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103D CONGRESS

1ST SESSION H. R. 1492

To amend the Public Health Service Act to establish a program for

postreproductive health care.

IN THE HOUSE OF REPRESENTATIVES

MARCH 25, 1993

Mrs. LLOYD introduced the following bill; which was referred to the

Committee on Energy and Commerce

A BILL

To amend the Public Health Service Act to establish a

program for postreproductive health care.

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 ‘‘Postreproductive

5 Health Care Act’’.

6 SEC. 2. ESTABLISHMENT OF PROGRAM FOR

7 POSTREPRODUCTIVE HEALTH CARE.

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

9 (42 U.S.C. 254b et seq.) is amended by adding at the end

10 the following new subpart:
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1 ‘‘Subpart IX—Postreproductive Health Care

2 ‘‘POSTREPRODUCTIVE HEALTH CARE

3 ‘‘SEC. 340D. (a) IN GENERAL.—The Secretary shall

4 make grants for the purpose of providing the services de5 scribed in subsection (b) to women who are of menopausal

6 age or older. Such grants may be made only to public or

7 nonprofit private entities that provide health services to

8 a significant number of low-income women.

9 ‘‘(b) AUTHORIZED SERVICES.—The services referred

10 to in subsection (a) are as follows:

11 ‘‘(1) The prevention and outpatient treatment

12 of health conditions—

13 ‘‘(A) unique to, more serious, or more

14 prevalent for eligible women; or

15 ‘‘(B) for which, in the case of such women,

16 the factors of medical risk or types of medical

17 intervention are different.

18 ‘‘(2) Counseling on the conditions described in

19 paragraph (1).

20 ‘‘(3) The education and training of health pro21 fessionals (including allied health professionals) on

22 the prevention and treatment of such conditions and

23 on the provision of such counseling.

24 ‘‘(c) PRIORITY IN PROVISION OF SERVICES.—The

25 Secretary may make a grant under subsection (a) only if
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1 the applicant involved agrees that, in expending the grant

2 to provide authorized services to eligible women, the appli3 cant will give priority to providing the services for meno4 pausal health conditions.

5 ‘‘(d) OUTREACH.—The Secretary may make a grant

6 under subsection (a) only if the applicant involved

7 agrees—

8 ‘‘(1) to conduct outreach services to inform

9 women in the community involved of the fact that

10 authorized services are available from the applicant;

11 and

12 ‘‘(2) to give priority to providing the outreach

13 services to low-income women.

14 ‘‘(e) LIMITATION ON IMPOSITION OF FEES FOR

15 SERVICES.—The Secretary may make a grant under sub16 section (a) only if the applicant involved agrees that, if

17 a charge is imposed for the provision of services or activi18 ties under the grant, such charge—

19 ‘‘(1) will be made according to a schedule of

20 charges that is made available to the public;

21 ‘‘(2) will be adjusted to reflect the income of

22 the woman involved; and

23 ‘‘(3) will not be imposed on any woman with an

24 income equal to or less than 100 percent of the offi25 cial poverty line, as established by the Director of
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1 the Office of Management and Budget and revised

2 by the Secretary in accordance with section 673(2)

3 of the Omnibus Budget Reconciliation Act of 1981.

4 ‘‘(f) REPORTS TO SECRETARY.—The Secretary may

5 make a grant under subsection (a) only if the applicant

6 involved agrees to submit to the Secretary, for each fiscal

7 year for which such a grant is made to the applicant, a

8 report describing the purposes for which the grant has

9 been expended.

10 ‘‘(g) REQUIREMENT OF APPLICATION.—The Sec11 retary may make a grant under subsection (a) only if the

12 applicant involved makes an agreement that the grant will

13 not be expended for any purpose other than the purpose

14 described in such subsection and for compliance with any

15 other agreements required in this section. Such a grant

16 may be made only if an application for the grant is sub17 mitted to the Secretary containing such agreements, and

18 the application is in such form, is made in such manner,

19 and contains such other agreements, and such assurances

20 and information, as the Secretary determines to be nec21 essary to carry out this section.

22 ‘‘(h) DEFINITIONS.—For purposes of this section:

23 ‘‘(1) The term ‘authorized services’ means the

24 services described in subsection (b).
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1 ‘‘(2) The term ‘eligible women’ means women

2 described in subsection (a).

3 ‘‘(3) The term ‘health conditions’ includes dis4 eases and disorders.

5 ‘‘(4) The term ‘health’ includes mental health.

6 ‘‘(5) The term ‘menopausal age’, with respect

7 to a woman, includes the age at which the woman

8 is nearing menopause and includes any age at which

9 the woman experiences menopausal health condi10 tions.

11 ‘‘(6) The term ‘menopausal health conditions’

12 means conditions arising from the diminished or

13 complete cessation of the functioning of the ovaries,

14 whether occurring naturally or otherwise.

15 ‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—For the

16 purpose of carrying out this section, there are authorized

17 to be appropriated $25,000,000 for fiscal year 1994, and

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

19 1995 and 1996.’’.

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