I 

109TH CONGRESS 

2D SESSION H. R. 5397 

To amend the Public Health Service Act to establish grant programs to 

provide for education and outreach on newborn screening and coordinated 

followup care once newborn screening has been conducted, to reauthorize 

programs under part A of title XI of such Act, and for other purposes. 

IN THE HOUSE OF REPRESENTATIVES 

MAY 16, 2006 

Ms. ROYBAL-ALLARD (for herself and Mr. SIMPSON) 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 grant 

programs to provide for education and outreach on newborn screening and coordinated followup care once newborn screening has been conducted, to reauthorize programs under part A of title XI of such Act, 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 ‘‘Newborn Screening 

5 Saves Lives Act of 2006’’. 


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1 SEC. 2. FINDINGS. 

2 Congress finds the following: 

3 (1) Currently, it is possible to test for more 

4 than 30 disorders through newborn screening. 

5 (2) There is a lack of uniform newborn screen6 ing throughout the United States. While a newborn 

7 with a debilitating condition may receive screening, 

8 early detection, and treatment in 1 location, in an9 other location the condition may go undetected and 

10 result in catastrophic consequences. 

11 (3) Each year more than 4,000,000 babies are 

12 screened by State and private laboratories to detect 

13 conditions that may threaten their long-term health. 

14 (4) There are more than 2,000 babies born 

15 every year in the United States with detectable and 

16 treatable disorders that go unscreened through new17 born screening. 

18 SEC. 3. AMENDMENT TO TITLE III OF THE PUBLIC HEALTH 

19 SERVICE ACT. 

20 Part Q of title III of the Public Health Service Act 

21 (42 U.S.C. 280h et seq.) is amended by adding at the end 

22 the following: 

23 ‘‘SEC. 399AA. NEWBORN SCREENING. 

24 ‘‘(a) AUTHORIZATION OF GRANT PROGRAMS.— 

25 ‘‘(1) GRANTS TO ASSIST HEALTH CARE PROFES26 SIONALS.—From funds appropriated under subVerDate Aug 31 2005 00:32 May 20, 2006 Jkt 049200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6201 E:\BILLS\H5397.IH H5397

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1 section (h), the Secretary, acting through the Asso2 ciate Administrator of the Maternal and Child 

3 Health Bureau of the Health Resources and Services 

4 Administration (referred to in this section as the 

5 ‘Associate Administrator’) and in consultation with 

6 the Advisory Committee on Heritable Disorders in 

7 Newborns and Children (referred to in this section 

8 as the ‘Advisory Committee’), shall award grants to 

9 eligible entities to enable such entities to assist in 

10 providing health care professionals and newborn 

11 screening laboratory personnel with— 

12 ‘‘(A) education in newborn screening; and 

13 ‘‘(B) training in— 

14 ‘‘(i) relevant and new technologies in 

15 newborn screening; and 

16 ‘‘(ii) congenital, genetic, and meta17 bolic disorders. 

18 ‘‘(2) GRANTS TO ASSIST FAMILIES.— 

19 ‘‘(A) IN GENERAL.—From funds appro20 priated under subsection (h), the Secretary, act21 ing through the Associate Administrator and in 

22 consultation with the Advisory Committee, shall 

23 award grants to eligible entities to enable such 

24 entities to develop and deliver educational pro25 grams about newborn screening to parents, 


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1 families, and patient advocacy and support 

2 groups. The educational materials accom3 panying such educational programs shall be 

4 provided at appropriate literacy levels. 

5 ‘‘(B) AWARENESS OF THE AVAILABILITY

6 OF PROGRAMS.—To the extent practicable, the 

7 Secretary shall make relevant health care pro8 viders aware of the availability of the edu9 cational programs supported pursuant to sub10 paragraph (A). 

11 ‘‘(3) GRANTS FOR QUALITY NEWBORN SCREEN12 ING FOLLOWUP.—From funds appropriated under 

13 subsection (h), the Secretary, acting through the As14 sociate Administrator and in consultation with the 

15 Advisory Committee, shall award grants to eligible 

16 entities to enable such entities to establish, main17 tain, and operate a system to assess and coordinate 

18 treatment relating to congenital, genetic, and meta19 bolic disorders. 

