I
105TH CONGRESS
2D SESSION
H. R. 4683
To amend the Public Health Service Act to revise and extend certain pro-
grams with respect to women’s health research and prevention activities
at the National Institutes of Health and the Centers for Disease Control
and Prevention.
IN THE HOUSE OF REPRESENTATIVES
OCTOBER 2, 1998
Mr. BILIRAKIS (for himself, Mr. BLILEY, Mr. DINGELL, Mr. BROWN of Ohio,
Mr. GINGRICH, Mr. PORTER, Mr. BARTON of Texas, Mr. HASTERT, Mr.
WAXMAN, Mr. STEARNS, Mr. GREENWOOD, Mr. BILBRAY, Mr. ROGAN,
Mr. STRICKLAND, Mr. BURR of North Carolina, Mr. LAZIO of New York,
and Mr. GREEN) introduced the following bill; which was referred to the
Committee on Commerce
A BILL
To amend the Public Health Service Act to revise and extend
certain programs with respect to women’s health research
and prevention activities at the National Institutes of
Health and the Centers for Disease Control and Preven-
tion.
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 ‘‘Women’s Health Re-
search and Prevention Amendments of 1998’’.
TITLE I—PROVISIONS RELATING
TO 
WOMEN’S 
HEALTH 
RE-
SEARCH AT NATIONAL INSTI-
TUTES OF HEALTH
SEC. 101. RESEARCH ON DRUG DES; NATIONAL PROGRAM
OF EDUCATION.
(a) RESEARCH.—Section 403A(e) of the Public
Health Service Act (42 U.S.C. 283a(e)) is amended by
striking ‘‘1996’’ and inserting ‘‘2003’’.
(b) NATIONAL
PROGRAM
FOR
EDUCATION
OF
HEALTH PROFESSIONALS AND PUBLIC.—Title XVII of
the Public Health Service Act (42 U.S.C. 300u et seq.)
is amended by adding at the end the following:
‘‘EDUCATION REGARDING DES
‘‘SEC. 1710. (a) IN GENERAL.—The Secretary, act-
ing through the heads of the appropriate agencies of the
Public Health Service, shall carry out a national program
for the education of health professionals and the public
with respect to the drug diethylstilbestrol (commonly
known as DES). To the extent appropriate, such national
program shall use methodologies developed through the
education demonstration program carried out under sec-
tion 403A. In developing and carrying out the national
program, the Secretary shall consult closely with rep-
resentatives of nonprofit private entities that represent in-
dividuals who have been exposed to DES and that have
expertise in community-based information campaigns for
the public and for health care providers. The implementa-
tion of the national program shall begin during fiscal year
1999.
‘‘(b) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
to be appropriated such sums as may be necessary for
each of the fiscal years 1999 through 2003. The author-
ization of appropriations established in the preceding sen-
tence is in addition to any other authorization of appro-
priation that is available for such purpose.’’.
SEC. 102. RESEARCH ON OSTEOPOROSIS, PAGET’S DISEASE,
AND RELATED BONE DISORDERS.
Section 409A(d) of the Public Health Service Act (42
U.S.C. 284e(d)) is amended by striking ‘‘and 1996’’ and
inserting ‘‘through 2003’’.
SEC. 103. RESEARCH ON CANCER.
(a) RESEARCH
ON
BREAST
CANCER.—Section
417B(b)(1) of the Public Health Service Act (42 U.S.C.
286a–8(b)(1)) is amended—
(1) in subparagraph (A), by striking ‘‘and
1996’’ and inserting ‘‘through 2003’’; and
(2) in subparagraph (B), by striking ‘‘and
1996’’ and inserting ‘‘through 2003’’.
(1) by striking ‘‘The Director’’ and inserting
‘‘(a) The Director’’; and
(2) by adding at the end the following sub-
section:
‘‘(b) For the purpose of carrying out this section,
there are authorized to be appropriated such sums as may
be necessary for each of the fiscal years 1999 through
2003. The authorization of appropriations established in
the preceding sentence is in addition to any other author-
ization of appropriation that is available for such pur-
pose.’’.
SEC. 106. OFFICE OF RESEARCH ON WOMEN’S HEALTH.
Section 486(d)(2) of the Public Health Service Act
(42 U.S.C. 287d(d)(2)) is amended by striking ‘‘Director
of the Office’’ and inserting ‘‘Director of NIH’’.
TITLE 
II—PROVISIONS 
RELAT-
ING TO WOMEN’S HEALTH AT
CENTERS FOR DISEASE CON-
TROL AND PREVENTION
SEC. 201. NATIONAL CENTER FOR HEALTH STATISTICS.
Section 306(n) of the Public Health Service Act (42
U.S.C. 242k(n)) is amended—
(1) in paragraph (1), by striking ‘‘through
1998’’ and inserting ‘‘through 2003’’; and
(2) in paragraph (2), by striking ‘‘through
1998’’ and inserting ‘‘through 2003’’.
SEC. 202. NATIONAL PROGRAM OF CANCER REGISTRIES.
Section 399L(a) of the Public Health Service Act (42
U.S.C. 280e–4(a)) is amended by striking ‘‘through 1998’’
and inserting ‘‘through 2003’’.
SEC. 203. NATIONAL BREAST AND CERVICAL CANCER
EARLY DETECTION PROGRAM.
(a) SERVICES.—Section 1501(a)(2) of the Public
Health Service Act (42 U.S.C. 300k(a)(2)) is amended by
inserting before the semicolon the following: ‘‘and support
services such as case management’’.
(b) PROVIDERS OF SERVICES.—Section 1501(b) of
the Public Health Service Act (42 U.S.C. 300k(b)) is
amended—
(1) in paragraph (1), by striking ‘‘through
grants’’ and all that follows and inserting the follow-
ing: ‘‘through grants to public and nonprofit private
entities and through contracts with public and pri-
vate entities.’’; and
(2) by striking paragraph (2) and inserting the
following:
‘‘(2) CERTAIN APPLICATIONS.—If a nonprofit
private entity and a private entity that is not a non-
profit entity both submit applications to a State to
receive an award of a grant or contract pursuant to
paragraph (1), the State may give priority to the ap-
plication submitted by the nonprofit private entity in
any case in which the State determines that the
quality of such application is equivalent to the qual-
ity of the application submitted by the other private
entity.’’.
(c) AUTHORIZATIONS OF APPROPRIATIONS.—
(1) SUPPLEMENTAL GRANTS FOR ADDITIONAL
PREVENTIVE
HEALTH
SERVICES.—Section
1509(d)(1) of the Public Health Service Act (42
U.S.C. 300n–4a(d)(1)) is amended by striking
‘‘through 1998’’ and inserting ‘‘through 2003’’.
(2) GENERAL
PROGRAM.—Section 1510(a) of
the Public Health Service Act (42 U.S.C. 300n–
5(a)) is amended by striking ‘‘through 1998’’ and
inserting ‘‘through 2003’’.
SEC. 204. CENTERS FOR RESEARCH AND DEMONSTRATION
OF HEALTH PROMOTION.
Section 1706(e) of the Public Health Service Act (42
U.S.C. 300u–5(e)) is amended by striking ‘‘through
1998’’ and inserting ‘‘through 2003’’.
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