II

103D CONGRESS

1ST SESSION S. 104

To establish a National Center for Sleep Disorders Research within the

National Heart, Lung and Blood Institute, to coordinate sleep disorders

research within the National Institutes of Health, to further facilitate

the study of sleep disorders, and to establish a mechanism for education

and training in sleep disorders, and for other purposes.

IN THE SENATE OF THE UNITED STATES

JANUARY 21 (legislative day, JANUARY 5), 1993

Mr. HATFIELD (for himself, Mr. KENNEDY, Mr. CHAFEE, and Mr. SIMON) introduced the following bill; which was read twice and referred to the Committee on Labor and Human Resources

A BILL

To establish a National Center for Sleep Disorders Research

within the National Heart, Lung and Blood Institute,

to coordinate sleep disorders research within the National

Institutes of Health, to further facilitate the study of

sleep disorders, and to establish a mechanism for education and training in sleep disorders, 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,
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1 SECTION 1. NATIONAL CENTER FOR SLEEP DISORDERS RE2 SEARCH.

3 Part C of title IV (42 U.S.C. 285 et seq.) is amended

4 by adding at the end thereof the following new subpart:

5 ‘‘Subpart 17—National Center for Sleep Disorders

6 Research

7 ‘‘SEC. 464W. NATIONAL CENTER FOR SLEEP DISORDERS RE8 SEARCH.

9 ‘‘There shall be in the National Heart, Lung and

10 Blood Institute an agency to be known as the National

11 Center for Sleep Disorders Research (hereafter referred

12 to in this subpart as the ‘Center’) to be headed by a Direc13 tor who shall be appointed by and report directly to the

14 Director of the Institute.

15 ‘‘SEC. 464X. PURPOSE OF THE CENTER.

16 ‘‘The general purpose of the Center is the conduct

17 and support of biomedical and related research and re18 search training, the dissemination of health information,

19 and the conduct of other programs with respect to various

20 sleep disorders, the basic understanding of sleep, biological

21 and circadian rhythm research, chronobiology and other

22 sleep related research.

23 ‘‘SEC. 464Y. SPECIFIC AUTHORITIES.

24 ‘‘In carrying out the purpose described in section

25 464X, the Director of the Center may—
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1 ‘‘(1) award grants and enter into cooperative

2 agreements and contracts;

3 ‘‘(2) provide for clinical trials with respect to

4 sleep disorders treatment and sleep medications;

5 ‘‘(3) support sleep disorders research and train6 ing centers;

7 ‘‘(4) support sleep disorders research conducted

8 or supported by more than one such agency;

9 ‘‘(5) support and conduct the collection of epi10 demiology data on sleep disorders;

11 ‘‘(6) conduct a National Education Campaign

12 and establish a National Sleep Disorders Informa13 tion Clearinghouse;

14 ‘‘(7) in consultation with the Directors of the

15 National Heart, Lung and Blood Institute, the Na16 tional Institute on Aging, the National Institute of

17 Neurological Disorders and Stroke, the National In18 stitute of Child Health and Human Development,

19 the National Institute of Mental Health, and other

20 Institutes, support and coordinate ongoing research,

21 centers, training and other grant activities;

22 ‘‘(8) coordinate the activities of the Center with

23 similar activities of other agencies of the Federal

24 Government, including the other agencies of the Na25 tional Institutes of Health, and with similar activi-
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1 ties of other public entities and of private entities;

2 and

3 ‘‘(9) with the approval of the Director of the

4 National Institutes of Health and advisory board es5 tablished under section 464BB, appoint technical

6 and scientific peer review groups in addition to any

7 such groups appointed under section 492.

8 ‘‘SEC. 464Z. RESEARCH PLAN.

9 ‘‘(a) DEVELOPMENT.—After consultation with the

10 Director of the Center, the advisory board established

11 under section 464BB, and the coordinating committee es12 tablished under section 464AA, the Director of the Na13 tional Institutes of Health shall develop a comprehensive

14 plan for the conduct and support of sleep disorders re15 search.

16 ‘‘(b) CONTENTS.—The plan developed under sub17 section (a) shall identify priorities with respect to such re18 search and shall provide for the coordination of such re19 search conducted or supported by the agencies of the Na20 tional Institutes of Health.

21 ‘‘(c) REVISION.—The Director of the National Insti22 tutes of Health (after consultation with the Director of

23 the Center, the advisory board established under section

24 464BB, and the coordinating committee established under
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1 section 464AA) shall revise the plan developed under sub2 section (a) as appropriate.

3 ‘‘SEC. 464AA. COORDINATING COMMITTEE.

4 ‘‘(a) ESTABLISHMENT.—The Director of the Na5 tional Institutes of Health shall establish a committee to

6 be known as the Sleep Disorders Coordinating Committee

7 (hereafter in this subpart referred to as the ‘Coordinating

8 Committee’).

9 ‘‘(b) COMPOSITION.—The Coordinating Committee

10 shall be composed of the directors of the National Insti11 tutes of Health, the National Institute on Aging, the Na12 tional Institute of Child Health and Human Development,

13 the National Heart, Lung and Blood Institute, the Na14 tional Institute of Neurological Disorders and Stroke, the

15 National Institute of Mental Health, and of such other

16 national research institutes as the Director of the National

17 Institutes of Health determines to be appropriate, and

18 shall include representation from other Federal depart19 ments and agencies whose programs involve sleep dis20 orders.