20 ‘‘(b) APPLICATION.—An eligible entity that desires to 

21 receive a grant under this section shall submit an applica22 tion to the Secretary at such time, in such manner, and 

23 accompanied by such information as the Secretary may 

24 require. 

25 ‘‘(c) SELECTION OF GRANT RECIPIENTS.— 


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1 ‘‘(1) IN GENERAL.—Not later than 120 days 

2 after receiving an application under subsection (b), 

3 the Secretary, after considering the approval factors 

4 under paragraph (2), shall determine whether to 

5 award the eligible entity a grant under this section. 

6 ‘‘(2) APPROVAL FACTORS.— 

7 ‘‘(A) REQUIREMENTS FOR APPROVAL.—An 

8 application submitted under subsection (b) may 

9 not be approved by the Secretary unless the ap10 plication contains assurances that the eligible 

11 entity— 

12 ‘‘(i) will use grant funds only for the 

13 purposes specified in the approved applica14 tion and in accordance with the require15 ments of this section; and 

16 ‘‘(ii) will establish such fiscal control 

17 and fund accounting procedures as may be 

18 necessary to assure proper disbursement 

19 and accounting of Federal funds paid to 

20 the eligible entity under the grant. 

21 ‘‘(B) EXISTING PROGRAMS.—Prior to 

22 awarding a grant under this section, the Sec23 retary shall— 

24 ‘‘(i) conduct an assessment of existing 

25 educational resources and training proVerDate Aug 31 2005 00:32 May 20, 2006 Jkt 049200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6201 E:\BILLS\H5397.IH H5397

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1 grams and coordinated systems of followup 

2 care with respect to newborn screening; 

3 and 

4 ‘‘(ii) take all necessary steps to mini5 mize the duplication of the resources and 

6 programs described in clause (i). 

7 ‘‘(d) COORDINATION.—The Secretary shall take all 

8 necessary steps to coordinate programs funded with 

9 grants received under this section. 

10 ‘‘(e) USE OF GRANT FUNDS.— 

11 ‘‘(1) GRANTS TO ASSIST HEALTH CARE PROFES12 SIONALS.—An eligible entity that receives a grant 

13 under subsection (a)(1) may use the grant funds to 

14 work with appropriate medical schools, nursing 

15 schools, schools of public health, schools of genetic 

16 counseling, internal education programs in State 

17 agencies, nongovernmental organizations, and pro18 fessional organizations and societies to develop and 

19 deliver education and training programs that in20 clude— 

21 ‘‘(A) continuing medical education pro22 grams for health care professionals and new23 born screening laboratory personnel in newborn 

24 screening; 


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1 ‘‘(B) education, technical assistance, and 

2 training on new discoveries in newborn screen3 ing and the use of any related technology; 

4 ‘‘(C) models to evaluate the prevalence of, 

5 and assess and communicate the risks of, con6 genital conditions, including the prevalence and 

7 risk of some of these conditions based on family 

8 history; 

9 ‘‘(D) models to communicate effectively 

10 with parents and families about— 

11 ‘‘(i) the process and benefits of new12 born screening; 

13 ‘‘(ii) how to use information gathered 

14 from newborn screening; 

15 ‘‘(iii) the meaning of screening re16 sults, including the possibility of false posi17 tive findings; 

18 ‘‘(iv) the right of refusal of newborn 

19 screening, if applicable; and 

20 ‘‘(v) the potential need for followup 

21 care after newborns are screened; 

22 ‘‘(E) information and resources on coordi23 nated systems of followup care after newborns 

24 are screened; 


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1 ‘‘(F) information on the disorders for 

2 which States require and offer newborn screen3 ing and options for newborn screening relating 

4 to conditions in addition to such disorders; 

5 ‘‘(G) information on additional newborn 

6 screening that may not be required by the 

7 State, but that may be available from other 

8 sources; and 

9 ‘‘(H) other items to carry out the purpose 

10 described in subsection (a)(1) as determined ap11 propriate by the Secretary. 

