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shall prepare and submit to the appropriate committees of Congress
a report containing data relating to whether the increased avail-
ability of defibrillators has affected survival rates in the commu-
nities in which grantees under this section operated. The procedures
under which the Secretary obtains data and prepares the report
under this subsection shall not impose an undue burden on program
participants under this section.
(e) AUTHORIZATION OF APPROPRIATIONS.—There is authorized
to be appropriated $25,000,000 for fiscal years 2001 through 2003
to carry out this section.
TITLE V—LUPUS RESEARCH AND CARE
SEC. 501. SHORT TITLE.
This title may be cited as the ‘‘Lupus Research and Care
Amendments of 2000’’.
SEC. 502. FINDINGS.
The Congress finds that—
(1) lupus is a serious, complex, inflammatory, autoimmune
disease of particular concern to women;
(2) lupus affects women nine times more often than men;
(3) there are three main types of lupus: systemic lupus,
a serious form of the disease that affects many parts of the
body; discoid lupus, a form of the disease that affects mainly
the skin; and drug-induced lupus caused by certain medications;
(4) lupus can be fatal if not detected and treated early;
(5) the disease can simultaneously affect various areas
of the body, such as the skin, joints, kidneys, and brain, and
can be difficult to diagnose because the symptoms of lupus
are similar to those of many other diseases;
(6) lupus disproportionately affects African-American
women, as the prevalence of the disease among such women
is three times the prevalence among white women, and an
estimated 1 in 250 African-American women between the ages
of 15 and 65 develops the disease;
(7) it has been estimated that between 1,400,000 and
2,000,000 Americans have been diagnosed with the disease,
and that many more have undiagnosed cases;
(8) current treatments for the disease can be effective,
but may lead to damaging side effects;
(9) many victims of the disease suffer debilitating pain
and fatigue, making it difficult to maintain employment and
lead normal lives; and
(10) in fiscal year 1996, the amount allocated by the
National Institutes of Health for research on lupus was
$33,000,000, which is less than one-half of 1 percent of the
budget for such Institutes.
Subtitle A—Research on Lupus
SEC. 511. EXPANSION AND INTENSIFICATION OF ACTIVITIES.
Subpart 4 of part C of title IV of the Public Health Service
Act (42 U.S.C. 285d et seq.) is amended by inserting after section
441 the following:
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‘‘LUPUS
‘‘SEC. 441A. (a) IN GENERAL.—The Director of the Institute
shall expand and intensify research and related activities of the
Institute with respect to lupus.
‘‘(b) COORDINATION WITH OTHER INSTITUTES.—The Director of
the Institute shall coordinate the activities of the Director under
subsection (a) with similar activities conducted by the other national
research institutes and agencies of the National Institutes of Health
to the extent that such Institutes and agencies have responsibilities
that are related to lupus.
‘‘(c) PROGRAMS
FOR LUPUS.—In carrying out subsection (a),
the Director of the Institute shall conduct or support research
to expand the understanding of the causes of, and to find a cure
for, lupus. Activities under such subsection shall include conducting
and supporting the following:
‘‘(1) Research to determine the reasons underlying the ele-
vated prevalence of lupus in women, including African-Amer-
ican women.
‘‘(2) Basic research concerning the etiology and causes of
the disease.
‘‘(3) Epidemiological studies to address the frequency and
natural history of the disease and the differences among the
sexes and among racial and ethnic groups with respect to
the disease.
‘‘(4) The development of improved diagnostic techniques.
‘‘(5) Clinical research for the development and evaluation
of new treatments, including new biological agents.
‘‘(6) Information and education programs for health care
professionals and the public.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of
carrying out this section, there are authorized to be appropriated
such sums as may be necessary for each of the fiscal years 2001
through 2003.’’.
Subtitle B—Delivery of Services Regarding
Lupus
SEC. 521. ESTABLISHMENT OF PROGRAM OF GRANTS.
(a) IN GENERAL.—The Secretary of Health and Human Services
shall in accordance with this subtitle make grants to provide for
projects for the establishment, operation, and coordination of effec-
tive and cost-efficient systems for the delivery of essential services
to individuals with lupus and their families.
(b) RECIPIENTS OF GRANTS.—A grant under subsection (a) may
be made to an entity only if the entity is a public or nonprofit
private entity, which may include a State or local government;
a public or nonprofit private hospital, community-based organiza-
tion, hospice, ambulatory care facility, community health center,
migrant health center, or homeless health center; or other appro-
priate public or nonprofit private entity.
