‘‘(1) to research, establish, implement, and 
evaluate best practices in the United States for poi-
soning prevention, poison control center outreach, 
opioid and drug misuse information and response, 
and public health emergency, response, and pre-
paredness programs; 
‘‘(2) to research, develop, implement, revise, 
and communicate standard patient management 
guidelines for commonly encountered toxic expo-
sures; 
‘‘(3) to improve national toxic exposure and 
opioid misuse surveillance by enhancing cooperative 
activities between poison control centers in the 
United States and the Centers for Disease Control 
and Prevention and other governmental agencies; 
‘‘(4) to research, improve, and enhance the 
communications and response capability and capac-
ity of the Nation’s network of poison control centers 
to facilitate increased access to the centers through 
the integration and modernization of the current 
poison control centers communications and data sys-
tem, including enhancing the network’s telephony, 
internet, data, and social networking technologies; 
‘‘(5) to develop, support, and enhance tech-
nology and capabilities of nationally recognized pro-
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fessional organizations in the field of poison control 
to collect national poisoning, toxic occurrence, and 
related public health data; 
‘‘(6) to develop initiatives to foster the en-
hanced public health utilization of national poison 
data collected by such organizations; 
‘‘(7) to support and expand the toxicologic ex-
pertise within poison control centers; and 
‘‘(8) to improve the capacity of poison control 
centers to answer high volumes of contacts and 
internet communications, and to sustain and en-
hance the poison control center’s network capability 
to respond during times of national crisis or other 
public health emergencies. 
‘‘(c) ACCREDITATION.— 
‘‘(1) IN GENERAL.—Except as provided in sub-
section (d), the Secretary may award a grant to a 
poison control center under subsection (a) only if— 
‘‘(A) the center has been accredited by a 
nationally recognized professional organization 
in the field of poison control, and the Secretary 
has approved the organization as having in ef-
fect standards for accreditation that reasonably 
provide for— 
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‘‘(i) the protection of the public health 
with respect to poisoning; and 
‘‘(ii) the maintenance of the related 
capabilities listed in subsection (a); or 
‘‘(B) the center has been accredited by a 
State government, and the Secretary has ap-
proved the State government as having in effect 
standards for accreditation that reasonably pro-
vide for— 
‘‘(i) the protection of the public health 
with respect to poisoning; and 
‘‘(ii) the maintenance of the related 
capabilities listed in subsection (a). 
‘‘(2) ANNUAL
REPORT
TO
CONGRESS.—The 
Secretary shall annually submit a report to Congress 
that certifies that the accreditation standards de-
scribed in subparagraphs (A) and (B) of paragraph 
(1)— 
‘‘(A) are consistent in their content; and 
‘‘(B) provide for the protection of the pub-
lic health with respect to poisoning and the 
maintenance of the related capabilities listed in 
subsection (a). 
‘‘(d) WAIVER OF ACCREDITATION REQUIREMENTS.— 
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‘‘(1) IN GENERAL.—The Secretary may grant a 
waiver of the accreditation requirements of sub-
section (c) with respect to a nonaccredited poison 
control center that applies for a grant under this 
section if such center can reasonably demonstrate 
that the center will obtain such an accreditation 
within a reasonable period of time as determined ap-
propriate by the Secretary. 
‘‘(2) RENEWAL.—The Secretary may renew a 
waiver under paragraph (1). 
‘‘(3) LIMITATION.—In no case may the sum of 
the number of years for a waiver under paragraph 
(1) and a renewal under paragraph (2) exceed 5 
years. 
‘‘(e) SUPPLEMENT NOT SUPPLANT.—Amounts made 
available to a poison control center under this section shall 
be used to supplement and not supplant other Federal, 
State, or local funds provided for such center. 
‘‘(f) MAINTENANCE OF EFFORT.—A poison control 
center, in utilizing the proceeds of a grant under this sec-
tion, shall maintain the annual recurring expenditures of 
the center for its activities at a level that is not less than 
80 percent of the average level of such recurring expendi-
tures maintained by the center for the preceding 3 fiscal 
years for which a grant is received. 
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‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$29,600,000 for each of fiscal years 2020 through 2024. 
The Secretary may utilize an amount not to exceed 6 per-
cent of the amount appropriated pursuant to the pre-
ceding sentence for each fiscal year for coordination, dis-
semination, technical assistance, program evaluation, data 
activities, and other program administration functions, 
which are determined by the Secretary to be appropriate 
for carrying out the program under this section.’’. 
(b) APPLICABILITY.—Section 1273 of the Public 
Health Service Act, as amended by subsection (a), applies 
beginning on October 1, 2019. 
Æ 
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