12 ‘‘(2) GRANTS TO ASSIST FAMILIES.—An eligible 

13 entity that receives a grant under subsection (a)(2) 

14 may use the grant funds to develop and deliver to 

15 parents, families, and patient advocacy and support 

16 groups, educational programs about newborn screen17 ing that include information on— 

18 ‘‘(A) what newborn screening is; 

19 ‘‘(B) how newborn screening is performed; 

20 ‘‘(C) who performs newborn screening; 

21 ‘‘(D) where newborn screening is per22 formed; 

23 ‘‘(E) the disorders for which the State re24 quires newborns to be screened; 


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1 ‘‘(F) different options for newborn screen2 ing for disorders other than those included by 

3 the State in the mandated newborn screening 

4 program; 

5 ‘‘(G) the meaning of various screening re6 sults, including the possibility of false positive 

7 and false negative findings; 

8 ‘‘(H) the prevalence and risk of newborn 

9 disorders, including the increased risk of dis10 orders that may stem from family history; 

11 ‘‘(I) coordinated systems of followup care 

12 after newborns are screened; and 

13 ‘‘(J) other items to carry out the purpose 

14 described in subsection (a)(2) as determined ap15 propriate by the Secretary. 

16 ‘‘(3) GRANTS FOR QUALITY NEWBORN SCREEN17 ING FOLLOWUP.—An eligible entity that receives a 

18 grant under subsection (a)(3) shall use the grant 

19 funds to— 

20 ‘‘(A) expand on existing procedures and 

21 systems, where appropriate and available, for 

22 the timely reporting of newborn screening re23 sults to individuals, families, primary care phy24 sicians, and subspecialists in congenital, ge25 netic, and metabolic disorders; 


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1 ‘‘(B) coordinate ongoing followup treat2 ment with individuals, families, primary care 

3 physicians, and subspecialists in congenital, ge4 netic, and metabolic disorders after a newborn 

5 receives an indication of the presence or in6 creased risk of a disorder on a screening test; 

7 ‘‘(C) ensure the seamless integration of 

8 confirmatory testing, tertiary care medical serv9 ices, comprehensive genetic services including 

10 genetic counseling, and information about ac11 cess to developing therapies by participation in 

12 approved clinical trials involving the primary 

13 health care of the infant; 

14 ‘‘(D) analyze data, if appropriate and 

15 available, collected from newborn screenings to 

16 identify populations at risk for disorders affect17 ing newborns, examine and respond to health 

18 concerns, recognize and address relevant envi19 ronmental, behavioral, socioeconomic, demo20 graphic, and other relevant risk factors; and 

21 ‘‘(E) carry out such other activities as the 

22 Secretary may determine necessary. 

23 ‘‘(f) REPORTS TO CONGRESS.— 


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1 ‘‘(1) IN GENERAL.—Subject to paragraph (2), 

2 the Secretary shall submit to the appropriate com3 mittees of Congress reports— 

4 ‘‘(A) evaluating the effectiveness and the 

5 impact of the grants awarded under this sec6 tion— 

7 ‘‘(i) in promoting newborn screen8 ing— 

9 ‘‘(I) education and resources for 

10 families; and 

11 ‘‘(II) education, resources, and 

12 training for health care professionals; 

13 ‘‘(ii) on the successful diagnosis and 

14 treatment of congenital, genetic, and meta15 bolic disorders; and 

16 ‘‘(iii) on the continued development of 

17 coordinated systems of followup care after 

18 newborns are screened; 

19 ‘‘(B) describing and evaluating the effec20 tiveness of the activities carried out with grant 

21 funds received under this section; and 

22 ‘‘(C) that include recommendations for 

23 Federal actions to support— 

24 ‘‘(i) education and training in new25 born screening; and 


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1 ‘‘(ii) followup care after newborns are 

2 screened. 

3 ‘‘(2) TIMING OF REPORTS.—The Secretary shall 

4 submit— 

5 ‘‘(A) an interim report that includes the 

6 information described in paragraph (1), not 

7 later than 30 months after the date on which 

8 the first grant funds are awarded under this 

9 section; and 

10 ‘‘(B) a subsequent report that includes the 

11 information described in paragraph (1), not 

12 later than 60 months after the date on which 

13 the first grant funds are awarded under this 

14 section. 

