In the Senate of the United States,
September 22, 2000.
Resolved, That the bill from the House of Representa-
tives (H.R. 4365) entitled ‘‘An Act to amend the Public
Health Service Act with respect to children’s health.’’, do
pass with the following
AMENDMENT:
Strike out all after the enacting clause and insert:
SECTION 1. SHORT TITLE.
This Act may be cited as the ‘‘Children’s Health Act
of 2000’’.
HR 4365 EAS
SEC. 2. TABLE OF CONTENTS.
The table of contents for this Act is as follows:
Sec. 1. Short title.
Sec. 2. Table of contents.
DIVISION A—CHILDREN’S HEALTH
TITLE I—AUTISM
Sec. 101. Expansion, intensification, and coordination of activities of National
Institutes of Health with respect to research on autism.
Sec. 102. Developmental disabilities surveillance and research programs.
Sec. 103. Information and education.
Sec. 104. Inter-agency Autism Coordinating Committee.
Sec. 105. Report to Congress.
TITLE II—RESEARCH AND DEVELOPMENT REGARDING FRAGILE X
Sec. 201. National Institute of Child Health and Human Development; research
on fragile X.
TITLE III—JUVENILE ARTHRITIS AND RELATED CONDITIONS
Sec. 301. National Institute of Arthritis and Musculoskeletal and Skin Diseases;
research on juvenile arthritis and related conditions.
Sec. 302. Information clearinghouse.
TITLE IV—REDUCING BURDEN OF DIABETES AMONG CHILDREN
AND YOUTH
Sec. 401. Programs of Centers for Disease Control and Prevention.
Sec. 402. Programs of National Institutes of Health.
TITLE V—ASTHMA SERVICES FOR CHILDREN
Subtitle A—Asthma Services
Sec. 501. Grants for children’s asthma relief.
Sec. 502. Technical and conforming amendments.
Subtitle B—Prevention Activities
Sec. 511. Preventive health and health services block grant; systems for reducing
asthma-related illnesses through integrated pest management.
Subtitle C—Coordination of Federal Activities
Sec. 521. Coordination through National Institutes of Health.
Subtitle D—Compilation of Data
Sec. 531. Compilation of data by Centers for Disease Control and Prevention.
TITLE VI—BIRTH DEFECTS PREVENTION ACTIVITIES
Subtitle A—Folic Acid Promotion
Sec. 601. Program regarding effects of folic acid in prevention of birth defects.
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Subtitle B—National Center on Birth Defects and Developmental Disabilities
Sec. 611. National Center on Birth Defects and Developmental Disabilities.
TITLE VII—EARLY DETECTION, DIAGNOSIS, AND TREATMENT
REGARDING HEARING LOSS IN INFANTS
Sec. 701. Purposes.
Sec. 702. Programs of Health Resources and Services Administration, Centers for
Disease Control and Prevention, and National Institutes of
Health.
TITLE VIII—CHILDREN AND EPILEPSY
Sec. 801. National public health campaign on epilepsy; seizure disorder dem-
onstration projects in medically underserved areas.
TITLE IX—SAFE MOTHERHOOD; INFANT HEALTH PROMOTION
Subtitle A—Safe Motherhood Prevention Research
Sec. 901. Prevention research and other activities.
Subtitle B—Pregnant Women and Infants Health Promotion
Sec. 911. Programs regarding prenatal and postnatal health.
TITLE X—PEDIATRIC RESEARCH INITIATIVE
Sec. 1001. Establishment of pediatric research initiative.
Sec. 1002. Investment in tomorrow’s pediatric researchers.
Sec. 1003. Review of regulations.
Sec. 1004. Long-term child development study.
TITLE XI—CHILDHOOD MALIGNANCIES
Sec. 1101. Programs of Centers for Disease Control and Prevention and National
Institutes of Health.
TITLE XII—ADOPTION AWARENESS
Subtitle A—Infant Adoption Awareness
Sec. 1201. Grants regarding infant adoption awareness.
Subtitle B—Special Needs Adoption Awareness
Sec. 1211. Special needs adoption programs; public awareness campaign and
other activities.
TITLE XIII—TRAUMATIC BRAIN INJURY
Sec. 1301. Programs of Centers for Disease Control and Prevention.
Sec. 1302. Study and monitor incidence and prevalence.
Sec. 1303. Programs of National Institutes of Health.
Sec. 1304. Programs of Health Resources and Services Administration.
Sec. 1305. State grants for protection and advocacy services.
Sec. 1306. Authorization of appropriations for certain programs.
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TITLE XIV—CHILD CARE SAFETY AND HEALTH GRANTS
Sec. 1401. Definitions.
Sec. 1402. Authorization of appropriations.
Sec. 1403. Programs.
Sec. 1404. Amounts reserved; allotments.
Sec. 1405. State applications.
Sec. 1406. Use of funds.
Sec. 1407. Reports.
TITLE XV—HEALTHY START INITIATIVE
Sec. 1501. Continuation of healthy start program.
TITLE XVI—ORAL HEALTH PROMOTION AND DISEASE PREVENTION
Sec. 1601. Identification of interventions that reduce the burden and transmission
of oral, dental, and craniofacial diseases in high risk popu-
lations; development of approaches for pediatric oral and
craniofacial assessment.
Sec. 1602. Oral health promotion and disease prevention.
Sec. 1603. Coordinated program to improve pediatric oral health.
TITLE XVII—VACCINE-RELATED PROGRAMS
Subtitle A—Vaccine Compensation Program
Sec. 1701. Content of petitions.
Subtitle B— Childhood Immunizations
Sec. 1711. Childhood immunizations.
TITLE XVIII—HEPATITIS C
Sec. 1801. Surveillance and education regarding hepatitis C.
TITLE XIX—NIH INITIATIVE ON AUTOIMMUNE DISEASES
Sec. 1901. Autoimmune diseases; initiative through Director of National Insti-
tutes of Health.
TITLE XX—GRADUATE MEDICAL EDUCATION PROGRAMS IN
CHILDREN’S HOSPITALS
Sec. 2001. Provisions to revise and extend program.
TITLE XXI—SPECIAL NEEDS OF CHILDREN REGARDING ORGAN
TRANSPLANTATION
Sec. 2101. Organ Procurement and Transplantation Network; amendments re-
garding needs of children.
TITLE XXII—MUSCULAR DYSTROPHY RESEARCH
Sec. 2201. Muscular dystrophy research.
TITLE XXIII—CHILDREN AND TOURETTE SYNDROME AWARENESS
Sec. 2301. Grants regarding Tourette Syndrome.
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TITLE XXIV—CHILDHOOD OBESITY PREVENTION
Sec. 2401. Programs operated through the Centers for Disease Control and Pre-
vention.
TITLE XXV—EARLY DETECTION AND TREATMENT REGARDING
CHILDHOOD LEAD POISONING
Sec. 2501. Centers for Disease Control and Prevention efforts to combat childhood
lead poisoning.
Sec. 2502. Grants for lead poisoning related activities.
