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the Director of the Center, except that such amount
shall not exceed—
‘‘(A) 50 percent of the necessary cost of the
construction of a proposed facility as determined
by the Director; or
‘‘(B) in the case of a multipurpose facility,
40 percent of that part of the necessary cost of
construction that the Director determines to be
proportionate to the contemplated use of the fa-
cility.
‘‘(2) RESERVATION OF AMOUNTS.—On approval
of any application for a grant under subsection (a),
the Director of the Center shall reserve, from any ap-
propriation available therefore, the amount of such
grant, and shall pay such amount, in advance or by
way of reimbursement, and in such installments con-
sistent with the construction progress, as the Director
may determine appropriate. The reservation of the
Director of any amount by the Director under this
paragraph may be amended by the Director, either on
the approval of an amendment of the application or
on the revision of the estimated cost of construction
of the facility.
‘‘(3) EXCLUSION OF CERTAIN COSTS.—In deter-
mining the amount of any grant under this sub-
126
section (a), there shall be excluded from the cost of
construction an amount equal to the sum of—
‘‘(A) the amount of any other Federal grant
that the applicant has obtained, or is assured of
obtaining, with respect to construction that is to
be financed in part by a grant authorized under
this section; and
‘‘(B) the amount of any non-Federal funds
required to be expended as a condition of such
other Federal grant.
‘‘(4) WAIVER OF LIMITATIONS.—The limitations
imposed by paragraph (1) may be waived at the dis-
cretion of the Director for applicants meeting the con-
ditions described in paragraphs (1) and (2) of sub-
section (c).
‘‘(f) RECAPTURE OF PAYMENTS.—If, not later than 20
years after the completion of construction for which a grant
has been awarded under subsection (a)—
‘‘(1) the applicant or other owner of the facility
shall cease to be a public or nonprofit private entity;
or
‘‘(2) the facility shall cease to be used for the re-
search purposes for which it was constructed (unless
the Director determines, in accordance with regula-
127
tions, that there is good cause for releasing the appli-
cant or other owner from obligation to do so);
the United States shall be entitled to recover from the appli-
cant or other owner of the facility the amount bearing the
same ratio to the current value (as determined by an agree-
ment between the parties or by action brought in the United
States District Court for the district in which such facility
is situated) of the facility as the amount of the Federal
participation bore to the cost of the construction of such
facility.
‘‘(g) GUIDELINES.—Not later than 6 months after the
date of the enactment of this section, the Director of the
Center, after consultation with the Advisory Council, shall
issue guidelines with respect to grants under subsection (a).
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated $150,000,000 for fiscal year 1994, and
such sums as may be necessary for each of the fiscal years
1995 and 1996.’’.
SEC. 1503. CONSTRUCTION PROGRAM FOR NATIONAL PRI-
MATE RESEARCH CENTER.
Subpart 1 of part E of title IV of the Public Health
Service Act, as amended by section 1502 of this Act, is
amended by adding at the end the following new section:
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‘‘CONSTRUCTION OF REGIONAL CENTERS FOR RESEARCH
ON PRIMATES
‘‘SEC. 481B. (a) With respect to activities carried out
by the National Center for Research Resources to support
regional centers for research on primates, the Director of
NIH shall, for each of the fiscal years 1994 through 1996,
reserve from the amounts appropriated under section
481A(i) $5,000,000 for the purpose of making awards of
grants and contracts to public or nonprofit private entities
to construct, renovate, or otherwise improve such regional
centers. The reservation of such amounts for any fiscal year
is subject to the availability of qualified applicants for such
awards.
‘‘(b) The Director of NIH may not make a grant or
enter into a contract under subsection (a) unless the appli-
cant for such assistance agrees, with respect to the costs to
be incurred by the applicant in carrying out the purpose
described in such subsection, to make available (directly or
through donations from public or private entities) non-Fed-
eral contributions in cash toward such costs in an amount
equal to not less than $1 for each $4 of Federal funds pro-
vided in such assistance.’’.