15 ‘‘(g) DEFINITION OF ELIGIBLE ENTITY.—In this sec16 tion, the term ‘eligible entity’ means— 

17 ‘‘(1) a State or a political subdivision of a 

18 State; 

19 ‘‘(2) a consortium of 2 or more States or polit20 ical subdivisions of States; 

21 ‘‘(3) a territory; 

22 ‘‘(4) an Indian tribe or a hospital or outpatient 

23 health care facility of the Indian Health Service; or 


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1 ‘‘(5) a nongovernmental organization with ap2 propriate expertise in newborn screening, as deter3 mined by the Secretary. 

4 ‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There 

5 are authorized to be appropriated to carry out this sec6 tion— 

7 ‘‘(1) $15,000,000 for fiscal year 2007; and 

8 ‘‘(2) such sums as may be necessary for each 

9 of fiscal years 2008 through 2011.’’. 

10 SEC. 4. IMPROVED NEWBORN AND CHILD SCREENING FOR 

11 HERITABLE DISORDERS. 

12 Section 1109 of the Public Health Service Act (42 

13 U.S.C. 300b–8) is amended— 

14 (1) in subsection (c)(2)— 

15 (A) in subparagraph (E), by striking 

16 ‘‘and’’ after the semicolon; 

17 (B) by redesignating subparagraph (F) as 

18 subparagraph (G); and 

19 (C) by inserting after subparagraph (E) 

20 the following: 

21 ‘‘(F) an assurance that the entity has 

22 adopted and implemented, is in the process of 

23 adopting and implementing, or will use grant 

24 amounts received under this section to adopt 

25 and implement the guidelines and recommendaVerDate Aug 31 2005 00:32 May 20, 2006 Jkt 049200 PO 00000 Frm 00013 Fmt 6652 Sfmt 6201 E:\BILLS\H5397.IH H5397

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1 tions of the Advisory Committee on Heritable 

2 Disorders in Newborns and Children established 

3 under section 1111 (referred to in this section 

4 as the ‘Advisory Committee’) that are adopted 

5 by the Secretary and in effect at the time the 

6 grant is awarded or renewed under this section, 

7 which shall include the screening of each new8 born for the heritable disorders recommended 

9 by the Advisory Committee and adopted by the 

10 Secretary and the reporting of results; and’’; 

11 and 

12 (2) in subsection (i), by striking ‘‘such sums’’ 

13 and all that follows through the period at the end 

14 and inserting ‘‘$25,000,000 for fiscal year 2007 and 

15 such sums as may be necessary for each of the fiscal 

16 years 2008 through 2011.’’. 

17 SEC. 5. EVALUATING THE EFFECTIVENESS OF NEWBORN18 AND CHILD-SCREENING PROGRAMS. 

19 Section 1110 of the Public Health Service Act (42 

20 U.S.C. 300b–9) is amended by adding at the end the fol21 lowing: 

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

23 are authorized to be appropriated to carry out this section 

24 $5,000,000 for fiscal year 2007 and such sums as may 


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1 be necessary for each of the fiscal years 2008 through 

2 2011.’’. 

3 SEC. 6. ADVISORY COMMITTEE ON HERITABLE DISORDERS 

4 IN NEWBORNS AND CHILDREN. 

5 Section 1111 of the Public Health Service Act (42 

6 U.S.C. 300b–10) is amended— 

7 (1) in subsection (b)— 

8 (A) by redesignating paragraph (3) as 

9 paragraph (5); 

10 (B) in paragraph (2), by striking ‘‘and’’ 

11 after the semicolon; 

12 (C) by inserting after paragraph (2) the 

13 following: 

14 ‘‘(3) recommend a uniform screening panel for 

15 newborn screening programs that includes the heri16 table disorders for which all newborns should be 

17 screened, including secondary conditions that may be 

18 identified as a result of the laboratory methods used 

19 for screening; 

20 ‘‘(4) develop a model decision-matrix for new21 born screening program expansion, and periodically 

22 update the recommended uniform screening panel 

23 described in paragraph (3) based on such decision24 matrix; and’’; and 


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1 (D) in paragraph (5) (as redesignated by 

2 subparagraph (A)), by striking the period at the 

3 end and inserting ‘‘, including recommenda4 tions, advice, or information dealing with— 

5 ‘‘(A) followup activities, including those 

6 necessary to achieve rapid diagnosis in the 

7 short term, and those that ascertain long-term 

8 case management outcomes and appropriate ac9 cess to related services; 

10 ‘‘(B) diagnostic and other technology used 

11 in screening; 

