IB

Union Calendar No. 371

107TH CONGRESS

2D SESSION H. R. 1784

[Report No. 107–616]

To establish an Office on Women’s Health within the Department of Health

and Human Services, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

MAY 9, 2001

Mrs. MORELLA (for herself, Mrs. MALONEY of New York, Mr. WAXMAN, Mr.

TOM DAVIS of Virginia, Ms. SLAUGHTER, Mr. MCNULTY, Mr. HONDA,

Ms. BROWN of Florida, Mrs. THURMAN, Ms. ESHOO, Mr. LANTOS, Ms.

LEE, Mr. WYNN, Mr. FROST, Ms. NORTON, Ms. MCCARTHY of Missouri,

Mr. HILLIARD, Mr. HORN, Ms. BALDWIN, Ms. MILLENDER-MCDONALD,

Mrs. CHRISTENSEN, Ms. DELAURO, Ms. JACKSON-LEE of Texas, Mr.

WEXLER, Ms. SOLIS, Mrs. ROUKEMA, Mr. KILDEE, Ms. KAPTUR, Ms.

HARMAN, Ms. SCHAKOWSKY, Mr. BENTSEN, and Mrs. JONES of Ohio) introduced the following bill; which was referred to the Committee on Energy and Commerce

JULY 25, 2002

Additional sponsors: Mr. BONIOR, Ms. PELOSI, Mr. JACKSON of Illinois, Ms.

MCCOLLUM, Mr. MCINTYRE, Ms. RIVERS, Mr. JEFFERSON, Mr. MCGOVERN, Mr. NADLER, Mrs. DAVIS of California, Mrs. CLAYTON, Mrs.

LOWEY, Mr. SANDERS, Mr. PAYNE, Mr. REYES, Mr. CUNNINGHAM, Mr.

BERMAN, Mrs. CAPPS, Mr. FILNER, Mr. LAHOOD, Mr. NETHERCUTT,

Mr. GREENWOOD, Mr. BLAGOJEVICH, Mr. CUMMINGS, Mr. RANGEL, Ms.

ROYBAL-ALLARD, Mr. PRICE of North Carolina, Mr. GEORGE MILLER of

California, Mr. OLVER, Mr. FARR of California, Mrs. NAPOLITANO, Mr.

GUTIERREZ, Ms. HOOLEY of Oregon, Mr. ISRAEL, Mr. RUSH, Mr.

DOYLE, Ms. LOFGREN, Mr. BORSKI, Mr. GANSKE, Mr. BRADY of Pennsylvania, Mr. BLUMENAUER, Ms. CARSON of Indiana, Mr. PALLONE, Mr.

HOLT, Mr. ANDREWS, Mrs. MINK of Hawaii, Mr. STARK, Mr. BALDACCI,

Mr. OWENS, Ms. WOOLSEY, Ms. WATSON, Mr. DEFAZIO, Mr. BOUCHER,

Mr. DINGELL, Mr. FOLEY, Mr. BISHOP, Mr. SHERMAN, Mr.

MCDERMOTT, Mr. CASTLE, Mr. WHITFIELD, Mr. STRICKLAND, Mr.
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TOWNS, Mr. WALDEN of Oregon, Mr. BROWN of Ohio, and Mr. DAVIS

of Illinois

JULY 25, 2002

Reported with an amendment, committed to the Committee of the Whole

House on the State of the Union, and ordered to be printed

[Strike out all after the enacting clause and insert the part printed in italic]

[For text of introduced bill, see copy of bill as introduced on May 9, 2001]

A BILL

To establish an Office on Women’s Health within the Department of Health and Human Services, 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 ‘‘Women’s Health Office

5 Act of 2002’’.

6 SEC. 2. HEALTH AND HUMAN SERVICES OFFICE ON WOM7 EN’S HEALTH.

8 (a) ESTABLISHMENT.—Part A of title II of the Public

9 Health Service Act (42 U.S.C. 202 et seq.) is amended by

10 adding at the end the following:

11 ‘‘HEALTH AND HUMAN SERVICES OFFICE ON WOMEN’S

12 HEALTH

13 ‘‘SEC. 229. (a) ESTABLISHMENT OF OFFICE.—The

14 Secretary shall establish through the last date for which ap15 propriations are authorized under subsection (e), within the
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1 Office of the Secretary, an Office on Women’s Health (re2 ferred to in this section as the ‘Office’). The Office shall