129
Subtitle B—National Center for
Nursing Research
SEC. 1511. REDESIGNATION OF NATIONAL CENTER FOR
NURSING RESEARCH AS NATIONAL INSTI-
TUTE OF NURSING RESEARCH.
(a) IN GENERAL.—Subpart 3 of part E of title IV of
the Public Health Service Act (42 U.S.C. 287c et seq.) is
amended—
(1) in section 483—
(A) in the heading for the section, by strik-
ing ‘‘CENTER’’ and inserting ‘‘INSTITUTE’’; and
(B) by striking ‘‘The general purpose’’ and
all that follows through ‘‘is’’ and inserting the
following: ‘‘The general purpose of the National
Institute of Nursing Research (hereafter in this
subpart referred to as the ‘Institute’) is’’;
(2) in section 484, by striking ‘‘Center’’ each
place such term appears and inserting ‘‘Institute’’;
(3) in section 485—
(A) in subsection (a), in each of paragraphs
(1) through (3), by striking ‘‘Center’’ each place
such term appears and inserting ‘‘Institute’’;
(B) in subsection (b)—
(i) in paragraph (2)(A), by striking
‘‘Center’’ and inserting ‘‘Institute’’; and
131
(B) by redesignating such sections as sec-
tions 464V through 464Y of such part; and
(C) by adding such sections, in the appro-
priate sequence, at the end of such part.
(3) HEADING FOR NEW SUBPART.—Title IV of
the Public Health Service Act, as amended by the pre-
ceding provisions of this section, is amended—
(A) in part C, by inserting before section
464V the following:
‘‘Subpart 17—National Institute of Nursing Research’’;
and
(B) by striking the subpart designation and
heading for subpart 3 of part E.
(4) CROSS-REFERENCES.—Title IV of the Public
Health Service Act, as amended by the preceding pro-
visions of this section, is amended in subpart 17 of
part C—
(A) in section 464W, by striking ‘‘section
483’’ and inserting ‘‘section 464V’’;
(B) in section 464X(g), by striking ‘‘section
486’’ and inserting ‘‘section 464Y’’; and
(C) in section 464Y, in the last sentence, by
striking ‘‘section 485(g)’’ and inserting ‘‘section
464X(g)’’.
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SEC. 1512. STUDY ON ADEQUACY OF NUMBER OF NURSES.
(a) IN GENERAL.—The Secretary of Health and
Human Services, acting through the Director of the Na-
tional Institute of Nursing Research, shall enter into a con-
tract with a public or nonprofit private entity to conduct
a study for the purpose of determining whether and to what
extent there is a need for an increase in the number of
nurses in hospitals and nursing homes in order to promote
the quality of patient care and reduce the incidence among
nurses of work-related injuries and stress.
(b) NATIONAL ACADEMY OF SCIENCES.—The Secretary
shall request the Institute of Medicine of the National Acad-
emy of Sciences to enter into the contract under subsection
(a) to conduct the study described in such subsection. If such
Institute declines to conduct the study, the Secretary shall
carry out such subsection through another public or non-
profit private entity.
(c) DEFINITIONS.—For purposes of this section:
(1) The term ‘‘nurse’’ means a registered nurse,
a licensed practical nurse, a licensed vocational
nurse, and a nurse assistant.
(2) The term ‘‘Secretary’’ means the Secretary of
Health and Human Services.
(d) REPORT.—The Secretary shall ensure that, not
later than October 1, 1994, the study required in subsection
(a) is completed and a report describing the findings made
133
as a result of the study is submitted to the Committee on
Energy and Commerce of the House of Representatives, and
to the Committee on Labor and Human Resources of the
Senate.
Subtitle C—National Center for
Human Genome Research
SEC. 1521. PURPOSE OF CENTER.
