Union Calendar No. 65

103D CONGRESS

1ST SESSION H. R. 2204

[Report No. 103–121]

A BILL

To amend the Public Health Service Act to estaband for other purposes. lish a program for the prevention of disabilities,

JUNE 10, 1993

Committed to the Committee of the Whole House on the

State of the Union and ordered to be printed
IB

Union Calendar No. 65

103D CONGRESS

1ST SESSION H. R. 2204

[Report No. 103–121]

To amend the Public Health Service Act to establish a program for the

prevention of disabilities, and for other purposes.

IN THE HOUSE OF REPRESENTATIVES

MAY 20, 1993

Mr. WAXMAN (for himself, Mr. MOORHEAD, Mr. TOWNS, and Mr. STUDDS)

introduced the following bill; which was referred to the Committee on Energy and Commerce

JUNE 10, 1993

Additional sponsors: Mr. RICHARDSON, Mr. FRANKS of Connecticut, Mr.

MANTON, and Mr. UPTON

JUNE 10, 1993

Committed to the Committee of the Whole House on the State of the Union

and ordered to be printed

A BILL

To amend the Public Health Service Act to establish a program for the prevention of disabilities, and for other

purposes.

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 ‘‘Silvio O. Conte Dis3 abilities Prevention Act’’.

4 SEC. 2. ESTABLISHMENT OF SILVIO O. CONTE DISABILITIES

5 PREVENTION PROGRAM.

6 Part B of title III of the Public Health Service Act

7 (42 U.S.C. 243 et seq.) is amended by inserting after sec8 tion 314 the following new section:

9 ‘‘SILVIO O. CONTE DISABILITIES PREVENTION PROGRAM

10 ‘‘SEC. 315. (a) IN GENERAL.—The Secretary, acting

11 through the Director of the Centers for Disease Control

12 and Prevention, may make grants to and enter into con13 tracts with public and nonprofit private entities for the

14 purpose of carrying out programs for the prevention of

15 disabilities and the prevention of secondary conditions re16 sulting from disabilities.

17 ‘‘(b) CERTAIN AUTHORIZED ACTIVITIES.—With re18 spect to the prevention of disabilities and conditions de19 scribed in subsection (a), activities for which the Secretary

20 may provide financial assistance under such subsection in21 clude—

22 ‘‘(1) coordinating prevention activities;

23 ‘‘(2) conducting demonstrations and interven24 tions;

25 ‘‘(3) conducting surveillances and studies;

26 ‘‘(4) educating the public; and
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1 ‘‘(5) educating and training health professionals

2 (including allied health professionals) and conduct3 ing activities to improve the clinical skills of such

4 professionals.

5 ‘‘(c) PRIORITIES.—The Secretary, in consultation

6 with the National Council on Disabilities, shall establish

7 priorities among the activities that are to be carried out

8 under subsection (a).

9 ‘‘(d) REPORTS TO SECRETARY.—The Secretary may

10 provide financial assistance under subsection (a) only if

11 the applicant involved agrees to submit to the Secretary

12 such reports as the Secretary may require with respect

13 to such assistance.

14 ‘‘(e) APPLICATION FOR ASSISTANCE.—The Secretary

15 may provide financial assistance under subsection (a) only

16 if an application for such assistance is submitted to the

17 Secretary and the application is in such form, is made in

18 such manner, and contains such agreements, assurances,

19 and information as the Secretary determines to be nec20 essary to carry out this section.

21 ‘‘(f) LIMITATION REGARDING EDUCATION OF

22 HEALTH PROFESSIONALS.—In providing financial assist23 ance under subsection (a), the Secretary may not, for ac24 tivities described in subsection (b)(5), obligated more than
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1 10 percent of the amounts appropriated under subsection

2 (k) for any fiscal year.

3 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary may

4 provide training, technical assistance, and consultations

5 with respect to the planning, development, and operation

6 of any program for the prevention of disabilities or the

7 prevention of secondary conditions resulting from disabil8 ities.

9 ‘‘(h) PROVISION OF SUPPLIES AND SERVICES IN

10 LIEU OF FUNDS.—

11 ‘‘(1) IN GENERAL.—Upon the request of a re12 cipient of financial assistance under subsection (a),

13 the Secretary may, subject to paragraph (2), provide

14 supplies, equipment, and services for the purpose of

15 aiding the recipient in carrying out such subsection

16 and, for such purpose, may detail to the recipient

17 any officer or employee of the Department of Health

18 and Human Services.

19 ‘‘(2) CORRESPONDING REDUCTION IN PAY20 MENTS.—With respect to a request by a recipient

21 for purposes of paragraph (1), the Secretary shall

22 reduce the amount of payments under subsection (a)

23 to the recipient by an amount equal to the costs of

24 detailing personnel (including pay, allowances, and

25 travel expenses) and the fair market value of any
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1 supplies, equipment, or services provided by the Sec2 retary. The Secretary shall, for the payment of ex3 penses incurred in complying with such request, ex4 pend the amounts withheld.

5 ‘‘(i) EVALUATIONS AND REPORTS.—

6 ‘‘(1) EVALUATIONS.—The Secretary shall, di7 rectly or through contracts with public or private en8 tities, provide for evaluations of programs carried

9 out pursuant to subsection (a).

10 ‘‘(2) REPORTS.—Not later than January 31 of

11 1995 and of every second year thereafter, the Sec12 retary shall submit to the Committee on Energy and

13 Commerce of the House of Representatives, and to

14 the Committee on Labor and Human Resources of

15 the Senate, a report summarizing evaluations car16 ried out pursuant to paragraph (1). The Secretary

17 shall provide a copy of each such report to the Na18 tional Council on Disability.

19 ‘‘(j) DEFINITIONS.—For purposes of this section:

20 ‘‘(1) The term ‘financial assistance’ means a

21 grant or contract.

22 ‘‘(2) The term ‘prevention’ means activities that

23 address the causes of disabilities and secondary con24 ditions resulting from disabilities, and activities that

25 address the functional limitations involved and the
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1 exacerbation of such limitations, including activities

2 that—

3 ‘‘(A) eliminate or reduce the factors that

4 cause or predispose an individual to disabilities

5 or that increase the prevalence of disabilities;

6 ‘‘(B) increase the early identification of ex7 isting problems to eliminate circumstances that

8 create or increase functional limitations; and

9 ‘‘(C) mitigate against the effects of disabil10 ities throughout the life of the individual.

11 ‘‘(k) AUTHORIZATION OF APPROPRIATIONS.—For the

12 purpose of providing financial assistance under this sec13 tion, there are authorized to be appropriated $15,000,000

14 for fiscal year 1994, $20,000,000 for fiscal year 1995,

15 $25,000,000 for fiscal year 1996, and such sums as may

16 be necessary for each of the fiscal years 1997 and 1998.’’.