State Network, including a computerized 
data collection, reporting, and processing 
system, and additional assistance identified 
by the States under subsection (b)(5)(C) 
as necessary for infrastructure develop-
ment; and 
‘‘(iii) such other technical assistance 
as the Secretary, in consultation with the 
Administrators, determines to be nec-
essary; 
‘‘(G) not later than 12 months after the 
date of the enactment of this title, acting 
through the Director and consulting with the 
Administrators, the Surgeon General, the Di-
rector of the National Institutes of Health, and 
States, develop minimum standards and proce-
dures in accordance with paragraph (4) for 
data collection and reporting for the State Net-
works, to be updated not less than annually 
thereafter; and 
‘‘(H) in developing the minimum standards 
and procedures under subparagraph (G), in-
clude mechanisms for allowing the States to set 
priorities, and allocate resources accordingly,
among the factors described in subparagraphs 
(A), (B), and (C) of paragraph (4). 
‘‘(2) COORDINATED ENVIRONMENTAL HEALTH 
NETWORK
REPORT.—Each Coordinated Environ-
mental Health Network Report prepared under 
paragraph (1)(C) shall include—
‘‘(A) a statement of the activities carried 
out under this title; 
‘‘(B) an analysis of the incidence, preva-
lence, and trends of priority chronic conditions 
and potentially relevant environmental and 
other factors by State and census tract (or 
other political or administrative subdivision de-
termined appropriate by the Secretary in con-
sultation with the Administrator of the Envi-
ronmental Protection Agency) for the calendar 
year preceding the year for which the report is 
prepared; 
‘‘(C) the identification of gaps in the data 
of the Coordinated Network, including diseases 
of concern and environmental exposures not 
tracked; and 
‘‘(D) recommendations regarding high risk 
populations, public health concerns, response
and prevention strategies, and additional track-
ing needs; 
‘‘(3) 
NATIONAL
ENVIRONMENTAL
HEALTH 
RAPID RESPONSE SERVICE.—The National Environ-
mental Health Rapid Response Service operated 
under paragraph (1)(D) shall—
‘‘(A) work with environmental health inves-
tigators appointed or hired under subsection 
(b)(3)(D) to develop and implement strategies, 
protocols, and guidelines for the coordinated, 
rapid responses to actual and perceived higher 
than expected incidence and prevalence rates of 
priority chronic conditions and to acute and po-
tential environmental hazards and exposures; 
‘‘(B) conduct investigations into higher 
than expected incidence and prevalence rates of 
priority chronic conditions or environmental ex-
posures after an individual requests, through a 
process established by the Secretary, the inter-
vention of the Service; 
‘‘(C) coordinate activities carried out under 
this title with activities carried out under sec-
tions 319 through 319G; and 
‘‘(D) coordinate activities carried out 
under this title with the Administrators, the
Surgeon General, and the Director of the Na-
tional Institutes of Health. 
