officials and members of the public can respond
with appropriate public health activities while at
the same time protecting individual privacy and
ensuring effective communication of risk;
‘‘(F) procedures for making data available
to researchers while maintaining adequate pro-
tections of individual privacy;
‘‘(G) procedures for analyzing collected
data to identify populations at high risk, exam-
ining and responding to health concerns, recog-
nizing and addressing related environmental
and other risk factors, effectively commu-
nicating risk, and developing and implementing
prevention strategies;
‘‘(H) procedures for developing an early
warning system to detect, investigate, and
where necessary, respond to, emergent public
health concerns detected through the State Net-
work;
‘‘(I) criteria for Environmental Health In-
vestigators 
as 
required 
under 
section
2803(e)(2)(C); and
‘‘(J) procedures for record and data main-
tenance and verification.
‘‘(3) STATE
PRIORITIES.—In developing the
minimum standards and procedures under para-
graph (1), the Secretary, acting through the Direc-
tor of the Centers for Disease Control and Preven-
tion, shall include mechanisms for allowing States,
political subdivisions of States, territories, and In-
dian tribes to set priorities, and allocate resources
accordingly, among the priority chronic conditions
described in paragraph (2)(A), and the relevant
environemtnal and behavioral, socioeconomic, demo-
graphic, and other risk factors described in subpara-
graphs (B) and (C) of paragraph (2).
‘‘(c) TECHNICAL ASSISTANCE.—The Secretary, act-
ing through the Director of the Centers for Disease Con-
trol and Prevention, and the Administrator, shall directly
or through grants or contracts, or both, provide technical
assistance to States, political subdivisions of States, terri-
tories, and Indian tribes in the establishment and oper-
ation of the State Networks, including providing—
‘‘(1) training for Environmental Health Inves-
tigators as described in section 2803(e)(2)(C), for
personnel of State, local, territorial, and tribal
health agencies, and for other appropriate personnel
to develop environmental health leadership capacity
at the State (including territories and Indian tribes)
and local level, including investigative, analytical,
risk communication, and response and prevention
capabilities;
‘‘(2) assistance in improving relevant regional
and State laboratory capacity and other activities to
complement State (including territories and Indian
tribes) and local investigative capabilities;
‘‘(3) assistance in establishing a computerized
data collection, reporting, and processing system;
‘‘(4) technical assistance to those States (in-
cluding territories and Indian tribes) and local gov-
ernments determined to need such assistance to
build capacity to the level necessary for the estab-
lishment of a State Network; and
‘‘(5) any other technical assistance the Sec-
retary or Administrator determines to be necessary.
‘‘(d) REPORT TO CONGRESS.—Not later than Sep-
tember 30, 2004, and biennially thereafter, the Secretary
shall submit to Congress, and make public, a report con-
cerning the implementation of this title.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—For the
purposes of establishing, operating, and maintaining the
Nationwide Network, there is authorized to be appro-
priated $15,000,000 for each of fiscal years 2003 through
2007.
‘‘SEC. 2805. NATIONAL ENVIRONMENTAL HEALTH RAPID
RESPONSE SERVICE.
‘‘(a) 
ESTABLISHMENT.—The 
Secretary, 
acting
through the Director of the Centers for Disease Control
and Prevention, shall establish within the Epidemic Intel-
ligence Service a National Environmental Health Rapid
Response Service.
‘‘(b) DUTIES.—The National Environmental Health
Rapid Response Service established under subsection (a)
shall—
‘‘(1) work with States, political subdivisions of
States, territories, Indian tribes, and other inter-
ested parties to develop and implement strategies,
protocols, and guidelines for coordinated, rapid re-
sponses to actual and perceived higher than expected
incidence and prevalence rates of priority chronic
conditions and to acute and potential environmental
hazards and exposures, taking into consideration the
findings, conclusions, and recommendations of the
Commission;
‘‘(2) serve as a resource for communities with
concerns regarding higher than expected incidence
and prevalence rates of priority chronic conditions or
concerns regarding acute environmental exposures,
and where appropriate, conduct investigations into
higher than expected incidence and prevalence rates
of priority chronic conditions or acute environmental
exposures;
‘‘(3) coordinate activities carried out under this
title with activities carried out under sections 319
through 319G; and
‘‘(4) coordinate activities carried out under this
section with the Administrator of the Environmental
Protection Agency, the Administrator of the Agency
for Toxic Substances and Disease Registry, the Sur-
geon General, and the Director of the National In-
stitutes of Health.
