I 
107TH CONGRESS 
2D SESSION 
H. R. 5484
To amend the Public Health Service Act to enhance research, training, 
and health information dissemination with respect to urologic diseases, 
and for other purposes. 
IN THE HOUSE OF REPRESENTATIVES 
SEPTEMBER 26, 2002
Mr. LEACH introduced the following bill; which was referred to the Committee 
on Energy and Commerce 
A BILL 
To amend the Public Health Service Act to enhance research, 
training, and health information dissemination with re-
spect to urologic diseases, 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 ‘‘Training and Research 
in Urology Act of 2002’’.
SEC. 2. RESEARCH, TRAINING, AND HEALTH INFORMATION 
DISSEMINATION WITH RESPECT TO URO-
LOGIC DISEASES. 
(a) DIVISION DIRECTOR OF UROLOGY.—Section 428 
of the Public Health Service Act (42 U.S.C. 285c–2) is 
amended—
(1) in subsection (a)(1), by striking ‘‘and a Di-
vision Director for Kidney, Urologic, and Hemato-
logic Diseases’’ and inserting ‘‘a Division Director 
for Urologic Diseases, and a Division Director for 
Kidney and Hematologic Diseases’’; and 
(2) in subsection (b)—
(A) by striking ‘‘and the Division Director 
for Kidney, Urologic, and Hematologic Dis-
eases’’ and inserting ‘‘the Division Director for 
Urologic Diseases, and the Division Director for 
Kidney and Hematologic Diseases’’; and 
(B) by striking ‘‘(1) carry out programs’’ 
and all that follows through the end and insert-
ing the following: 
‘‘(1) carry out programs of support for research 
and training (other than training for which National 
Research Service Awards may be made under section 
487) in the diagnosis, prevention, and treatment of 
diabetes mellitus and endocrine and metabolic dis-
eases, digestive diseases and nutritional disorders,
and kidney, urologic, and hematologic diseases, in-
cluding support for training in medical schools, 
graduate clinical training (with particular attention 
to programs geared to the needs of urology residents 
and fellows), graduate training in epidemiology, epi-
demiology studies, clinical trials, and interdiscipli-
nary research programs; 
‘‘(2) establish programs of evaluation, planning, 
and dissemination of knowledge related to such re-
search and training; 
‘‘(3) in cooperation with the urologic scientific 
and patient community, develop and submit to the 
Congress not later than January 1, 2005, a national 
urologic research plan that identifies research needs 
in the various areas of urologic diseases, including 
pediatrics, interstitial cystitis, incontinence, stone 
disease, urinary tract infections, and benign pros-
tatic diseases; and 
‘‘(4) in cooperation with the urologic scientific 
and patient community, review the national urologic 
research plan every 3 years beginning in 2008 and 
submit to the Congress any revisions or additional 
recommendations.’’; and 
(3) at the end of the section, by adding the fol-
lowing:
‘‘(c) There are authorized to be appropriated 
$500,000 for each of fiscal years 2003 and 2004 to carry 
out paragraphs (3) and (4) of subsection (b), and such 
sums as may be necessary thereafter.’’. 
(b) UROLOGIC DISEASES DATA SYSTEM AND INFOR-
MATION CLEARINGHOUSE.—Section 427 of the Public 
Health Service Act (42 U.S.C. 285c–1) is amended—
(1) in subsection (c), by striking the terms 
‘‘and Urologic’’ and ‘‘and urologic’’ each place either 
such term appears; and 
(2) by adding at the end the following: 
‘‘(d) The Director of the Institute shall—
‘‘(1) establish the National Urologic Diseases 
Data System for the collection, storage, analysis, re-
trieval, and dissemination of data derived from pa-
tient populations with urologic diseases, including, 
where possible, data involving general populations 
for the purpose of detection of individuals with a 
risk of developing urologic diseases; and 
‘‘(2) establish the National Urologic Diseases 
Information Clearinghouse to facilitate and enhance 
knowledge and understanding of urologic diseases on 
the part of health professionals, patients, and the 
public through the effective dissemination of infor-
mation.’’.
(c) STRENGTHENING THE UROLOGY INTERAGENCY 
COORDINATING COMMITTEE.—Section 429 of the Public 
Health Service Act (42 U.S.C. 285c–3) is amended—
(1) in subsection (a), by striking ‘‘and a Kid-
ney, Urologic, and Hematologic Diseases Coordi-
nating Committee’’ and inserting ‘‘a Urologic Dis-
eases Interagency Coordinating Committee, and a 
Kidney and Hematologic Diseases Interagency Co-
ordinating Committee’’; 
(2) in subsection (b), by striking ‘‘the Chief 
Medical Director of the Veterans’ Administration,’’ 
and inserting ‘‘the Under Secretary for Health of 
the Department of Veterans Affairs’’; and 
(3) by adding at the end the following: 
‘‘(d) The Urology Interagency Coordinating Com-
mittee may encourage, conduct, or support intra- or inter-
agency activities in urology research, including joint train-
ing programs, joint research projects, planning activities, 
and clinical trials. 