Title IV of the Public Health Service Act, as amended
by section 141(a)(1) of this Act and by paragraphs (1)(B)
and (3)(B) of section 1511(b) of this Act, is amended—
(1) in section 401(b)(2), by adding at the end the
following new subparagraph:
‘‘(D) The National Center for Human Genome
Research.’’; and
(2) in part E, by adding at the end the following
new subpart:
‘‘Subpart 3—National Center for Human Genome
Research
‘‘PURPOSE OF THE CENTER
‘‘SEC. 485B. (a) The general purpose of the National
Center for Human Genome Research (hereafter in this sub-
part referred to as the ‘Center’) is to characterize the struc-
ture and function of the human genome, including the map-
ping and sequencing of individual genes. Such purpose in-
cludes—
134
‘‘(1) planning and coordinating the research goal
of the genome project;
‘‘(2) reviewing and funding research proposals;
‘‘(3) developing training programs;
‘‘(4) coordinating international genome research;
‘‘(5) communicating advances in genome science
to the public; and
‘‘(6) reviewing and funding proposals to address
the ethical and legal issues associated with the genome
project.
‘‘(b) The Director of the Center may conduct and sup-
port research training—
‘‘(1) for which fellowship support is not provided
under section 487; and
‘‘(2) that is not residency training of physicians
or other health professionals.
‘‘(c)(1) Except as provided in paragraph (2), of the
amounts appropriated to carry out subsection (a) for a fis-
cal year, the Director of the Center shall make available
not less than 5 percent for carrying out paragraph (6) of
such subsection.
‘‘(2) With respect to providing funds under subsection
(a)(6) for proposals to address the ethical issues associated
with the genome project, paragraph (1) shall not apply for
a fiscal year if the Director of the Center certifies to the
135
Committee on Energy and Commerce of the House of Rep-
resentatives, and to the Committee on Labor and Human
Resources of the Senate, that the Director has determined
that an insufficient number of such proposals meet the ap-
plicable requirements of sections 491 and 492.’’.
TITLE XVI—AWARDS AND
TRAINING
Subtitle A—National Research
Service Awards
SEC. 1601. REQUIREMENT REGARDING WOMEN AND INDI-
VIDUALS 
FROM 
DISADVANTAGED 
BACK-
GROUNDS.
Section 487(a) of the Public Health Service Act (42
U.S.C. 288(a)(4)) is amended by adding at the end the fol-
lowing paragraph:
‘‘(4) The Secretary shall carry out paragraph (1) in
a manner that will result in the recruitment of women, and
individuals from disadvantaged backgrounds, into fields of
biomedical or behavioral research and in the provision of
research training to women and such individuals.’’.
Subtitle B—Acquired Immune
Deficiency Syndrome
SEC. 1611. LOAN REPAYMENT PROGRAM.
Section 487A of the Public Health Service Act (42
U.S.C. 288–1) is amended to read as follows:
136
‘‘LOAN REPAYMENT PROGRAM FOR RESEARCH WITH
RESPECT TO ACQUIRED IMMUNE DEFICIENCY SYNDROME
‘‘SEC. 487A. (a) IN GENERAL.—
‘‘(1) AUTHORITY
FOR
PROGRAM.—Subject to
paragraph (2), the Secretary shall carry out a pro-
gram of entering into agreements with appropriately
qualified health professionals under which such health
professionals agree to conduct, as employees of the Na-
tional Institutes of Health, research with respect to
acquired immune deficiency syndrome in consider-
ation of the Federal Government agreeing to repay,
for each year of such service, not more than $20,000
of the principal and interest of the educational loans
of such health professionals.
‘‘(2) LIMITATION.—The Secretary may not enter
into an agreement with a health professional pursu-
ant to paragraph (1) unless such professional—
‘‘(A) has a substantial amount of edu-
cational loans relative to income; and
‘‘(B) agrees to serve as an employee of the
National Institutes of Health for purposes of
paragraph (1) for a period of not less than 3
years.
‘‘(b) APPLICABILITY OF CERTAIN PROVISIONS.—With
respect to the National Health Service Corps Loan Repay-