I
104TH CONGRESS
1ST SESSION
H. R. 1140
To amend the Public Health Service Act to provide for the prevention,
control, and elimination of tuberculosis.
IN THE HOUSE OF REPRESENTATIVES
MARCH 6, 1995
Mr. SCHUMER introduced the following bill; which was referred to the
Committee on Commerce
A BILL
To amend the Public Health Service Act to provide for
the prevention, control, and elimination of tuberculosis.
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 ‘‘Tuberculosis Preven-
tion and Control Amendments of 1995’’.
SEC. 2. PROGRAMS OF CENTERS FOR DISEASE CONTROL
AND PREVENTION.
(a) PROVISION OF SERVICES FOR PREVENTION, CON-
TROL, AND ELIMINATION.—
(1) IN GENERAL.—Section 317E of the Public
Health Service Act (42 U.S.C. 247b–6), as added by
section 301 of Public Law 103–183 (107 Stat.
2233), is amended in subsection (g)(1)(A)—
(A) by striking ‘‘and’’ after ‘‘1994,’’; and
(B) by striking ‘‘for each’’ and all that fol-
lows and inserting the following: ‘‘for fiscal year
1995, $385,000,000 for fiscal year 1996, and
such sums as may be necessary for each of the
fiscal years 1997 through 2000.’’.
(2) AUTHORITY
FOR
EMERGENCY
GRANTS.—
Section 317E(g)(1)(B) of the Public Health Service
Act (42 U.S.C. 247b–6(g)(1)(B)) is amended by
striking 
‘‘$50,000,000’’ 
and 
inserting
‘‘$85,000,000’’.
(3) BULK PURCHASES.—
(A) Subject to subparagraph (B), in addi-
tion to the authorization of appropriations es-
tablished in section 317E(g)(1)(A) of the Public
Health Service Act for grants for the preven-
tion, control, and elimination of tuberculosis,
there are authorized to be appropriated for such
grants $80,000,000 for fiscal year 1996, and
such sums as may be necessary for each of the
fiscal years 1997 through 2000.
(B) Amounts appropriated under subpara-
graph (A) shall be administered by the Sec-
retary of Health and Human Services, acting
through the Director of the Centers for Disease
Control and Prevention. For purposes of the
program of grants referred to in such subpara-
graph, such amounts are available for making
bulk purchases of medications and other sup-
plies with respect to tuberculosis.
(4) OTHER PURPOSES.—Section 317E(a) of the
Public Health Service Act (42 U.S.C. 247b–6(a)) is
amended by adding at the end the following sen-
tence: ‘‘The purposes for which such grants may be
expended include services with respect to incarcer-
ation.’’.
(b) RESEARCH, DEMONSTRATION PROJECTS, EDU-
CATION, AND TRAINING.—Section 317E(g)(2) of the Pub-
lic Health Service Act (42 U.S.C. 247b–6(g)(2)) is amend-
ed by striking ‘‘1994’’ and all that follows and inserting
the following: ‘‘1994 and 1995, $80,000,000 for fiscal
year 1996, and such sums as may be necessary for each
of the fiscal years 1997 through 2000.’’.
(c) TRAINING CENTERS REGARDING HEALTH PRO-
FESSIONALS.—
(1) IN GENERAL.—The Secretary of Health and
Human Services (in this subsection referred to as
the ‘‘Secretary’’), acting through the Director of the
Centers for Disease Control and Prevention, may
make grants to public and nonprofit private entities
for the establishment and operation of not more
than 5 centers to train health professionals with re-
spect to the prevention and control of tuberculosis,
including training in identifying multi-drug resistant
forms of such disease.
(2) SCREENINGS; OTHER HEALTH SERVICES.—
The purposes for which the Secretary may authorize
an entity to expend a grant under paragraph (1) in-
clude screening individuals for tuberculosis, provid-
ing treatment for such disease, and referring individ-
uals for services.