21 ‘‘(c) DUTIES.—The Coordinating Committee shall

22 make recommendations to the Director of the National In23 stitutes of Health and the Director of the Center with re24 spect to the content of the plan required in section 464Z,

25 with respect to the activities of the Center that are carried
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1 out in conjunction with other agencies of the National In2 stitutes of Health, and with respect to the activities of the

3 Center that are carried out in conjunction with other agen4 cies of the Federal Government.

5 ‘‘SEC. 464BB. ADVISORY BOARD.

6 ‘‘(a) ESTABLISHMENT.—The Director of the Na7 tional Institutes of Health shall establish a board to be

8 known as the Sleep Disorders Research Advisory Board

9 (hereafter in this section referred to as the ‘Advisory

10 Board’).

11 ‘‘(b) DUTIES.—The Advisory Board shall advise, as12 sist, consult with, and make recommendations to the Di13 rector of the National Institutes of Health and the Direc14 tor of the Center concerning matters relating to the sci15 entific activities carried out by and through the Center

16 and the policies respecting such activities, including rec17 ommendations with respect to the plan required in section

18 464Z.

19 ‘‘(c) MEMBERSHIP.—

20 ‘‘(1) IN GENERAL.—The Director of the Na21 tional Institutes of Health shall appoint to the Advi22 sory Board 12 appropriately qualified representa23 tives of the public who are not officers or employees

24 of the Federal Government. Of such members, eight

25 shall be representatives of health and scientific dis-
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1 ciplines with respect to sleep disorders and four shall

2 be individuals representing the interests of individ3 uals with or undergoing treatment for sleep dis4 orders.

5 ‘‘(2) EX OFFICIO MEMBERS.—The following of6 ficials shall serve as ex officio members of the Advi7 sory Board:

8 ‘‘(A) The Director of the National Insti9 tutes of Health.

10 ‘‘(B) The Director of the Center.

11 ‘‘(C) The Director of the National Heart,

12 Lung and Blood Institute.

13 ‘‘(D) The Director of the National Insti14 tute of Mental Health.

15 ‘‘(E) The Director of the National Insti16 tute on Aging.

17 ‘‘(F) The Director of the National Insti18 tute of Child Health and Human Development.

19 ‘‘(G) The Director of the National Insti20 tute of Neurological Disorders and Stroke.

21 ‘‘(H) The Assistant Secretary for Health.

22 ‘‘(I) The Assistant Secretary of Defense

23 (Health Affairs).

24 ‘‘(J) The Chief Medical Director of the

25 Veterans’ Administration.
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1 ‘‘(d) CHAIRPERSON.—The members of the Advisory

2 Board shall, from among the members of the Advisory

3 Board, designate an individual to serve as the chairperson

4 of the Advisory Board.

5 ‘‘(e) CONSTRUCTION.—Except as inconsistent with,

6 or inapplicable to, this section, the provisions of section

7 406 shall apply to the advisory board established under

8 this section in the same manner as such provisions apply

9 to any advisory council established under such section.

10 ‘‘SEC. 464CC. RELATED AGENCY ACTIVITY.

11 ‘‘(a) SECRETARY OF TRANSPORTATION.—The Sec12 retary of Transportation is authorized to collect data, con13 duct studies and disseminate public information concern14 ing the impact of sleep disorders and sleep deprivation on

15 transportation safety. The Secretary of Transportation is

16 authorized to coordinate these activities with the Center.

17 ‘‘(b) SECRETARY OF DEFENSE.—The Secretary of

18 Defense is authorized to collect data, conduct studies and

19 disseminate public information concerning the impact of

20 sleep disorders and sleep deprivation on military readiness.

21 The Secretary of Defense is authorized to coordinate these

22 activities with the Center.

23 ‘‘(c) SECRETARY OF EDUCATION.—The Secretary of

24 Education is authorized to collect data, conduct studies

25 and disseminate public information concerning the impact
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1 of sleep disorders and sleep deprivation on learning and

2 education. The Secretary of Education is authorized to co3 ordinate these activities with the Center.

4 ‘‘(d) SECRETARY OF LABOR.—The Secretary of

5 Labor is authorized to collect data, conduct studies and

6 disseminate public information concerning the impact of

7 sleep disorders and sleep deprivation in the workplace and

8 in industry with a particular emphasis on shiftwork, hours

9 of service and other scheduling issues. The Secretary of

10 Labor is authorized to coordinate these activities with the

11 Center.

12 ‘‘(e) SECRETARY OF COMMERCE.—The Secretary of

13 Commerce is authorized to collect data, conduct studies

14 and disseminate public information concerning the impact

15 of sleep disorders and sleep deprivation on the commerce

16 and industrial capacity of the United States. The Sec17 retary of Commerce is authorized to coordinate these

18 activities with the Center.’’.

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