II 

Calendar No. 723 

110TH CONGRESS 

2D SESSION S. 1760 

To amend the Public Health Service Act with respect to the Healthy Start 

Initiative. 

IN THE SENATE OF THE UNITED STATES 

JULY 10, 2007 

Mr. BROWN (for himself, Mr. BURR, Mr. BINGAMAN, Mr. COCHRAN, Mr. 

JOHNSON, Mr. DURBIN, Mrs. MURRAY, Mr. LEVIN, Mr. OBAMA, Mr. 

CASEY, Ms. STABENOW, Mrs. BOXER, Mr. LAUTENBERG, Mrs. CLINTON, 

Mr. HARKIN, Ms. MIKULSKI, Mr. SANDERS, Mr. MENENDEZ, and Mr. 

DODD) introduced the following bill; which was read twice and referred 

to the Committee on Health, Education, Labor, and Pensions 

APRIL 29, 2008 

Reported by Mr. KENNEDY, with an amendment 

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

A BILL 

To amend the Public Health Service Act with respect to 

the Healthy Start Initiative. 

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 ‘‘Healthy Start Reau5 thorization Act of 2007’’. 


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1 SEC. 2. AMENDMENTS TO HEALTHY START INITIATIVE. 

2 (a) CONSIDERATIONS IN MAKING GRANTS.—Section 

3 330H(b) of the Public Health Service Act (42 U.S.C. 

4 254c–8(b)) is amended— 

5 (1) by striking ‘‘(b) REQUIREMENTS’’ and all 

6 that follows through ‘‘In making grants under sub7 section (a)’’ and inserting the following: 

8 ‘‘(b) CONSIDERATIONS IN MAKING GRANTS.— 

9 ‘‘(1) REQUIREMENTS.—In making grants under 

10 subsection (a)’’; and 

11 (2) by adding at the end the following para12 graph: 

13 ‘‘(2) OTHER CONSIDERATIONS.—In making 

14 grants under subsection (a), the Secretary shall take 

15 into consideration the following: 

16 ‘‘(A) Factors that contribute to infant 

17 mortality, such as low birthweight. 

18 ‘‘(B) The extent to which applicants for 

19 such grants facilitate— 

20 ‘‘(i) a community-based approach to 

21 the delivery of services; and 

22 ‘‘(ii) a comprehensive approach to 

23 women’s health care to improve perinatal 

24 outcomes. 

25 ‘‘(3) SPECIAL PROJECTS.—Nothing in para26 graph (2) shall be construed to prohibit the SecVerDate Aug 31 2005 02:59 Apr 30, 2008 Jkt 069200 PO 00000 Frm 00002 Fmt 6652 Sfmt 6401 E:\BILLS\S1760.RS S1760

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1 retary from awarding grants under subsection (a) 

2 for special projects that are intended to address sig3 nificant disparities in perinatal health indicators in 

4 communities along the United States-Mexico border 

5 or in Alaska and Hawaii.’’. 

6 (b) OTHER GRANTS.—Section 330H of the Public 

7 Health Service Act (42 U.S.C. 254c–8) is amended— 

8 (1) in subsection (a), by striking paragraph (3); 

9 and 

10 (2) by striking subsections (e) and (f). 

11 (c) FUNDING.—Section 330H of the Public Health 

12 Service Act, as amended by subsection (b) of this section, 

13 is amended by adding at the end the following subsection: 

14 ‘‘(e) FUNDING.— 

15 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.— 

16 For the purpose of carrying out this section, there 

17 are authorized to be appropriated— 

18 ‘‘(A) $120,000,000 for fiscal year 2008; 

19 and 

20 ‘‘(B) for each of fiscal years 2009 through 

21 2013, the amount authorized for the preceding 

22 fiscal year increased by the percentage increase 

23 in the Consumer Price Index for all urban con24 sumers for such year. 

25 ‘‘(2) ALLOCATION.— 


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1 ‘‘(A) PROGRAM ADMINISTRATION.—Of the 

2 amounts appropriated under paragraph (1) for 

3 a fiscal year, the Secretary may reserve up to 

4 5 percent for coordination, dissemination, tech5 nical assistance, and data activities that are de6 termined by the Secretary to be appropriate for 

7 carrying out the program under this section. 

