138
(1) Data collection, analysis, and assessment of 
public health data, vital statistics, and personal 
health data to assess community health status and 
outcomes reporting. This function includes the ac-
quisition and installation of hardware and software, 
and personnel training and technical assistance to 
operate and support automated and integrated infor-
mation systems. 
(2) Activities to protect the environment and to 
assure the safety of housing, workplaces, food, and 
water. 
(3) Investigation and control of adverse health 
conditions, and threats to the health status of indi-
viduals and the community. This function includes 
the identification and control of outbreaks of infec-
tious disease, patterns of chronic disease and injury, 
and cooperative activities to reduce the levels of vio-
lence. 
(4) Health promotion and disease prevention 
activities for which there is a significant need and a 
high priority of the Public Health Service. 
(5) The provision of public health laboratory 
services to complement private clinical laboratory 
services, including—
139
(A) screening tests for metabolic diseases 
in newborns; 
(B) toxicology assessments of blood lead 
levels and other environmental toxins; 
(C) tuberculosis and other diseases requir-
ing partner notification; and 
(D) testing for infectious and food-borne 
diseases. 
(6) Training and education for the public 
health professions. 
(7) Research on effective and cost-effective pub-
lic health practices. This function includes the devel-
opment, testing, evaluation, and publication of re-
sults of new prevention and public health control 
interventions. 
(8) Integration and coordination of the preven-
tion programs and services of community-based pro-
viders, local and State health departments, and 
other sectors of State and local government that af-
fect health. 
SEC. 712. SETASIDE FOR PRIMARY HEALTH CARE DELIV-
ERY. 
(a) TRANSFERS
TO PUBLIC HEALTH SERVICE.—
From the amounts provided under subsection (c), the 
Board shall make transfers from the American Health Se-
140
curity Trust Fund to the Public Health Service for the 
program of primary care service expansion grants under 
subpart V of part D of title III of the Public Health Serv-
ice Act (as added by section 713 of this Act). 
(b) RANGE OF FUNDS.—The amount of transfers 
under subsection (a) for any fiscal year shall be an amount 
(specified by the Board each year) not less than 6⁄100 per-
cent and not to exceed 1⁄10 percent of the amounts the 
Board estimates will be expended from the Trust Fund 
in the fiscal year. 
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The 
funds provided under this section with respect to provision 
of services are in addition to, and not in replacement of, 
funds made available under the sections 329, 330, 340, 
340A, 1001, and 2655 of the Public Health Service Act. 
The Board shall make no transfer of funds under this sec-
tion for any fiscal year for which the total appropriations 
for such sections are less than the total amount appro-
priated under such sections in fiscal year 2002. 
SEC. 713. PRIMARY CARE SERVICE EXPANSION GRANTS. 
Part D of title III of the Public Health Service Act 
(42 U.S.C. 254b et seq.) is amended by adding at the end 
thereof the following new subpart:
141
‘‘Subpart XI—Primary Care Expansion 
‘‘SEC. 340H. EXPANDING PRIMARY CARE DELIVERY CAPAC-
ITY IN URBAN AND RURAL AREAS. 
‘‘(a) GRANTS FOR PRIMARY CARE CENTERS.—From 
the amounts described in subsection (c), the American 
Health Security Standards Board shall make grants to 
public and nonprofit private entities for projects to plan 
and develop primary care centers which will serve medi-
cally underserved populations (as defined in section 
330(b)(3)) in urban and rural areas and to deliver primary
care services to such populations in such areas. The funds 
provided under such a grant may be used for the same 
purposes for which a grant may be made under subsection 
(c), (e), (f), (g), (h), or (i) of section 330. 
‘‘(b) PROCESS OF AWARDING GRANTS.—The provi-
sions of subsection (j)(1) of section 330 shall apply to a 
grant under this section in the same manner as they apply 
to a grant under the corresponding subsection of such sec-
tion. The provisions of subsection (l)(2)(A) of such section 
shall apply to grants for projects to plan and develop pri-
mary care centers under this section in the same manner 
as they apply to grants under such section. 
‘‘(c) FUNDING AS SET-ASIDE FROM TRUST FUND.—
Funding to carry out this section is provided from the 
American Health Security Trust Fund in accordance with 
section 912 of the American Health Security Act.
142
‘‘(d) PRIMARY CARE CENTER DEFINED.—In this sec-
tion, the term ‘‘primary care center’’ means—
‘‘(1) a health center (as defined in section 
330(1)); 
‘‘(2) an entity qualified to receive a grant under 
section 330, 1001 or 2655; or 
‘‘(3) a federally qualified health center (as de-
fined in section 1905(l)(2)(B) of the Social Security 
Act).’’. 
Subtitle C—Primary Care and 
Outcomes Research 
SEC. 721. SET-ASIDE FOR OUTCOMES RESEARCH. 
