IIA

103D CONGRESS

1ST SESSION H. R. 2204

IN THE SENATE OF THE UNITED STATES

JUNE 15, 1993

Received; read twice and referred to the Committee on Labor and Human

Resources

AN ACT

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,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Silvio O. Conte Dis5 abilities Prevention Act’’.

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

7 PREVENTION PROGRAM.

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

9 (42 U.S.C. 243 et seq.) is amended by inserting after sec10 tion 314 the following new section:
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1 ‘‘SILVIO O. CONTE DISABILITIES PREVENTION PROGRAM

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

3 through the Director of the Centers for Disease Control

4 and Prevention, may make grants to and enter into con5 tracts with public and nonprofit private entities for the

6 purpose of carrying out programs for the prevention of

7 disabilities and the prevention of secondary conditions

8 resulting from disabilities.

9 ‘‘(b) CERTAIN AUTHORIZED ACTIVITIES.—With re10 spect to the prevention of disabilities and conditions de11 scribed in subsection (a), activities for which the Secretary

12 may provide financial assistance under such subsection in13 clude—

14 ‘‘(1) coordinating prevention activities;

15 ‘‘(2) conducting demonstrations and interven16 tions;

17 ‘‘(3) conducting surveillances and studies;

18 ‘‘(4) educating the public; and

19 ‘‘(5) educating and training health professionals

20 (including allied health professionals) and conduct21 ing activities to improve the clinical skills of such

22 professionals.

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

24 with the National Council on Disabilities, shall establish
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1 priorities among the activities that are to be carried out

2 under subsection (a).

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

4 provide financial assistance under subsection (a) only if

5 the applicant involved agrees to submit to the Secretary

6 such reports as the Secretary may require with respect

7 to such assistance.

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

9 may provide financial assistance under subsection (a) only

10 if an application for such assistance is submitted to the

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

12 such manner, and contains such agreements, assurances,

13 and information as the Secretary determines to be nec14 essary to carry out this section.

15 ‘‘(f) LIMITATION REGARDING EDUCATION OF

16 HEALTH PROFESSIONALS.—In providing financial assist17 ance under subsection (a), the Secretary may not, for ac18 tivities described in subsection (b)(5), obligated more than

19 10 percent of the amounts appropriated under subsection

20 (k) for any fiscal year.

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

22 provide training, technical assistance, and consultations

23 with respect to the planning, development, and operation

24 of any program for the prevention of disabilities or the
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1 prevention of secondary conditions resulting from disabil2 ities.

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

4 LIEU OF FUNDS.—

5 ‘‘(1) IN GENERAL.—Upon the request of a re6 cipient of financial assistance under subsection (a),

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

8 supplies, equipment, and services for the purpose of

9 aiding the recipient in carrying out such subsection

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

11 any officer or employee of the Department of Health

12 and Human Services.

13 ‘‘(2) CORRESPONDING REDUCTION IN PAY14 MENTS.—With respect to a request by a recipient

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

16 reduce the amount of payments under subsection (a)

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

18 detailing personnel (including pay, allowances, and

19 travel expenses) and the fair market value of any

20 supplies, equipment, or services provided by the Sec21 retary. The Secretary shall, for the payment of ex22 penses incurred in complying with such request, ex23 pend the amounts withheld.

24 ‘‘(i) EVALUATIONS AND REPORTS.—
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1 ‘‘(1) EVALUATIONS.—The Secretary shall, di2 rectly or through contracts with public or private en3 tities, provide for evaluations of programs carried

4 out pursuant to subsection (a).

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

6 1995 and of every second year thereafter, the Sec7 retary shall submit to the Committee on Energy and

8 Commerce of the House of Representatives, and to

9 the Committee on Labor and Human Resources of

10 the Senate, a report summarizing evaluations car11 ried out pursuant to paragraph (1). The Secretary

12 shall provide a copy of each such report to the

13 National Council on Disability.

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

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

16 grant or contract.

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

18 address the causes of disabilities and secondary con19 ditions resulting from disabilities, and activities that

20 address the functional limitations involved and the

21 exacerbation of such limitations, including activities

22 that—

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

24 cause or predispose an individual to disabilities

25 or that increase the prevalence of disabilities;
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1 ‘‘(B) increase the early identification of ex2 isting problems to eliminate circumstances that

3 create or increase functional limitations; and

4 ‘‘(C) mitigate against the effects of disabil5 ities throughout the life of the individual.

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

7 purpose of providing financial assistance under this sec8 tion, there are authorized to be appropriated $15,000,000

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

10 $25,000,000 for fiscal year 1996, and such sums as may

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

Passed the House of Representatives June 14, 1993.

Attest: DONNALD K. ANDERSON,

Clerk.