HR 5329 RFS 
ity of the Nation’s network of poison control centers 
to facilitate increased access to the centers through 
the integration and modernization of the current 
poison control centers communications and data sys-
tem, including enhancing the network’s telephony, 
internet, data, and social networking technologies; 
‘‘(5) to develop, support, and enhance tech-
nology and capabilities of nationally recognized pro-
fessional organizations in the field of poison control 
to collect national poisoning, toxic occurrence, and 
related public health data; 
‘‘(6) to develop initiatives to foster the en-
hanced public health utilization of national poison 
data collected by such organizations; 
‘‘(7) to support and expand the toxicologic ex-
pertise within poison control centers; and 
‘‘(8) to improve the capacity of poison control 
centers to answer high volumes of contacts and 
internet communications, and to sustain and en-
hance the poison control center’s network capability 
to respond during times of national crisis or other 
public health emergencies. 
‘‘(c) ACCREDITATION.—Except as provided in sub-
section (d), the Secretary may award a grant to a poison 
control center under subsection (a) only if— 
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‘‘(1) the center has been accredited by a nation-
ally recognized professional organization in the field 
of poison control, and the Secretary has approved 
the organization as having in effect standards for 
accreditation that reasonably provide for the protec-
tion of the public health with respect to poisoning; 
or 
‘‘(2) the center has been accredited by a State 
government, and the Secretary has approved the 
State government as having in effect standards for 
accreditation that reasonably provide for the protec-
tion of the public health with respect to poisoning. 
‘‘(d) WAIVER OF ACCREDITATION REQUIREMENTS.— 
‘‘(1) IN GENERAL.—The Secretary may grant a 
waiver of the accreditation requirements of sub-
section (c) with respect to a nonaccredited poison 
control center that applies for a grant under this 
section if such center can reasonably demonstrate 
that the center will obtain such an accreditation 
within a reasonable period of time as determined ap-
propriate by the Secretary. 
‘‘(2) RENEWAL.—The Secretary may renew a 
waiver under paragraph (1). 
‘‘(3) LIMITATION.—The Secretary may not, 
after the date of enactment of the Poison Control 
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Network Enhancement Act of 2018, grant to a poi-
son control center waivers or renewals that total 
more than 5 years. 
‘‘(e) SUPPLEMENT NOT SUPPLANT.—Amounts made 
available to a poison control center under this section shall 
be used to supplement and not supplant other Federal, 
State, or local funds provided for such center. 
‘‘(f) MAINTENANCE OF EFFORT.—A poison control 
center, in utilizing the proceeds of a grant under this sec-
tion, shall maintain the annual recurring expenditures of 
the center for its activities at a level that is not less than 
80 percent of the average level of such recurring expendi-
tures maintained by the center for the preceding 3 fiscal 
years for which a grant is received. 
‘‘(g) AUTHORIZATION OF APPROPRIATIONS.—There 
is authorized to be appropriated to carry out this section, 
$28,600,000 for each of fiscal years 2019 through 2023. 
The Secretary may utilize an amount not to exceed 6 per-
cent of the amount appropriated pursuant to the pre-
ceding sentence for each fiscal year for coordination, dis-
semination, technical assistance, program evaluation, data 
activities, and other program administration functions, 
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which are determined by the Secretary to be appropriate 
for carrying out the program under this section.’’. 
Passed the House of Representatives June 12, 2018. 
Attest: 
KAREN L. HAAS, 
Clerk. 
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