104
‘‘(7) promote the use of computers and tele-
communications by health professionals (including
health professionals in rural areas) for the purpose
of improving access to biomedical information for
health care delivery and medical research; and’’.
(b) 
LIMITATION
REGARDING
GRANTS.—Section
474(b)(2) of the Public Health Service Act (42 U.S.C.
286b–S(b)(2)) is amended by striking ‘‘$750,000’’ and in-
serting ‘‘$1,000,000’’.
(c) TECHNICAL AND CONFORMING AMENDMENTS.—
(1) REPEAL OF CERTAIN AUTHORITY.—Section
215 of the Department of Health and Human Serv-
ices Appropriations Act, 1988, as contained in sec-
tion 101(h) of Public Law 100–202 (101 Stat.
1329–275), is repealed.
(2) APPLICABILITY OF CERTAIN NEW AUTHOR-
ITY.—With respect to the authority established for
the National Library of Medicine in section
465(b)(6) of the Public Health Service Act, as added
by subsection (a) of this section, such authority shall
be effective as if the authority had been established
on December 22, 1987.
SEC. 1402. AUTHORIZATION OF APPROPRIATIONS.
(a) ESTABLISHMENT OF SINGLE AUTHORIZATION.—
Subpart 1 of part D of title IV of the Public Health Serv-
105
ice Act (42 U.S.C. 286 et seq.) is amended by adding at
the end the following section:
‘‘AUTHORIZATION OF APPROPRIATIONS
‘‘SEC. 468. (a) For the purpose of carrying out this
part, 
there 
are 
authorized 
to 
be 
appropriated
$150,000,000 for fiscal year 1994, and such sums as may
be necessary for each of the fiscal years 1995 and 1996.
‘‘(b) Amounts appropriated under subsection (a) and
made available for grants or contracts under any of sec-
tions 472 through 476 shall remain available until the end
of the fiscal year following the fiscal year for which the
amounts were appropriated.’’.
(b) CONFORMING AMENDMENTS.—Part D of title IV
of the Public Health Service Act (42 U.S.C. 286 et seq.)
is amended by striking section 469 and section 478(c).
Subtitle B—Financial Assistance
SEC. 1411. ESTABLISHMENT OF PROGRAM OF GRANTS FOR
DEVELOPMENT 
OF 
EDUCATION 
TECH-
NOLOGIES.
Section 473 of the Public Health Service Act (42
U.S.C. 286b–4) is amended by adding at the end the fol-
lowing new subsection:
‘‘(c)(1) The Secretary shall make grants to public or
nonprofit private institutions for the purpose of carrying
out projects of research on, and development and dem-
onstration of, new education technologies.
106
‘‘(2) The purposes for which a grant under paragraph
(1) may be made include projects concerning—
‘‘(A) computer-assisted teaching and testing of
clinical competence at health professions and re-
search institutions;
‘‘(B) the effective transfer of new information
from research laboratories to appropriate clinical ap-
plications;
‘‘(C) the expansion of the laboratory and clini-
cal uses of computer-stored research databases; and
‘‘(D) the testing of new technologies for train-
ing health care professionals.
‘‘(3) The Secretary may not make a grant under
paragraph (1) unless the applicant for the grant agrees
to make the projects available with respect to—
‘‘(A) assisting in the training of health profes-
sions students; and
‘‘(B) enhancing and improving the capabilities
of health professionals regarding research and teach-
ing.’’.
107
Subtitle C—National Information
Center on Health Services Re-
search and Health Care Tech-
nology
SEC. 1421. ESTABLISHMENT OF CENTER.
Part D of title IV of the Public Health Service Act
(42 U.S.C. 286 et seq.) is amended by adding at the end
the following new subpart:
‘‘Subpart 4—National Information Center on Health
Services Research and Health Care Technology
‘‘NATIONAL INFORMATION CENTER
‘‘SEC. 478A. (a) There is established within the Li-
brary an entity to be known as the National Information
Center on Health Services Research and Health Care
Technology (in this section referred to as the ‘Center’).
‘‘(b) The purpose of the Center is the collection, stor-
age, analysis, retrieval, and dissemination of information
on health services research, clinical practice guidelines,
and on health care technology, including the assessment
of such technology. Such purpose includes developing and
maintaining data bases and developing and implementing
methods of carrying out such purpose.
‘‘(c) The Director of the Center shall ensure that in-
formation under subsection (b) concerning clinical practice
guidelines is collected and maintained electronically and
108
in a convenient format. Such Director shall develop and
publish criteria for the inclusion of practice guidelines and
technology 
assessments 
in 
the 
information 
center
database.
‘‘(d) The Secretary, acting through the Center, shall
coordinate the activities carried out under this section
through the Center with related activities of the Adminis-
trator for Health Care Policy and Research.’’.
SEC. 1422. CONFORMING PROVISIONS.
(a) IN GENERAL.—Section 903 of the Public Health
Service Act, as amended by section 3 of Public Law 102–
410 (106 Stat. 2094), is amended to read as follows:
‘‘(e) REQUIRED INTERAGENCY AGREEMENT.—The
Administrator and the Director of the National Library
of Medicine shall enter into an agreement providing for
the implementation of section 478A.’’.
(b) RULE
OF CONSTRUCTION.—The amendments
made by section 3 of Public Law 102–410 (106 Stat.
2094), by section 1421 of this Act, and by subsection (a)
of this section may not be construed as terminating the
information center on health care technologies and health
care technology assessment established under section 904
of the Public Health Service Act, as in effect on the day
before the date of the enactment of Public Law 102–410.