Sec. 2503. Training and reports by the Health Resources and Services Adminis-
tration.
Sec. 2504. Screenings, referrals, and education regarding lead poisoning.
TITLE XXVI—SCREENING FOR HERITABLE DISORDERS
Sec. 2601. Program to improve the ability of States to provide newborn and child
screening for heritable disorders.
TITLE XXVII—PEDIATRIC RESEARCH PROTECTIONS
Sec. 2701. Requirement for additional protections for children involved in re-
search.
TITLE XXVIII—MISCELLANEOUS PROVISIONS
Sec. 2801. Report regarding research on rare diseases in children.
Sec. 2802. Study on metabolic disorders.
TITLE XXIX—EFFECTIVE DATE
Sec. 2901. Effective date.
DIVISION B—YOUTH DRUG AND MENTAL HEALTH SERVICES
Sec. 3001. Short title.
TITLE XXXI—PROVISIONS RELATING TO SERVICES FOR CHILDREN
AND ADOLESCENTS
Sec. 3101. Children and violence.
Sec. 3102. Emergency response.
Sec. 3103. High risk youth reauthorization.
Sec. 3104. Substance abuse treatment services for children and adolescents.
Sec. 3105. Comprehensive community services for children with serious emotional
disturbance.
Sec. 3106. Services for children of substance abusers.
Sec. 3107. Services for youth offenders.
Sec. 3108. Grants for strengthening families through community partnerships.
Sec. 3109. Programs to reduce underage drinking.
Sec. 3110. Services for individuals with fetal alcohol syndrome.
Sec. 3111. Suicide prevention.
Sec. 3112. General provisions.
TITLE XXXII—PROVISIONS RELATING TO MENTAL HEALTH
Sec. 3201. Priority mental health needs of regional and national significance.
Sec. 3202. Grants for the benefit of homeless individuals.
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Sec. 3203. Projects for assistance in transition from homelessness.
Sec. 3204. Community mental health services performance partnership block
grant.
Sec. 3205. Determination of allotment.
Sec. 3206. Protection and Advocacy for Mentally Ill Individuals Act of 1986.
Sec. 3207. Requirement relating to the rights of residents of certain facilities.
Sec. 3208. Requirement relating to the rights of residents of certain non-medical,
community-based facilities for children and youth.
Sec. 3209. Emergency mental health centers.
Sec. 3210. Grants for jail diversion programs.
Sec. 3211. Improving outcomes for children and adolescents through services inte-
gration between child welfare and mental health services.
Sec. 3212. Grants for the integrated treatment of serious mental illness and co-
occurring substance abuse.
Sec. 3213. Training grants.
TITLE XXXIII—PROVISIONS RELATING TO SUBSTANCE ABUSE
Sec. 3301. Priority substance abuse treatment needs of regional and national sig-
nificance.
Sec. 3302. Priority substance abuse prevention needs of regional and national sig-
nificance.
Sec. 3303. Substance abuse prevention and treatment performance partnership
block grant.
Sec. 3304. Determination of allotments.
Sec. 3305. Nondiscrimination and institutional safeguards for religious providers.
Sec. 3306. Alcohol and drug prevention or treatment services for Indians and Na-
tive Alaskans.
Sec. 3307. Establishment of commission.
TITLE XXXIV—PROVISIONS RELATING TO FLEXIBILITY AND
ACCOUNTABILITY
Sec. 3401. General authorities and peer review.
Sec. 3402. Advisory councils.
Sec. 3403. General provisions for the performance partnership block grants.
Sec. 3404. Data infrastructure projects.
Sec. 3405. Repeal of obsolete addict referral provisions.
Sec. 3406. Individuals with co-occurring disorders.
Sec. 3407. Services for individuals with co-occurring disorders.
TITLE XXXV—WAIVER AUTHORITY FOR PHYSICIANS WHO DIS-
PENSE OR PRESCRIBE CERTAIN NARCOTIC DRUGS FOR MAINTE-
NANCE TREATMENT OR DETOXIFICATION TREATMENT
Sec. 3501. Short title.
Sec. 3502. Amendment to Controlled Substances Act.
TITLE XXXVI—METHAMPHETAMINE AND OTHER CONTROLLED
SUBSTANCES
Sec. 3601. Short title.
Subtitle A—Methamphetamine Production, Trafficking, and Abuse
PART I—CRIMINAL PENALTIES
Sec. 3611. Enhanced punishment of amphetamine laboratory operators.
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Sec. 3612. Enhanced punishment of amphetamine or methamphetamine labora-
tory operators.
Sec. 3613. Mandatory restitution for violations of Controlled Substances Act and
Controlled Substances Import and Export Act relating to am-
phetamine and methamphetamine.
Sec. 3614. Methamphetamine paraphernalia.
PART II—ENHANCED LAW ENFORCEMENT
Sec. 3621. Environmental hazards associated with illegal manufacture of amphet-
amine and methamphetamine.
Sec. 3622. Reduction in retail sales transaction threshold for non-safe harbor
products containing pseudoephedrine or phenylpropanolamine.
Sec. 3623. Training for Drug Enforcement Administration and State and local
law enforcement personnel relating to clandestine laboratories.
Sec. 3624. Combating methamphetamine and amphetamine in high intensity
drug trafficking areas.
Sec. 3625. Combating amphetamine and methamphetamine manufacturing and
trafficking.
PART III—ABUSE PREVENTION AND TREATMENT
Sec. 3631. Expansion of methamphetamine research.
Sec. 3632. Methamphetamine and amphetamine treatment initiative by Center
for Substance Abuse Treatment.
Sec. 3633. Study of methamphetamine treatment.
PART IV—REPORTS
Sec. 3641. Reports on consumption of methamphetamine and other illicit drugs
in rural areas, metropolitan areas, and consolidated metropoli-
tan areas.
Sec. 3642. Report on diversion of ordinary, over-the-counter pseudoephedrine and
phenylpropanolamine products.
Subtitle B—Controlled Substances Generally
Sec. 3651. Enhanced punishment for trafficking in list I chemicals.
Sec. 3652. Mail order requirements.
Sec. 3653. Theft and transportation of anhydrous ammonia for purposes of illicit
production of controlled substances.
Subtitle C—Ecstasy Anti-Proliferation Act of 2000
Sec. 3661. Short title.
Sec. 3662. Findings.
Sec. 3663. Enhanced punishment of Ecstasy traffickers.
Sec. 3664. Emergency authority to United States Sentencing Commission.
Sec. 3665. Expansion of Ecstasy and club drugs abuse prevention efforts.
Subtitle D—Miscellaneous
Sec. 3671. Antidrug messages on Federal Government Internet websites.
Sec. 3672. Reimbursement by Drug Enforcement Administration of expenses in-
curred to remediate methamphetamine laboratories.
Sec. 3673. Severability.
HR 4365 EAS
‘‘(b) CENTERS OF EXCELLENCE.—
‘‘(1) IN
GENERAL.—The Director shall under
subsection (a)(1) make awards of grants and con-
tracts to public or nonprofit private entities to pay
all or part of the cost of planning, establishing, im-
proving, and providing basic operating support for
centers of excellence regarding research on autism.