‘‘(c) TRAINING.—The Secretary shall expand the
Centers for Disease Control and Prevention Epidemic In-
telligence Service and Public Health Prevention Service to
recruit and train public health officers in epidemiology, en-
vironmental health, and other relevant areas to prepare
them to respond rapidly and effectively to actual and per-
ceived higher than expected incidence and prevalence rates
of priority chronic conditions and to acute and potential
environmental hazards and exposures.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated to carry out this section,
$5,000,000 for each of fiscal years 2003 through 2007.
‘‘SEC. 2806. EXPANSION OF BIOMONITORING CAPABILITIES
AND DATA COLLECTION.
‘‘(a) IN GENERAL.—The Secretary shall expand the
scope and amount of biomonitoring data collected by the
Centers for Disease Control and Prevention, including the
collection of biomonitoring data through the National
Health and Nutrition Examination Survey so that such
biomonitoring data will provide robust, community level
information on a range of environmental exposures, in-
cluding prenatal exposures.
‘‘(b) INCREASING REGIONAL LABORATORY CAPAC-
ITY.—The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, shall enter
into cooperative agreements with States, groups of States,
academic institutions, or consortia of academic institu-
tions to establish and operate at least 5 regional biomoni-
toring laboratories to support the purposes of this title.
‘‘(c) GEOGRAPHICAL DISTRIBUTION.—In entering
into cooperative agreements under this section, the Sec-
retary shall provide for an equitable geographical distribu-
tion of regional biomonitoring laboratories.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated to carry out this section—
‘‘(1) $50,000,000 for each of fiscal years 2003
through 2007 for the expansion of biomonitoring
data collection by the Centers for Disease Control
and Prevention; and
‘‘(2) $50,000,000 for each of the fiscal years
2003 through 2007 for entering into cooperative
agreements to establish and operate at least 5 re-
gional biomonitoring laboratories.
‘‘SEC. 2807. THE NATIONAL HEALTH TRACKING REPORT.
‘‘(a) IN GENERAL.—Not later than 48 months after
the date of enactment of this title, and annually there-
after, the Secretary, acting through the Director of the
Centers for Disease Control and Prevention, and in coordi-
nation with the Administrator of the Environmental Pro-
tection Agency and the Administrator of the Agency for
Toxic Substances and Disease Registry, shall publish a re-
port, in an easy to understand format, that will provide
the public with the findings of the Nationwide Network
(including key hazards, exposures, and health outcomes)
and other information that will assist the public in gaug-
ing progress and shaping national goals with respect to
environmental health. In developing the report, the Sec-
retary and the Administrator shall take into consideration
the findings, conclusions, and recommendations of the
Commission.
‘‘(b) 
CONSULTATION.—The 
Secretary, 
acting
through the Director of the Centers for Disease Control
and Prevention, shall consult with the Commission, the
Administrator of the Environmental Protection Agency,
the Administrator of the Agency for Toxic Substances and
Disease Registry, States, political subdivisions of States,
territories, Indian tribes, and other interested parties con-
cerning the format, content, and methods of dissemination
with respect to the National Health Tracking Report
under subsection (a).