(a) GRANTS
FOR
OUTCOMES
RESEARCH.—The 
Board shall make transfers from the American Health Se-
curity Trust Fund to the Agency for Health Care Policy 
and Research under title IX of the Public Health Service 
Act for the purpose of carrying out activities under such 
title. The Secretary shall assure that there is a special em-
phasis placed on pediatric outcomes research. 
(b) RANGE OF FUNDS.—The amount of transfers 
under subsection (a) for any fiscal year shall be an amount 
(specified by the Board each year) not less than 1⁄100 per-
cent and not to exceed 2⁄100 percent of the amounts the 
Board estimates will be expended from the Trust Fund 
in the fiscal year.
143
(c) FUNDS SUPPLEMENTAL TO OTHER FUNDS.—The 
funds provided under this section with respect to provision 
of services are in addition to, and not in replacement of, 
funds made available to the Agency for Health Care Policy 
and Research under section 926 of the Public Health 
Service Act. The Board shall make no transfer of funds 
under this section for any fiscal year for which the total 
appropriations under such section are less than the total 
amount appropriated under such section and title in fiscal 
year 2002. 
(d) CONFORMING AMENDMENT.—Section 927(b) of 
the Public Health Service Act (42 U.S.C. 299c–6(b)) is 
amended by striking ‘‘of the fiscal years 2001 through 
2005’’ and inserting ‘‘subsequent fiscal year’’. 
SEC. 722. OFFICE OF PRIMARY CARE AND PREVENTION RE-
SEARCH. 
(a) IN GENERAL.—Title IV of the Public Health 
Service Act is amended—
(1) by redesignating parts G through I as parts 
H through J, respectively; and 
(2) by inserting after part F the following new 
part:
144
‘‘PART G—RESEARCH ON PRIMARY CARE AND 
PREVENTION 
‘‘SEC. 486E. OFFICE OF PRIMARY CARE AND PREVENTION 
RESEARCH. 
‘‘(a) ESTABLISHMENT.—There is established within 
the Office of the Director of NIH an office to be known 
as the Office of Primary Care and Prevention Research 
(in this part referred to as the ‘Office’). The Office shall 
be headed by a director, who shall be appointed by the 
Director of NIH. 
‘‘(b) PURPOSE.—The Director of the Office shall—
‘‘(1) identify projects of research on primary 
care and prevention, for children as well as adults, 
that should be conducted or supported by the na-
tional research institutes, with particular emphasis 
on—
‘‘(A) clinical patient care, with special em-
phasis on pediatric clinical care and diagnosis; 
‘‘(B) diagnostic effectiveness; 
‘‘(C) primary care education; 
‘‘(D) health and family planning services; 
‘‘(E) medical effectiveness outcomes of pri-
mary care procedures and interventions; and 
‘‘(F) the use of multidisciplinary teams of 
health care practitioners;
145
‘‘(2) identify multidisciplinary research related 
to primary care and prevention that should be so 
conducted; 
‘‘(3) promote coordination and collaboration 
among entities conducting research identified under 
any of paragraphs (1) and (2); 
‘‘(4) encourage the conduct of such research by 
entities receiving funds from the national research 
institutes; 
‘‘(5) recommend an agenda for conducting and 
supporting such research;
‘‘(6) promote the sufficient allocation of the re-
sources of the national research institutes for con-
ducting and supporting such research; and 
‘‘(7) prepare the report required in section 
486G. 
‘‘(c) PRIMARY CARE AND PREVENTION RESEARCH 
DEFINED.—For purposes of this part, the term ‘primary 
care and prevention research’ means research on improve-
ment of the practice of family medicine, general internal 
medicine, and general pediatrics, and includes research re-
lating to—
‘‘(1) obstetrics and gynecology, dentistry, or 
mental health or substance abuse treatment when
146
provided by a primary care physician or other pri-
mary care practitioner; and 
‘‘(2) primary care provided by multidisciplinary 
teams. 
‘‘SEC. 486F. NATIONAL DATA SYSTEM AND CLEARINGHOUSE 
ON PRIMARY CARE AND PREVENTION RE-
SEARCH. 
‘‘(a) DATA SYSTEM.—The Director of NIH, in con-
sultation with the Director of the Office, shall establish 
a data system for the collection, storage, analysis, re-
trieval, and dissemination of information regarding pri-
mary care and prevention research that is conducted or 
supported by the national research institutes. Information 
from the data system shall be available through informa-
tion systems available to health care professionals and pro-
viders, researchers, and members of the public. 
‘‘(b) CLEARINGHOUSE.—The Director of NIH, in 
consultation with the Director of the Office and with the 
National Library of Medicine, shall establish, maintain, 
and operate a program to provide, and encourage the use 
of, information on research and prevention activities of the 
national research institutes that relate to primary care 
and prevention research.