‘‘(2) RESEARCH.—Each center under paragraph
(1) shall conduct basic and clinical research into au-
tism. Such research should include investigations into
the cause, diagnosis, early detection, prevention, con-
trol, and treatment of autism. The centers, as a
group, shall conduct research including the fields of
developmental 
neurobiology, 
genetics, 
and
psychopharmacology.
‘‘(3) SERVICES FOR PATIENTS.—
‘‘(A) IN GENERAL.—A center under para-
graph (1) may expend amounts provided under
such paragraph to carry out a program to make
individuals aware of opportunities to participate
as subjects in research conducted by the centers.
‘‘(B) REFERRALS AND COSTS.—A program
under subparagraph (A) may, in accordance
with such criteria as the Director may establish,
provide to the subjects described in such subpara-
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graph, referrals for health and other services, and
such patient care costs as are required for re-
search.
‘‘(C) AVAILABILITY AND ACCESS.—The ex-
tent to which a center can demonstrate avail-
ability and access to clinical services shall be
considered by the Director in decisions about
awarding grants to applicants which meet the
scientific criteria for funding under this section.
‘‘(4) COORDINATION
OF
CENTERS; REPORTS.—
The Director shall, as appropriate, provide for the co-
ordination of information among centers under para-
graph (1) and ensure regular communication between
such centers, and may require the periodic prepara-
tion of reports on the activities of the centers and the
submission of the reports to the Director.
‘‘(5) ORGANIZATION OF CENTERS.—Each center
under paragraph (1) shall use the facilities of a single
institution, or be formed from a consortium of cooper-
ating institutions, meeting such requirements as may
be prescribed by the Director.
‘‘(6) NUMBER OF CENTERS; DURATION OF SUP-
PORT.—
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‘‘(A) IN GENERAL.—The Director shall pro-
vide for the establishment of not less than 5 cen-
ters under paragraph (1).
‘‘(B) DURATION.—Support for a center es-
tablished under paragraph (1) may be provided
under this section for a period of not to exceed
5 years. Such period may be extended for 1 or
more additional periods not exceeding 5 years if
the operations of such center have been reviewed
by an appropriate technical and scientific peer
review group established by the Director and if
such group has recommended to the Director that
such period should be extended.
‘‘(c) FACILITATION OF RESEARCH.—The Director shall
under subsection (a)(1) provide for a program under which
samples of tissues and genetic materials that are of use in
research on autism are donated, collected, preserved, and
made available for such research. The program shall be car-
ried out in accordance with accepted scientific and medical
standards for the donation, collection, and preservation of
such samples.
‘‘(d) PUBLIC INPUT.—The Director shall under sub-
section (a)(1) provide for means through which the public
can obtain information on the existing and planned pro-
grams and activities of the National Institutes of Health
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with respect to autism and through which the Director can
receive comments from the public regarding such programs
and activities.
‘‘(e) FUNDING.—There are authorized to be appro-
priated such sums as may be necessary to carry out this
section. Amounts appropriated under this subsection are in
addition to any other amounts appropriated for such pur-
pose.’’.
SEC. 102. DEVELOPMENTAL DISABILITIES SURVEILLANCE
AND RESEARCH PROGRAMS.
(a) NATIONAL AUTISM
AND PERVASIVE DEVELOP-
MENTAL DISABILITIES SURVEILLANCE PROGRAM.—
(1) IN GENERAL.—The Secretary of Health and
Human Services (in this section referred to as the
‘‘Secretary’’), acting through the Director of the Cen-
ters for Disease Control and Prevention, may make
awards of grants and cooperative agreements for the
collection, analysis, and reporting of data on autism
and pervasive developmental disabilities. In making
such awards, the Secretary may provide direct tech-
nical assistance in lieu of cash.
(2) ELIGIBILITY.—To be eligible to receive an
award under paragraph (1) an entity shall be a pub-
lic or nonprofit private entity (including health de-
partments of States and political subdivisions of
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States, and including universities and other edu-
cational entities).
(b) CENTERS OF EXCELLENCE IN AUTISM AND PERVA-
SIVE DEVELOPMENTAL DISABILITIES EPIDEMIOLOGY.—
(1) IN GENERAL.—The Secretary, acting through
the Director of the Centers for Disease Control and
Prevention, shall establish not less than 3 regional
centers of excellence in autism and pervasive develop-
mental disabilities epidemiology for the purpose of
collecting and analyzing information on the number,
incidence, correlates, and causes of autism and related
developmental disabilities.
(2) RECIPIENTS
OF
AWARDS
FOR
ESTABLISH-
MENT
OF
CENTERS.—Centers under paragraph (1)
shall be established and operated through the award-
ing of grants or cooperative agreements to public or
nonprofit private entities that conduct research, in-
cluding health departments of States and political
subdivisions of States, and including universities and
other educational entities.
(3) CERTAIN REQUIREMENTS.—An award for a
center under paragraph (1) may be made only if the
entity involved submits to the Secretary an applica-
tion containing such agreements and information as
the Secretary may require, including an agreement
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that the center involved will operate in accordance
with the following:
(A) The center will collect, analyze, and re-
port autism and pervasive developmental disabil-
ities data according to guidelines prescribed by
the Director, after consultation with relevant
State and local public health officials, private
sector developmental disability researchers, and
advocates for those with developmental disabil-
ities.
(B) The center will assist with the develop-
ment and coordination of State autism and per-
vasive developmental disabilities surveillance ef-
forts within a region.
(C) The center will identify eligible cases
and controls through its surveillance systems and
conduct research into factors which may cause
autism and related developmental disabilities.
(D) The center will develop or extend an
area of special research expertise (including ge-
netics, environmental exposure to contaminants,
immunology, and other relevant research spe-
cialty areas).
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(c) CLEARINGHOUSE.—The Secretary, acting through
the Director of the Centers for Disease Control and Preven-
tion, shall carry out the following:
(1) The Secretary shall establish a clearinghouse
within the Centers for Disease Control and Prevention
for the collection and storage of data generated from
the monitoring programs established by this title.
Through the clearinghouse, such Centers shall serve as
the coordinating agency for autism and pervasive de-
velopmental disabilities surveillance activities. The
functions of such a clearinghouse shall include facili-
tating the coordination of research and policy devel-
opment relating to the epidemiology of autism and
other pervasive developmental disabilities.
(2) The Secretary shall coordinate the Federal
response to requests for assistance from State health
department officials regarding potential or alleged
autism or developmental disability clusters.
(d) DEFINITION.—In this title, the term ‘‘State’’ means
each of the several States, the District of Columbia, the
Commonwealth of Puerto Rico, American Samoa, Guam,
the Commonwealth of the Northern Mariana Islands, the
Virgin Islands, and the Trust Territory of the Pacific Is-
lands.
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(e) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated such sums as may be nec-
essary to carry out this section.
SEC. 103. INFORMATION AND EDUCATION.
