‘‘(iv) Chapter 836, Oregon Laws 1989 and
chapter 753, Oregon Laws 1991 (relating to
prioritization and medical assistance reforms).
‘‘(v) Chapter 815, Oregon Laws 1993 (relating
to phasing in of employer coverage and other revi-
sions of the Oregon Health Plan).
‘‘(vi) Any other provision of the law of the
State of Oregon, to the extent that such provision is
necessary to achieve universal coverage under the
Oregon Health Plan.
‘‘(B) Subparagraph (A) shall apply with respect to
any provision of the law of the State of Oregon which pro-
vides, directly or indirectly, for taxation of employers or
group health plans only if under such provision the assess-
ment of the tax is under a uniform schedule, applicable
to all employers and group health plans, and does not dis-
criminate on the basis of the extent to which a group
health plan is insured.
‘‘(C) For purposes of this paragraph, the term ‘group
health plan’ has the meaning provided in section 607(1).’’.
(b) APPLICABILITY OF FEDERAL HEALTH REFORM
LEGISLATION.—The State of Oregon shall not be treated
as failing to comply with applicable requirements of any
Federal health reform law, which is enacted on or after
the date of the enactment of this Act and which provides
for coverage of individuals under a comprehensive benefit
package, before the first day of the first calendar year fol-
lowing the calendar year in which all other States have
in effect plans under which individuals are eligible for cov-
erage under a comprehensive benefit package in compli-
ance with such law.
TITLE III—PUBLIC HEALTH AND
RURAL AND UNDERSERVED
ACCESS IMPROVEMENT
SEC. 3001. SHORT TITLE.
This title may be cited as the ‘‘Public Health and
Rural and Underserved Access Improvement Act of
1994’’.
SEC. 3002. ESTABLISHMENT OF NEW TITLE XXVII REGARD-
ING PUBLIC HEALTH PROGRAMS.
The Public Health Service Act (42 U.S.C. 201 et
seq.) is amended by adding at the end the following title:
‘‘TITLE XXVII—PUBLIC HEALTH
PROGRAMS IMPROVEMENT
‘‘Subtitle A—Core Functions of
Public Health Programs
‘‘PART 1—FORMULA GRANTS TO STATES
‘‘SEC. 2711. AUTHORIZATIONS OF APPROPRIATIONS FROM
FUND.
‘‘For the purpose of carrying out this subtitle, there
are authorized to be appropriated from the Health Care
Reform 
Trust 
Fund 
established 
under 
section
9551(a)(2)(A) of the Internal Revenue Code of 1986
(hereafter referred to in this title as the ‘‘Fund’’),
$200,000,000 for fiscal year 1996, $350,000,000 for fis-
cal year 1997, $500,000,000 for fiscal year 1998,
$650,000,000 for fiscal year 1999, and $700,000,000 for
fiscal year 2000.
‘‘SEC. 2712. FORMULA GRANTS TO STATES FOR CORE
HEALTH FUNCTIONS.
‘‘(a) IN GENERAL.—In the case of each State that
submits to the Secretary an application in accordance with
section 2715 for a fiscal year, the Secretary of Health and
Human Services, acting through the Director of the Cen-
ters for Disease Control and Prevention, shall make a
grant to the State for carrying out the activities described
in subsection (c). The award shall consist of the allotment
determined under section 2716 for the State.
‘‘(b) GENERAL PURPOSE.—The purpose of this sub-
title is to provide for improvements in the health status
of the public through carrying out the activities described
in subsection (c) toward attaining the Healthy People
2000 Objectives (as defined in section 2799A). A funding
agreement for a grant under subsection (a) is that—
‘‘(1) the grant will be expended for such activi-
ties; and
‘‘(2) the activities will be carried out by the
State in collaboration with local public health de-
partments, health education and training centers,
neighborhood health centers, and other community
health providers.
‘‘(c) CORE FUNCTIONS OF PUBLIC HEALTH PRO-
GRAMS.—Subject to the purpose described in subsection
(b), the activities referred to in subsection (a) are the fol-
lowing:
‘‘(1) Data collection, and analytical activities,
related to population-based status and outcomes
monitoring, including the following:
‘‘(A) The regular collection and analysis of
public health data (including the 10 leading
causes of death and their costs to society).
‘‘(B) Vital statistics.
‘‘(C) Personal health services data.
‘‘(D) The supply and distribution of health
professionals.
‘‘(2) Activities to reduce environmental risk and
to assure the safety of housing, schools, workplaces,
day-care centers, food and water, including the fol-
lowing activities:
‘‘(A) Monitoring the overall public health
status and safety of communities.
‘‘(B) Assessing exposure to high lead levels
and other environmental contaminants; and ac-
tivities for abatement of toxicant hazards, in-
cluding lead-related hazards.
‘‘(C) Monitoring the quality of community
water supplies used for consumption or for rec-
reational purposes.
‘‘(D) Monitoring sewage and solid waste
disposal, radiation exposure, radon exposure,
and noise levels.
‘‘(E) Monitoring indoor and ambient air
quality and related risks to vulnerable popu-
lations.
‘‘(F) Assuring recreation, worker, and
school safety.
‘‘(G) Enforcing public health safety and
sanitary codes.
‘‘(H) Monitoring community access to ap-
propriate health services.
‘‘(I) Other activities relating to promoting
and protecting the public health of commu-
nities.
‘‘(3) Investigation, control, and public-aware-
ness activities regarding adverse health conditions
(such as emergency treatment preparedness, commu-
nity efforts to reduce violence, outbreaks of commu-
nicable diseases within communities, chronic disease
and dysfunction exposure-related conditions, toxic
environmental pollutants, occupational and rec-
reational hazards, motor vehicle accidents, and other
threats to the health status of individuals).
‘‘(4) Public information and education pro-
grams to reduce risks to health (such as use of to-
bacco; alcohol and other drugs; unintentional injury
from accidents, including motor vehicle accidents;
sexual activities that increase the risk of HIV trans-
mission and sexually transmitted diseases; poor diet;
physical inactivity; stress-related illness; mental
health problems; genetic disorders; and low child-
hood immunization levels).