I

103D CONGRESS

1ST SESSION H. R. 2204

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

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,

3 SECTION 1. SHORT TITLE.

4 This Act may be cited as the ‘‘Silvio O. Conte Dis5 abilities Prevention Act’’.
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1 SEC. 2. ESTABLISHMENT OF SILVIO O. CONTE DISABILITIES

2 PREVENTION PROGRAM.

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

4 (42 U.S.C. 243 et seq.) is amended by inserting after sec5 tion 314 the following new section:

6 ‘‘SILVIO O. CONTE DISABILITIES PREVENTION PROGRAM

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

8 through the Director of the Centers for Disease Control

9 and Prevention, may make grants to and enter into con10 tracts with public and nonprofit private entities for the

11 purpose of carrying out programs for the prevention of

12 disabilities and the prevention of secondary conditions re13 sulting from disabilities.

14 ‘‘(b) CERTAIN AUTHORIZED ACTIVITIES.—With re15 spect to the prevention of disabilities and conditions de16 scribed in subsection (a), activities for which the Secretary

17 may provide financial assistance under such subsection in18 clude—

19 ‘‘(1) coordinating prevention activities;

20 ‘‘(2) conducting demonstrations and interven21 tions;

22 ‘‘(3) conducting surveillances and studies;

23 ‘‘(4) educating the public; and

24 ‘‘(5) educating and training health professionals

25 (including allied health professionals) and conduct-
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1 ing activities to improve the clinical skills of such

2 professionals.

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

4 with the National Council on Disabilities, shall establish

5 priorities among the activities that are to be carried out

6 under subsection (a).

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

8 provide financial assistance under subsection (a) only if

9 the applicant involved agrees to submit to the Secretary

10 such reports as the Secretary may require with respect

11 to such assistance.

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

13 may provide financial assistance under subsection (a) only

14 if an application for such assistance is submitted to the

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

16 such manner, and contains such agreements, assurances,

17 and information as the Secretary determines to be nec18 essary to carry out this section.

19 ‘‘(f) LIMITATION REGARDING EDUCATION OF

20 HEALTH PROFESSIONALS.—In providing financial assist21 ance under subsection (a), the Secretary may not, for ac22 tivities described in subsection (b)(5), obligated more than

23 10 percent of the amounts appropriated under subsection

24 (k) for any fiscal year.
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1 ‘‘(g) TECHNICAL ASSISTANCE.—The Secretary may

2 provide training, technical assistance, and consultations

3 with respect to the planning, development, and operation

4 of any program for the prevention of disabilities or the

5 prevention of secondary conditions resulting from disabil6 ities.

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

8 LIEU OF FUNDS.—

9 ‘‘(1) IN GENERAL.—Upon the request of a re10 cipient of financial assistance under subsection (a),

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

12 supplies, equipment, and services for the purpose of

13 aiding the recipient in carrying out such subsection

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

15 any officer or employee of the Department of Health

16 and Human Services.

17 ‘‘(2) CORRESPONDING REDUCTION IN PAY18 MENTS.—With respect to a request by a recipient

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

20 reduce the amount of payments under subsection (a)

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

22 detailing personnel (including pay, allowances, and

23 travel expenses) and the fair market value of any

24 supplies, equipment, or services provided by the Sec25 retary. The Secretary shall, for the payment of ex-
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1 penses incurred in complying with such request, ex2 pend the amounts withheld.

3 ‘‘(i) EVALUATIONS AND REPORTS.—

4 ‘‘(1) EVALUATIONS.—The Secretary shall, di5 rectly or through contracts with public or private en6 tities, provide for evaluations of programs carried

7 out pursuant to subsection (a).

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

9 1995 and of every second year thereafter, the Sec10 retary shall submit to the Committee on Energy and

11 Commerce of the House of Representatives, and to

12 the Committee on Labor and Human Resources of

13 the Senate, a report summarizing evaluations car14 ried out pursuant to paragraph (1). The Secretary

15 shall provide a copy of each such report to the Na16 tional Council on Disability.

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

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

19 grant or contract.

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

21 address the causes of disabilities and secondary con22 ditions resulting from disabilities, and activities that

23 address the functional limitations involved and the

24 exacerbation of such limitations, including activities

25 that—
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1 ‘‘(A) eliminate or reduce the factors that

2 cause or predispose an individual to disabilities

3 or that increase the prevalence of disabilities;

4 ‘‘(B) increase the early identification of ex5 isting problems to eliminate circumstances that

6 create or increase functional limitations; and

7 ‘‘(C) mitigate against the effects of disabil8 ities throughout the life of the individual.

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

10 purpose of providing financial assistance under this sec11 tion, there are authorized to be appropriated $15,000,000

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

13 $25,000,000 for fiscal year 1996, and such sums as may

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

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