I 

108TH CONGRESS 

2D SESSION H. R. 4905

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

Initiative. 

IN THE HOUSE OF REPRESENTATIVES 

JULY 22, 2004

Mr. UPTON (for himself, Mr. TOWNS, Mr. PICKERING, Mr. CUMMINGS, Mrs. 

CAPITO, Ms. DELAURO, Mr. SPRATT, Mr. RUSH, Mr. MARSHALL, and 

Mr. DAVIS of Illinois) introduced the following bill; which was referred 

to the Committee on Energy and Commerce 

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 2004’’. 

6 SEC. 2. AMENDMENTS TO HEALTHY START INITIATIVE. 

7 (a) CONSIDERATIONS IN MAKING GRANTS.—Section 

8 330H(b) of the Public Health Service Act (42 U.S.C. 

9 254c–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: ‘‘(b) CON4 SIDERATIONS IN MAKING GRANTS.— 

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

6 subsection (a)’’; and 

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

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 

13 mortality, 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 (b) OTHER GRANTS.—Section 330H of the Public 

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

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

24 and 

25 (2) by striking subsections (e) and (f). 
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1 (c) FUNDING.—Section 330H of the Public Health 

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

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

4 ‘‘(e) FUNDING.—

5 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.—

6 For the purpose of carrying out this section, there 

7 are authorized to be appropriated such sums as may 

8 be necessary for each of the fiscal years 2005 

9 through 2010. 

10 ‘‘(2) ALLOCATION.—

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

12 amounts appropriated under paragraph (1) for 

13 a fiscal year, the Secretary may reserve up to 

14 5 percent for coordination, dissemination, tech15 nical assistance, and data activities that are de16 termined by the Secretary to be appropriate for 

17 carrying out the program under this section. 

18 ‘‘(B) EVALUATION.—Of the amounts ap19 propriated under paragraph (1) for a fiscal 

20 year, the Secretary may reserve up to 1 percent 

21 for evaluations of projects carried out under 

22 subsection (a). Each such evaluation shall in23 clude a determination of whether such projects 

24 have been effective in reducing the disparity in 

25 health status between the general population 
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1 and individuals who are members of racial or 

2 ethnic minority groups.’’.

Æ