‘‘(c) REQUIREMENTS.—Each report published under
subsection (a) shall include, in addition to any other infor-
mation that the Secretary and the Administrator of the
Environmental 
Protection 
Agency 
determine
appropriate—
‘‘(1) a statement of the activities carried out
under this title during the period covered by the re-
port and the extent to which such activities achieve
the purposes of this title;
‘‘(2) an analysis of the incidence and prevalence
of priority chronic conditions and relevant environ-
mental, behavioral, socioeconomic, demographic, and
other factors by State and census tract (or other po-
litical or administrative subdivision determined ap-
propriate by the Secretary and the Administrator of
the Environmental Protection Agency) for the cal-
endar year preceding the year for which the report
is prepared;
‘‘(3) the identification of data gaps that remain
to be filled; and
‘‘(4) recommendations regarding high risk pop-
ulations, public health concerns, response and pre-
vention strategies, and additional tracking needs.
‘‘(d) DISSEMINATION.—The National Health Track-
ing Report under subsection (a) shall be made available
in an electronic format and be disseminated to the public
on as wide a basis as is practicable.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated such sums as may be nec-
essary to carry out this section.
‘‘PART B—INCREASING PUBLIC HEALTH
PERSONNEL CAPACITY
‘‘SEC. 2811. SCHOOLS OF PUBLIC HEALTH CENTERS OF EX-
CELLENCE.
‘‘(a) IN GENERAL.—Beginning in fiscal year 2003,
the Secretary may make grants to, or enter into coopera-
tive agreements with, at least 5 accredited schools of pub-
lic health or departments of public health or similar de-
partments within accredited schools of medicine for the
establishment, maintenance, and operation of centers for
research and demonstration with respect to chronic condi-
tions and relevant environmental factors.
‘‘(b) AREAS OF RESEARCH AND DEMONSTRATION.—
In addition to areas of research specified by the Secretary
and the Administrator of the Environmental Protection
Agency, after taking into consideration the findings, con-
clusions, and recommendations of the Commission, centers
established, maintained, or operated under this section
shall undertake research and development projects in at
least 1 of the following areas:
‘‘(1) Investigating causal connections between
chronic conditions and environmental factors, includ-
ing effects of environmental factors on the health of
children and other vulnerable subpopulations.
‘‘(2) 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.
‘‘(3) Identifying additional chronic conditions
and environmental factors that could provide infor-
mation with respect to potential public health bene-
fits if surveyed through the Nationwide Network, in-
cluding such conditions as reproductive health, endo-
crine disorders, cardiovascular diseases, and other
chronic conditions that may be related to environ-
mental factors.
‘‘(4) Improving the translation of Nationwide
Network tracking results into effective prevention
activities.
‘‘(5) Improving the training of the public health
workforce in environmental epidemiology.
‘‘(c) REQUIREMENTS.—Each center established,
maintained, or operated under this section shall be located
in a school of public health or a department of public
health or similar department within an accredited school
of medicine—
‘‘(1) that has a core faculty in epidemiology,
biostatistics, social and behavioral sciences, environ-
mental health sciences, health communication, and
health services administration;
‘‘(2) with a proximity to, and that collaborates
with, a laboratory with expertise in biomonitoring
and other techniques for measuring and quantifying
environmental factors and exposures;
‘‘(3) that provides graduate training programs
relevant to disease prevention and environmental
health;
‘‘(4) that has a multidisciplinary faculty that
has working relationships with relevant groups in
such fields as medicine, psychology, nursing, pediat-
rics, social work, education, environmental sciences,
and life sciences;
‘‘(5) that has a demonstrated curriculum in dis-
ease prevention;
‘‘(6) that has a capability for residency training
in public health or preventive medicine;
‘‘(7) that maintains collaborative partnerships
with State and local health departments; and
‘‘(8) that meets such other qualifications as the
Secretary may prescribe.
‘‘(d) COMMUNITY INVOLVEMENT.—
‘‘(1) IN GENERAL.—In conducting research and
demonstration projects under subsection (b), each
center established, maintained, or operated under
this section shall involve community organizations to
ensure that local concerns are adequately addressed
and that aggregated data resulting from the projects
are readily accessible and contain information useful
for local activities.