3 be headed by a Deputy Assistant Secretary for Women’s

4 Health.

5 ‘‘(b) DUTIES.—The Secretary, acting through the Of6 fice, with respect to the health concerns of women, shall—

7 ‘‘(1) establish short-range and long-range goals

8 and objectives within the Department of Health and

9 Human Services and, as relevant and appropriate,

10 coordinate with other appropriate offices on activities

11 within the Department that relate to disease preven12 tion, health promotion, service delivery, research, and

13 public and health care professional education, for

14 issues of particular concern to women;

15 ‘‘(2) provide expert advice and consultation to

16 the Secretary concerning scientific, legal, ethical, and

17 policy issues relating to women’s health;

18 ‘‘(3) monitor the Department of Health and

19 Human Services’ offices, agencies, and regional ac20 tivities regarding women’s health and stimulate ac21 tivities and facilitate coordination of such depart22 mental and agency offices on women’s health;

23 ‘‘(4) establish a Department of Health and

24 Human Services Coordinating Committee on Wom25 en’s Health, which shall be chaired by the Deputy As-
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1 sistant Secretary for Women’s Health and composed

2 of senior level representatives from each of the agen3 cies and offices of the Department of Health and

4 Human Services;

5 ‘‘(5) establish a National Women’s Health Infor6 mation Center to—

7 ‘‘(A) facilitate the exchange of information

8 regarding matters relating to health information,

9 health promotion, preventive health services, re10 search advances, and education in the appro11 priate use of health care;

12 ‘‘(B) facilitate access to such information;

13 ‘‘(C) assist in the analysis of issues and

14 problems relating to the matters described in this

15 paragraph; and

16 ‘‘(D) provide technical assistance with re17 spect to the exchange of information (including

18 facilitating the development of materials for such

19 technical assistance);

20 ‘‘(6) coordinate efforts to promote women’s health

21 programs and policies with the private sector; and

22 ‘‘(7) through publications and any other means

23 appropriate, provide for the exchange of information

24 between the Office and recipients of grants, contracts,
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1 and agreements under subsection (c), and between the

2 Office and health professionals and the general public.

3 ‘‘(c) GRANTS AND CONTRACTS REGARDING DUTIES.—

4 ‘‘(1) AUTHORITY.—In carrying out subsection

5 (b), the Secretary may make grants to, and enter into

6 cooperative agreements, contracts, and interagency

7 agreements with, public and private entities, agencies,

8 and organizations.

9 ‘‘(2) EVALUATION AND DISSEMINATION.—The

10 Secretary shall directly or through contracts with

11 public and private entities, agencies, and organiza12 tions, provide for evaluations of projects carried out

13 with financial assistance provided under paragraph

14 (1) and for the dissemination of information devel15 oped as a result of such projects.

16 ‘‘(d) REPORTS.—Not later than January 31, 2003,

17 and January 31 of each second year thereafter, the Sec18 retary shall prepare and submit to the appropriate commit19 tees of Congress a report describing the activities carried

20 out under this section during the period for which the report

21 is being prepared.

22 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the

23 purpose of carrying out this section, there are authorized

24 to be appropriated such sums as may be necessary for each

25 of the fiscal years 2003 through 2007.’’.
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1 (b) TRANSFER OF FUNCTIONS.—There are transferred

2 to the Office on Women’s Health (established under section

3 229 of the Public Health Service Act, as added by this sec4 tion), all functions exercised by the Office on Women’s

5 Health of the Public Health Service prior to the date of

6 enactment of this section, including all personnel and com7 pensation authority, all delegation and assignment author8 ity, and all remaining appropriations. All orders, deter9 minations, rules, regulations, permits, agreements, grants,

10 contracts, certificates, licenses, registrations, privileges, and

11 other administrative actions that—

12 (1) have been issued, made, granted, or allowed

13 to become effective by the President, any Federal

14 agency or official thereof, or by a court of competent

15 jurisdiction, in the performance of functions trans16 ferred under this subsection; and