Such center shall be considered to be the center estab-
109
lished in section 478A of the Public Health Service Act,
as added by section 1421 of this Act, and shall be subject
to the provisions of such section 478A.
TITLE XV—OTHER AGENCIES OF
NATIONAL 
INSTITUTES 
OF
HEALTH
Subtitle A—Division of Research
Resources
SEC. 1501. REDESIGNATION OF DIVISION AS NATIONAL
CENTER FOR RESEARCH RESOURCES.
Title IV of the Public Health Service Act (42 U.S.C.
281 et seq.) is amended—
(1) in section 401(b)(2)(B), by amending such
subparagraph to read as follows:
‘‘(B) The National Center for Research Re-
sources.’’; and
(2) in part E—
(A) in the heading for subpart 1, by strik-
ing ‘‘Division of’’ and inserting ‘‘National Cen-
ter for’’;
(B) in section 479, by striking ‘‘the Divi-
sion of Research Resources’’ and inserting the
following: ‘‘the National Center for Research
Resources (hereafter in this subpart referred to
as the ‘Center’)’’;
112
‘‘(B) In carrying out subparagraph (A),
the Board shall make a determination of the
merit of each application submitted for a grant
under subsection (a), after consideration of the
requirements established in subsection (c), and
shall report the results of the determination to
the Director of the Center and the Advisory
Council. Such determinations shall be con-
ducted in a manner consistent with procedures
established under section 492.
‘‘(C) In carrying out subparagraph (A),
the Board shall, in the case of applications rec-
ommended for approval, make recommendations
to the Director and the Advisory Council on the
amount that should be provided in the grant.
‘‘(D) In carrying out subparagraph (A),
the Board shall prepare an annual report for
the Director of the Center and the Advisory
Council describing the activities of the Board in
the fiscal year for which the report is made.
Each such report shall be available to the pub-
lic, and shall—
‘‘(i) summarize and analyze expendi-
tures made under this section;
113
‘‘(ii) provide a summary of the types,
numbers, and amounts of applications that
were recommended for grants under sub-
section (a) but that were not approved by
the Director of the Center; and
‘‘(iii) contain the recommendations of
the Board for any changes in the adminis-
tration of this section.
‘‘(3) MEMBERSHIP.—
‘‘(A) Subject to subparagraph (B), the
Board shall be composed of such appointed and
ex officio members as the Director of the Cen-
ter may determine.
‘‘(B) Not more than 3 individuals who are
officers or employees of the Federal Govern-
ment may serve as members of the Board.
‘‘(C) Of the members of the Board—
‘‘(i) 12 shall be appointed by the Di-
rector of the Center (without regard to the
civil service laws); and
‘‘(ii) 1 shall be an official of the Na-
tional Science Foundation designated by
the National Science Board.
‘‘(4) 
CERTAIN
REQUIREMENTS
REGARDING
MEMBERSHIP.—In selecting individuals for member-
114
ship on the Board, the Director of the Center shall
ensure that the members are individuals who, by the
virtue of their training or experience, are eminently
qualified to perform peer review functions. In select-
ing such individuals for such membership, the Direc-
tor of the Center shall ensure that the members of
the Board collectively—
‘‘(A) are experienced in the planning, con-
struction, financing, and administration of enti-
ties that conduct biomedical or behavioral re-
search sciences;
‘‘(B) are knowledgeable in making deter-
minations of the need of entities for biomedical
or behavioral research facilities, including such
facilities for the dentistry, nursing, pharmacy,
and allied health professions;
‘‘(C) are knowledgeable in evaluating the
relative priorities for applications for grants
under subsection (a) in view of the overall re-
search needs of the United States; and
‘‘(D) are experienced with emerging cen-
ters of excellence, as described in subsection
(c)(3).
‘‘(5) CERTAIN AUTHORITIES.—
115
‘‘(A) In carrying out paragraph (2), the
Board may establish subcommittees, convene
workshops and conferences, and collect data as
the Board considers appropriate.
‘‘(B) In carrying out paragraph (2), the
Board may establish subcommittees within the
Board. Such subcommittees may hold meetings
as determined necessary to enable the sub-
committee to carry out its duties.
‘‘(6) TERMS.—
‘‘(A) Except as provided in subparagraph
(B), each appointed member of the Board shall
hold office for a term of 4 years. Any member
appointed to fill a vacancy occurring prior to
the expiration of the term for which such mem-
ber’s predecessor was appointed shall be ap-
pointed for the remainder of the term of the
predecessor.
‘‘(B) Of the initial members appointed to
the Board (as specified by the Director of the
Center when making the appointments)—
‘‘(i) 3 shall hold office for a term of
3 years;
‘‘(ii) 3 shall hold office for a term of
2 years; and
116
‘‘(iii) 3 shall hold office for a term of
1 year.
‘‘(C) No member is eligible for reappoint-
ment to the Board until 1 year has elapsed
after the end of the most recent term of the
member.
‘‘(7) COMPENSATION.—Members of the Board
who are not officers or employees of the United
States shall receive for each day the members are
engaged in the performance of the functions of the
Board compensation at the same rate received by
members of other national advisory councils estab-
lished under this title.
‘‘(c) REQUIREMENTS FOR GRANTS.—
‘‘(1) IN GENERAL.—The Director of the Center
may make a grant under subsection (a) only if the
applicant for the grant meets the following condi-
tions:
‘‘(A) The applicant is determined by such
Director to be competent to engage in the type
of research for which the proposed facility is to
be constructed.
‘‘(B) The applicant provides assurances
satisfactory to the Director that—