‘‘(2) REQUIREMENTS.—The centers established,
maintained, or operated under this section shall—
‘‘(A) utilize community outreach and orga-
nization techniques and other methods of edu-
cating and motivating communities; and
‘‘(B) work with community organizations
to routinely evaluate the Nationwide Network
and State Networks with respect to local needs
and to ensure appropriate dissemination and in-
terpretation of tracking data.
‘‘(e) APPLICATION.—To be eligible to receive a grant
or cooperative agreement under subsection (a) an accred-
ited school of public health or a department of public
health or similar department within an accredited school
of medicine shall submit to the Commission for approval
an application that is in such form, submitted in such
manner, and accompanied by such information, as the
Secretary and the Commission may specify.
‘‘(f) SELECTION.—In determining which applications
to approve under subsection (e), the Commission shall—
‘‘(1) provide for an equitable geographical dis-
tribution of centers established, maintained, and op-
erated under this section; and
‘‘(2) provide for the distribution of such centers
among areas containing a range of population
groups which exhibit incidence rates of chronic con-
ditions that are—
‘‘(A) higher than would normally be ex-
pected;
‘‘(B) likely to be related to environmental
factors; and
‘‘(C) most likely to respond to preventive
intervention efforts.
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated to carry out this section,
$5,000,000 for each of fiscal years 2003 through 2007.
‘‘SEC. 2812. JOHN H. CHAFEE PUBLIC HEALTH SCHOLAR
PROGRAM.
‘‘(a) IN GENERAL.—The Secretary shall award schol-
arships, to be know as John H. Chafee Public Health
Scholarships, to eligible students who meet the criteria es-
tablished under subsection (b) and who are enrolled in an
accredited school of public health or a department of pub-
lic health or similar department within an accredited
school of medicine.
‘‘(b) CRITERIA FOR SCHOLARSHIPS.—The Secretary
and the Administrator of the Environmental Protection
Agency, taking into consideration the recommendations of
the Commission, shall establish specific criteria upon
which to award scholarships under subsection (a), which
shall include criteria relating to appropriate basic and ad-
vanced training in chronic conditions and environmental
epidemiology, environmental health sciences, risk commu-
nication, and community outreach and intervention.
‘‘(c) ELIGIBILITY.—To be eligible to receive a schol-
arship under this section, an individual shall—
‘‘(1) be enrolled on a full-time basis in, or ac-
cepted to, a master’s or doctoral level program in
public health at an accredited school of public health
or a department of public health or similar depart-
ment within an accredited school of medicine;
‘‘(2) submit an application to the Secretary at
such time, in such manner, and containing such
agreements, assurances, and information as the Sec-
retary and the Administrator determine to be nec-
essary to carry out this section; and
‘‘(3) enter into an obligated service agreement
with the Secretary under which the individual agrees
to accept employment, following the completion of
the recipient’s course of study, in a State, local, mu-
nicipal, tribal, territory, or Federal public health
agency for 1 year for each year that the recipient re-
ceived such a scholarship.
‘‘(d) SELECTION.—The recipients of scholarships
under this section shall be selected by the Commission
based on the applications submitted.
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—There
is authorized to be appropriated to carry out this section,
$2,500,000 for each of fiscal years 2003 through 2007.
‘‘PART C—GENERAL PROVISIONS
‘‘SEC. 2821. GENERAL PROVISIONS.
‘‘(a) INTERNAL MONITORING
AND COORDINATION
REGARDING CENTERS FOR DISEASE CONTROL AND PRE-
VENTION.—The Secretary, acting through the Director of
the Centers for Disease Control and Prevention, shall
place primary responsibility for the coordination of the
programs established under this title in the Office of the
Director. In addition, the officers or employees of such
Centers who are assigned responsibility for monitoring
and coordinating the activities carried out under this title
by such Centers include officers or employees within the
Office of the Director of such Centers.
‘‘(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 of the Centers for Disease
Control and Prevention, shall to the extent practicable de-
sign 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.—For carrying out the
purposes of this title, the Secretary, acting through the
Director of the Centers for Disease Control and Preven-
tion, shall coordinate activities and responses with the
Agency for Toxic Substances and Disease Registry.’’.
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