(a) IN GENERAL.—The Secretary shall establish and
implement a program to provide information and edu-
cation on autism to health professionals and the general
public, including information and education on advances
in the diagnosis and treatment of autism and training and
continuing education through programs for scientists, phy-
sicians, and other health professionals who provide care for
patients with autism.
(b) STIPENDS.—The Secretary may use amounts made
available under this section to provide stipends for health
professionals who are enrolled in training programs under
this section.
(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated such sums as may be nec-
essary to carry out this section.
SEC. 104. INTER-AGENCY AUTISM COORDINATING COM-
MITTEE.
(a) ESTABLISHMENT.—The Secretary shall establish a
committee to be known as the ‘‘Autism Coordinating Com-
mittee’’ (in this section referred to as the ‘‘Committee’’) to
coordinate all efforts within the Department of Health and
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Human Services concerning autism, including activities
carried out through the National Institutes of Health and
the Centers for Disease Control and Prevention under this
title (and the amendment made by this title).
(b) MEMBERSHIP.—
(1) IN GENERAL.—The Committee shall be com-
posed of the Directors of such national research insti-
tutes, of the Centers for Disease Control and Preven-
tion, and of such other agencies and such other offi-
cials as the Secretary determines appropriate.
(2) ADDITIONAL MEMBERS.—If determined ap-
propriate by the Secretary, the Secretary may ap-
point to the Committee—
(A) parents or legal guardians of individ-
uals with autism or other pervasive develop-
mental disorders; and
(B) representatives of other governmental
agencies that serve children with autism such as
the Department of Education.
(c) ADMINISTRATIVE SUPPORT; TERMS OF SERVICE;
OTHER PROVISIONS.—The following shall apply with re-
spect to the Committee:
(1) The Committee shall receive necessary and
appropriate administrative support from the Depart-
ment of Health and Human Services.
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(2) Members of the Committee appointed under
subsection (b)(2)(A) shall serve for a term of 3 years,
and may serve for an unlimited number of terms if
reappointed.
(3) The Committee shall meet not less than 2
times each year.
SEC. 105. REPORT TO CONGRESS.
Not later than January 1, 2001, and each January
1 thereafter, the Secretary shall prepare and submit to the
appropriate committees of Congress, a report concerning the
implementation of this title and the amendments made by
this title.
TITLE II—RESEARCH AND DE-
VELOPMENT 
REGARDING
FRAGILE X
SEC. 201. NATIONAL INSTITUTE OF CHILD HEALTH AND
HUMAN DEVELOPMENT; RESEARCH ON FRAG-
ILE X.
Subpart 7 of part C of title IV of the Public Health
Service Act is amended by adding at the end the following
section:
‘‘FRAGILE X
‘‘SEC. 452E. (a) EXPANSION AND COORDINATION OF
RESEARCH ACTIVITIES.—The Director of the Institute,
after consultation with the advisory council for the Insti-
tute, shall expand, intensify, and coordinate the activities
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of the Institute with respect to research on the disease
known as fragile X.
‘‘(b) RESEARCH CENTERS.—
‘‘(1) IN GENERAL.—The Director of the Institute
shall make grants or enter into contracts for the devel-
opment and operation of centers to conduct research
for the purposes of improving the diagnosis and treat-
ment of, and finding the cure for, fragile X.
‘‘(2) NUMBER OF CENTERS.—
‘‘(A) IN GENERAL.—In carrying out para-
graph (1), the Director of the Institute shall, to
the extent that amounts are appropriated, and
subject to subparagraph (B), provide for the es-
tablishment of at least three fragile X research
centers.
‘‘(B) PEER
REVIEW
REQUIREMENT.—The
Director of the Institute shall make a grant to,
or enter into a contract with, an entity for pur-
poses of establishing a center under paragraph
(1) only if the grant or contract has been rec-
ommended after technical and scientific peer re-
view required by regulations under section 492.
‘‘(3) ACTIVITIES.—The Director of the Institute,
with the assistance of centers established under para-
graph (1), shall conduct and support basic and bio-
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medical research into the detection and treatment of
fragile X.
‘‘(4) COORDINATION AMONG CENTERS.—The Di-
rector of the Institute shall, as appropriate, provide
for the coordination of the activities of the centers as-
sisted under this section, including providing for the
exchange of information among the centers.
‘‘(5) 
CERTAIN
ADMINISTRATIVE
REQUIRE-
MENTS.—Each center assisted under paragraph (1)
shall use the facilities of a single institution, or be
formed from a consortium of cooperating institutions,
meeting such requirements as may be prescribed by
the Director of the Institute.
‘‘(6) DURATION OF SUPPORT.—Support may be
provided to a center under paragraph (1) for a period
not exceeding 5 years. Such period may be extended
for one or more additional periods, each of which may
not exceed 5 years, if the operations of such center
have been reviewed by an appropriate technical and
scientific peer review group established by the Direc-
tor and if such group has recommended to the Direc-
tor that such period be extended.
‘‘(7) AUTHORIZATION OF APPROPRIATIONS.—For
the purpose of carrying out this subsection, there are
authorized to be appropriated such sums as may be
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necessary for each of the fiscal years 2001 through
2005.’’.
TITLE III—JUVENILE ARTHRITIS
AND RELATED CONDITIONS
SEC. 301. NATIONAL INSTITUTE OF ARTHRITIS AND MUS-
CULOSKELETAL AND SKIN DISEASES; RE-
SEARCH ON JUVENILE ARTHRITIS AND RE-
LATED CONDITIONS.
(a) IN GENERAL.—Subpart 4 of part C of title IV of
the Public Health Service Act (42 U.S.C. 285d et seq.) is
amended by inserting after section 442 the following section:
‘‘JUVENILE ARTHRITIS AND RELATED CONDITIONS
‘‘SEC. 442A. (a) EXPANSION AND COORDINATION OF
ACTIVITIES.—The Director of the Institute, in coordination
with the Director of the National Institute of Allergy and
Infectious Diseases, shall expand and intensify the pro-
grams of such Institutes with respect to research and related
activities concerning juvenile arthritis and related condi-
tions.
‘‘(b) COORDINATION.—The Directors referred to in sub-
section (a) shall jointly coordinate the programs referred
to in such subsection and consult with the Arthritis and
Musculoskeletal Diseases Interagency Coordinating Com-
mittee.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there are authorized
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to be appropriated such sums as may be necessary for each
of the fiscal years 2001 through 2005.’’.
(b) PEDIATRIC RHEUMATOLOGY.—Subpart 1 of part
E of title VII of the Public Health Service Act (42 U.S.C.
294n et seq.) is amended by adding at the end the following:
‘‘SEC. 763. PEDIATRIC RHEUMATOLOGY.
‘‘(a) IN GENERAL.—The Secretary, acting through the
appropriate agencies, shall evaluate whether the number of
pediatric rheumatologists is sufficient to address the health
care needs of children with arthritis and related conditions,
and if the Secretary determines that the number is not suffi-
cient, shall develop strategies to help address the shortfall.
