establishing a data base to gather informa22 tion in a central location regarding sudden cardiac

23 arrest in the pediatric population and identifying or

24 conducting further research into the problem; and
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1 ‘‘(6) providing assistance to communities that

2 wish to develop screening programs for at risk

3 youth.

4 ‘‘(c) APPLICATION.—A health care organization de5 siring a grant under this section shall submit an applica6 tion to the Secretary at such time, in such manner, and

7 accompanied by such information as the Secretary may

8 reasonably require.

9 ‘‘(d) REPORT.—Not later than 5 years after the date

10 on which the health care organization receives a grant

11 under this section, such organization shall submit to the

12 Secretary of Health and Human Services a report that

13 describes activities carried out with funds received under

14 this section. Not later than 3 months after the date on

15 which such report is received by the Secretary of Health

16 and Human Services, the Secretary shall prepare and sub17 mit to the appropriate committees of Congress an evalua18 tion that reviews such report and evaluates the success

19 of such clearinghouse.

20 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—From

21 funds authorized to be appropriated for fiscal years 2002

22 through 2006 for activities and programs under the De23 partment of Health and Human Services, $800,000 of

24 such funds may be appropriated to carry out the programs
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1 described in this section for each of the fiscal years 2002

2 through 2006.’’.

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