II 

108TH CONGRESS 

2D SESSION S. 2361

To amend the Public Health Service Act to enhance research, training, 

and health information dissemination with respect to urologic diseases, 

and for other purposes. 

IN THE SENATE OF THE UNITED STATES 

APRIL 29, 2004

Mr. DEWINE 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 enhance research, 

training, and health information dissemination with respect to urologic diseases, 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 ‘‘Training and Research 

5 in Urology Act of 2004’’. 
2

•S 2361 IS 

1 SEC. 2. RESEARCH, TRAINING, AND HEALTH INFORMATION 

2 DISSEMINATION WITH RESPECT TO URO3 LOGIC DISEASES. 

4 (a) DIVISION DIRECTOR OF UROLOGY.—Section 428 

5 of the Public Health Service Act (42 U.S.C. 285c–2) is 

6 amended—

7 (1) in subsection (a)(1), by striking ‘‘and a Di8 vision Director for Kidney, Urologic, and Hemato9 logic Diseases’’ and inserting ‘‘a Division Director 

10 for Urologic Diseases, and a Division Director for 

11 Kidney and Hematologic Diseases’’; and 

12 (2) in subsection (b)—

13 (A) by striking ‘‘and the Division Director 

14 for Kidney, Urologic, and Hematologic Dis15 eases’’ and inserting ‘‘the Division Director for 

16 Urologic Diseases, and the Division Director for 

17 Kidney and Hematologic Diseases’’; and 

18 (B) by striking ‘‘(1) carry out programs’’ 

19 and all that follows through the end and insert20 ing the following: 

21 ‘‘(1) carry out programs of support for research 

22 and training (other than training for which National 

23 Research Service Awards may be made under section 

24 487) in the diagnosis, prevention, and treatment of 

25 diabetes mellitus and endocrine and metabolic dis26 eases, digestive diseases and nutritional disorders, 
3

•S 2361 IS 

1 and kidney, urologic, and hematologic diseases, in2 cluding support for training in medical schools, 

3 graduate clinical training (with particular attention 

4 to programs geared to the needs of urology residents 

5 and fellows), graduate training in epidemiology, epi6 demiology studies, clinical trials, and interdiscipli7 nary research programs; 

8 ‘‘(2) establish programs of evaluation, planning, 

9 and dissemination of knowledge related to such re10 search and training; 

11 ‘‘(3) in cooperation with the urologic scientific 

12 and patient community, develop and submit to the 

13 Congress not later than January 1, 2006, a national 

14 urologic research plan that identifies research needs 

15 in the various areas of urologic diseases, including 

16 pediatrics, interstitial cystitis, incontinence, stone 

17 disease, urinary tract infections, and benign pros18 tatic diseases; and 

19 ‘‘(4) in cooperation with the urologic scientific 

20 and patient community, review the national urologic 

21 research plan every 3 years beginning in 2009 and 

22 submit to the Congress any revisions or additional 

23 recommendations.’’; and 

24 (3) at the end of the section, by adding the fol25 lowing: 
4

•S 2361 IS 

1 ‘‘(c) There are authorized to be appropriated 

2 $500,000 for each of fiscal years 2004 and 2005 to carry 

3 out paragraphs (3) and (4) of subsection (b), and such 

4 sums as may be necessary thereafter.’’. 

5 (b) UROLOGIC DISEASES DATA SYSTEM AND INFOR6 MATION CLEARINGHOUSE.—Section 427 of the Public 

7 Health Service Act (42 U.S.C. 285c–1) is amended—

8 (1) in subsection (c), by striking the terms 

9 ‘‘and Urologic’’ and ‘‘and urologic’’ each place either 

10 such term appears; and 

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

12 ‘‘(d) The Director of the Institute shall—

13 ‘‘(1) establish the National Urologic Diseases 

14 Data System for the collection, storage, analysis, re15 trieval, and dissemination of data derived from pa16 tient populations with urologic diseases, including, 

17 where possible, data involving general populations 

18 for the purpose of detection of individuals with a 

19 risk of developing urologic diseases; and 

20 ‘‘(2) establish the National Urologic Diseases 

21 Information Clearinghouse to facilitate and enhance 

22 knowledge and understanding of urologic diseases on 

23 the part of health professionals, patients, and the 

24 public through the effective dissemination of infor25 mation.’’.
5

•S 2361 IS 

1 (c) STRENGTHENING THE UROLOGY INTERAGENCY

2 COORDINATING COMMITTEE.—Section 429 of the Public 

3 Health Service Act (42 U.S.C. 285c–3) is amended—

4 (1) in subsection (a), by striking ‘‘and a Kid5 ney, Urologic, and Hematologic Diseases Coordi6 nating Committee’’ and inserting ‘‘a Urologic Dis7 eases Interagency Coordinating Committee, and a 

8 Kidney and Hematologic Diseases Interagency Co9 ordinating Committee’’; 

10 (2) in subsection (b), by striking ‘‘the Chief 

11 Medical Director of the Veterans’ Administration,’’ 

12 and inserting ‘‘the Under Secretary for Health of 

13 the Department of Veterans Affairs’’; and 

14 (3) by adding at the end the following: 

15 ‘‘(d) The urology interagency coordinating committee 

16 may encourage, conduct, or support intra- or interagency 

17 activities in urology research, including joint training pro18 grams, joint research projects, planning activities, and 

19 clinical trials. 

