II

103D CONGRESS

1ST SESSION S. 1320

To amend title III of the Public Health Service Act to revise and extend

certain injury control programs, and for other purposes.

IN THE SENATE OF THE UNITED STATES

JULY 29 (legislative day, JUNE 30), 1993

Mr. KENNEDY (for himself, Mrs. KASSEBAUM, Mr. DODD, and Mr.

WELLSTONE) introduced the following bill; which was read twice and referred to the Committee on Labor and Human Resources

A BILL

To amend title III of the Public Health Service Act to

revise and extend certain injury control programs, 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 ‘‘Injury Control and

5 Violence Prevention Act of 1993’’.

6 SEC. 2. FINDINGS.

7 Congress finds that—

8 (1) violence or the threat of violence has ad9 verse effects on the health and safety of Americans
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1 of all ages, races, ethnicities and economic condi2 tions;

3 (2) the majority of homicides and violent as4 saults are committed by people who have relation5 ships with their victims and are not committed by

6 strangers;

7 (3) violence is being committed in private as

8 well as public, in homes, schools, and neighborhoods;

9 (4) interventions by law enforcement and crimi10 nal justice systems have limited ability to prevent

11 violence;

12 (5) family and interpersonal violence represent

13 serious threats to the health and well-being of mil14 lions of women in the United States;

15 (6) violence against women has serious health

16 consequences for its victims, including fatality, se17 vere trauma, repeated physical injuries, and chronic

18 stress-related disorder;

19 (7) violence against women has serious mental

20 health consequences for its victims, including sub21 stance abuse, severe psychological trauma, and

22 suicide;

23 (8) fewer than 5 percent of injured women are

24 correctly diagnosed by medical personnel as being

25 victims of domestic violence;
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1 (9) hospitals and clinics do not have a uniform

2 set of protocols for the identification and referral of

3 victims of family and interpersonal violence, or for

4 the training of health care professionals to perform

5 such functions;

6 (10) a national surveillance system for monitor7 ing the health effects of injury should be established

8 to determine the nature and extent of family and

9 interpersonal violence in the United States; and

10 (11) the Surgeon General has identified domes11 tic violence as a public health problem to which all

12 health care providers must actively and vigorously

13 respond.

14 SEC. 3. FAMILY AND INTERPERSONAL VIOLENCE PREVEN15 TION.

16 Section 393 of the Public Health Service Act (42

17 U.S.C. 280b–2) is amended to read as follows:

18 ‘‘SEC. 393. PREVENTION OF FAMILY AND INTERPERSONAL

19 VIOLENCE.

20 ‘‘(a) RESEARCH AND TECHNICAL ASSISTANCE.—The

21 Secretary, acting through the Director of the Centers for

22 Disease Control and Prevention, may conduct research

23 and provide technical assistance to appropriate public and

24 nonprofit private entities and to academic institutions to

25 assist such entities in performing research in, and con-
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1 ducting training and public health programs for, the pre2 vention of injuries and deaths associated with family and

3 interpersonal violence.

4 ‘‘(b) GRANTS.—The Secretary, acting through the

5 Director of the Centers for Disease Control and Preven6 tion, may award grants to States, political subdivisions of

7 States, and any other public and nonprofit private entity

8 for—

9 ‘‘(1) the conduct of research into identifying ef10 fective strategies to prevent interpersonal violence

11 within the family and among acquaintances;

12 ‘‘(2) the development, implementation, and

13 evaluation of demonstration projects for the preven14 tion of interpersonal violence within families and

15 among acquaintances;

16 ‘‘(3) the implementation of public information

17 and education programs for prevention of family and

18 interpersonal violence and to broaden public aware19 ness of the public health consequences of family and

20 interpersonal violence; and

21 ‘‘(4) the provision of education, training and

22 clinical skills improvement programs for health care

23 professionals to—

24 ‘‘(A) appropriately interview and identify

25 individuals whose medical condition or state-
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1 ments indicate that the individuals are victims

2 of domestic violence or sexual assault; and

3 ‘‘(B) refer the individuals to entities that

4 provide services regarding such violence and as5 sault, including referrals for counseling, hous6 ing, legal services, and services of community

7 organizations.

8 ‘‘(c) INJURY SURVEILLANCE PROGRAM.—The Sec9 retary, acting through the Director of the Centers for Dis10 ease Control and Prevention, shall support the establish11 ment of national systematic surveillance of injuries, in12 cluding those caused by family and interpersonal violence.

