141
American Health Security Trust Fund in accordance with
section 912 of the American Health Security Act.
‘‘(d) PRIMARY CARE CENTER DEFINED.—In this sec-
tion, the term ‘primary care center’ means—
‘‘(1) a health center (as defined in section
330(1)),
‘‘(2) an entity qualified to receive a grant under
section 330, 1001 or 2655, or
‘‘(3) a Federally-qualified health center (as de-
fined in section 1905(l)(2)(B) of the Social Security
Act).’’.
Subtitle C—Primary Care and
Outcomes Research
SEC. 721. SET-ASIDE FOR OUTCOMES RESEARCH.
(a) GRANTS
FOR
OUTCOMES
RESEARCH.—The
Board shall make transfers from the American Health Se-
curity Trust Fund to the Agency for Health Care Policy
and Research under title IX of the Public Health Service
Act for the purpose of carrying out activities under such
title. The Secretary shall assure that there is a special em-
phasis placed on pediatric outcomes research.
(b) RANGE OF FUNDS.—The amount of transfers
under subsection (a) for any fiscal year shall be an amount
(specified by the Board each year) not less than 1⁄100 per-
cent and not to exceed 2⁄100 percent of the amounts the
142
Board estimates will be expended from the Trust Fund
in the fiscal year.
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The
funds provided under this section with respect to provision
of services are in addition to, and not in replacement of,
funds made available to the Agency for Health Care Policy
and Research under section 926 of the Public Health
Service Act. The Board shall make no transfer of funds
under this section for any fiscal year for which the total
appropriations under such section are less than the total
amount appropriated under such section and title in fiscal
year 1998.
(d) CONFORMING AMENDMENT.—Section 926(a) of
the Public Health Service Act (42 U.S.C. 299c–5(a)) is
amended by striking ‘‘$115,000,000’’ and all that follows
and inserting ‘‘for each fiscal year (beginning with fiscal
year 2000) such sums as may be necessary.’’.
SEC. 722. OFFICE OF PRIMARY CARE AND PREVENTION RE-
SEARCH.
(a) IN GENERAL.—Title IV of the Public Health
Service Act is amended—
(1) by redesignating parts G through I as parts
H through J, respectively; and
(2) by inserting after part F the following new
part:
143
‘‘PART G—RESEARCH ON PRIMARY CARE AND
PREVENTION
‘‘SEC. 486E. OFFICE OF PRIMARY CARE AND PREVENTION
RESEARCH.
‘‘(a) ESTABLISHMENT.—There is established within
the Office of the Director of NIH an office to be known
as the Office of Primary Care and Prevention Research
(in this part referred to as the ‘Office’). The Office shall
be headed by a director, who shall be appointed by the
Director of NIH.
‘‘(b) PURPOSE.—The Director of the Office shall—
‘‘(1) identify projects of research on primary
care and prevention, for children as well as adults,
that should be conducted or supported by the na-
tional research institutes, with particular emphasis
on—
‘‘(A) clinical patient care, with special em-
phasis on pediatric clinical care and diagnosis,
‘‘(B) diagnostic effectiveness,
‘‘(C) primary care education,
‘‘(D) health and family planning services,
‘‘(E) medical effectiveness outcomes of pri-
mary care procedures and interventions,
‘‘(F) the use of multidisciplinary teams of
health care practitioners.
144
‘‘(2) identify multidisciplinary research related
to primary care and prevention that should be so
conducted;
‘‘(3) promote coordination and collaboration
among entities conducting research identified under
any of paragraphs (1) and (2);
‘‘(4) encourage the conduct of such research by
entities receiving funds from the national research
institutes;
‘‘(5) recommend an agenda for conducting and
supporting such research;
‘‘(6) promote the sufficient allocation of the re-
sources of the national research institutes for con-
ducting and supporting such research; and
‘‘(7) prepare the report required in section
486G.
‘‘(c) PRIMARY CARE AND PREVENTION RESEARCH
DEFINED.—For purposes of this part, the term ‘primary
care and prevention research’ means research on improve-
ment of the practice of family medicine, general internal
medicine, and general pediatrics, and includes research
relating to—
‘‘(1) obstetrics and gynecology, dentistry, or
mental health or substance abuse treatment when
145
provided by a primary care physician or other
primary care practitioner, and
‘‘(2) primary care provided by multidisciplinary
teams.
‘‘SEC. 486F. NATIONAL DATA SYSTEM AND CLEARINGHOUSE
ON PRIMARY CARE AND PREVENTION RE-
SEARCH.
‘‘(a) DATA SYSTEM.—The Director of NIH, in con-
sultation with the Director of the Office, shall establish
a data system for the collection, storage, analysis, re-
trieval, and dissemination of information regarding pri-
mary care and prevention research that is conducted or
supported by the national research institutes. Information
from the data system shall be available through informa-
tion systems available to health care professionals and pro-
viders, researchers, and members of the public.
‘‘(b) CLEARINGHOUSE.—The Director of NIH, in
consultation with the Director of the Office and with the
National Library of Medicine, shall establish, maintain,
and operate a program to provide, and encourage the use
of, information on research and prevention activities of the
national research institutes that relate to primary care
and prevention research.
146
‘‘SEC. 486G. BIENNIAL REPORT.
‘‘(a) IN GENERAL.—With respect to primary care
and prevention research, the Director of the Office shall,
not later than one year after the date of the enactment
of this part, and biennially thereafter, prepare a report—
‘‘(1) describing and evaluating the progress
made during the preceding two fiscal years in re-
search and treatment conducted or supported by the
National Institutes of Health;
‘‘(2) summarizing and analyzing expenditures
made by the agencies of such Institutes (and by
such Office) during the preceding two fiscal years;
and
‘‘(3) making such recommendations for legisla-
tive and administrative initiatives as the Director of
the Office determines to be appropriate.
‘‘(b) INCLUSION IN BIENNIAL REPORT OF DIRECTOR
OF NIH.—The Director of the Office shall submit each
report prepared under subsection (a) to the Director of
NIH for inclusion in the report submitted to the President
and the Congress under section 403.
‘‘SEC. 486H. AUTHORIZATION OF APPROPRIATIONS.
‘‘For the Office of Primary Care and Prevention Re-
search, 
there 
are 
authorized 
to 
be 
appropriated
$150,000,000 for fiscal year 2000, $180,000,000 for fis-
cal year 2001, and $216,000,000 for fiscal year 2002.’’.