20 ‘‘(e) For the purpose of carrying out the activities 

21 of the Urologic Diseases Interagency Coordinating Com22 mittee, there are authorized to be appropriated 

23 $5,000,000 for each of fiscal years 2004 through 2008, 

24 and such sums as may be necessary thereafter.’’. 
6

•S 2361 IS 

1 (d) NATIONAL UROLOGIC DISEASES ADVISORY

2 BOARD.—Section 430 of the Public Health Service Act 

3 (42 U.S.C. 285c–4) is amended by striking ‘‘and the Na4 tional Kidney and Urologic Diseases Advisory Board’’ and 

5 inserting ‘‘the National Urologic Diseases Advisory Board, 

6 and the National Kidney Diseases Advisory Board’’. 

7 (e) EXPANSION OF O’BRIEN UROLOGIC DISEASE RE8 SEARCH CENTERS.—

9 (1) IN GENERAL.—Subsection (c) of section 

10 431 of the Public Health Service Act (42 U.S.C. 

11 285c–5(c)) is amended in the matter preceding para12 graph (1) by inserting ‘‘There shall be no fewer than 

13 15 such centers focused exclusively on research of 

14 various aspects of urologic diseases, including pedi15 atrics, interstitial cystitis, incontinence, stone dis16 ease, urinary tract infections, and benign prostatic 

17 diseases.’’ before ‘‘Each center developed’’. 

18 (2) AUTHORIZATION OF APPROPRIATIONS.—

19 Section 431 of the Public Health Service Act (42 

20 U.S.C. 285c–5) is amended by adding at the end the 

21 following: 

22 ‘‘(f) There are authorized to be appropriated for the 

23 urologic disease research centers described in subsection 

24 (c) $22,500,000 for each of fiscal years 2004 through 

25 2008, and such sums as are necessary thereafter.’’. 
7

•S 2361 IS 

1 (3) TECHNICAL AMENDMENT.—Subsection (c) 

2 of section 431 of the Public Health Service Act (42 

3 U.S.C. 285c–5(c)) is amended at the beginning of 

4 the unnumbered paragraph—

5 (A) by striking ‘‘shall develop and con6 duct’’ and inserting ‘‘(2) shall develop and con7 duct’’; and 

8 (B) by aligning the indentation of such 

9 paragraph with the indentation of paragraphs 

10 (1), (3), and (4). 

11 (f) SUBCOMMITTEE ON UROLOGIC DISEASES.—Sec12 tion 432 of the Public Health Service Act (42 U.S.C. 

13 285c–6) is amended by striking ‘‘and a subcommittee on 

14 kidney, urologic, and hematologic diseases’’ and inserting 

15 ‘‘a subcommittee on urologic diseases, and a subcommittee 

16 on kidney and hematologic diseases’’. 

17 (g) LOAN REPAYMENT TO ENCOURAGE UROLOGISTS

18 AND OTHER SCIENTISTS TO ENTER RESEARCH CA19 REERS.—Subpart 3 of part C of title IV of the Public 

20 Health Service Act (42 U.S.C. 285c et seq.) is amended 

21 by inserting after section 434A the following: 

22 ‘‘LOAN REPAYMENT PROGRAM FOR UROLOGY RESEARCH

23 ‘‘SEC. 434B. (a) ESTABLISHMENT.—Subject to sub24 section (b), the Secretary shall carry out a program of en25 tering into contracts with appropriately qualified health 

26 professionals or other qualified scientists under which 
8

•S 2361 IS 

1 such health professionals or scientists agree to conduct re2 search in the field of urology, as employees of the National 

3 Institutes of Health or of an academic department, divi4 sion, or section of urology, in consideration of the Federal 

5 Government agreeing to repay, for each year of such re6 search, not more than $35,000 of the principal and inter7 est of the educational loans of such health professionals 

8 or scientists. 

9 ‘‘(b) LIMITATION.—The Secretary may not enter into 

10 an agreement with a health professional or scientist pursu11 ant to subsection (a) unless the professional or scientist—

12 ‘‘(1) has a substantial amount of educational 

13 loans relative to income; and 

14 ‘‘(2) agrees to serve as an employee of the Na15 tional Institutes of Health or of an academic depart16 ment, division, or section of urology for purposes of 

17 the research requirement of subsection (a) for a pe18 riod of not less than 3 years. 

19 ‘‘(c) APPLICABILITY OF CERTAIN PROVISIONS.—Ex20 cept as inconsistent with this section, the provisions of 

21 subpart 3 of part D of title III apply to the program estab22 lished under subsection (a) in the same manner and to 

23 the same extent as such provisions apply to the National 

24 Health Service Corps Loan Repayment Program estab25 lished under such subpart.’’. 
9

•S 2361 IS 

1 (h) AUTHORIZATION OF APPROPRIATIONS FOR

2 UROLOGY RESEARCH.—Subpart 3 of part C of title IV 

3 of the Public Health Service Act (42 U.S.C. 285c et seq.) 

4 (as amended by subsection (g)) is further amended by in5 serting after section 434B the following: 

6 ‘‘AUTHORIZATION OF APPROPRIATIONS FOR UROLOGY

7 RESEARCH

8 ‘‘SEC. 434C. There are authorized to be appropriated 

9 to the Director of NIH for the purpose of carrying out 

10 intra- and interagency activities in urology research (in11 cluding training programs, joint research projects, and 

12 joint clinical trials) $5,000,000 for each of fiscal years 

13 2004 through 2008, and such sums as may be necessary 

14 thereafter. Amounts authorized to be appropriated under 

15 this section shall be in addition to amounts otherwise 

16 available for such purpose.’’.

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