I

103D CONGRESS

1ST SESSION H. R. 2813

To amend the Public Health Service Act to establish programs for the

prevention and control of Lyme disease.

IN THE HOUSE OF REPRESENTATIVES

JULY 30, 1993

Mr. HOCHBRUECKNER 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

programs for the prevention and control of Lyme disease.

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 ‘‘Lyme Disease Preven5 tion, Control, and Research Amendments of 1993’’.

6 SEC. 2. ESTABLISHMENT OF PROGRAMS FOR PREVENTION

7 AND CONTROL OF LYME DISEASE.

8 Title III of the Public Health Service Act (42 U.S.C.

9 241 et seq.), as amended by section 308 of Public Law
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1 102–531 (106 Stat. 3495), is amended by inserting after

2 section 317D the following section:

3 ‘‘PREVENTION AND CONTROL OF LYME DISEASE

4 ‘‘SEC. 317E. (a) GENERAL PROGRAM.—

5 ‘‘(1) PROGRAM OF GRANTS.—The Secretary,

6 acting through the Director of the Centers for Dis7 ease Control and Prevention, may make grants to

8 public and nonprofit private entities for the purpose

9 of carrying out programs for the prevention, control,

10 and treatment of Lyme disease.

11 ‘‘(2) PREFERENCES IN MAKING GRANTS.—In

12 making grants under paragraph (1), the Secretary

13 shall give preference to public and nonprofit private

14 entities that agree to carry out the purposes for

15 which the grant is made in 1 or more States for

16 which, as of calendar year 1990—

17 ‘‘(A) a cumulative total of not less than

18 500 cases of Lyme disease was reported to and

19 confirmed by the Director of the Centers for

20 Disease Control and Prevention; or

21 ‘‘(B) the cumulative per capita incidence of

22 cases of such disease (reported to and con23 firmed by such Director) was not less than 5

24 cases per 100,000 individuals.

25 ‘‘(3) PRIORITIES AMONG AUTHORIZED PUR26 POSES.—In making grants under paragraph (1), the
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1 Secretary shall give priority to making grants for

2 the following:

3 ‘‘(A) The development and evaluation of

4 strategies for the prevention and control of

5 Lyme disease (including, with respect to the

6 tick that carries the etiologic agent for the dis7 ease, strategies to manage deer and other

8 means through which the tick is introduced into

9 areas frequented by humans).

10 ‘‘(B) Demonstration projects (administered

11 by State or local departments of health) to im12 prove methods of estimating the incidence and

13 prevalence of such disease, including projects

14 involving the reporting by physicians of cases of

15 the disease.

16 ‘‘(C) Demonstration projects for the con17 trol of the disease in communities with a sub18 stantial incidence or prevalence of the disease.

19 ‘‘(D) Studies to determine the effects of

20 the disease on the individual and on society, in21 cluding the economic costs of the disease.

22 ‘‘(E) The improvement of diagnostic tests

23 for the disease.
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1 ‘‘(F) The provision of information and

2 education to health care professionals and the

3 public.

4 ‘‘(G) Demonstration projects for treating

5 children for such disease.

6 ‘‘(b) NATIONAL RESEARCH CENTERS FOR PREVEN7 TION, CONTROL, AND TREATMENT.—

8 ‘‘(1) IN GENERAL.—The Secretary, acting

9 through the Director of the Centers for Disease

10 Control and Prevention, may make awards of grants

11 or contracts to public and nonprofit private entities

12 for the establishment or operation (or both) of not

13 more than 5 centers to carry out basic and clinical

14 research on the prevention, control, and treatment of

15 Lyme disease.

16 ‘‘(2) PREFERENCES IN MAKING AWARDS.—In

17 making awards under paragraph (1) for a center,

18 the Secretary shall give preference to an applicant

19 according to the extent to which the following ap20 plies to the applicant:

21 ‘‘(A) The applicant is experienced in con22 ducting research on the prevention, control, and

23 treatment of Lyme disease.

24 ‘‘(B) The center is or will be located in a

25 State described in subsection (a)(2).
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1 ‘‘(C) The center is or will be located in a

2 geographic area in which individuals are em3 ployed in occupations involving a significant

4 risk of contracting Lyme disease.

5 ‘‘(D) The applicant has diagnosed not less

6 than 150 cases of such disease.

7 ‘‘(E) The applicant has cultured the etio8 logic agent for Lyme disease in mediums from

9 vectors, from animals, and from humans.

10 ‘‘(3) PRIORITIES AMONG ACTIVITIES OF CEN11 TERS.—The Secretary may make an award under

12 paragraph (1) only if the applicant involved agrees

13 that the center for which the award is made will give

14 priority to the following:

15 ‘‘(A) Conducting research on new treat16 ments for Lyme disease.

17 ‘‘(B) Conducting research on the develop18 ment of a vaccine to immunize individuals

19 against the disease.

20 ‘‘(C) Conducting studies of the latter

21 stages of such disease.

22 ‘‘(D) Conducting epidemiological studies of

23 such disease in particular populations of indi24 viduals.
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1 ‘‘(4) AMOUNT OF AWARD.—The Secretary may

2 not make an award under paragraph (1) in an

3 amount less than $500,000.

4 ‘‘(c) APPLICATION FOR ASSISTANCE.—The Secretary

5 may make an award of a grant or contract under sub6 section (a) or (b) only if an application for the award is

7 submitted to the Secretary and the application is in such

8 form, is made in such manner, and contains such agree9 ments, assurances, and information as the Secretary de10 termines to be necessary to carry out such subsection.

11 ‘‘(d) FUNDING.—

12 ‘‘(1) AUTHORIZATION OF APPROPRIATIONS.—

13 For the purpose of carrying out this section, there

14 are authorized to be appropriated $4,000,000 for

15 fiscal year 1994, and such sums as may be nec16 essary for each of the fiscal years 1995 and 1996.

17 Such authorization of appropriations is in addition

18 to any other authorization of appropriations that is

19 available for such purpose.

20 ‘‘(2) ALLOCATIONS.—Of the amounts appro21 priated under paragraph (1) for a fiscal year, the

22 Secretary shall make available 40 percent for carry23 ing out subsection (a) and 60 percent for carrying

24 out subsection (b).’’.

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