17 (2) are in effect at the time this section takes ef18 fect, or were final before the date of enactment of this

19 section and are to become effective on or after such

20 date;

21 shall continue in effect according to their terms until modi22 fied, terminated, superseded, set aside, or revoked in accord23 ance with law by the President, the Secretary, or other au24 thorized official, a court of competent jurisdiction, or by

25 operation of law.
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1 SEC. 3. CENTERS FOR DISEASE CONTROL AND PREVENTION

2 OFFICE OF WOMEN’S HEALTH.

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

4 (42 U.S.C. 241 et seq.) is amended by adding at the end

5 the following:

6 ‘‘CENTERS FOR DISEASE CONTROL AND PREVENTION

7 OFFICE OF WOMEN’S HEALTH

8 ‘‘SEC. 310A. (a) ESTABLISHMENT.—The Secretary

9 shall establish through the last date for which appropria10 tions are authorized under subsection (f), within the Office

11 of the Director of the Centers for Disease Control and Pre12 vention, an office to be known as the Office of Women’s

13 Health (referred to in this section as the ‘Office’). The Office

14 shall be headed by a director who shall be appointed by

15 the Director of such Centers.

16 ‘‘(b) PURPOSE.—The Director of the Office shall—

17 ‘‘(1) report to the Director of the Centers for Dis18 ease Control and Prevention on the current level of

19 the Centers’ activity regarding women’s health condi20 tions across, where appropriate, age, biological, and

21 sociocultural contexts, in all aspects of the Centers’

22 work, including prevention programs, public and pro23 fessional education, services, and treatment;

24 ‘‘(2) establish short-range and long-range goals

25 and objectives within the Centers for women’s health

26 and, as relevant and appropriate, coordinate with
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1 other appropriate offices on activities within the Cen2 ters that relate to prevention, research, education and

3 training, service delivery, and policy development, for

4 issues of particular concern to women;

5 ‘‘(3) identify projects in women’s health that

6 should be conducted or supported by the Centers;

7 ‘‘(4) consult with health professionals, non8 governmental organizations, consumer organizations,

9 women’s health professionals, and other individuals

10 and groups, as appropriate, on the policy of the Cen11 ters with regard to women; and

12 ‘‘(5) serve as a member of the Department of

13 Health and Human Services Coordinating Committee

14 on Women’s Health (established under section

15 229(b)(4)).

16 ‘‘(c) COORDINATING COMMITTEE.—

17 ‘‘(1) ESTABLISHMENT.—In carrying out sub18 section (b), the Director of the Office shall establish a

19 committee to be known as the Coordinating Com20 mittee on Research on Women’s Health (referred to in

21 this subsection as the ‘Coordinating Committee’).

22 ‘‘(2) COMPOSITION.—The Coordinating Com23 mittee shall be composed of the directors of the na24 tional centers and other appropriate officials of the

25 Centers for Disease Control and Prevention.
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1 ‘‘(3) CHAIRPERSON.—The Director of the Office

2 shall serve as the Chairperson of the Coordinating

3 Committee.

4 ‘‘(4) DUTIES.—With respect to women’s health,

5 the Coordinating Committee shall assist the Director

6 of the Office in—

7 ‘‘(A) identifying the need for programs and

8 activities that focus on women’s health;

9 ‘‘(B) identifying needs regarding the coordi10 nation of activities, including intramural and

11 extramural multidisciplinary activities; and

12 ‘‘(C) making recommendations to the Direc13 tor of the Centers for Disease Control and Pre14 vention concerning findings made under sub15 paragraphs (A) and (B).

16 ‘‘(d) REPORTS.—Not later than January 31, 2003,

17 and January 31 of each second year thereafter, the Director

18 of the Office shall prepare and submit to the appropriate

19 committees of Congress a report describing the activities

20 carried out under this section during the period for which

21 the report is being prepared.

22 ‘‘(e) DEFINITION.—As used in this section, the term

23 ‘women’s health conditions’, with respect to women of all

24 age, ethnic, and racial groups, means diseases, disorders,

25 and conditions—
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1 ‘‘(1) unique to, significantly more serious for, or

2 significantly more prevalent in women; and

3 ‘‘(2) for which the factors of medical risk or type

4 of medical intervention are different for women.

