IB
Union Calendar No. 65
103D CONGRESS
1ST SESSION
H. R. 2204
[Report No. 103–121]
To amend the Public Health Service Act to establish a program for the
prevention of disabilities, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
MAY 20, 1993
Mr. WAXMAN (for himself, Mr. MOORHEAD, Mr. TOWNS, and Mr. STUDDS)
introduced the following bill; which was referred to the Committee on En-
ergy and Commerce
JUNE 10, 1993
Additional sponsors: Mr. RICHARDSON, Mr. FRANKS of Connecticut, Mr.
MANTON, and Mr. UPTON
JUNE 10, 1993
Committed to the Committee of the Whole House on the State of the Union
and ordered to be printed
A BILL
To amend the Public Health Service Act to establish a pro-
gram for the prevention of disabilities, and for other
purposes.
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 ‘‘Silvio O. Conte Dis-
abilities Prevention Act’’.
SEC. 2. ESTABLISHMENT OF SILVIO O. CONTE DISABILITIES
PREVENTION PROGRAM.
Part B of title III of the Public Health Service Act
(42 U.S.C. 243 et seq.) is amended by inserting after sec-
tion 314 the following new section:
‘‘SILVIO O. CONTE DISABILITIES PREVENTION PROGRAM
‘‘SEC. 315. (a) IN GENERAL.—The Secretary, acting
through the Director of the Centers for Disease Control
and Prevention, may make grants to and enter into con-
tracts with public and nonprofit private entities for the
purpose of carrying out programs for the prevention of
disabilities and the prevention of secondary conditions re-
sulting from disabilities.
‘‘(b) CERTAIN AUTHORIZED ACTIVITIES.—With re-
spect to the prevention of disabilities and conditions de-
scribed in subsection (a), activities for which the Secretary
may provide financial assistance under such subsection in-
clude—
‘‘(1) coordinating prevention activities;
‘‘(2) conducting demonstrations and interven-
tions;
‘‘(3) conducting surveillances and studies;
‘‘(4) educating the public; and
‘‘(5) educating and training health professionals
(including allied health professionals) and conduct-
ing activities to improve the clinical skills of such
professionals.
‘‘(c) PRIORITIES.—The Secretary, in consultation
with the National Council on Disabilities, shall establish
priorities among the activities that are to be carried out
under subsection (a).
‘‘(d) REPORTS TO SECRETARY.—The Secretary may
provide financial assistance under subsection (a) only if
the applicant involved agrees to submit to the Secretary
such reports as the Secretary may require with respect
to such assistance.
‘‘(e) APPLICATION FOR ASSISTANCE.—The Secretary
may provide financial assistance under subsection (a) only
if an application for such assistance is submitted to the
Secretary and the application is in such form, is made in
such manner, and contains such agreements, assurances,
and information as the Secretary determines to be nec-
essary to carry out this section.
‘‘(f) 
LIMITATION
REGARDING
EDUCATION
OF
HEALTH PROFESSIONALS.—In providing financial assist-
ance under subsection (a), the Secretary may not, for ac-
tivities described in subsection (b)(5), obligated more than
10 percent of the amounts appropriated under subsection
(k) for any fiscal year.
‘‘(g) TECHNICAL ASSISTANCE.—The Secretary may
provide training, technical assistance, and consultations
with respect to the planning, development, and operation
of any program for the prevention of disabilities or the
prevention of secondary conditions resulting from disabil-
ities.
‘‘(h) PROVISION
OF SUPPLIES
AND SERVICES
IN
LIEU OF FUNDS.—
‘‘(1) IN GENERAL.—Upon the request of a re-
cipient of financial assistance under subsection (a),
the Secretary may, subject to paragraph (2), provide
supplies, equipment, and services for the purpose of
aiding the recipient in carrying out such subsection
and, for such purpose, may detail to the recipient
any officer or employee of the Department of Health
and Human Services.
‘‘(2) CORRESPONDING
REDUCTION
IN
PAY-
MENTS.—With respect to a request by a recipient
for purposes of paragraph (1), the Secretary shall
reduce the amount of payments under subsection (a)
to the recipient by an amount equal to the costs of
detailing personnel (including pay, allowances, and
travel expenses) and the fair market value of any
supplies, equipment, or services provided by the Sec-
retary. The Secretary shall, for the payment of ex-
penses incurred in complying with such request, ex-
pend the amounts withheld.
‘‘(i) EVALUATIONS AND REPORTS.—
‘‘(1) EVALUATIONS.—The Secretary shall, di-
rectly or through contracts with public or private en-
tities, provide for evaluations of programs carried
out pursuant to subsection (a).
‘‘(2) REPORTS.—Not later than January 31 of
1995 and of every second year thereafter, the Sec-
retary shall submit to the Committee on Energy and
Commerce of the House of Representatives, and to
the Committee on Labor and Human Resources of
the Senate, a report summarizing evaluations car-
ried out pursuant to paragraph (1). The Secretary
shall provide a copy of each such report to the Na-
tional Council on Disability.
‘‘(j) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘financial assistance’ means a
grant or contract.
‘‘(2) The term ‘prevention’ means activities that
address the causes of disabilities and secondary con-
ditions resulting from disabilities, and activities that
address the functional limitations involved and the