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[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4555 Received in Senate (RDS)]

  2d Session
                                H. R. 4555

_______________________________________________________________________

                   IN THE SENATE OF THE UNITED STATES

                            October 6, 2004

                                Received

_______________________________________________________________________

                                 AN ACT

 
To amend the Public Health Service Act to revise and extend provisions 
               relating to mammography quality standards.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mammography Quality Standards 
Reauthorization Act of 2004''.

SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL CERTIFICATE.

    Section 354 of the Public Health Service Act (42 U.S.C. 263b) is 
amended--
            (1) in subsection (b)(1)--
                    (A) in subparagraph (A)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``or a temporary renewal 
                        certificate'' after ``certificate''; and
                            (ii) in clause (i), by striking 
                        ``subsection (c)(1)'' and inserting 
                        ``paragraphs (1) or (2) of subsection (c)'';
                    (B) in subparagraph (B)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``or a limited provisional 
                        certificate'' after ``certificate''; and
                            (ii) in clause (i), by striking 
                        ``subsection (c)(2)'' and inserting 
                        ``paragraphs (3) and (4) of subsection (c)''; 
                        and
                    (C) in the flush matter at the end, by striking 
                ``provisional certificate'' and inserting ``temporary 
                renewal certificate, provisional certificate, or a 
                limited provisional certificate''; and
            (2) in subsection (c)--
                    (A) by redesignating paragraph (2) as paragraph 
                (4); and
                    (B) by inserting after paragraph (1) the following:
            ``(2) Temporary renewal certificate.--The Secretary may 
        issue a temporary renewal certificate, for a period of not to 
        exceed 45 days, to a facility seeking reaccreditation if the 
        accreditation body has issued an accreditation extension, for a 
        period of not to exceed 45 days, for any of the following:
                    ``(A) The facility has submitted the required 
                materials to the accreditation body within the 
                established time frames for the submission of such 
                materials but the accreditation body is unable to 
                complete the reaccreditation process before the 
                certification expires.
                    ``(B) The facility has acquired additional or 
                replacement equipment, or has had significant personnel 
                changes or other unforeseen situations that have caused 
                the facility to be unable to meet reaccreditation 
                timeframes, but in the opinion of the accreditation 
                body have not compromised the quality of mammography.
            ``(3) Limited provisional certificate.--The Secretary may, 
        upon the request of an accreditation body, issue a limited 
        provisional certificate to an entity to enable the entity to 
        conduct examinations for educational purposes while an onsite 
        visit from an accreditation body is in progress. Such 
        certificate shall be valid only during the time the site visit 
        team from the accreditation body is physically in the facility, 
        and in no case shall be valid for longer than 72 hours. The 
        issuance of a certificate under this paragraph, shall not 
        preclude the entity from qualifying for a provisional 
        certificate under paragraph (4).''.

SEC. 3. NATIONAL ADVISORY COMMITTEE.

    Section 354(n) of the Public Health Service Act (42 U.S.C. 263b(n)) 
is amended--
            (1) in paragraph (2), by striking subparagraph (C) and all 
        that follows and inserting the following:
                    ``(C) other health professionals,
        whose clinical practice, research specialization, or 
        professional expertise include a significant focus on 
        mammography. The Secretary shall appoint at least 4 individuals 
        from among national breast cancer or consumer health 
        organizations with expertise in mammography, at least 2 
        industry representatives with expertise in mammography 
        equipment, and at least 2 practicing physicians who provide 
        mammography services.''; and
            (2) in paragraph (4), by striking ``biannually'' and 
        inserting ``annually''.

SEC. 4. AUTHORIZATION OF APPROPRIATIONS.

    Subparagraphs (A) and (B) of section 354(r)(2) of the Public Health 
Service Act (42 U.S.C. 263b(r)(2)(A) and (B)) are amended by striking 
``2002'' each place it appears and inserting ``2007''.

            Passed the House of Representatives October 5, 2004.

            Attest:

                                                 JEFF TRANDAHL,

                                                                 Clerk.
```