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

6 purpose of carrying out this section, there are authorized

7 to be appropriated such sums as may be necessary for each

8 of the fiscal years 2003 through 2007.’’.

9 SEC. 4. AGENCY FOR HEALTHCARE RESEARCH AND QUAL10 ITY ACTIVITIES REGARDING WOMEN’S

11 HEALTH.

12 Part C of title IX of the Public Health Service Act

13 (42 U.S.C. 299c et seq.) is amended—

14 (1) by redesignating sections 927 and 928 as sec15 tions 928 and 929, respectively;

16 (2) by inserting after section 926 the following:

17 ‘‘SEC. 927. ACTIVITIES REGARDING WOMEN’S HEALTH.

18 ‘‘(a) ESTABLISHMENT.—The Director shall designate

19 an official of the Office of Priority Populations to carry

20 out, through the last date for which appropriations are au21 thorized under section 928(e), the responsibilities described

22 in this section for such official.

23 ‘‘(b) PURPOSE.—The official designated under sub24 section (a) shall—
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1 ‘‘(1) report to the Director on the current Agency

2 level of activity regarding women’s health, across,

3 where appropriate, age, biological, and sociocultural

4 contexts, in all aspects of Agency work, including the

5 development of evidence reports and clinical practice

6 protocols and the conduct of research into patient out7 comes, delivery of health care services, quality of care,

8 and access to health care;

9 ‘‘(2) establish short-range and long-range goals

10 and objectives within the Agency for research impor11 tant to women’s health and, as relevant and appro12 priate, coordinate with other appropriate offices on

13 activities within the Agency that relate to health serv14 ices and medical effectiveness research, for issues of

15 particular concern to women;

16 ‘‘(3) identify projects in women’s health that

17 should be conducted or supported by the Agency;

18 ‘‘(4) consult with health professionals, non19 governmental organizations, consumer organizations,

20 women’s health professionals, and other individuals

21 and groups, as appropriate, on Agency policy with

22 regard to women; and

23 ‘‘(5) serve as a member of the Department of

24 Health and Human Services Coordinating Committee
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1 on Women’s Health (established under section

2 229(b)(4)).

3 ‘‘(c) COORDINATING COMMITTEE.—

4 ‘‘(1) ESTABLISHMENT.—In carrying out sub5 section (b), the official designated under subsection

6 (a) shall establish a committee to be known as the Co7 ordinating Committee on Research on Women’s

8 Health (referred to in this subsection as the ‘Coordi9 nating Committee’).

10 ‘‘(2) COMPOSITION.—The Coordinating Com11 mittee shall be composed of the official designated

12 under subsection (a) and the directors of the centers

13 and offices of the Agency.

14 ‘‘(3) CHAIRPERSON.—The official designated

15 under subsection (a) shall serve as the Chairperson of

16 the Coordinating Committee.

17 ‘‘(4) DUTIES.—With respect to research on wom18 en’s health, the Coordinating Committee shall assist

19 the official designated under subsection (a) in—

20 ‘‘(A) identifying the need for such research,

21 and making an estimate each fiscal year of the

22 funds needed to adequately support the research;

23 ‘‘(B) identifying needs regarding the coordi24 nation of research activities, including intra-
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1 mural and extramural multidisciplinary activi2 ties; and

3 ‘‘(C) making recommendations to the Direc4 tor of the Agency concerning findings made

5 under subparagraphs (A) and (B).

6 ‘‘(d) REPORTS.—Not later than January 31, 2003,

7 and January 31 of each second year thereafter, the official

8 designated under subsection (a) shall prepare and submit

9 to the appropriate committees of Congress a report describ10 ing the activities carried out under this section during the

11 period for which the report is being prepared.’’; and

12 (3) by adding at the end of section 928 (as redes13 ignated by paragraph (1)) the following:

14 ‘‘(e) WOMEN’S HEALTH.—For the purpose of carrying

15 out section 927 regarding women’s health, there are author16 ized to be appropriated such sums as may be necessary for

17 each of the fiscal years 2003 through 2007.’’.