‘‘(4) DATA
COLLECTION
AND
REPORTING
BY 
STATE
NETWORKS.—The minimum standards and 
procedures referred to in paragraph (1)(G) shall in-
clude—
‘‘(A) a list and definitions of the priority 
chronic conditions to be tracked through the 
State Networks; 
‘‘(B) a list and definitions of relevant envi-
ronmental exposures of concern to be tracked, 
to the extent practicable, through the State 
Networks, including—
‘‘(i) hazardous air pollutants (as de-
fined in section 302(g) of the Clean Air 
Act); 
‘‘(ii) air pollutants for which national 
primary ambient air quality standards 
have been promulgated under section 109 
of the Clean Air Act; 
‘‘(iii) pollutants or contaminants (as 
defined in section 101 of the Comprehen-
sive Environmental Response, Compensa-
tion, and Liability Act of 1980);
‘‘(iv) toxic chemicals (as described in 
section 313 of the Emergency Planning 
and Community Right-to-Know Act of 
1986); 
‘‘(v) substances reported under the 
Toxic Substances Control Act Inventory 
Update Rule as provided for in part 710 of 
title 40, Code of Federal Regulations, or 
successor regulations; 
‘‘(vi) pesticides (as defined in section 
2(u) of the Federal Insecticide, Fungicide, 
and Rodenticide Act); and 
‘‘(vii) such other potentially relevant 
environmental factors as the Secretary 
may specify; 
‘‘(C) a list and definitions of potentially 
relevant 
behavioral, 
socioeconomic, 
demo-
graphic, and other risk factors, including race, 
ethnic status, gender, age, occupation, and pri-
mary language, to be tracked through the State 
Networks; 
‘‘(D) procedures for the complete and 
timely collection and reporting of data to the 
Coordinated Network by census tract, or other 
political subdivision determined appropriate by
the Secretary, in consultation with the Adminis-
trator of the Environmental Protection Agency, 
regarding the factors described in subpara-
graphs (A), (B), and (C); 
‘‘(E) procedures for making data available 
to the public and researchers, and for reporting 
to the Coordinated Network, while protecting 
the confidentiality of all personal data reported, 
in accordance with medical privacy regulations; 
‘‘(F) standards and procedures for the es-
tablishment and maintenance of at least 7 re-
gional biomonitoring laboratories, including pro-
viding for an equitable geographic distribution, 
by entering into cooperative agreements with 
States, groups of States, and academic institu-
tions or consortia of academic institutions, in 
order to expand the scope and amount of bio-
monitoring data collected by the Centers for 
Disease Control and Prevention; 
‘‘(G) criteria for the environmental health 
investigators as required under subsection 
(b)(3)(D); and 
‘‘(H) procedures for record and data main-
tenance and verification.
‘‘(b) 
STATE
ENVIRONMENTAL
HEALTH
NET-
WORKS.—
‘‘(1) GRANTS.—Not later than 24 months after 
the date of the enactment of this title, the Secretary, 
acting through the Director, in consultation with the 
Administrators, and taking into consideration the 
findings of the Committee, shall award grants to 
States, local governments, territories, and Indian 
tribes for the establishment, maintenance, and oper-
ation of State Environmental Health Networks in 
accordance with the minimum standards and proce-
dures established by the Secretary under subsection 
(a)(4). 
‘‘(2) SPECIALIZED
ASSISTANCE.—The Coordi-
nated Network shall provide specialized assistance to 
grantees in the establishment, maintenance, and op-
eration of State Networks. 
‘‘(3) REQUIREMENTS.—A State, local govern-
ment, territory, or Indian tribe receiving a grant 
under this subsection shall use the grant—
‘‘(A) to establish an environmental health 
network that will provide—
‘‘(i) for the complete tracking of the 
incidence, prevalence, and trends of pri-
ority chronic conditions and potentially rel-
evant environmental and other factors as 
set forth in subsection (a), as well as any 
additional priority chronic conditions and 
potentially related environmental exposures 
of concern to that State, local government, 
territory, or Indian tribe; 
‘‘(ii) for identification of priority 
chronic conditions and potentially relevant 
environmental and other factors that dis-
proportionately impact low income and mi-
nority communities; 
‘‘(iii) for the protection of the con-
fidentiality of all personal data reported, in 
accordance with the medical privacy regu-
lations; 
‘‘(iv) a means by which confidential 
data may, in accordance with Federal and 
State law, be disclosed to researchers for 
the purposes of public health research; 
‘‘(v) the fullest possible public access 
to data collected by the State Network or 
through the Coordinated Network, while 
ensuring that individual privacy is pro-
tected 
in 
accordance 
with 
subsection 
(a)(1)(B); and
‘‘(vi) for the collection of exposure 
