II 

Calendar No. 638 

109TH CONGRESS 

2D SESSION S. 3771 

To amend the Public Health Service Act to provide additional authorizations 

of appropriations for the health centers program under section 330 

of such Act. 

IN THE SENATE OF THE UNITED STATES 

SEPTEMBER 25, 2006 

Mr. HATCH (for himself, Mr. KENNEDY, Mr. DEWINE, Mr. DODD, Mr. BURR, 

Mr. HARKIN, Mr. BOND, Ms. MIKULSKI, Ms. SNOWE, Mr. JEFFORDS, 

Mr. TALENT, Mr. BINGAMAN, Ms. COLLINS, Mrs. MURRAY, Mr. CHAFEE, 

Mr. REED, Mr. SMITH, Mrs. CLINTON, Mr. SUNUNU, Mr. BENNETT, Mr. 

NELSON of Florida, Mr. DURBIN, Mrs. BOXER, Ms. LANDRIEU, Ms. 

STABENOW, Mr. SALAZAR, Mr. MENENDEZ, Mr. AKAKA, Ms. CANTWELL, 

Mr. SARBANES, Mr. OBAMA, Mr. DOMENICI, Mr. BAYH, Mr. KERRY, Mr. 

LAUTENBERG, Mr. SCHUMER, Ms. MURKOWSKI, Mr. JOHNSON, Mr. 

GRASSLEY, Mr. ENSIGN, Mrs. FEINSTEIN, Mr. LUGAR, Mr. WARNER, 

Mr. ALLEN, Mr. CRAIG, Mr. BURNS, Mr. LEVIN, Mr. LIEBERMAN, Mr. 

INOUYE, Mr. PRYOR, Mr. CARPER, Mr. VOINOVICH, Mrs. LINCOLN, Mr. 

THUNE, Mr. DORGAN, Mr. ROBERTS, and Mr. ENZI) introduced the following bill; which was read twice and referred to the Committee on 

Health, Education, Labor, and Pensions 

SEPTEMBER 25, 2006 

Reported by Mr. ENZI, with an amendment 

[Strike out all after the enacting clause and insert the part printed in italic] 

A BILL 

To amend the Public Health Service Act to provide additional 

authorizations of appropriations for the health centers 

program under section 330 of such Act. 


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•S 3771 RS

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 ‘‘Health Centers Re5 newal Act of 2006’’. 

6 SEC. 2. FINDINGS. 

7 Congress finds as follows: 

8 (1) Community, migrant, public housing, and 

9 homeless health centers are vital to thousands of 

10 communities across the United States. 

11 (2) There are more than 1,000 such health cen12 ters serving over 15,000,000 people at over 3,700 

13 health delivery sites, located in all 50 States of the 

14 United States, the District of Columbia, and Puerto 

15 Rico, Guam, the Virgin Islands, and other territories 

16 of the United States. 

17 (3) Health centers provide cost-effective, quality 

18 health care to poor and medically underserved people 

19 in the States, the District of Columbia, and the ter20 ritories, including the working poor, the uninsured, 

21 and many high-risk and vulnerable populations, and 

22 have done so for over 40 years. 

23 (4) Health centers provide care to 1 of every 8 

24 uninsured Americans, 1 of every 4 Americans in 

25 poverty, and 1 of every 9 rural Americans. 


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•S 3771 RS

1 (5) Health centers provide primary and preven2 tive care services to more than 700,000 homeless 

3 persons and more than 725,000 farm workers in the 

4 United States. 

5 (6) Health centers are community-oriented and 

6 patient-focused and tailor their services to fit the 

7 special needs and priorities of local communities, 

8 working together with schools, businesses, churches, 

9 community organizations, foundations, and State 

10 and local governments. 

11 (7) Health centers are built through community 

12 initiative. 

13 (8) Health centers encourage citizen participa14 tion and provide jobs for 50,000 community resi15 dents. 

16 (9) Congress established the program as a 

17 unique public-private partnership, and has continued 

18 to provide direct funding to community organiza19 tions for the development and operation of health 

20 centers systems that address pressing local health 

21 needs and meet national performance standards. 

22 (10) Federal grants assist participating commu23 nities in finding partners and recruiting doctors and 

24 other health professionals. 


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1 (11) Federal grants constitute, on average, 24 

2 percent of the annual budget of such health centers, 

3 with the remainder provided by State and local gov4 ernments, Medicare, Medicaid, private contributions, 

5 private insurance, and patient fees. 

6 (12) Health centers make health care respon7 sive and cost-effective through aggressive outreach, 

8 patient education, translation, and other enabling 

9 support services. 

10 (13) Health centers help reduce health dispari11 ties, meet escalating health care needs, and provide 

12 a vital safety net in the health care delivery system 

13 of the United States. 

14 (14) Health centers increase the use of preven15 tive health services, including immunizations, pap 

16 smears, mammograms, and HBa1c tests for diabetes 

17 screenings. 

18 (15) Expert studies have demonstrated the im19 pact that these community-owned and patient-con20 trolled primary care delivery systems have achieved 

21 both in the reduction of traditional access barriers 

22 and the elimination of health disparities among their 

23 patients. 


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1 SEC. 3. ADDITIONAL AUTHORIZATIONS OF APPROPRIA2 TIONS FOR HEALTH CENTERS PROGRAM OF 

3 PUBLIC HEALTH SERVICE ACT. 

4 Section 330(r) of the Public Health Service Act (42 

5 U.S.C. 254b(r)) is amended by amending paragraph (1) 

6 to read as follows: 

7 ‘‘(1) IN GENERAL.—For the purpose of car8 rying out this section, in addition to the amounts 

9 authorized to be appropriated under subsection (d), 

10 there are authorized to be appropriated 

11 $1,963,000,000 for fiscal year 2007 and such sums 

12 as may be necessary for each of the fiscal years 

13 2008 through 2011.’’. 

14 SECTION 1. SHORT TITLE. 

15 This Act may be cited as the ‘‘Health Centers Renewal 

16 Act of 2006’’. 

17 SEC. 2. ADDITIONAL AUTHORIZATIONS OF APPROPRIA18 TIONS FOR HEALTH CENTERS PROGRAM OF 

19 PUBLIC HEALTH SERVICE ACT. 

20 Section 330(r) of the Public Health Service Act (42 

21 U.S.C. 254b(r)) is amended by amending paragraph (1) to 

22 read as follows: 

23 ‘‘(1) IN GENERAL.—For the purpose of carrying 

24 out this section, in addition to the amounts author25 ized to be appropriated under subsection (d), there 

26 are authorized to be appropriated $1,963,000,000 for 


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1 fiscal year 2007 and $2,080,000,000 for fiscal year 

2 2008.’’. 


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Calendar No. 638 

109TH CONGRESS 

2D SESSION S. 3771 

A BILL 

To amend the Public Health Service Act to provide 

such Act. the health centers program under section 330 of additional authorizations of appropriations for 

SEPTEMBER 25, 2006 

Reported with an amendment 


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