13 ‘‘(d) DEFINITION.—As used in this section, the term

14 ‘interpersonal violence within families and acquaintances’

15 means any intentional violence, controlling, or coercive be16 havior or pattern of behavior by an individual who is cur17 rently or who was previously, in an intimate or acquaint18 ance relationship with the victim. Such behavior may

19 occur at any stage of the lifecycle and may encompass sin20 gle acts or a syndrome of actual or threatened physical

21 injury, sexual assault, rape, psychological abuse, or ne22 glect. Such term includes behavior which currently may

23 be described as ‘‘child neglect’’, ‘‘child abuse’’, ‘‘spousal

24 abuse’’, ‘‘domestic violence’’, ‘‘woman battering’’, ‘‘partner

25 abuse’’, ‘‘elder abuse’’, and ‘‘date rape’’.
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1 ‘‘(e) APPLICATION.—To be eligible to receive assist2 ance under subsection (a) or (b), an entity shall prepare

3 and submit to the Secretary an application at such time,

4 in such manner, and containing such information as the

5 Secretary may require.’’.

6 SEC. 4. ADVISORY COMMITTEE; REPORTS.

7 Part J of title III of the Public Health Service Act

8 (as amended by Public Law 103-43) is amended by insert9 ing after section 393 (42 U.S.C. 280b-2) the following new

10 section:

11 ‘‘SEC. 393A. GENERAL PROVISIONS.

12 ‘‘(a) ADVISORY COMMITTEE.—The Secretary, acting

13 through the Director of the Centers for Disease Control

14 and Prevention, shall establish an advisory committee to

15 advise the Secretary and such Director with respect to the

16 prevention and control of injuries.

17 ‘‘(b) REPORT.—Not later than February 1 of 1994

18 and of every second year thereafter, the Secretary, acting

19 through the Director of the Centers for Disease Control

20 and Prevention, shall submit to the Committee on Energy

21 and Commerce of the House of Representatives, and to

22 the Committee on Labor and Human Resources of the

23 Senate, a report describing the activities carried out under

24 this part during the preceding 2 fiscal years. Such report

25 shall include a description of such activities that were car-
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1 ried out with respect to domestic violence and sexual as2 sault and with respect to rural areas.’’.

3 SEC. 5. TECHNICAL CORRECTIONS.

4 (a) TERMINOLOGY.—Part J of title III of the Public

5 Health Service Act (42 U.S.C. 280b et seq.) (as amended

6 by Public Law 103-43) is amended—

7 (1) in the heading for such part, by striking

8 ‘‘INJURY CONTROL’’ and inserting ‘‘PREVENTION

9 AND CONTROL OF INJURIES’’; and

10 (2) in section 392—

11 (A) in the heading for such section, by in12 serting ‘‘PREVENTION AND’’ before ‘‘CONTROL

13 ACTIVITIES’’;

14 (B) in subsection (a)(1), by inserting ‘‘and

15 control’’ after ‘‘prevention’’; and

16 (C) in subsection (b)(1), by striking ‘‘inju17 ries and injury control’’ and inserting ‘‘the pre18 vention and control of injuries’’.

19 (b) PROVISIONS RELATING TO PUBLIC LAW 102–

20 531.—Part K of title III of the Public Health Service Act

21 (42 U.S.C. 280b et seq.), as amended by section 301 of

22 Public Law 102–531 (106 Stat. 3482), is amended—

23 (1) in section 392(b)(2), by striking ‘‘to pro24 mote injury control’’ and all that follows and insert-
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1 ing ‘‘to promote activities regarding the prevention

2 and control of injuries; and’’; and

3 (2) in section 391(b), by adding at the end the

4 following sentence: ‘‘In carrying out the preceding

5 sentence, the Secretary shall disseminate such infor6 mation to the public, including through elementary

7 and secondary schools.’’.

8 SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

9 Section 394 of the Public Health Service Act (42

10 U.S.C. 280b–3) is amended—

11 (1) by striking ‘‘391 and 392’’ and inserting

12 ‘‘391, 392, and 393’’; and

13 (2) by striking ‘‘$10,000,000’’ and all that fol14 lows through the period and inserting

15 ‘‘$60,000,000’’ for fiscal year 1994, and such sums

16 as may be necessary for each of the fiscal years

17 1995 through 1998.’’.

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