12 ‘‘(C) the availability and reporting of test13 ing for conditions for which there is no existing 

14 treatment; 

15 ‘‘(D) minimum standards and related poli16 cies and procedures for State newborn screen17 ing programs; 

18 ‘‘(E) quality assurance, oversight, and 

19 evaluation of State newborn screening pro20 grams; 

21 ‘‘(F) data collection for assessment of new22 born screening programs; 

23 ‘‘(G) public and provider awareness and 

24 education; 


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1 ‘‘(H) language and terminology used by 

2 State newborn screening programs; 

3 ‘‘(I) confirmatory testing and verification 

4 of positive results; and 

5 ‘‘(J) harmonization of laboratory defini6 tions for results that are within the expected 

7 range and results that are outside of the ex8 pected range.’’; and 

9 (2) by adding at the end the following: 

10 ‘‘(d) DECISION ON RECOMMENDATIONS.— 

11 ‘‘(1) IN GENERAL.—Not later than 180 days 

12 after the Advisory Committee issues a recommenda13 tion pursuant to this section, the Secretary shall 

14 adopt or reject such recommendation. 

15 ‘‘(2) PENDING RECOMMENDATIONS.—The Sec16 retary shall adopt or reject any recommendation 

17 issued by the Advisory Committee that is pending on 

18 the date of enactment of the Newborn Screening 

19 Saves Lives Act of 2006 by not later than 180 days 

20 after the date of enactment of such Act. 

21 ‘‘(3) DETERMINATIONS TO BE MADE PUBLIC.— 

22 The Secretary shall publicize any determination on 

23 adopting or rejecting a recommendation of the Advi24 sory Committee pursuant to this subsection, includ25 ing the justification for the determination. 


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1 ‘‘(e) CONTINUATION OF OPERATION OF COM2 MITTEE.—Notwithstanding section 14 of the Federal Ad3 visory Committee Act (5 U.S.C. App.), the Advisory Com4 mittee shall continue to operate during the 5-year period 

5 beginning on the date of enactment of the Newborn 

6 Screening Saves Lives Act of 2006.’’. 

7 SEC. 7. LABORATORY QUALITY AND SURVEILLANCE. 

8 Part A of title XI of the Public Health Service Act 

9 (42 U.S.C. 300b–1 et seq.) is amended by adding at the 

10 end the following: 

11 ‘‘SEC. 1112. LABORATORY QUALITY. 

12 ‘‘(a) IN GENERAL.—The Secretary, acting through 

13 the Director of the Centers for Disease Control and Pre14 vention and in consultation with the Advisory Committee 

15 on Heritable Disorders in Newborns and Children estab16 lished under section 1111, shall provide for— 

17 ‘‘(1) quality assurance for laboratories involved 

18 in screening newborns and children for heritable dis19 orders, including quality assurance for newborn20 screening tests, performance evaluation services, and 

21 technical assistance and technology transfer to new22 born screening laboratories to ensure analytic valid23 ity and utility of screening tests; and 

24 ‘‘(2) population-based pilot testing for new 

25 screening tools for evaluating use on a mass scale. 


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

2 purpose of carrying out this section, there are authorized 

3 to be appropriated $5,000,000 for fiscal year 2007 and 

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

5 2008 through 2011. 

6 ‘‘SEC. 1113. SURVEILLANCE PROGRAMS FOR HERITABLE 

7 DISORDERS SCREENING. 

8 ‘‘(a) IN GENERAL.—The Secretary, acting through 

9 the Director of the Centers for Disease Control and Pre10 vention, shall carry out programs— 

11 ‘‘(1) to collect, analyze, and make available data 

12 on the heritable disorders recommended by the Advi13 sory Committee on Heritable Disorders in Newborns 

14 and Children established under section 1111, includ15 ing data on the causes of such disorders and on the 

16 incidence and prevalence of such disorders; 

17 ‘‘(2) to operate regional centers for the conduct 

18 of applied epidemiological research on the prevention 

19 of such disorders; 

20 ‘‘(3) to provide information and education to 

21 the public on the prevention of such disorders; and 

22 ‘‘(4) to conduct research on and to promote the 

23 prevention of such disorders, and secondary health 

24 conditions among individuals with such disorders. 

