II 

108TH CONGRESS 

1ST SESSION S. 1879

To amend the Public Health Service Act to revise and extend provisions 

relating to mammography quality standards. 

IN THE SENATE OF THE UNITED STATES 

NOVEMBER 18, 2003

Ms. MIKULSKI (for herself, Mr. ENSIGN, Mrs. MURRAY, Ms. SNOWE, Mr. 

DODD, Mr. KENNEDY, Mr. JEFFORDS, and Ms. CANTWELL) introduced 

the following bill; which was read twice and referred to the Committee 

on Health, Education, Labor, and Pensions 

A BILL

To amend the Public Health Service Act to revise and extend 

provisions relating to mammography quality standards.

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 ‘‘Mammography Quality 

5 Standards Reauthorization Act of 2003’’. 

6 SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL 

7 CERTIFICATE. 

8 Section 354 of the Public Health Service Act (42 

9 U.S.C. 263b) is amended—
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•S 1879 IS 

1 (1) in subsection (b)(1)—

2 (A) in subparagraph (A)—

3 (i) in the matter preceding clause (i), 

4 by inserting ‘‘or a temporary renewal cer5 tificate’’ after ‘‘certificate’’; and 

6 (ii) in clause (i), by striking ‘‘sub7 section (c)(1)’’ and inserting ‘‘paragraphs 

8 (1) or (2) of subsection (c)’’; 

9 (B) in subparagraph (B)—

10 (i) in the matter preceding clause (i), 

11 by inserting ‘‘or a limited provisional cer12 tificate’’ after ‘‘certificate’’; and 

13 (ii) in clause (i), by striking ‘‘sub14 section (c)(2)’’ and inserting ‘‘paragraphs 

15 (3) and (4) of subsection (c)’’; and 

16 (C) in the flush matter at the end, by 

17 striking ‘‘provisional certificate’’ and inserting 

18 ‘‘temporary renewal certificate, provisional cer19 tificate, or a limited provisional certificate’’; 

20 and 

21 (2) in subsection (c)—

22 (A) by redesignating paragraph (2) as 

23 paragraph (4); and 

24 (B) by inserting after paragraph (1) the 

25 following: 
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1 ‘‘(2) TEMPORARY RENEWAL CERTIFICATE.—

2 The Secretary may issue a temporary renewal cer3 tificate, for a period of not to exceed 45 days, to a 

4 facility seeking reaccreditation if the accreditation 

5 body has issued an accreditation extension, for a pe6 riod of not to exceed 45 days, for any of the fol7 lowing: 

8 ‘‘(A) The facility has submitted the re9 quired materials to the accreditation body with10 in the established time frames for the submis11 sion of such materials but the accreditation 

12 body is unable to complete the reaccreditation 

13 process before the certification expires. 

14 ‘‘(B) The facility has acquired additional 

15 or replacement equipment, or has had signifi16 cant personnel changes or other unforeseen sit17 uations that have caused the facility to be un18 able to meet reaccreditation timeframes, but in 

19 the opinion of the accreditation body have not 

20 compromised the quality of mammography. 

21 ‘‘(3) LIMITED PROVISIONAL CERTIFICATE.—

22 The Secretary may, upon the request of an accredi23 tation body, issue a limited provisional certificate to 

24 an entity to enable the entity to conduct examina25 tions for educational purposes while an onsite visit 
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1 from an accreditation body is in progress. Such cer2 tificate shall be valid only during the time the site 

3 visit team from the accreditation body is physically 

4 in the facility, and in no case shall be valid for 

5 longer than 72 hours. The issuance of a certificate 

6 under this paragraph, shall not preclude the entity 

7 from qualifying for a provisional certificate under 

8 paragraph (4).’’. 

9 SEC. 3. AUTHORIZATION OF APPROPRIATIONS. 

10 Subparagraphs (A) and (B) of section 354(r)(2) of 

11 the Public Health Service Act (42 U.S.C. 263b(r)(2)(A) 

12 and (B)) are amended by striking ‘‘2002’’ each place it 

13 appears and inserting ‘‘2005’’.

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