H. R. 2264—28
(i) The choice the patient makes under subparagraph
(A) does not affect the responsibility of the Secretary for
providing to the patient such care at or through the Center.
(ii) If the patient chooses the option under subpara-
graph (A)(ii) and receives inpatient care at or through
the Center, the Secretary may reduce the amount of pay-
ments under such subparagraph, except to the extent that
reimbursement for the expenses of such care is available
to the provider of the care through the program under
title XVIII of the Social Security Act or the program under
title XIX of such Act. Any such reduction shall be made
on the basis of the number of days for which the patient
received the inpatient care.
(6) The Secretary shall provide to each eligible patient
such information and time as may be necessary for the patient
to make an informed decision regarding the options under
paragraph (5)(A).
(7) After the date of the enactment of this Act, the Center
may not provide long-term care for any individual who as
of such date was not receiving such care as a patient of the
Center.
(8) If upon completion of the projects referred to in sub-
section (d)(4)(A) there are unobligated balances of amounts
appropriated for the projects, such balances are available to
the Secretary for expenses relating to the relocation of the
Center, except that, if the sum of such balances is in excess
of $100,000, such excess is available to the State in accordance
with subsection (d)(4)(B). The amounts available to the Sec-
retary pursuant to the preceding sentence are available until
expended.
(g) For purposes of this section:
(1) The term ‘‘Center’’ means the Gillis W. Long Hansen’s
Disease Center.
(2) The term ‘‘Secretary’’ means the Secretary of Health
and Human Services.
(3) The term ‘‘State’’ means the State of Louisiana.
(h) Section 320 of the Public Health Service Act (42 U.S.C.
247e) is amended by striking the section designation and all that
follows and inserting the following:
‘‘SEC. 320. (a)(1) At or through the Gillis W. Long Hansen’s
Disease Center (located in the State of Louisiana), the Secretary
shall without charge provide short-term care and treatment, includ-
ing outpatient care, for Hansen’s disease and related complications
to any person determined by the Secretary to be in need of such
care and treatment. The Secretary may not at or through such
Center provide long-term care for any such disease or complication.
‘‘(2) The Center referred to in paragraph (1) shall conduct
training in the diagnosis and management of Hansen’s disease
and related complications, and shall conduct and promote the
coordination of research (including clinical research), investigations,
demonstrations, and studies relating to the causes, diagnosis, treat-
ment, control, and prevention of Hansen’s disease and other
mycobacterial diseases and complications related to such diseases.
‘‘(3) Paragraph (1) is subject to section 211 of the Department
of Health and Human Services Appropriations Act, 1998.
‘‘(b) In addition to the Center referred to in subsection (a),
the Secretary may establish sites regarding persons with Hansen’s
H. R. 2264—29
disease. Each such site shall provide for the outpatient care and
treatment for Hansen’s disease and related complications to any
person determined by the Secretary to be in need of such care
and treatment.
‘‘(c) The Secretary shall carry out subsections (a) and (b) acting
through an agency of the Service. For purposes of the preceding
sentence, the agency designated by the Secretary shall carry out
both activities relating to the provision of health services and activi-
ties relating to the conduct of research.
‘‘(d) The Secretary shall make payments to the Board of Health
of the State of Hawaii for the care and treatment (including out-
patient care) in its facilities of persons suffering from Hansen’s
disease at a rate determined by the Secretary. The rate shall
be approximately equal to the operating cost per patient of such
facilities, except that the rate may not exceed the comparable
costs per patient with Hansen’s disease for care and treatment
provided by the Center referred to in subsection (a). Payments
under this subsection are subject to the availability of appropria-
tions for such purpose.’’.
SEC. 212. None of the funds appropriated in the Act may
be made available to any entity under title X of the Public Health
Service Act unless the applicant for the award certifies to the
Secretary that it encourages family participation in the decision
of minors to seek family planning services and that it provides
counseling to minors on how to resist attempts to coerce minors
into engaging in sexual activities.
COMPREHENSIVE INDEPENDENT STUDY OF NIH RESEARCH PRIORITY
SETTING
SEC. 213. (a) STUDY
BY
THE INSTITUTE
OF MEDICINE.—Not
later than 30 days after the date of enactment of this Act, the
Secretary of Health and Human Services shall enter into a contract
with the Institute of Medicine to conduct a comprehensive study
of the policies and process used by the National Institutes of Health
to determine funding allocations for biomedical research.
(b) MATTERS TO BE ASSESSED.—The study under subsection
(a) shall assess—
(1) the factors or criteria used by the National Institutes
of Health to determine funding allocations for disease research;
(2) the process by which research funding decisions are
made;
(3) the mechanisms for public input into the priority setting
process; and
(4) the impact of statutory directives on research funding
decisions.
(c) REPORT.—
(1) IN GENERAL.—Not later than 6 months after the date
on which the Secretary of Health and Human Services enters
into the contract under subsection (a), the Institute of Medicine
shall submit a report concerning the study to the Committee
on Labor and Human Resources and the Committee on Appro-
priations of the Senate, and the Committee on Commerce and
the Committee on Appropriations of the House of Representa-
tives.
(2) REQUIREMENT.—The report under paragraph (1) shall
set forth the findings, conclusions, and recommendations of
the Institute of Medicine for improvements in the National
H. R. 2264—30
Institutes of Health research funding policies and processes
and for any necessary congressional action.
This title may be cited as the ‘‘Department of Health and
Human Services Appropriations Act, 1998’’.