‘‘(e) For the purpose of carrying out the activities 
of the Urologic Diseases Interagency Coordinating Com-
mittee, 
there 
are 
authorized 
to 
be 
appropriated 
$5,000,000 for each of fiscal years 2003 through 2007, 
and such sums as may be necessary thereafter.’’.
(d) NATIONAL
UROLOGIC
DISEASES
ADVISORY 
BOARD.—Section 430 of the Public Health Service Act 
(42 U.S.C. 285c–4) is amended by striking ‘‘and the Na-
tional Kidney and Urologic Diseases Advisory Board’’ and 
inserting ‘‘the National Urologic Diseases Advisory Board, 
and the National Kidney Diseases Advisory Board’’. 
(e) EXPANSION OF O’BRIEN UROLOGIC DISEASE RE-
SEARCH CENTERS.—
(1) IN
GENERAL.—Subsection (c) of section 
431 of the Public Health Service Act (42 U.S.C. 
285c–5(c)) is amended in the matter preceding para-
graph (1) by inserting ‘‘There shall be no fewer than 
15 such centers focused exclusively on research of 
various aspects of urologic diseases, including pedi-
atrics, interstitial cystitis, incontinence, stone dis-
ease, urinary tract infections, and benign prostatic 
diseases.’’ before ‘‘Each center developed’’. 
(2) AUTHORIZATION
OF
APPROPRIATIONS.—
Section 431 of the Public Health Service Act (42 
U.S.C. 285c–5) is amended by adding at the end the 
following: 
‘‘(f) There are authorized to be appropriated for the 
urologic disease research centers described in subsection 
(c) $22,500,000 for each of fiscal years 2003 through 
2007, and such sums as are necessary thereafter.’’.
(3) TECHNICAL AMENDMENT.—Subsection (c) 
of section 431 of the Public Health Service Act (42 
U.S.C. 285c–5(c)) is amended at the beginning of 
the unnumbered paragraph—
(A) by striking ‘‘shall develop and con-
duct’’ and inserting ‘‘(2) shall develop and con-
duct’’; and 
(B) by aligning the indentation of such 
paragraph with the indentation of paragraphs 
(1), (3), and (4). 
(f) SUBCOMMITTEE ON UROLOGIC DISEASES.—Sec-
tion 432 of the Public Health Service Act (42 U.S.C. 
285c–6) is amended by striking ‘‘and a subcommittee on 
kidney, urologic, and hematologic diseases’’ and inserting 
‘‘a subcommittee on urologic diseases, and a subcommittee 
on kidney and hematologic diseases’’. 
(g) LOAN REPAYMENT TO ENCOURAGE UROLOGISTS 
AND OTHER SCIENTISTS TO ENTER RESEARCH CA-
REERS.—Subpart 3 of part C of title IV of the Public 
Health Service Act (42 U.S.C. 285c et seq.) is amended 
by inserting after section 434A the following: 
‘‘LOAN REPAYMENT PROGRAM FOR UROLOGY RESEARCH 
‘‘SEC. 434B. (a) ESTABLISHMENT.—Subject to sub-
section (b), the Secretary shall carry out a program of en-
tering into contracts with appropriately qualified health 
professionals or other qualified scientists under which
such health professionals or scientists agree to conduct re-
search in the field of urology, as employees of the National 
Institutes of Health or of an academic department, divi-
sion, or section of urology, in consideration of the Federal 
Government agreeing to repay, for each year of such re-
search, not more than $35,000 of the principal and inter-
est of the educational loans of such health professionals 
or scientists. 
‘‘(b) LIMITATION.—The Secretary may not enter into 
an agreement with a health professional or scientist pursu-
ant to subsection (a) unless the professional or scientist—
‘‘(1) has a substantial amount of educational 
loans relative to income; and 
‘‘(2) agrees to serve as an employee of the Na-
tional Institutes of Health or of an academic depart-
ment, division, or section of urology for purposes of 
the research requirement of subsection (a) for a pe-
riod of not less than 3 years. 
‘‘(c) APPLICABILITY OF CERTAIN PROVISIONS.—Ex-
cept as inconsistent with this section, the provisions of 
subpart III of part D of title III apply to the program 
established under subsection (a) in the same manner and 
to the same extent as such provisions apply to the Na-
tional Health Service Corps Loan Repayment Program es-
tablished under such subpart.’’.
(h) AUTHORIZATION
OF
APPROPRIATIONS
FOR 
UROLOGY RESEARCH.—Subpart 3 of part C of title IV 
of the Public Health Service Act (42 U.S.C. 285c et seq.) 
(as amended by subsection (g)) is further amended by in-
serting after section 434B the following: 
‘‘AUTHORIZATION OF APPROPRIATIONS FOR UROLOGY 
RESEARCH 
‘‘SEC. 434B. There are authorized to be appropriated 
to the Director of NIH for the purpose of carrying out 
intra- and interagency activities in urology research (in-
cluding training programs, joint research projects, and 
joint clinical trials) $5,000,000 for each of fiscal years 
2003 through 2007, and such sums as may be necessary 
thereafter. Amounts authorized to be appropriated under 
this section shall be in addition to amounts otherwise 
available for such purpose.’’.
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