‘‘(b) REPORT TO CONGRESS.—Not later than October
1, 2001, the Secretary shall submit to the Congress a report
describing the results of the evaluation under subsection (a),
and as applicable, the strategies developed under such sub-
section.
‘‘(c) 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 2001 through 2005.’’.
SEC. 302. INFORMATION CLEARINGHOUSE.
Section 438(b) of the Public Health Service Act (42
U.S.C. 285d–3(b)) is amended by inserting ‘‘, including ju-
venile arthritis and related conditions,’’ after ‘‘diseases’’.
HR 4365 EAS
TITLE 
IV—REDUCING 
BURDEN
OF DIABETES AMONG CHIL-
DREN AND YOUTH
SEC. 401. PROGRAMS OF CENTERS FOR DISEASE CONTROL
AND PREVENTION.
Part B of title III of the Public Health Service Act
(42 U.S.C. 243 et seq.) is amended by inserting after section
317G the following section:
‘‘DIABETES IN CHILDREN AND YOUTH
‘‘SEC. 317H. (a) SURVEILLANCE ON JUVENILE DIABE-
TES.—The Secretary, acting through the Director of the
Centers for Disease Control and Prevention, shall develop
a sentinel system to collect data on juvenile diabetes, includ-
ing with respect to incidence and prevalence, and shall es-
tablish a national database for such data.
‘‘(b) TYPE 2 DIABETES IN YOUTH.—The Secretary
shall implement a national public health effort to address
type 2 diabetes in youth, including—
‘‘(1) enhancing surveillance systems and expand-
ing research to better assess the prevalence and inci-
dence of type 2 diabetes in youth and determine the
extent to which type 2 diabetes is incorrectly diag-
nosed as type 1 diabetes among children; and
‘‘(2) developing and improving laboratory meth-
ods to assist in diagnosis, treatment, and prevention
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of diabetes including, but not limited to, developing
noninvasive ways to monitor blood glucose to prevent
hypoglycemia and improving existing glucometers
that measure blood glucose.
‘‘(c) 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 2001 through 2005.’’.
SEC. 
402. 
PROGRAMS 
OF 
NATIONAL 
INSTITUTES 
OF
HEALTH.
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 434 the following section:
‘‘JUVENILE DIABETES
‘‘SEC. 434A. (a) LONG-TERM EPIDEMIOLOGY STUD-
IES.—The Director of the Institute shall conduct or support
long-term epidemiology studies in which individuals with
or at risk for type 1, or juvenile, diabetes are followed for
10 years or more. Such studies shall investigate the causes
and characteristics of the disease and its complications.
‘‘(b) CLINICAL TRIAL INFRASTRUCTURE/INNOVATIVE
TREATMENTS FOR JUVENILE DIABETES.—The Secretary,
acting through the Director of the National Institutes of
Health, shall support regional clinical research centers for
the prevention, detection, treatment, and cure of juvenile
diabetes.
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‘‘(c) PREVENTION OF TYPE 1 DIABETES.—The Sec-
retary, acting through the appropriate agencies, shall pro-
vide for a national effort to prevent type 1 diabetes. Such
effort shall provide for a combination of increased efforts
in research and development of prevention strategies, in-
cluding consideration of vaccine development, coupled with
appropriate ability to test the effectiveness of such strategies
in large clinical trials of children and young adults.
‘‘(d) 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 2001 through 2005.’’.
TITLE V—ASTHMA SERVICES
FOR CHILDREN
Subtitle A—Asthma Services
SEC. 501. GRANTS FOR CHILDREN’S ASTHMA RELIEF.
Title III of the Public Health Service Act (42 U.S.C.
241 et seq.) is amended by adding at the end the following
part:
‘‘PART P—ADDITIONAL PROGRAMS
‘‘SEC. 399L. CHILDREN’S ASTHMA TREATMENT GRANTS
PROGRAM.
‘‘(a) AUTHORITY TO MAKE GRANTS.—
‘‘(1) IN
GENERAL.—In addition to any other
payments made under this Act or title V of the Social
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Security Act, the Secretary shall award grants to eli-
gible entities to carry out the following purposes:
‘‘(A) To provide access to quality medical
care for children who live in areas that have a
high prevalence of asthma and who lack access to
medical care.
‘‘(B) To provide on-site education to par-
ents, children, health care providers, and medical
teams to recognize the signs and symptoms of
asthma, and to train them in the use of medica-
tions to treat asthma and prevent its exacer-
bations.
‘‘(C) To decrease preventable trips to the
emergency room by making medication available
to individuals who have not previously had ac-
cess to treatment or education in the manage-
ment of asthma.
‘‘(D) To provide other services, such as
smoking cessation programs, home modification,
and other direct and support services that ame-
liorate conditions that exacerbate or induce asth-
ma.
‘‘(2) CERTAIN
PROJECTS.—In making grants
under paragraph (1), the Secretary may make grants
designed to develop and expand the following projects:
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‘‘(A) Projects to provide comprehensive asth-
ma services to children in accordance with the
guidelines of the National Asthma Education
and Prevention Program (through the National
Heart, Lung and Blood Institute), including ac-
cess to care and treatment for asthma in a com-
munity-based setting.
‘‘(B) Projects to fully equip mobile health
care clinics that provide preventive asthma care
including 
diagnosis, 
physical 
examinations,
pharmacological therapy, skin testing, peak flow
meter testing, and other asthma-related health
care services.
‘‘(C) Projects to conduct validated asthma
management education programs for patients
with asthma and their families, including pa-
tient education regarding asthma management,
family education on asthma management, and
the distribution of materials, including displays
and videos, to reinforce concepts presented by
medical teams.
‘‘(2) AWARD OF GRANTS.—
‘‘(A) APPLICATION.—
‘‘(i) IN GENERAL.—An eligible entity
shall submit an application to the Secretary
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for a grant under this section in such form
and manner as the Secretary may require.
‘‘(ii) REQUIRED
INFORMATION.—An
application submitted under this subpara-
graph shall include a plan for the use of
funds awarded under the grant and such
other information as the Secretary may re-
quire.
‘‘(B) REQUIREMENT.—In awarding grants
under this section, the Secretary shall give pref-
erence to eligible entities that demonstrate that
the activities to be carried out under this section
shall be in localities within areas of known or
suspected high prevalence of childhood asthma or
high asthma-related mortality or high rate of
hospitalization or emergency room visits for
asthma (relative to the average asthma preva-
lence rates and associated mortality rates in the
United States). Acceptable data sets to dem-
onstrate a high prevalence of childhood asthma
or high asthma-related mortality may include
data from Federal, State, or local vital statistics,
claims data under title XIX or XXI of the Social
Security Act, other public health statistics or
surveys, or other data that the Secretary, in con-
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sultation with the Director of the Centers for
Disease Control and Prevention, deems appro-
priate.
‘‘(3) DEFINITION
OF
ELIGIBLE
ENTITY.—For
purposes of this section, the term ‘eligible entity’
means a public or nonprofit private entity (including
a State or political subdivision of a State), or a con-
sortium of any of such entities.
