I
103D CONGRESS
1ST SESSION
H. R. 1492
To amend the Public Health Service Act to establish a program for
postreproductive health care.
IN THE HOUSE OF REPRESENTATIVES
MARCH 25, 1993
Mrs. LLOYD introduced the following bill; which was referred to the
Committee on Energy and Commerce
A BILL
To amend the Public Health Service Act to establish a
program for postreproductive health care.
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 ‘‘Postreproductive
Health Care Act’’.
SEC. 
2. 
ESTABLISHMENT 
OF 
PROGRAM 
FOR
POSTREPRODUCTIVE HEALTH CARE.
Part D of title III of the Public Health Service Act
(42 U.S.C. 254b et seq.) is amended by adding at the end
the following new subpart:
‘‘Subpart IX—Postreproductive Health Care
‘‘POSTREPRODUCTIVE HEALTH CARE
‘‘SEC. 340D. (a) IN GENERAL.—The Secretary shall
make grants for the purpose of providing the services de-
scribed in subsection (b) to women who are of menopausal
age or older. Such grants may be made only to public or
nonprofit private entities that provide health services to
a significant number of low-income women.
‘‘(b) AUTHORIZED SERVICES.—The services referred
to in subsection (a) are as follows:
‘‘(1) The prevention and outpatient treatment
of health conditions—
‘‘(A) unique to, more serious, or more
prevalent for eligible women; or
‘‘(B) for which, in the case of such women,
the factors of medical risk or types of medical
intervention are different.
‘‘(2) Counseling on the conditions described in
paragraph (1).
‘‘(3) The education and training of health pro-
fessionals (including allied health professionals) on
the prevention and treatment of such conditions and
on the provision of such counseling.
‘‘(c) PRIORITY IN PROVISION OF SERVICES.—The
Secretary may make a grant under subsection (a) only if
the applicant involved agrees that, in expending the grant
to provide authorized services to eligible women, the appli-
cant will give priority to providing the services for meno-
pausal health conditions.
‘‘(d) OUTREACH.—The Secretary may make a grant
under subsection (a) only if the applicant involved
agrees—
‘‘(1) to conduct outreach services to inform
women in the community involved of the fact that
authorized services are available from the applicant;
and
‘‘(2) to give priority to providing the outreach
services to low-income women.
‘‘(e) LIMITATION
ON IMPOSITION
OF FEES
FOR
SERVICES.—The Secretary may make a grant under sub-
section (a) only if the applicant involved agrees that, if
a charge is imposed for the provision of services or activi-
ties under the grant, such charge—
‘‘(1) will be made according to a schedule of
charges that is made available to the public;
‘‘(2) will be adjusted to reflect the income of
the woman involved; and
‘‘(3) will not be imposed on any woman with an
income equal to or less than 100 percent of the offi-
cial poverty line, as established by the Director of
the Office of Management and Budget and revised
by the Secretary in accordance with section 673(2)
of the Omnibus Budget Reconciliation Act of 1981.
‘‘(f) REPORTS TO SECRETARY.—The Secretary may
make a grant under subsection (a) only if the applicant
involved agrees to submit to the Secretary, for each fiscal
year for which such a grant is made to the applicant, a
report describing the purposes for which the grant has
been expended.
‘‘(g) REQUIREMENT
OF APPLICATION.—The Sec-
retary may make a grant under subsection (a) only if the
applicant involved makes an agreement that the grant will
not be expended for any purpose other than the purpose
described in such subsection and for compliance with any
other agreements required in this section. Such a grant
may be made only if an application for the grant is sub-
mitted to the Secretary containing such agreements, and
the application is in such form, is made in such manner,
and contains such other agreements, and such assurances
and information, as the Secretary determines to be nec-
essary to carry out this section.
‘‘(h) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘authorized services’ means the
services described in subsection (b).