data through biomonitoring and other 
methods, including the entering into of co-
operative agreements with the Coordinated 
Network in the establishment of the re-
gional biomonitoring laboratories; 
‘‘(B) to develop a publicly available plan 
for establishing the State Network in order to 
meet minimum standards and procedures as de-
veloped by the Coordinated Network under sub-
section (a)(4), including the State’s priorities 
within the minimum standards, a timeline by 
which all the standards will be met, and a plan 
for coordinating and expanding existing data 
and surveillance systems within the State in-
cluding any pilot projects established through 
the Centers for Disease Control and Prevention 
prior to the date of the enactment of this title; 
‘‘(C) to appoint a lead environmental 
health department or agency that will be re-
sponsible for the development, operation, and 
maintenance of the State Network, and ensure 
the appropriate coordination among State and 
local agencies regarding the development, oper-
ation, and maintenance of the State Network;
‘‘(D) to appoint or hire an environmental 
health investigator who meets criteria estab-
lished by the Secretary under subsection 
(a)(4)(G) and who will coordinate the develop-
ment and maintenance of the rapid response 
protocol established under subparagraph (E); 
‘‘(E) to establish a rapid response protocol, 
coordinated by the grantee’s environmental 
health investigator, in order to respond in a 
timely manner to actual and perceived incidence 
and prevalence rates of priority chronic diseases 
that are higher than expected, acute and poten-
tial environmental hazards and exposures, and 
other environmental health concerns, including 
warning the public when emergent public health 
concerns are detected through the State Net-
work, and concerns regarding vulnerable sub-
populations and disproportionately impacted 
subpopulations; 
‘‘(F) to establish an advisory committee to 
ensure local community input to the State Net-
work; and 
‘‘(G) to recruit and train public health offi-
cials to continue to expand the State Network.
‘‘(4) LIMITATION.—A State, local government, 
territory, or Indian tribe that receives a grant under 
this section may not use more than 10 percent of 
the funds made available through the grant for ad-
ministrative costs. 
‘‘(5) APPLICATION.—To seek a grant under this 
section, a State, local government, territory, or In-
dian tribe shall submit to the Secretary an applica-
tion at such time, in such form and manner, and ac-
companied by such information as the Secretary may 
specify. The Secretary may not approve an applica-
tion for a grant under this subsection unless the ap-
plication—
‘‘(A) contains assurances that the State, 
local government, territory, or tribe will—
‘‘(i) use the grant only in compliance 
with the requirements of this title; and 
‘‘(ii) establish such fiscal control and 
fund accounting procedures as may be nec-
essary to ensure the proper disbursement 
and accounting of Federal funds paid to 
the State, local government, territory, or 
tribe under the grant; 
‘‘(B) contains the assurance that the 
State, local government, territory, or tribe will
establish a State Network as required by this 
subsection; and 
‘‘(C) contains assurances that if the State, 
local government, territory, or tribe is unable to 
meet all of the requirements described in this 
subsection within the prescribed time period, 
the State, local government, territory, or tribe 
will use grant funds to increase the public 
health infrastructure of the State, local govern-
ment, territory, or tribe, acting in cooperation 
with the Coordinated Network, in order to im-
plement and maintain a State Network within 
24 months of the receipt of such grant. 
‘‘(c) PILOT PROJECTS.—
‘‘(1) IN
GENERAL.—Beginning in fiscal year 
2005, a State, local government, territory, or Indian 
tribe may apply for a grant under this subsection to 
implement a pilot project that is approved by the 
Secretary, acting through the Director and in con-
sultation with the Administrators and the Com-
mittee. 
‘‘(2) ACTIVITIES.—A State, local government, 
territory, or Indian tribe shall use amounts received 
under a grant under this subsection to carry out a 
pilot project designed to develop State Network en-
hancements and to develop programs to address spe-
cific local and regional concerns, including—
‘‘(A) the expansion of the State Network 
to include additional chronic diseases or envi-
ronmental exposures; 
‘‘(B) the conduct of investigations of local 
concerns of increased incidence or prevalence of 
priority chronic conditions and environmental 
exposures; and 
‘‘(C) the carrying out of other activities as 
determined to be a priority by the State or con-
sortium of regional States, local government, 
territory, or tribe and the Secretary. 