‘‘(b) COORDINATION WITH OTHER CHILDREN’S PRO-
GRAMS.—An eligible entity shall identify in the plan sub-
mitted as part of an application for a grant under this
section how the entity will coordinate operations and activi-
ties under the grant with—
‘‘(1) other programs operated in the State that
serve children with asthma, including any such pro-
grams operated under titles V, XIX, or XXI of the So-
cial Security Act; and
‘‘(2) one or more of the following—
‘‘(A) the child welfare and foster care and
adoption assistance programs under parts B and
E of title IV of such Act;
‘‘(B) the head start program established
under the Head Start Act (42 U.S.C. 9831 et
seq.);
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‘‘(C) the program of assistance under the
special supplemental nutrition program for
women, infants and children (WIC) under sec-
tion 17 of the Child Nutrition Act of 1966 (42
U.S.C. 1786);
‘‘(D) local public and private elementary or
secondary schools; or
‘‘(E) public housing agencies, as defined in
section 3 of the United States Housing Act of
1937 (42 U.S.C. 1437a).
‘‘(c) EVALUATION.—An eligible entity that receives a
grant under this section shall submit to the Secretary an
evaluation of the operations and activities carried out
under the grant that includes—
‘‘(1) a description of the health status outcomes
of children assisted under the grant;
‘‘(2) an assessment of the utilization of asthma-
related health care services as a result of activities
carried out under the grant;
‘‘(3) the collection, analysis, and reporting of
asthma data according to guidelines prescribed by the
Director of the Centers for Disease Control and Pre-
vention; and
‘‘(4) such other information as the Secretary
may require.
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‘‘(d) 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 2001 through 2005.’’.
SEC. 502. TECHNICAL AND CONFORMING AMENDMENTS.
Title III of the Public Health Service Act (42 U.S.C.
241 et seq.) is amended—
(1) in part L, by redesignating section 399D as
section 399A;
(2) in part M—
(A) by redesignating sections 399H through
399L as sections 399B through 399F, respec-
tively;
(B) in section 399B (as so redesignated), in
subsection (e)—
(i) by striking ‘‘section 399K(b)’’ and
inserting ‘‘subsection (b) of section 399E’’;
and
(ii) by striking ‘‘section 399C’’ and in-
serting ‘‘such section’’;
(C) in section 399E (as so redesignated), in
subsection (c), by striking ‘‘section 399H(a)’’
and inserting ‘‘section 399B(a)’’; and
(D) in section 399F (as so redesignated)—
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(i) in subsection (a), by striking ‘‘sec-
tion 399I’’ and inserting ‘‘section 399C’’;
(ii) in subsection (a), by striking ‘‘sub-
section 399J’’ and inserting ‘‘section 399D’’;
and
(iii) in subsection (b), by striking
‘‘subsection 399K’’ and inserting ‘‘section
399E’’;
(3) in part N, by redesignating section 399F as
section 399G; and
(4) in part O—
(A) by redesignating sections 399G through
399J as sections 399H through 399K, respec-
tively;
(B) in section 399H (as so redesignated), in
subsection (b), by striking ‘‘section 399H’’ and
inserting ‘‘section 399I’’;
(C) in section 399J (as so redesignated), in
subsection (b), by striking ‘‘section 399G(d)’’ and
inserting ‘‘section 399H(d)’’; and
(D) in section 399K (as so redesignated), by
striking ‘‘section 399G(d)(1)’’ and inserting ‘‘sec-
tion 399H(d)(1)’’.
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Subtitle B—Prevention Activities
SEC. 511. PREVENTIVE HEALTH AND HEALTH SERVICES
BLOCK 
GRANT; 
SYSTEMS 
FOR 
REDUCING
ASTHMA-RELATED ILLNESSES THROUGH IN-
TEGRATED PEST MANAGEMENT.
Section 1904(a)(1) of the Public Health Service Act
(42 U.S.C. 300w–3(a)(1)) is amended—
(1) by redesignating subparagraphs (E) and (F)
as subparagraphs (F) and (G), respectively;
(2) by adding a period at the end of subpara-
graph (G) (as so redesignated);
(3) by inserting after subparagraph (D), the fol-
lowing:
‘‘(E) The establishment, operation, and coordina-
tion of effective and cost-efficient systems to reduce the
prevalence of illness due to asthma and asthma-re-
lated illnesses, especially among children, by reducing
the level of exposure to cockroach allergen or other
known asthma triggers through the use of integrated
pest management, as applied to cockroaches or other
known allergens. Amounts expended for such systems
may include the costs of building maintenance and
the costs of programs to promote community partici-
pation in the carrying out at such sites of integrated
pest management, as applied to cockroaches or other
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known allergens. For purposes of this subparagraph,
the term ‘integrated pest management’ means an ap-
proach to the management of pests in public facilities
that combines biological, cultural, physical, and
chemical tools in a way that minimizes economic,
health, and environmental risks.’’;
(4) in subparagraph (F) (as so redesignated), by
striking ‘‘subparagraphs (A) through (D)’’ and insert-
ing ‘‘subparagraphs (A) through (E)’’; and
(5) in subparagraph (G) (as so redesignated), by
striking ‘‘subparagraphs (A) through (E)’’ and insert-
ing ‘‘subparagraphs (A) through (F)’’.
Subtitle C—Coordination of
Federal Activities
SEC. 521. COORDINATION THROUGH NATIONAL INSTITUTES
OF HEALTH.
Subpart 2 of part C of title IV of the Public Health
Service Act (42 U.S.C. 285b et seq.) is amended by inserting
after section 424A the following section:
‘‘COORDINATION OF FEDERAL ASTHMA ACTIVITIES
‘‘SEC. 424B (a) IN GENERAL.—The Director of Insti-
tute shall, through the National Asthma Education Preven-
tion Program Coordinating Committee—
‘‘(1) identify all Federal programs that carry
out asthma-related activities;
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‘‘(2) develop, in consultation with appropriate
Federal agencies and professional and voluntary
health organizations, a Federal plan for responding to
asthma; and
‘‘(3) not later than 12 months after the date of
the enactment of the Children’s Health Act of 2000,
submit recommendations to the appropriate commit-
tees of the Congress on ways to strengthen and im-
prove the coordination of asthma-related activities of
the Federal Government.
‘‘(b) REPRESENTATION
OF
THE DEPARTMENT
OF
HOUSING AND URBAN DEVELOPMENT.—A representative of
the Department of Housing and Urban Development shall
be included on the National Asthma Education Prevention
Program Coordinating Committee for the purpose of per-
forming the tasks described in subsection (a).
‘‘(c) 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 2001 through 2005.’’.
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Subtitle D—Compilation of Data
SEC. 531. COMPILATION OF DATA BY CENTERS FOR DIS-
EASE CONTROL AND PREVENTION.
