II 

108TH CONGRESS 

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. 

1 Be it enacted by the Senate and House of Representa2 tives of the United States of America in Congress assembled, 
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1 SECTION 1. SHORT TITLE. 

2 This Act may be cited as the ‘‘Mammography Quality 

3 Standards Reauthorization Act of 2004’’. 

4 SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL 

5 CERTIFICATE. 

6 Section 354 of the Public Health Service Act (42 

7 U.S.C. 263b) is amended— 

8 (1) in subsection (b)(1)— 

9 (A) in subparagraph (A)— 

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

11 by inserting ‘‘or a temporary renewal cer12 tificate’’ after ‘‘certificate’’; and 

13 (ii) in clause (i), by striking ‘‘sub14 section (c)(1)’’ and inserting ‘‘paragraphs 

15 (1) or (2) of subsection (c)’’; 

16 (B) in subparagraph (B)— 

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

18 by inserting ‘‘or a limited provisional cer19 tificate’’ after ‘‘certificate’’; and 

20 (ii) in clause (i), by striking ‘‘sub21 section (c)(2)’’ and inserting ‘‘paragraphs 

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

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

24 striking ‘‘provisional certificate’’ and inserting 

25 ‘‘temporary renewal certificate, provisional cer-
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1 tificate, or a limited provisional certificate’’; 

2 and 

3 (2) in subsection (c)— 

4 (A) by redesignating paragraph (2) as 

5 paragraph (4); and 

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

7 following: 

8 ‘‘(2) TEMPORARY RENEWAL CERTIFICATE.— 

9 The Secretary may issue a temporary renewal cer10 tificate, for a period of not to exceed 45 days, to a 

11 facility seeking reaccreditation if the accreditation 

12 body has issued an accreditation extension, for a pe13 riod of not to exceed 45 days, for any of the fol14 lowing: 

15 ‘‘(A) The facility has submitted the re16 quired materials to the accreditation body with17 in the established time frames for the submis18 sion of such materials but the accreditation 

19 body is unable to complete the reaccreditation 

20 process before the certification expires. 

21 ‘‘(B) The facility has acquired additional 

22 or replacement equipment, or has had signifi23 cant personnel changes or other unforeseen sit24 uations that have caused the facility to be un25 able to meet reaccreditation timeframes, but in 
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1 the opinion of the accreditation body have not 

2 compromised the quality of mammography. 

3 ‘‘(3) LIMITED PROVISIONAL CERTIFICATE.— 

4 The Secretary may, upon the request of an accredi5 tation body, issue a limited provisional certificate to 

6 an entity to enable the entity to conduct examina7 tions for educational purposes while an onsite visit 

8 from an accreditation body is in progress. Such cer9 tificate shall be valid only during the time the site 

10 visit team from the accreditation body is physically 

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

12 longer than 72 hours. The issuance of a certificate 

13 under this paragraph, shall not preclude the entity 

14 from qualifying for a provisional certificate under 

15 paragraph (4).’’. 

16 SEC. 3. NATIONAL ADVISORY COMMITTEE. 

17 Section 354(n) of the Public Health Service Act (42 

18 U.S.C. 263b(n)) is amended— 

19 (1) in paragraph (2), by striking subparagraph 

20 (C) and all that follows and inserting the following: 

21 ‘‘(C) other health professionals, 

22 whose clinical practice, research specialization, or 

23 professional expertise include a significant focus on 

24 mammography. The Secretary shall appoint at least 

25 4 individuals from among national breast cancer or 
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1 consumer health organizations with expertise in 

2 mammography, at least 2 industry representatives 

3 with expertise in mammography equipment, and at 

4 least 2 practicing physicians who provide mammog5 raphy services.’’; and 

6 (2) in paragraph (4), by striking ‘‘biannually’’ 

7 and inserting ‘‘annually’’. 

8 SEC. 4. AUTHORIZATION OF APPROPRIATIONS. 

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

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

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

12 appears and inserting ‘‘2007’’. 

Passed the House of Representatives October 5, 

2004. 

Attest: JEFF TRANDAHL, 

Clerk.