8 ‘‘(B) EVALUATION.—Of the amounts ap9 propriated under paragraph (1) for a fiscal 

10 year, the Secretary may reserve up to 1 percent 

11 for evaluations of projects carried out under 

12 subsection (a). Each such evaluation shall in13 clude a determination of whether such projects 

14 have been effective in reducing the disparity in 

15 health status between the general population 

16 and individuals who are members of racial or 

17 ethnic minority groups.’’. 

18 SECTION 1. SHORT TITLE. 

19 This Act may be cited as the ‘‘Healthy Start Reauthor20 ization Act of 2007’’. 

21 SEC. 2. AMENDMENTS TO HEALTHY START INITIATIVE. 

22 (a) CONSIDERATIONS IN MAKING GRANTS.—Section 

23 330H(b) of the Public Health Service Act (42 U.S.C. 254c– 

24 8(b)) is amended— 


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1 (1) by striking ‘‘(b) REQUIREMENTS’’ and all 

2 that follows through ‘‘In making grants under sub3 section (a)’’ and inserting the following: 

4 ‘‘(b) CONSIDERATIONS IN MAKING GRANTS.— 

5 ‘‘(1) REQUIREMENTS.—In making grants under 

6 subsection (a)’’; and 

7 (2) by adding at the end the following para8 graphs: 

9 ‘‘(2) OTHER CONSIDERATIONS.—In making 

10 grants under subsection (a), the Secretary shall take 

11 into consideration the following: 

12 ‘‘(A) Factors that contribute to infant mor13 tality, such as low birthweight. 

14 ‘‘(B) The extent to which applicants for 

15 such grants facilitate— 

16 ‘‘(i) a community-based approach to 

17 the delivery of services; and 

18 ‘‘(ii) a comprehensive approach to 

19 women’s health care to improve perinatal 

20 outcomes. 

21 ‘‘(3) SPECIAL PROJECTS.—Nothing in paragraph 

22 (2) shall be construed to prevent the Secretary from 

23 awarding grants under subsection (a) for special 

24 projects that are intended to address significant dis25 parities in perinatal health indicators in commuVerDate Aug 31 2005 02:59 Apr 30, 2008 Jkt 069200 PO 00000 Frm 00005 Fmt 6652 Sfmt 6203 E:\BILLS\S1760.RS S1760

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1 nities along the United States-Mexico border or in 

2 Alaska or Hawaii.’’. 

3 (b) OTHER GRANTS.—Section 330H of the Public 

4 Health Service Act (42 U.S.C. 254c–8) is amended— 

5 (1) in subsection (a), by striking paragraph (3); 

6 and 

7 (2) by striking subsections (e) and (f). 

8 (c) FUNDING.—Section 330H of the Public Health 

9 Service Act, as amended by subsection (b) of this section, 

10 is amended by adding at the end the following subsection: 

11 ‘‘(e) FUNDING.— 

12 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.—For 

13 the purpose of carrying out this section, there are au14 thorized to be appropriated— 

15 ‘‘(A) $120,000,000 for fiscal year 2008; and 

16 ‘‘(B) for each of fiscal years 2009 through 

17 2013, the amount authorized for the preceding 

18 fiscal year increased by the percentage increase 

19 in the Consumer Price Index for all urban con20 sumers for such year. 

21 ‘‘(2) ALLOCATION.— 

22 ‘‘(A) PROGRAM ADMINISTRATION.—Of the 

23 amounts appropriated under paragraph (1) for 

24 a fiscal year, the Secretary may reserve up to 5 

25 percent for coordination, dissemination, techVerDate Aug 31 2005 02:59 Apr 30, 2008 Jkt 069200 PO 00000 Frm 00006 Fmt 6652 Sfmt 6203 E:\BILLS\S1760.RS S1760

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1 nical assistance, and data activities that are de2 termined by the Secretary to be appropriate for 

3 carrying out the program under this section. 

4 ‘‘(B) EVALUATION.—Of the amounts appro5 priated under paragraph (1) for a fiscal year, 

6 the Secretary may reserve up to 1 percent for 

7 evaluations of projects carried out under sub8 section (a). Each such evaluation shall include a 

9 determination of whether such projects have been 

10 effective in reducing the disparity in health sta11 tus between the general population and individ12 uals who are members of racial or ethnic minor13 ity groups.’’. 


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Calendar No. 723 

110TH CONGRESS 

2D SESSION S. 1760 

A BILL 

To amend the Public Health Service Act with 

respect to the Healthy Start Initiative. 

APRIL 29, 2008 

Reported with an amendment 


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