I
106TH CONGRESS
2D SESSION
H. R. 4606
To reduce health care costs and promote improved health by providing
supplemental grants for additional preventive health services for women.
IN THE HOUSE OF REPRESENTATIVES
JUNE 8, 2000
Ms. DELAURO (for herself and Mr. LEACH) introduced the following bill;
which was referred to the Committee on Commerce
A BILL
To reduce health care costs and promote improved health
by providing supplemental grants for additional preven-
tive health services for women.
Be it enacted by the Senate and House of Representa-
tives of the United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘WISEWOMAN Ex-
pansion Act of 2000’’.
SEC. 2. FINDINGS.
Congress makes the following findings:
(1) Heart disease, stroke, and other cardio-
vascular diseases remain the leading cause of death
(11) Muscular strengthen and balance may be
very significant in future risk reduction for
osteoporosis.
(12) There is consensus that adequate vitamin
D and calcium intakes are required for bone health.
(13) Research has demonstrated that—
(A) the uninsured often have significantly
poorer health than the insured; and
(B) being uninsured is an obstacle to re-
ceiving preventive health care services.
(14) The WISEWOMAN program has—
(A) provided one-stop shopping for preven-
tive health services such as cholesterol and
blood pressure screening for close to 8000
women and identified risk factors for heart dis-
ease such as obesity, high cholesterol, high
blood pressure, sedentary behavior and poor
diet; and
(B) found that many of the women
screened have returned for additional interven-
tions and follow-up, resulting in improved
weight management, lower blood pressure and
lower cholesterol.
(15) Expansion of the WISEWOMAN model
program to additional States would help reduce
women’s risk of illness and death from heart disease
and other preventable diseases and provide further
insights into the feasibility and effectiveness of mak-
ing comprehensive, integrated preventive services
available to low-income and uninsured women.
SEC. 3. SUPPLEMENTAL GRANTS FOR ADDITIONAL PRE-
VENTIVE HEALTH SERVICES FOR WOMEN.
Section 1509 of the Public Health Service Act (42
U.S.C. 300n–4a) is amended to read as follows:
‘‘SEC. 1509. ESTABLISHMENT OF PROGRAM FOR ADDI-
TIONAL PREVENTIVE HEALTH SERVICES.
‘‘(a) IN GENERAL.—The Secretary, acting through
the Director of the Centers for Disease Control and Pre-
vention, may, through a competitive review process, award
grants to States that have received grants under section
1501 for a fiscal year, to enable such State to carry out
programs—
‘‘(1) to provide preventive health services, in ad-
dition to the services authorized in such section
1501, for diseases such as cardiovascular diseases,
osteoporosis, and obesity;
‘‘(2) to provide screenings, such as screening
for blood pressure, cholesterol, and osteoporosis, and
other services that the Secretary, acting through the
Director of the Centers for Disease Control and Pre-
vention, determines to be appropriate and feasible;
‘‘(3) for health education, counseling, and inter-
ventions for behavioral risk factors, such as physical
inactivity and poor nutrition, and diseases referred
to in paragraph (1);
‘‘(4) to provide appropriate referrals for medical
treatment of women receiving services pursuant to
paragraph (1) through (3), and ensuring, to the ex-
tent practicable, the provision of appropriate follow-
up services; and
‘‘(5) to evaluate the activities conducted under
paragraphs (1) through (4) through appropriate sur-
veillance, research, or program monitoring activities.
‘‘(b) STATUS AS PARTICIPANT IN PROGRAM REGARD-
ING BREAST
AND CERVICAL CANCER.—The Secretary
may not make a grant to a State under subsection (a)
unless the State involved agrees that services under the
grant will be provided in conjunction with entities that are
screening women for breast or cervical cancer pursuant
to a grant under section 1501.
‘‘(c) APPLICABILITY
OF PROVISIONS.—The provi-
sions of this title shall apply to a grant under subsection
(a) to the same extent and in the same manner as such
provisions apply to a grant under section 1501.
‘‘(d) FUNDING.—
‘‘(1) IN GENERAL.—There is authorized to be
appropriated to carry out this section—
‘‘(A) $20,000,000 for fiscal year 2001;
‘‘(B) $25,000,000 for fiscal year 2002;
‘‘(C) $30,000,000 for fiscal year 2003; and
‘‘(D) such sums as may be necessary for
each subsequent fiscal year.
‘‘(2) LIMITATION REGARDING FUNDING WITH
RESPECT TO BREAST AND CERVICAL CANCER.—No
additional resources shall be appropriated for a fis-
cal year under paragraph (1) unless the amount ap-
propriated under section 1510(a) for such fiscal year
is at least $158,000,000.’’.
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