Part B of title III of the Public Health Service Act,
as amended by section 401 of this Act, is amended by insert-
ing after section 317H the following section:
‘‘COMPILATION OF DATA ON ASTHMA
‘‘SEC. 317I. (a) IN GENERAL.—The Secretary, acting
through the Director of the Centers for Disease Control and
Prevention, shall—
‘‘(1) conduct local asthma surveillance activities
to collect data on the prevalence and severity of asth-
ma and the quality of asthma management;
‘‘(2) compile and annually publish data on the
prevalence of children suffering from asthma in each
State; and
‘‘(3) to the extent practicable, compile and pub-
lish data on the childhood mortality rate associated
with asthma nationally.
‘‘(b) SURVEILLANCE ACTIVITIES.—The Director of the
Centers for Disease Control and Prevention, acting through
the representative of the Director on the National Asthma
Education Prevention Program Coordinating Committee,
shall, in carrying out subsection (a), provide an update on
surveillance activities at each Committee meeting.
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‘‘(c) COLLABORATIVE EFFORTS.—The activities de-
scribed in subsection (a)(1) may be conducted in collabora-
tion with eligible entities awarded a grant under section
399L.
‘‘(d) 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 2001 through 2005.’’.
TITLE VI—BIRTH DEFECTS
PREVENTION ACTIVITIES
Subtitle A—Folic Acid Promotion
SEC. 601. PROGRAM REGARDING EFFECTS OF FOLIC ACID
IN PREVENTION OF BIRTH DEFECTS.
Part B of title III of the Public Health Service Act,
as amended by section 531 of this Act, is amended by insert-
ing after section 317I the following section:
‘‘EFFECTS OF FOLIC ACID IN PREVENTION OF BIRTH
DEFECTS
‘‘SEC. 317J. (a) IN GENERAL.—The Secretary, acting
through the Director of the Centers for Disease Control and
Prevention, shall expand and intensify programs (directly
or through grants or contracts) for the following purposes:
‘‘(1) To provide education and training for
health professionals and the general public for pur-
poses of explaining the effects of folic acid in pre-
venting birth defects and for purposes of encouraging
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each woman of reproductive capacity (whether or not
planning a pregnancy) to consume on a daily basis
a dietary supplement that provides an appropriate
level of folic acid.
‘‘(2) To conduct research with respect to such
education and training, including identifying effec-
tive strategies for increasing the rate of consumption
of folic acid by women of reproductive capacity.
‘‘(3) To conduct research to increase the under-
standing of the effects of folic acid in preventing birth
defects, including understanding with respect to cleft
lip, cleft palate, and heart defects.
‘‘(4) To provide for appropriate epidemiological
activities regarding folic acid and birth defects, in-
cluding epidemiological activities regarding neural
tube defects.
‘‘(b) CONSULTATIONS WITH STATES AND PRIVATE EN-
TITIES.—In carrying out subsection (a), the Secretary shall
consult with the States and with other appropriate public
or private entities, including national nonprofit private or-
ganizations, health professionals, and providers of health
insurance and health plans.
‘‘(c) TECHNICAL ASSISTANCE.—The Secretary may
(directly or through grants or contracts) provide technical
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assistance to public and nonprofit private entities in car-
rying out the activities described in subsection (a).
‘‘(d) EVALUATIONS.—The Secretary shall (directly or
through grants or contracts) provide for the evaluation of
activities under subsection (a) in order to determine the ex-
tent to which such activities have been effective in carrying
out the purposes of the program under such subsection, in-
cluding the effects on various demographic populations.
Methods of evaluation under the preceding sentence may in-
clude surveys of knowledge and attitudes on the consump-
tion of folic acid and on blood folate levels. Such methods
may include complete and timely monitoring of infants who
are born with neural tube defects.
‘‘(e) 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 2001 through 2005.’’.
Subtitle 
B—National 
Center 
on
Birth Defects and Developmental
Disabilities
SEC. 611. NATIONAL CENTER ON BIRTH DEFECTS AND DE-
VELOPMENTAL DISABILITIES.
Section 317C of the Public Health Service Act (42
U.S.C. 247b–4) is amended—
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(1) by striking the heading for the section and
inserting the following:
‘‘NATIONAL CENTER ON BIRTH DEFECTS AND
DEVELOPMENTAL DISABILITIES’’;
(2) by striking ‘‘SEC. 317C. (a)’’ and all that fol-
lows through the end of subsection (a) and inserting
the following:
‘‘SEC. 317C. (a) IN GENERAL.—
‘‘(1) NATIONAL
CENTER.—There is established
within the Centers for Disease Control and Prevention
a center to be known as the National Center on Birth
Defects and Developmental Disabilities (referred to in
this section as the ‘Center’), which shall be headed by
a director appointed by the Director of the Centers for
Disease Control and Prevention.
‘‘(2) GENERAL
DUTIES.—The Secretary shall
carry out programs—
(A) to collect, analyze, and make available
data on birth defects and developmental disabil-
ities (in a manner that facilitates compliance
with subsection (d)(2)), including data on the
causes of such defects and disabilities and on the
incidence and prevalence of such defects and dis-
abilities;
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(B) to operate regional centers for the con-
duct of applied epidemiological research on the
prevention of such defects and disabilities; and
(C) to provide information and education to
the public on the prevention of such defects and
disabilities.
‘‘(3) FOLIC ACID.—The Secretary shall carry out
section 317J through the Center.
‘‘(4) CERTAIN PROGRAMS.—
‘‘(A) TRANSFERS.—All programs and func-
tions described in subparagraph (B) are trans-
ferred to the Center, effective upon the expiration
of the 180-day period beginning on the date of
the enactment of the Children’s Health Act of
2000.
‘‘(B) RELEVANT PROGRAMS.—The programs
and functions described in this subparagraph are
all programs and functions that—
‘‘(i) relate to birth defects; folic acid;
cerebral palsy; mental retardation; child de-
velopment; newborn screening; autism; frag-
ile X syndrome; fetal alcohol syndrome; pe-
diatric genetic disorders; disability preven-
tion; or other relevant diseases, disorders, or
conditions as determined the Secretary; and
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‘‘(ii) were carried out through the Na-
tional Center for Environmental Health as
of the day before the date of the enactment
of the Act referred to in subparagraph (A).
‘‘(C) RELATED TRANSFERS.—Personnel em-
ployed in connection with the programs and
functions specified in subparagraph (B), and
amounts available for carrying out the programs
and functions, are transferred to the Center, ef-
fective upon the expiration of the 180-day period
beginning on the date of the enactment of the Act
referred to in subparagraph (A). Such transfer of
amounts does not affect the period of availability
of the amounts, or the availability of the
amounts with respect to the purposes for which
the amounts may be expended.’’; and
(3) in subsection (b)(1), in the matter preceding
subparagraph (A), by striking ‘‘(a)(1)’’ and inserting
‘‘(a)(2)(A)’’.
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TITLE VII—EARLY DETECTION,
DIAGNOSIS, AND TREATMENT
REGARDING HEARING LOSS
IN INFANTS
SEC. 701. PURPOSES.