147
‘‘SEC. 486G. BIENNIAL REPORT. 
‘‘(a) IN GENERAL.—With respect to primary care 
and prevention research, the Director of the Office shall, 
not later than 1 year after the date of the enactment of 
this part, and biennially thereafter, prepare a report—
‘‘(1) describing and evaluating the progress 
made during the preceding 2 fiscal years in research 
and treatment conducted or supported by the Na-
tional Institutes of Health; 
‘‘(2) summarizing and analyzing expenditures 
made by the agencies of such Institutes (and by 
such Office) during the preceding 2 fiscal years; and 
‘‘(3) making such recommendations for legisla-
tive and administrative initiatives as the Director of 
the Office determines to be appropriate. 
‘‘(b) INCLUSION IN BIENNIAL REPORT OF DIRECTOR 
OF NIH.—The Director of the Office shall submit each 
report prepared under subsection (a) to the Director of 
NIH for inclusion in the report submitted to the President 
and the Congress under section 403. 
‘‘SEC. 486H. AUTHORIZATION OF APPROPRIATIONS. 
‘‘For the Office of Primary Care and Prevention Re-
search, 
there 
are 
authorized 
to 
be 
appropriated 
$150,000,000 for fiscal year 2004, $180,000,000 for fis-
cal year 2005, and $216,000,000 for fiscal year 2006.’’.
148
(b) REQUIREMENT OF SUFFICIENT ALLOCATION OF 
RESOURCES OF INSTITUTES.—Section 402(b) of the Pub-
lic Health Service Act (42 U.S.C. 282(b)) is amended—
(1) in paragraph (13), by striking ‘‘and’’ after 
the semicolon at the end; 
(2) in paragraph (14), by striking the period at 
the end and inserting ‘‘; and’’; and 
(3) by inserting after paragraph (14) the fol-
lowing new paragraph: 
‘‘(15) after consultation with the Director of 
the Office of Primary Care and Prevention Re-
search, shall ensure that resources of the National 
Institutes of Health are sufficiently allocated for 
projects on primary care and prevention research 
that are identified under section 486E(b).’’. 
Subtitle D—School-Related Health 
Services 
SEC. 731. AUTHORIZATIONS OF APPROPRIATIONS. 
(a) FUNDING FOR SCHOOL-RELATED HEALTH SERV-
ICES.—For the purpose of carrying out this subtitle, there 
are authorized to be appropriated $100,000,000 for fiscal 
year 
2006, 
$275,000,000 
for 
fiscal 
year 
2007, 
$350,000,000 for fiscal year 2008, and $400,000,000 for 
each of the fiscal years 2009 and 2010.
149
(b) RELATION TO OTHER FUNDS.—The authoriza-
tions of appropriations established in subsection (a) are 
in addition to any other authorizations of appropriations 
that are available for the purpose described in such sub-
section. 
SEC. 732. ELIGIBILITY FOR DEVELOPMENT AND OPER-
ATION GRANTS. 
(a) IN GENERAL.—Entities eligible to apply for and 
receive grants under section 734 or 735 are the following: 
(1) State health agencies that apply on behalf 
of local community partnerships and other commu-
nities in need of health services for school-aged chil-
dren within the State.
(2) Local community partnerships in States in 
which health agencies have not applied. 
(b) LOCAL COMMUNITY PARTNERSHIPS.—
(1) IN GENERAL.—A local community partner-
ship under subsection (a)(2) is an entity that, at a 
minimum, includes—
(A) a local health care provider with expe-
rience in delivering services to school-aged chil-
dren; 
(B) 1 or more local public schools; and 
(C) at least 1 community based organiza-
tion located in the community to be served that
162
(E) The maternal and child health pro-
gram (under title V of the Social Security Act), 
vocational rehabilitation programs, programs 
for drug abuse and mental health services 
under the Public Health Service Act, programs 
providing general hospital or medical assistance, 
and any other Federal program identified by 
the Board, in consultation with the Secretary of 
the Treasury, to the extent the programs pro-
vide for payment for health services the pay-
ment of which may be made under this Act. 
(c) INCORPORATION OF PROVISIONS.—The provisions 
of subsections (b) through (i) of section 1817 of the Social 
Security Act shall apply to the Trust Fund under this Act 
in the same manner as they applied to the Federal Hos-
pital Insurance Trust Fund under part A of title XVIII 
of such Act, except that the American Health Security 
Standards Board shall constitute the Board of Trustees 
of the Trust Fund. 
(d) TRANSFER OF FUNDS.—Any amounts remaining 
in the Federal Hospital Insurance Trust Fund or the Fed-
eral Supplementary Medical Insurance Trust Fund after 
the settlement of claims for payments under title XVIII 
have been completed, shall be transferred into the Amer-
ican Health Security Trust Fund.