II 

Calendar No. 424

108TH CONGRESS 

1ST SESSION S. 1879

[Report No. 108–220] 

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, Ms. CANTWELL, Ms. COLLINS, 

Mr. GREGG, and Ms. LANDRIEU) introduced the following bill; which was 

read twice and referred to the Committee on Health, Education, Labor, 

and Pensions 

DECEMBER 9, 2003

Reported by Mr. GREGG, without amendment 

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’’. 
2

•S 1879 RS 

1 SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL 

2 CERTIFICATE. 

3 Section 354 of the Public Health Service Act (42 

4 U.S.C. 263b) is amended—

5 (1) in subsection (b)(1)—

6 (A) in subparagraph (A)—

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

8 by inserting ‘‘or a temporary renewal cer9 tificate’’ after ‘‘certificate’’; and 

10 (ii) in clause (i), by striking ‘‘sub11 section (c)(1)’’ and inserting ‘‘paragraphs 

12 (1) or (2) of subsection (c)’’; 

13 (B) in subparagraph (B)—

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

15 by inserting ‘‘or a limited provisional cer16 tificate’’ after ‘‘certificate’’; and 

17 (ii) in clause (i), by striking ‘‘sub18 section (c)(2)’’ and inserting ‘‘paragraphs 

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

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

21 striking ‘‘provisional certificate’’ and inserting 

22 ‘‘temporary renewal certificate, provisional cer23 tificate, or a limited provisional certificate’’; 

24 and 

25 (2) in subsection (c)—
3

•S 1879 RS 

1 (A) by redesignating paragraph (2) as 

2 paragraph (4); and 

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

4 following: 

5 ‘‘(2) TEMPORARY RENEWAL CERTIFICATE.—

6 The Secretary may issue a temporary renewal cer7 tificate, for a period of not to exceed 45 days, to a 

8 facility seeking reaccreditation if the accreditation 

9 body has issued an accreditation extension, for a pe10 riod of not to exceed 45 days, for any of the fol11 lowing: 

12 ‘‘(A) The facility has submitted the re13 quired materials to the accreditation body with14 in the established time frames for the submis15 sion of such materials but the accreditation 

16 body is unable to complete the reaccreditation 

17 process before the certification expires. 

18 ‘‘(B) The facility has acquired additional 

19 or replacement equipment, or has had signifi20 cant personnel changes or other unforeseen sit21 uations that have caused the facility to be un22 able to meet reaccreditation timeframes, but in 

23 the opinion of the accreditation body have not 

24 compromised the quality of mammography. 
4

•S 1879 RS 

1 ‘‘(3) LIMITED PROVISIONAL CERTIFICATE.—

2 The Secretary may, upon the request of an accredi3 tation body, issue a limited provisional certificate to 

4 an entity to enable the entity to conduct examina5 tions for educational purposes while an onsite visit 

6 from an accreditation body is in progress. Such cer7 tificate shall be valid only during the time the site 

8 visit team from the accreditation body is physically 

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

10 longer than 72 hours. The issuance of a certificate 

11 under this paragraph, shall not preclude the entity 

12 from qualifying for a provisional certificate under 

13 paragraph (4).’’. 

14 SEC. 3. AUTHORIZATION OF APPROPRIATIONS. 

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

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

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

18 appears and inserting ‘‘2005’’. 

Calendar No. 424

108TH CONGRESS 

1ST SESSION S. 1879

[Report No. 108–220] 

A BILL

To amend the Public Health Service Act to revise 

and extend provisions relating to mammography quality standards. 

DECEMBER 9, 2003

Reported without amendment