18 SEC. 5. HEALTH RESOURCES AND SERVICES ADMINISTRA19 TION OFFICE OF WOMEN’S HEALTH.

20 Title VII of the Social Security Act (42 U.S.C. 901

21 et seq.) is amended by adding at the end the following:

22 ‘‘OFFICE OF WOMEN’S HEALTH

23 ‘‘SEC. 713. (a) ESTABLISHMENT.—The Secretary shall

24 establish through the last date for which appropriations are

25 authorized under subsection (f), within the Office of the Ad26 ministrator of the Health Resources and Services Adminis-
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1 tration, an office to be known as the Office of Women’s

2 Health. The Office shall be headed by a director who shall

3 be appointed by the Administrator.

4 ‘‘(b) PURPOSE.—The Director of the Office shall—

5 ‘‘(1) report to the Administrator on the current

6 Administration level of activity regarding women’s

7 health across, where appropriate, age, biological, and

8 sociocultural contexts;

9 ‘‘(2) establish short-range and long-range goals

10 and objectives within the Health Resources and Serv11 ices Administration for women’s health and, as rel12 evant and appropriate, coordinate with other appro13 priate offices on activities within the Administration

14 that relate to health care provider training, health

15 service delivery, research, and demonstration projects,

16 for issues of particular concern to women;

17 ‘‘(3) identify projects in women’s health that

18 should be conducted or supported by the bureaus of

19 the Administration;

20 ‘‘(4) consult with health professionals, non21 governmental organizations, consumer organizations,

22 women’s health professionals, and other individuals

23 and groups, as appropriate, on Administration policy

24 with regard to women; and
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1 ‘‘(5) serve as a member of the Department of

2 Health and Human Services Coordinating Committee

3 on Women’s Health (established under section

4 229(b)(4) of the Public Health Service Act).

5 ‘‘(c) COORDINATING COMMITTEE.—

6 ‘‘(1) ESTABLISHMENT.—In carrying out sub7 section (b), the Director of the Office shall establish a

8 committee to be known as the Coordinating Com9 mittee on Research on Women’s Health (referred to in

10 this subsection as the ‘Coordinating Committee’).

11 ‘‘(2) COMPOSITION.—The Coordinating Com12 mittee shall be composed of the directors of the bu13 reaus of the Administration.

14 ‘‘(3) CHAIRPERSON.—The Director of the Office

15 shall serve as the Chairperson of the Coordinating

16 Committee.

17 ‘‘(4) DUTIES.—With respect to research on wom18 en’s health, the Coordinating Committee shall assist

19 the Director of the Office in—

20 ‘‘(A) identifying the need for programs and

21 activities that focus on women’s health;

22 ‘‘(B) identifying needs regarding the coordi23 nation of activities, including intramural and

24 extramural multidisciplinary activities; and
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1 ‘‘(C) making recommendations to the Ad2 ministrator concerning findings made under sub3 paragraphs (A) and (B).

4 ‘‘(d) REPORTS.—Not later than January 31, 2003,

5 and January 31 of each second year thereafter, the Director

6 of the Office shall prepare and submit to the appropriate

7 committees of Congress a report describing the activities

8 carried out under this section during the period for which

9 the report is being prepared.

10 ‘‘(e) DEFINITIONS.—For purposes of this section:

11 ‘‘(1) ADMINISTRATION.—The term ‘Administra12 tion’ means the Health Resources and Services Ad13 ministration.

14 ‘‘(2) ADMINISTRATOR.—The term ‘Adminis15 trator’ means the Administrator of the Health Re16 sources and Services Administration.

17 ‘‘(3) OFFICE.—The term ‘Office’ means the Office

18 of Women’s Health established under this section in

19 the Administration.

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

21 purpose of carrying out this section, there are authorized

22 to be appropriated such sums as may be necessary for each

23 of the fiscal years 2003 through 2007.’’.
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1 SEC. 6. FOOD AND DRUG ADMINISTRATION OFFICE OF

2 WOMEN’S HEALTH.

3 Chapter IX of the Federal Food, Drug, and Cosmetic

4 Act (21 U.S.C. 391 et seq.) is amended by adding at the

5 end the following:

6 ‘‘SEC. 908. OFFICE OF WOMEN’S HEALTH.