(3) FACILITIES
AND
EQUIPMENT.—The pur-
poses for which the Secretary may authorize an en-
tity to expend a grant under paragraph (1) include
providing for facilities and equipment for the center
under such paragraph.
(4) QUALITY
OF
LABORATORIES.—The Sec-
retary may make a grant under paragraph (1) only
if the entity involved provides assurances satisfac-
tory to the Secretary that the laboratories of the
center under such paragraph will have the facilities
and equipment to provide sophisticated training to
health professionals with respect to tuberculosis.
(5) APPLICATION FOR GRANT.—The Secretary
may make a grant under paragraph (1) only if an
application for the grant is submitted to the Sec-
retary and the application is in such form, is made
in such manner, and contains such agreements, as-
surances, and information as the Secretary deter-
mines to be necessary to carry out this subsection.
(6) AMOUNT AND DURATION OF GRANT.—
(A) The Secretary may not make a grant
under paragraph (1) for a fiscal year in an
amount exceeding $5,000,000.
(B) The period during which payments are
made to an entity from a grant under para-
graph (1) may not exceed 3 years. The provi-
sion of such payments shall be subject to an-
nual approval by the Secretary of the payments
and subject to the availability of appropriations
for the fiscal year involved to make the pay-
ments.
(7) EVALUATIONS; DISSEMINATION OF INFOR-
MATION.—The Secretary shall, directly or through
contracts with public or private entities, provide for
evaluations of centers operated pursuant to para-
graph (1) and for the dissemination of information
developed as a result of the centers.
(8) AUTHORIZATION OF APPROPRIATIONS.—For
the purpose of carrying out this subsection, there
are authorized to be appropriated $25,000,000 for
fiscal year 1996, and such sums as may be nec-
essary for each of the fiscal years 1997 through
2000.
SEC. 3. RESEARCH THROUGH NATIONAL INSTITUTE OF AL-
LERGY AND INFECTIOUS DISEASES.
(a) TECHNICAL CORRECTION.—Subpart 6 of part C
of title IV of the Public Health Service Act (42 U.S.C.
285f et seq.), as amended by section 302 of Public Law
103–183 (107 Stat. 2235), is amended—
(1) by transferring the first section 447 (added
by such section 302) from the current placement of
the section;
(2) by redesignating the section as section
447A; and
(3) by inserting the section after section 447.
(b) RESEARCH.—Section 447A of the Public Health
Service Act, as transferred and redesignated by subsection
(a) of this section, is amended in the first sentence of sub-
section (b)—
(1) by striking ‘‘and’’ after ‘‘1994,’’; and
(2) by striking ‘‘for each’’ and all that follows
and inserting the following: ‘‘for fiscal year 1995,
$75,000,000 for fiscal year 1996, and such sums as
may be necessary for each of the fiscal years 1997
through 2000.’’.
SEC. 4. CONSTRUCTION OR MODERNIZATION OF HEALTH
FACILITIES.
Section 1610 of the Public Health Service Act (42
U.S.C. 300r) is amended by adding at the end the follow-
ing subsection:
‘‘(c)(1) With respect to services for the prevention,
control, and elimination of tuberculosis, the Secretary may
make grants to public and nonprofit private entities for
projects for (A) construction or modernization of out-
patient medical facilities which are located apart from hos-
pitals and which will provide such services for medically
underserved populations, (B) conversion of existing facili-
ties into outpatient medical facilities or facilities for long-
term care to provide such services for such populations,
(C) renovation of inpatient facilities, (D) construction or
renovation of facilities to provide such services with re-
spect to incarceration.
‘‘(2) The amount of any grant under paragraph (1)
may not exceed 80 percent of the cost of the project for
which the grant is made unless the project is located in
an area determined by the Secretary to be an urban or
rural poverty area, in which case the grant may cover up
to 100 percent of such costs.
‘‘(3) There are authorized to be appropriated for
grants under paragraph (1) $100,000,000 for fiscal year
1995, $250,000,000 for fiscal year 1996, and such sums
as may be necessary for each of the fiscal years 1997
through 2000.’’.
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