(c) CERTAIN ACTIVITIES.—To the extent practicable and appro-
priate, the Secretary shall ensure that projects under subsection
(a) provide services for the diagnosis and disease management
of lupus. Activities that the Secretary may authorize for such
projects may also include the following:
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(1) Delivering or enhancing outpatient, ambulatory, and
home-based health and support services, including case
management and comprehensive treatment services, for individ-
uals with lupus; and delivering or enhancing support services
for their families.
(2) Delivering or enhancing inpatient care management
services that prevent unnecessary hospitalization or that expe-
dite discharge, as medically appropriate, from inpatient facili-
ties of individuals with lupus.
(3) Improving the quality, availability, and organization
of health care and support services (including transportation
services, attendant care, homemaker services, day or respite
care, and providing counseling on financial assistance and
insurance) for individuals with lupus and support services for
their families.
(d) INTEGRATION WITH OTHER PROGRAMS.—To the extent prac-
ticable and appropriate, the Secretary shall integrate the program
under this subtitle with other grant programs carried out by the
Secretary, including the program under section 330 of the Public
Health Service Act.
SEC. 522. CERTAIN REQUIREMENTS.
A grant may be made under section 521 only if the applicant
involved makes the following agreements:
(1) Not more than 5 percent of the grant will be used
for administration, accounting, reporting, and program over-
sight functions.
(2) The grant will be used to supplement and not supplant
funds from other sources related to the treatment of lupus.
(3) The applicant will abide by any limitations deemed
appropriate by the Secretary on any charges to individuals
receiving services pursuant to the grant. As deemed appropriate
by the Secretary, such limitations on charges may vary based
on the financial circumstances of the individual receiving serv-
ices.
(4) The grant will not be expended to make payment for
services authorized under section 521(a) to the extent that
payment has been made, or can reasonably be expected to
be made, with respect to such services—
(A) under any State compensation program, under an
insurance policy, or under any Federal or State health
benefits program; or
(B) by an entity that provides health services on a
prepaid basis.
(5) The applicant will, at each site at which the applicant
provides services under section 521(a), post a conspicuous notice
informing individuals who receive the services of any Federal
policies that apply to the applicant with respect to the imposi-
tion of charges on such individuals.
SEC. 523. TECHNICAL ASSISTANCE.
The Secretary may provide technical assistance to assist enti-
ties in complying with the requirements of this subtitle in order
to make such entities eligible to receive grants under section 521.
SEC. 524. DEFINITIONS.
For purposes of this subtitle:
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(1) OFFICIAL
POVERTY
LINE.—The term ‘‘official poverty
line’’ means the poverty line 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.
(2) SECRETARY.—The term ‘‘Secretary’’ means the Secretary
of Health and Human Services.
SEC. 525. AUTHORIZATION OF APPROPRIATIONS.
For the purpose of carrying out this subtitle, there are author-
ized to be appropriated such sums as may be necessary for each
of the fiscal years 2001 through 2003.
TITLE VI—PROSTATE CANCER
RESEARCH AND PREVENTION
SEC. 601. SHORT TITLE.
This title may be cited as the ‘‘Prostate Cancer Research and
Prevention Act’’.
SEC. 602. AMENDMENTS TO THE PUBLIC HEALTH SERVICE ACT.
(a) PREVENTIVE HEALTH MEASURES.—Section 317D of the Public
Health Service Act (42 U.S.C. 247b–5) is amended—
(1) by striking subsection (a) and inserting the following:
‘‘(a) IN GENERAL.—The Secretary, acting through the Director
of the Centers for Disease Control and Prevention, may make
grants to States and local health departments for the purpose
of enabling such States and departments to carry out programs
that may include the following:
‘‘(1) To identify factors that influence the attitudes or levels
of awareness of men and health care practitioners regarding
screening for prostate cancer.
‘‘(2) To evaluate, in consultation with the Agency for Health
Care Policy and Research and the National Institutes of Health,
the effectiveness of screening strategies for prostate cancer.
‘‘(3) To identify, in consultation with the Agency for Health
Care Policy and Research, issues related to the quality of life
for men after prostrate cancer screening and followup.
‘‘(4) To develop and disseminate public information and
education programs for prostate cancer, including appropriate
messages about the risks and benefits of prostate cancer
screening for the general public, health care providers, policy
makers and other appropriate individuals.
‘‘(5) To improve surveillance for prostate cancer.
‘‘(6) To address the needs of underserved and minority
populations regarding prostate cancer.
‘‘(7) Upon a determination by the Secretary, who shall
take into consideration recommendations by the United States
Preventive Services Task Force and shall seek input, where
appropriate, from professional societies and other private and
public entities, that there is sufficient consensus on the
effectiveness of prostate cancer screening—
‘‘(A) to screen men for prostate cancer as a preventive
health measure;