7 ‘‘(a) ESTABLISHMENT.—The Secretary shall establish

8 through the last date for which appropriations are author9 ized under subsection (e), within the Office of the Commis10 sioner, an office to be known as the Office of Women’s

11 Health (referred to in this section as the ‘Office’). The Office

12 shall be headed by a director who shall be appointed by

13 the Commissioner of Food and Drugs.

14 ‘‘(b) PURPOSE.—The Director of the Office shall—

15 ‘‘(1) report to the Commissioner of Food and

16 Drugs on current Food and Drug Administration (re17 ferred to in this section as the ‘Administration’) levels

18 of activity regarding women’s participation in clin19 ical trials and the analysis of data by sex in the test20 ing of drugs, medical devices, and biological products

21 across, where appropriate, age, biological, and

22 sociocultural contexts;

23 ‘‘(2) establish short-range and long-range goals

24 and objectives within the Administration for issues of

25 particular concern to women’s health within the juris26 diction of the Administration, including, where rel-
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1 evant and appropriate, adequate inclusion of women

2 and analysis of data by sex in Administration proto3 cols and policies;

4 ‘‘(3) provide information to women and health

5 care providers on those areas in which differences be6 tween men and women exist;

7 ‘‘(4) consult with pharmaceutical, biologics, and

8 device manufacturers, health professionals with exper9 tise in women’s issues, consumer organizations, and

10 women’s health professionals on Administration pol11 icy with regard to women;

12 ‘‘(5) make annual estimates of funds needed to

13 monitor clinical trials and analysis of data by sex in

14 accordance with needs that are identified; and

15 ‘‘(6) serve as a member of the Department of

16 Health and Human Services Coordinating Committee

17 on Women’s Health (established under section

18 229(b)(4) of the Public Health Service Act).

19 ‘‘(c) COORDINATING COMMITTEE.—

20 ‘‘(1) ESTABLISHMENT.—In carrying out sub21 section (b), the Director of the Office shall establish a

22 committee to be known as the Coordinating Com23 mittee on Women’s Health (referred to in this sub24 section as the ‘Coordinating Committee’).
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1 ‘‘(2) COMPOSITION.—The Coordinating Com2 mittee shall be composed of the directors of the centers

3 of the Administration.

4 ‘‘(3) CHAIRPERSON.—The Director of the Office

5 shall serve as the Chairperson of the Coordinating

6 Committee.

7 ‘‘(4) DUTIES.—With respect to studies on wom8 en’s health, the Coordinating Committee shall assist

9 the Director of the Office in—

10 ‘‘(A) identifying whether there is a need for

11 further studies and, if so, developing strategies to

12 foster such studies;

13 ‘‘(B) identifying issues in specific areas of

14 women’s health that fall within the mission of

15 the Administration;

16 ‘‘(C) identifying whether any need exists for

17 the coordination of Administration activities, in18 cluding internal and external activities;

19 ‘‘(D) maintaining the Administration’s

20 focus in areas of importance to women;

21 ‘‘(E) supporting the development of meth22 odologies to determine how to obtain data spe23 cific to women (including data relating to the

24 age of women and the membership of women in

25 ethnic or racial groups); and
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1 ‘‘(F) supporting the development and ex2 pansion of clinical trials of treatments and

3 therapies for which obtaining such data has been

4 determined to be an appropriate function.

5 ‘‘(d) REPORTS.—Not later than January 31, 2003,

6 and January 31 of each second year thereafter, the Director

7 of the Office shall prepare and submit to the appropriate

8 committees of Congress a report describing the activities

9 carried out under this section during the period for which

10 the report is being prepared.

11 ‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the

12 purpose of carrying out this section, there are authorized

13 to be appropriated such sums as may be necessary for each

14 of the fiscal years 2003 through 2007.’’.

15 SEC. 7. NO NEW REGULATORY AUTHORITY.

16 Nothing in this Act and the amendments made by this

17 Act may be construed as establishing regulatory authority

18 or modifying any existing regulatory authority.

Union Calendar No. 371

107TH CONGRESS

2D SESSION H. R. 1784

[Report No. 107–616]

A BILL

To establish an Office on Women’s Health within

the Department of Health and Human Services,and for other purposes.

JULY 25, 2002

Reported with an amendment, committed to the Committee of the Whole House on the State of the Union,

and ordered to be printed