IB 
Union Calendar No. 425 
108TH CONGRESS 
2D SESSION 
H. R. 4555 
[Report No. 108–694] 
To amend the Public Health Service Act to revise and extend provisions 
relating to mammography quality standards. 
IN THE HOUSE OF REPRESENTATIVES 
JUNE 14, 2004 
Mr. DINGELL introduced the following bill; which was referred to the 
Committee on Energy and Commerce 
SEPTEMBER 22, 2004 
Additional sponsors: Mr. FILNER and Mrs. CAPPS 
SEPTEMBER 22, 2004 
Reported with an amendment, committed to the Committee of the Whole 
House on the State of the Union, and ordered to be printed 
[Strike out all after the enacting clause and insert the part printed in italic] 
A BILL 
To amend the Public Health Service Act to revise and extend 
provisions relating to mammography quality standards. 
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 ‘‘Mammography Quality 
Standards Reauthorization Act of 2004’’. 
SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL 
CERTIFICATE. 
Section 354 of the Public Health Service Act (42 
U.S.C. 263b) is amended— 
(1) in subsection (b)(1)— 
(A) in subparagraph (A)— 
(i) in the matter preceding clause (i), 
by inserting ‘‘or a temporary renewal cer-
tificate’’ after ‘‘certificate’’; and 
(ii) in clause (i), by striking ‘‘sub-
section (c)(1)’’ and inserting ‘‘paragraphs 
(1) or (2) of subsection (c)’’; 
(B) in subparagraph (B)— 
(i) in the matter preceding clause (i), 
by inserting ‘‘or a limited provisional cer-
tificate’’ after ‘‘certificate’’; and 
(ii) in clause (i), by striking ‘‘sub-
section (c)(2)’’ and inserting ‘‘paragraphs 
(3) and (4) of subsection (c)’’; and 
(C) in the flush matter at the end, by 
striking ‘‘provisional certificate’’ and inserting 
‘‘temporary renewal certificate, provisional cer-
tificate, or a limited provisional certificate’’; 
and 
(2) in subsection (c)— 
(A) by redesignating paragraph (2) as 
paragraph (4); and 
(B) by inserting after paragraph (1) the 
following: 
‘‘(2)
TEMPORARY
RENEWAL
CERTIFICATE.— 
The Secretary may issue a temporary renewal cer-
tificate, for a period of not to exceed 45 days, to a 
facility seeking reaccreditation if the accreditation 
body has issued an accreditation extension, for a pe-
riod of not to exceed 45 days, for any of the fol-
lowing: 
‘‘(A) The facility has submitted the re-
quired materials to the accreditation body with-
in the established time frames for the submis-
sion of such materials but the accreditation 
body is unable to complete the reaccreditation 
process before the certification expires. 
‘‘(B) The facility has acquired additional 
or replacement equipment, or has had signifi-
cant personnel changes or other unforeseen sit-
uations that have caused the facility to be un-
able to meet reaccreditation timeframes, but in
the opinion of the accreditation body have not 
compromised the quality of mammography. 
‘‘(3)
LIMITED
PROVISIONAL
CERTIFICATE.— 
The Secretary may, upon the request of an accredi-
tation body, issue a limited provisional certificate to 
an entity to enable the entity to conduct examina-
tions for educational purposes while an onsite visit 
from an accreditation body is in progress. Such cer-
tificate shall be valid only during the time the site 
visit team from the accreditation body is physically 
in the facility, and in no case shall be valid for 
longer than 72 hours. The issuance of a certificate 
under this paragraph, shall not preclude the entity 
from qualifying for a provisional certificate under 
paragraph (4).’’. 
SEC. 3. AUTHORIZATION OF APPROPRIATIONS. 
Subparagraphs (A) and (B) of section 354(r)(2) of 
the Public Health Service Act (42 U.S.C. 263b(r)(2)(A) 
and (B)) are amended by striking ‘‘2002’’ each place it 
appears and inserting ‘‘2007’’. 
SECTION 1. SHORT TITLE. 
This Act may be cited as the ‘‘Mammography Quality 
Standards Reauthorization Act of 2004’’.
SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL 
CERTIFICATE. 
Section 354 of the Public Health Service Act (42 
U.S.C. 263b) is amended— 
(1) in subsection (b)(1)— 
(A) in subparagraph (A)— 
(i) in the matter preceding clause (i), 
by inserting ‘‘or a temporary renewal cer-
tificate’’ after ‘‘certificate’’; and 
(ii) in clause (i), by striking ‘‘sub-
section (c)(1)’’ and inserting ‘‘paragraphs 
(1) or (2) of subsection (c)’’; 
(B) in subparagraph (B)— 
(i) in the matter preceding clause (i), 
by inserting ‘‘or a limited provisional cer-
tificate’’ after ‘‘certificate’’; and 
(ii) in clause (i), by striking ‘‘sub-
section (c)(2)’’ and inserting ‘‘paragraphs 
(3) and (4) of subsection (c)’’; and 
(C) in the flush matter at the end, by strik-
ing ‘‘provisional certificate’’ and inserting ‘‘tem-
porary renewal certificate, provisional certifi-
cate, or a limited provisional certificate’’; and 
(2) in subsection (c)— 
(A) by redesignating paragraph (2) as 
paragraph (4); and
(B) by inserting after paragraph (1) the fol-
lowing: 
‘‘(2) TEMPORARY RENEWAL CERTIFICATE.—The 
Secretary may issue a temporary renewal certificate, 
for a period of not to exceed 45 days, to a facility 
seeking reaccreditation if the accreditation body has 
issued an accreditation extension, for a period of not 
to exceed 45 days, for any of the following: 
‘‘(A) The facility has submitted the required 
materials to the accreditation body within the es-
tablished time frames for the submission of such 
materials but the accreditation body is unable to 
complete the reaccreditation process before the 
certification expires. 
‘‘(B) The facility has acquired additional or 
replacement equipment, or has had significant 
personnel changes or other unforeseen situations 
that have caused the facility to be unable to meet 
reaccreditation timeframes, but in the opinion of 
the accreditation body have not compromised the 
quality of mammography. 
‘‘(3) LIMITED PROVISIONAL CERTIFICATE.—The 
Secretary may, upon the request of an accreditation 
body, issue a limited provisional certificate to an en-
tity to enable the entity to conduct examinations for
Union Calendar No. 425 
108TH CONGRESS 
2D SESSION 
H. R. 4555 
[Report No. 108–694] 
A BILL 
To amend the Public Health Service Act to revise 
and extend provisions relating to mammography 
quality standards. 
SEPTEMBER 22, 2004 
Reported with an amendment, committed to the Com-
mittee of the Whole House on the State of the Union, 
and ordered to be printed