‘‘(3) RESULTS.—The Secretary may consider 
the results of the pilot projects under this subsection 
for inclusion into the Coordinated Network. 
‘‘(d) ADVISORY COMMITTEE.—
‘‘(1) ESTABLISHMENT.—Not later than 3 
months after the date of the enactment of this title, 
the Secretary acting jointly with the Administrators, 
shall establish an Advisory Committee in accordance 
with the Federal Advisory Committee Act. 
‘‘(2) COMPOSITION.—The Advisory Committee 
shall be composed of 16 members to be appointed by 
the Secretary. Each member of the Advisory Com-
mittee shall serve a 3-year term, except that the Sec-
retary may appoint the initial members of the Advi-
sory Committee for lesser terms in order to comply 
with the following sentence. In appointing the mem-
bers of the Advisory Committee, the Secretary shall 
ensure that the terms of 5 or 6 members expire each 
year. The Advisory Committee shall include at least 
9 members that have experience in the areas of—
‘‘(A) public health; 
‘‘(B) the environment, especially toxic 
chemicals and human exposure; 
‘‘(C) epidemiology; and 
‘‘(D) biomonitoring and other relevant ex-
posure technologies. 
‘‘(3) REPORTING.—The Advisory Committee 
shall not later than 12 months after the date of the 
enactment of this title, and at least once every 12 
months thereafter, report to Congress on the 
progress of the Coordinated Network. 
‘‘(4) HEARINGS.—The Advisory Committee 
shall hold such hearings, sit and act at such times 
and places, take such testimony, and receive such 
evidence as the Committee considers appropriate to 
carry out the objectives of the Coordinated Network.
‘‘(5) 
DUTIES.—The 
Advisory 
Committee 
shall—
‘‘(A) review and provide input for the Co-
ordinated Environmental Health Network Re-
port prior to publication, and make rec-
ommendations as to the progress of the Coordi-
nated Network, including identifying informa-
tion gaps in the network; 
‘‘(B) assist in developing the minimum 
standards and procedures for the State Net-
works under subsection (a)(4); and 
‘‘(C) provide ongoing public input to the 
Coordinated Network. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There 
are authorized to be appropriated to carry out this section 
$100,000,000 for fiscal year 2005 and such sums as may 
be necessary for each of fiscal years 2006 through 2009. 
‘‘SEC. 2902. INCREASING PUBLIC HEALTH PERSONNEL CA-
PACITY. 
‘‘(a) SCHOOLS OR PROGRAMS OF PUBLIC HEALTH 
CENTERS OF EXCELLENCE.—
‘‘(1) GRANTS.—Beginning in fiscal year 2005, 
the Secretary may award grants to at least 5 accred-
ited schools or programs of public health for the es-
tablishment, maintenance, and operation of Centers
of Excellence for research and demonstration with 
respect to chronic conditions and relevant environ-
mental factors. 
‘‘(2) ACTIVITIES.—A Center of Excellence es-
tablished or operated under paragraph (1) shall un-
dertake research and development projects in at 
least 1 of the following areas: 
‘‘(A) Investigating causal connections be-
tween chronic conditions and environmental fac-
tors. 
‘‘(B) Increasing the understanding of the 
causes of higher than expected incidence and 
prevalence rates of priority chronic conditions 
and developing more effective intervention 
methods for when such elevated rates occur. 
‘‘(C) Identifying additional chronic condi-
tions and environmental factors that could be 
tracked by the Coordinated Network. 
‘‘(D) Improving translation of Coordinated 
Network tracking results into effective preven-
tion activities. 
‘‘(E) Improving the training of public 
health workforce in environmental epidemiology.
‘‘(F) Establishing links to the Coordinated 
Network and the State Networks to identify as-
sociations that warrant further study. 