25 ‘‘(b) GRANTS AND CONTRACTS.— 


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1 ‘‘(1) IN GENERAL.—In carrying out subsection 

2 (a), the Secretary may make grants to and enter 

3 into contracts with public and nonprofit private enti4 ties. 

5 ‘‘(2) SUPPLIES AND SERVICES IN LIEU OF

6 AWARD FUNDS.— 

7 ‘‘(A) IN GENERAL.—Upon the request of a 

8 recipient of an award of a grant or contract 

9 under paragraph (1), the Secretary may, sub10 ject to subparagraph (B), provide supplies, 

11 equipment, and services for the purpose of aid12 ing the recipient in carrying out the purposes 

13 for which the award is made and, for such pur14 poses, may detail to the recipient any officer or 

15 employee of the Department of Health and 

16 Human Services. 

17 ‘‘(B) REDUCTION.—With respect to a re18 quest described in subparagraph (A), the Sec19 retary shall reduce the amount of payments 

20 under the award involved by an amount equal 

21 to the costs of detailing personnel and the fair 

22 market value of any supplies, equipment, or 

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1 curred in complying with such request, expend 

2 the amounts withheld. 

3 ‘‘(3) APPLICATION FOR AWARD.—The Secretary 

4 may make an award of a grant or contract under 

5 paragraph (1) only if an application for the award 

6 is submitted to the Secretary and the application is 

7 in such form, is made in such manner, and contains 

8 such agreements, assurances, and information as the 

9 Secretary determines to be necessary to carry out 

10 the purposes for which the award is to be made. 

11 ‘‘(c) BIENNIAL REPORT.—Not later than February 

12 1 of fiscal year 2007 and of every second such year there13 after, the Secretary shall submit to the Committee on En14 ergy and Commerce of the House of Representatives, and 

15 the Committee on Health, Education, Labor, and Pen16 sions of the Senate, a report that, with respect to the pre17 ceding 2 fiscal years— 

18 ‘‘(1) contains information regarding the inci19 dence and prevalence of heritable disorders and the 

20 health status of individuals with such disorders and 

21 the extent to which such disorders have contributed 

22 to the incidence and prevalence of infant mortality 

23 and affected quality of life; 

24 ‘‘(2) contains information under paragraph (1) 

25 that is specific to various racial and ethnic groups 


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1 (including Hispanics, non-Hispanic whites, Blacks, 

2 Native Americans, and Asian Americans); 

3 ‘‘(3) contains an assessment of the extent to 

4 which various approaches of preventing heritable dis5 orders and secondary health conditions among indi6 viduals with such disorders have been effective; 

7 ‘‘(4) describes the activities carried out under 

8 this section; 

9 ‘‘(5) contains information on the incidence and 

10 prevalence of individuals living with heritable dis11 orders, information on the health status of individ12 uals with such disorders, information on any health 

13 disparities experienced by such individuals, and rec14 ommendations for improving the health and wellness 

15 and quality of life of such individuals; 

16 ‘‘(6) contains a summary of recommendations 

17 from all heritable disorders research conferences 

18 sponsored by the Centers for Disease Control and 

19 Prevention; and 

20 ‘‘(7) contains any recommendations of the Sec21 retary regarding this section. 

22 ‘‘(d) APPLICABILITY OF PRIVACY LAWS.—The provi23 sions of this section shall be subject to the requirements 

24 of section 552a of title 5, United States Code. All Federal 

25 laws relating to the privacy of information shall apply to 


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1 the data and information that is collected under this sec2 tion. 

3 ‘‘(e) COORDINATION.— 

4 ‘‘(1) IN GENERAL.—In carrying out this sec5 tion, the Secretary shall coordinate, to the extent 

6 practicable, programs under this section with pro7 grams on birth defects and developmental disabilities 

8 authorized under section 317C. 

9 ‘‘(2) PRIORITY IN GRANTS AND CONTRACTS.— 

10 In making grants and contracts under this section, 

11 the Secretary shall give priority to entities that dem12 onstrate the ability to coordinate activities under a 

13 grant or contract made under this section with exist14 ing birth defects surveillance activities. 

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

16 purpose of carrying out this section, there are authorized 

17 to be appropriated $15,000,000 for fiscal year 2007 and 

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

19 2008 through 2011.’’. 

Æ 


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