TITLE III—DEPARTMENT OF EDUCATION
EDUCATION REFORM
For carrying out activities authorized by titles III and IV of
the Goals 2000: Educate America Act, the School-to-Work
Opportunities Act, and sections 3132, 3136, and 3141 and parts
B, C, and D of title III of the Elementary and Secondary Education
Act of 1965, $1,275,035,000, of which $464,500,000 for the Goals
2000: Educate America Act and $200,000,000 for the School-to-
Work Opportunities Act shall become available on July 1, 1998,
and remain available through September 30, 1999: Provided, That
none of the funds appropriated under this heading shall be obligated
or expended to carry out section 304(a)(2)(A) of the Goals 2000:
Educate America Act, except that no more than $1,500,000 may
be used to carry out activities under section 314(a)(2) of that Act:
Provided further, That section 315(a)(2) of the Goals 2000 Act
shall not apply: Provided further, That up to one-half of 1 percent
of the amount available under section 3132 shall be set aside
for the outlying areas, to be distributed on the basis of their relative
need as determined by the Secretary in accordance with the pur-
poses of the program: Provided further, That if any State edu-
cational agency does not apply for a grant under section 3132,
that State’s allotment under section 3131 shall be reserved by
the Secretary for grants to local educational agencies in that State
that apply directly to the Secretary according to the terms and
conditions published by the Secretary in the Federal Register: Pro-
vided further, That of the funds made available under section
3136, $5,000,000 shall be provided to the Hospitals, Universities,
Businesses, and Schools program to develop a regional information
infrastructure in the mid-Atlantic region, $7,300,000 shall be for
the ‘‘I Can Learn’’ project to integrate technology into eighth grade
algebra classrooms and $800,000 shall be provided for a distance
education network involving a consortium of nine school districts
and Nicolet Area Technical College: Provided further, That of the
amount available for title III, part B of the Elementary and Second-
ary Education Act of 1965, as amended, $8,000,000 shall be awarded
to continue and expand the Iowa Communication Network statewide
fiber optic demonstration project.
EDUCATION FOR THE DISADVANTAGED
For carrying out title I of the Elementary and Secondary Edu-
cation Act of 1965, and section 418A of the Higher Education
Act, $8,021,827,000, of which $6,553,249,000 shall become available
on July 1, 1998, and shall remain available through September
30, 1999, and of which $1,448,386,000 shall become available on
October 1, 1998 and shall remain available through September
30, 
1999, 
for 
academic 
year 
1998–1999: 
Provided, 
That
$6,273,212,000 shall be available for basic grants under section
1124: Provided further, That up to $3,500,000 of these funds shall
be available to the Secretary on October 1, 1997, to obtain updated
local-educational-agency-level census poverty data from the Bureau
H. R. 2264—31
of the Census: Provided further, That $1,102,020,000 shall be avail-
able for concentration grants under section 1124A, $6,977,000 shall
be available for evaluations under section 1501 and not more than
$7,500,000 shall be reserved for section 1308, of which not more
than $3,000,000 shall be reserved for section 1308(d): Provided
further, That grant awards under section 1124 and 1124A of title
I of the Elementary and Secondary Education Act shall be made
to each State or local educational agency at no less than 100
percent of the amount such State or local educational agency
received under this authority for fiscal year 1997 under Public
Laws 104–208 and 105–18: Provided further, That in determining
State allocations under any other program administered by the
Secretary, amounts provided under Public Law 105–18, or equiva-
lent amounts provided for in this Act, will not be taken into account
in 
determining 
State 
allocations: 
Provided 
further, 
That
$120,000,000 shall be available under section 1002(g)(2) to dem-
onstrate effective approaches to comprehensive school reform to
be allocated and expended in accordance with the instructions relat-
ing to this proviso in the statement of the managers on the con-
ference report accompanying this Act: Provided further, That in
carrying out this initiative, the Secretary and the States shall
support only approaches that show the most promise of enabling
children served by title I to meet challenging State content stand-
ards and challenging State student performance standards based
on reliable research and effective practices, and include an emphasis
on basic academics and parental involvement: Provided further,
That such funds shall not be available for section 1503.
IMPACT AID
For carrying out programs of financial assistance to federally
affected schools authorized by title VIII of the Elementary and
Secondary Education Act of 1965, $808,000,000, of which
$662,000,000 shall be for basic support payments under section
8003(b), $50,000,000 shall be for payments for children with disabil-
ities under section 8003(d), $62,000,000, to remain available until
expended, shall be for payments under section 8003(f), $7,000,000
shall be for construction under section 8007, and $24,000,000 shall
be for Federal property payments under section 8002 of which
such sums as may be necessary shall be for section 8002(j) and
$3,000,000, to remain available until expended, shall be for facilities
maintenance under section 8008: Provided, That section 8003(f)(2)
of the Elementary and Secondary Education Act of 1965 (20 U.S.C.
7709(f)(2)) is amended in clause (ii) in subclause (I) by striking
‘‘35 percent’’ and all that follows through the semicolon, and insert-
ing the following: ‘‘25 percent of the total student enrollment of
such agency. For purposes of this subclause, all students described
in section 8003(a)(1) are used to determine eligibility, regardless
of whether or not a local educational agency receives funds for
these children from section 8003(b) of the Act;’’.
The amendment made by this proviso shall apply with respect
to fiscal years beginning with fiscal year 1996: Provided, That
the Secretary of Education shall treat as timely filed, and shall
process for payment, an application for a fiscal year 1998 payment
from the local educational agency for Boston, Massachusetts, under
section 8003 of the Elementary and Secondary Education Act of
1965 if the Secretary has received that application not later than
30 days after the enactment of this Act: Provided further, That