‘‘(3) REQUIREMENTS FOR CENTERS OF EXCEL-
LENCE.—To be eligible to receive a grant under 
paragraph (1), a school or program of public health 
shall provide assurances that the school or pro-
gram—
‘‘(A) meets the minimum requirements as 
established by the Secretary in consultation 
with the Director; 
‘‘(B) maintains privacy for public health 
information if appropriate to the project; and 
‘‘(C) makes public information regarding 
the findings and results of the programs. 
‘‘(4) AUTHORIZATION
OF
APPROPRIATIONS.—
There is authorized to be appropriated to carry out 
this subsection $5,000,000 for each of fiscal years 
2005 through 2009. 
‘‘(b) JOHN H. CHAFEE PUBLIC HEALTH SCHOLAR 
PROGRAM.—
‘‘(1) IN GENERAL.—The Secretary shall award 
scholarships, to be known as John H. Chafee Public 
Health Scholarships, to eligible students who are en-
rolled in an accredited school of public health or
medicine. The Secretary shall determine both the 
criteria and eligibility requirements for such scholar-
ships, after consultation with the Committee. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There is authorized to be appropriated to carry out 
this subsection $2,500,000 for each of fiscal years 
2005 through 2009. 
‘‘(c) APPLIED EPIDEMIOLOGY FELLOWSHIP PRO-
GRAMS.—
‘‘(1) IN
GENERAL.—Beginning in fiscal year 
2005, the Secretary, acting through the Director, 
shall enter into a cooperative agreement with the 
Council of State and Territorial Epidemiologists to 
train and place, in State and local health depart-
ments, applied epidemiology fellows to enhance State 
and local epidemiology capacity in the areas of envi-
ronmental health, chronic disease, and birth defects 
and development disabilities. 
‘‘(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There is authorized to be appropriated to carry out 
this subsection $2,500,000 for fiscal year 2005, and 
such sums as may be necessary in each of fiscal 
years 2006 through 2009.
‘‘SEC. 2903. GENERAL PROVISIONS. 
‘‘(a) INTERNAL MONITORING
AND COORDINATION 
REGARDING CDC.—The Secretary, acting through the Di-
rector, shall place primary responsibility for the coordina-
tion of the programs established under this title in the 
Office of the Director. The officers or employees of the 
Centers for Disease Control and Prevention who are as-
signed responsibility for monitoring and coordinating the 
activities carried out under this title by the Director shall 
include officers or employees within the Office of the Di-
rector. 
‘‘(b) FUNDING
THROUGH
APPROPRIATIONS
AC-
COUNT FOR PUBLIC HEALTH IMPROVEMENT.—All au-
thorizations of appropriations established in this title are 
authorizations exclusively for appropriations to the ac-
count that, among appropriations accounts for the Centers 
for Disease Control and Prevention, is designated ‘Public 
Health Improvement’. 
‘‘(c) DATE CERTAIN FOR OBLIGATION OF APPRO-
PRIATIONS.—With respect to the process of receiving ap-
plications for and making awards of grants, cooperative 
agreements, and contracts under this title, the Secretary, 
acting through the Director, shall to the extent practicable 
design the process to ensure that amounts appropriated 
under this title for such awards for a fiscal year are obli-
gated not later than the beginning of the fourth quarter
of the fiscal year, subject to compliance with section 1512 
of title 31, United States Code (relating to deficiency or 
supplemental appropriations), and other applicable law re-
garding appropriations accounting. 
‘‘(d) COORDINATION WITH AGENCY FOR TOXIC SUB-
STANCES AND DISEASE REGISTRY.—In carrying out this 
title, the Secretary, acting through the Director, shall co-
ordinate activities and responses with the Agency for 
Toxic Substances and Disease Registry. 
‘‘(e) 
COORDINATION
WITH
EXISTING
PILOT 
PROJECTS THROUGH CDC.—The Secretary shall inte-
grate the enactment of this title with all environmental 
health tracking pilot projects funded prior to the date of 
enactment of this title.’’.
Æ