I

103D CONGRESS

1ST SESSION H. R. 2158

To amend the Public Health Service Act to provide for women an increase

in the availability of preventive health services from certain grantees

under such Act.

IN THE HOUSE OF REPRESENTATIVES

MAY 19, 1993

Ms. DELAURO (for herself and Ms. SNOWE) introduced the following bill;

which was referred to the Committee on Energy and Commerce

A BILL

To amend the Public Health Service Act to provide for

women an increase in the availability of preventive health

services from certain grantees under such Act.

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 ‘‘Women’s Preventive

5 Health Amendments of 1993’’.
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1 SEC. 2. ESTABLISHMENT OF DEMONSTRATION PROGRAM

2 OF GRANTS FOR ADDITIONAL PREVENTIVE

3 HEALTH SERVICES FOR WOMEN.

4 Title XV of the Public Health Service Act (42 U.S.C.

5 300k et seq.) is amended—

6 (1) by redesignating section 1509 as section

7 1510; and

8 (2) by inserting after section 1508 the following

9 section:

10 ‘‘SEC. 1509. SUPPLEMENTAL GRANTS FOR ADDITIONAL

11 PREVENTIVE HEALTH SERVICES.

12 ‘‘(a) DEMONSTRATION PROJECTS.—In the case of

13 States receiving grants under section 1501, the Secretary,

14 acting through the Director of the Centers for Disease

15 Control and Prevention, may make grants to not more

16 than 3 such States to carry out demonstration projects

17 for the purpose of—

18 ‘‘(1) providing to women preventive health serv19 ices, and health promotion services, in addition to

20 the services authorized in such section;

21 ‘‘(2) providing appropriate referrals for medical

22 treatment of women receiving services pursuant to

23 paragraph (1) and ensuring, to the extent prac24 ticable, the provision of appropriate follow-up serv25 ices; and
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1 ‘‘(3) evaluating activities conducted under para2 graphs (1) and (2) through appropriate surveillance

3 or program-monitoring activities.

4 ‘‘(b) STATUS AS PARTICIPANT IN PROGRAM REGARD5 ING BREAST AND CERVICAL CANCER.—The Secretary

6 may not make a grant under subsection (a) unless the

7 State involved agrees that services under the grant will

8 be provided only through entities that are screening

9 women for breast or cervical cancer pursuant to a grant

10 under section 1501.

11 ‘‘(c) REQUIREMENTS REGARDING MATCHING FUNDS,

12 FEES FOR SERVICES, AND CERTAIN OTHER MATTERS.—

13 The Secretary may not make a grant under subsection (a)

14 unless the State involved agrees that section 1502, and

15 sections 1504 through 1506, apply to a grant under sub16 section (a) to the same extent and in the same manner

17 as such sections apply to a grant under section 1501.

18 ‘‘(d) TECHNICAL ASSISTANCE; SUPPLIES AND SERV19 ICES IN LIEU OF GRANT FUNDS.—Section 1507 applies

20 to a grant under subsection (a) to the same extent and

21 in the same manner as such section applies to a grant

22 under section 1501.

23 ‘‘(e) EVALUATIONS AND REPORTS.—Section 1508

24 applies to a grant under subsection (a) to the same extent
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1 and in the same manner as such section applies to a grant

2 under section 1501.’’.

3 SEC. 3. FUNDING.

4 Section 1510 of the Public Health Service Act, as re5 designated by section 2 of this Act, is amended to read

6 as follows:

7 ‘‘SEC. 1510. FUNDING.

8 ‘‘(a) PROGRAM REGARDING BREAST AND CERVICAL

9 CANCER.—

10 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.—

11 For the purpose of carrying out this title other than

12 section 1509, there are authorized to be appro13 priated such sums as may be necessary for fiscal

14 year 1994.

15 ‘‘(2) SET-ASIDE FOR TECHNICAL ASSISTANCE

16 AND PROVISION OF SUPPLIES AND SERVICES.—Of

17 the amounts appropriated under paragraph (1) for

18 a fiscal year, the Secretary shall reserve not more

19 than 20 percent for carrying out section 1507.

20 ‘‘(b) PROGRAM REGARDING ADDITIONAL PREVEN21 TIVE HEALTH SERVICES.—

22 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.—

23 Subject to paragraph (2), for the purpose of carry24 ing out section 1509, there are authorized to be ap-
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1 propriated such sums as may be necessary for each

2 of the fiscal years 1994 through 1996.

3 ‘‘(2) LIMITATION REGARDING FUNDING WITH

4 RESPECT TO BREAST AND CERVICAL CANCER.—The

5 authorization of appropriations established in para6 graph (1) is not effective for a fiscal year unless the

7 amount appropriated under subsection (a)(1) for the

8 fiscal year equals or exceeds the amount appro9 priated under such subsection for the preceding fis10 cal year.’’.

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