SEC. 2. FINDINGS.
The Congress finds that—
(1) certain pests of public health importance
occur and proliferate at higher rates in urban envi-
ronments;
(2) these pests may spread infectious disease
and contribute to the worsening of chronic res-
piratory illnesses, including asthma;
(3) pollution, smoking, pesticides, and other en-
vironmental factors, including exposure to cock-
roaches, may contribute to and worsen the condition
of individuals, especially children, suffering from
asthma;
(4) the widespread use of pesticides poses
health risks to children, as documented by the Na-
tional Research Council;
(5) the number of Americans suffering from
Asthma has increased 75 percent since 1980;
(6) more than 15 million Americans suffer from
an asthma;
(7) children residing in the poorest neighbor-
hoods of some of America’s largest cities suffer dis-
proportionately from asthma;
(8) research supported by the National Insti-
tutes of Health has conclusively demonstrated that
the combination of cockroach allergen and exposure
to the insects is an important cause of asthma-relat-
ed illnesses and hospitalizations among children in
inner-city areas of the United States;
(9) cities outside the United States have devel-
oped and implemented effective systems of cockroach
management;
(10) integrated pest management is a cost-ef-
fective approach to pest control that emphasizes pre-
vention, and uses a range of techniques, including
property maintenance and cleaning, and uses pes-
ticides as means of last resort;
(11) integrated pest management has been used
successfully by Federal agencies, including the Gen-
eral Services Administration and the National For-
est Service;
(12) reducing exposure to cockroach allergen,
as part of an integrated approach to asthma man-
agement, may be a cost-effective way of reducing the
social and economic costs of the disease; and
(13) no current Federal funding exists specifi-
cally to assist cities in developing and implementing
integrated strategies to reduce cockroach infestation.
SEC. 3. PREVENTIVE HEALTH AND HEALTH SERVICES
BLOCK GRANT; SYSTEMS FOR REDUCING
ASTHMA AND ASTHMA-RELATED ILLNESSES
THROUGH 
URBAN 
COCKROACH 
MANAGE-
MENT.
Section 1904(a)(1) of the Public Health Service Act
(42 U.S.C. 300w–3(a)(1)) is amended—
(1) by redesignating subparagraphs (E) and
(F) as subparagraphs (F) and (G), respectively;
(2) by inserting after subparagraph (D) the fol-
lowing subparagraph:
‘‘(E) The establishment, operation, and coordi-
nation of effective and cost-efficient systems to re-
duce the prevalence of asthma and asthma-related
illnesses among urban populations, especially chil-
dren, by reducing the level of exposure to cockroach
allergen through the use of integrated pest manage-
ment, as applied to cockroaches. Amounts expended
for such systems may include the costs of structural
rehabilitation of housing, public schools, and other
public facilities to reduce cockroach infestation, the
costs of building maintenance, and the costs of pro-
grams to promote community participation in the
carrying out at such sites of integrated pest manage-
ment as applied to cockroaches. For purposes of this
subparagraph, the term ‘integrated pest manage-
ment’ means an approach to the management of
pests in public facilities that minimizes or avoids the
use of pesticide chemicals through a combination of
appropriate practices regarding the maintenance,
cleaning, and monitoring of such sites.’’;
(3) in subparagraph (F) (as redesignated by
paragraph (1)), by striking ‘‘subparagraphs (A)
through (D)’’ and inserting ‘‘subparagraphs (A)
through (E)’’; and
(4) in subparagraph (G) (as so redesignated),
by striking ‘‘subparagraphs (A) through (E)’’ and
inserting ‘‘subparagraphs (A) through (F).’’.
Æ