The purposes of this title are to clarify the authority
within the Public Health Service Act to authorize statewide
newborn and infant hearing screening, evaluation and
intervention programs and systems, technical assistance, a
national applied research program, and interagency and
private sector collaboration for policy development, in order
to assist the States in making progress toward the following
goals:
(1) All babies born in hospitals in the United
States and its territories should have a hearing
screening before leaving the birthing facility. Babies
born in other countries and residing in the United
States via immigration or adoption should have a
hearing screening as early as possible.
(2) All babies who are not born in hospitals in
the United States and its territories should have a
hearing screening within the first 3 months of life.
(3) Appropriate audiologic and medical evalua-
tions should be conducted by 3 months for all
newborns and infants suspected of having hearing loss
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to allow appropriate referral and provisions for
audiologic rehabilitation, medical and early interven-
tion before the age of 6 months.
(4) All newborn and infant hearing screening
programs and systems should include a component for
audiologic rehabilitation, medical and early interven-
tion options that ensures linkage to any new and ex-
isting state-wide systems of intervention and rehabili-
tative services for newborns and infants with hearing
loss.
(5) Public policy in regard to newborn and in-
fant hearing screening and intervention should be
based on applied research and the recognition that
newborns, infants, toddlers, and children who are deaf
or hard-of-hearing have unique language, learning,
and communication needs, and should be the result of
consultation with pertinent public and private sec-
tors.
SEC. 702. PROGRAMS OF HEALTH RESOURCES AND SERV-
ICES ADMINISTRATION, CENTERS FOR DIS-
EASE CONTROL AND PREVENTION, AND NA-
TIONAL INSTITUTES OF HEALTH.
Part P of title III of the Public Health Service Act,
as added by section 501 of this Act, is amended by adding
at the end the following section:
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‘‘SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREAT-
MENT REGARDING HEARING LOSS IN IN-
FANTS.
‘‘(a) STATEWIDE NEWBORN
AND INFANT HEARING
SCREENING, EVALUATION AND INTERVENTION PROGRAMS
AND SYSTEMS.—The Secretary, acting through the Admin-
istrator of the Health Resources and Services Administra-
tion, shall make awards of grants or cooperative agreements
to develop statewide newborn and infant hearing screening,
evaluation and intervention programs and systems for the
following purposes:
‘‘(1) To develop and monitor the efficacy of state-
wide newborn and infant hearing screening, evalua-
tion and intervention programs and systems. Early
intervention includes referral to schools and agencies,
including community, consumer, and parent-based
agencies and organizations and other programs man-
dated by part C of the Individuals with Disabilities
Education Act, which offer programs specifically de-
signed to meet the unique language and communica-
tion needs of deaf and hard of hearing newborns, in-
fants, toddlers, and children.
‘‘(2) To collect data on statewide newborn and
infant hearing screening, evaluation and intervention
programs and systems that can be used for applied
research, program evaluation and policy development.
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‘‘(b) TECHNICAL ASSISTANCE, DATA MANAGEMENT,
AND APPLIED RESEARCH.—
‘‘(1) CENTERS FOR DISEASE CONTROL AND PRE-
VENTION.—The Secretary, acting through the Director
of the Centers for Disease Control and Prevention,
shall make awards of grants or cooperative agree-
ments to provide technical assistance to State agencies
to complement an intramural program and to con-
duct applied research related to newborn and infant
hearing screening, evaluation and intervention pro-
grams and systems. The program shall develop stand-
ardized procedures for data management and pro-
gram effectiveness and costs, such as—
‘‘(A) to ensure quality monitoring of new-
born and infant hearing loss screening, evalua-
tion, and intervention programs and systems;
‘‘(B) to provide technical assistance on data
collection and management;
‘‘(C) to study the costs and effectiveness of
newborn and infant hearing screening, evalua-
tion and intervention programs and systems con-
ducted by State-based programs in order to an-
swer issues of importance to state and national
policymakers;
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‘‘(D) to identify the causes and risk factors
for congenital hearing loss;
‘‘(E) to study the effectiveness of newborn
and infant hearing screening, audiologic and
medical evaluations and intervention programs
and systems by assessing the health, intellectual
and social developmental, cognitive, and lan-
guage status of these children at school age; and
‘‘(F) to promote the sharing of data regard-
ing early hearing loss with State-based birth de-
fects and developmental disabilities monitoring
programs for the purpose of identifying pre-
viously unknown causes of hearing loss.
‘‘(2) NATIONAL
INSTITUTES
OF
HEALTH.—The
Director of the National Institutes of Health, acting
through the Director of the National Institute on
Deafness and Other Communication Disorders, shall
for purposes of this section, continue a program of re-
search and development on the efficacy of new screen-
ing techniques and technology, including clinical
studies of screening methods, studies on efficacy of
intervention, and related research.
‘‘(c) COORDINATION AND COLLABORATION.—
‘‘(1) IN GENERAL.—In carrying out programs
under this section, the Administrator of the Health
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Resources and Services Administration, the Director
of the Centers for Disease Control and Prevention,
and the Director of the National Institutes of Health
shall collaborate and consult with other Federal agen-
cies; State and local agencies, including those respon-
sible for early intervention services pursuant to title
XIX of the Social Security Act (Medicaid Early and
Periodic Screening, Diagnosis and Treatment Pro-
gram); title XXI of the Social Security Act (State
Children’s Health Insurance Program); title V of the
Social Security Act (Maternal and Child Health
Block Grant Program); and part C of the Individuals
with Disabilities Education Act; consumer groups of
and that serve individuals who are deaf and hard-of-
hearing and their families; appropriate national med-
ical and other health and education specialty organi-
zations; persons who are deaf and hard-of-hearing
and their families; other qualified professional per-
sonnel who are proficient in deaf or hard-of-hearing
children’s language and who possess the specialized
knowledge, skills, and attributes needed to serve deaf
and hard-of-hearing newborns, infants, toddlers, chil-
dren, and their families; third-party payers and
managed care organizations; and related commercial
industries.
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‘‘(2) POLICY DEVELOPMENT.—The Administrator
of the Health Resources and Services Administration,
the Director of the Centers for Disease Control and
Prevention, and the Director of the National Insti-
tutes of Health shall coordinate and collaborate on
recommendations for policy development at the Fed-
eral and State levels and with the private sector, in-
cluding consumer, medical and other health and edu-
cation professional-based organizations, with respect
to newborn and infant hearing screening, evaluation
and intervention programs and systems.
‘‘(3) STATE EARLY DETECTION, DIAGNOSIS, AND
INTERVENTION PROGRAMS AND SYSTEMS; DATA COL-
LECTION.—The Administrator of the Health Resources
and Services Administration and the Director of the
Centers for Disease Control and Prevention shall co-
ordinate and collaborate in assisting States to estab-
lish newborn and infant hearing screening, evaluation
and intervention programs and systems under sub-
section (a) and to develop a data collection system
under subsection (b).
‘‘(d) RULE OF CONSTRUCTION; RELIGIOUS ACCOMMO-
DATION.—Nothing in this section shall be construed to pre-
empt or prohibit any State law, including State laws which
do not require the screening for hearing loss of newborn in-
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families of the child are provided comprehensive, con-
sumer-oriented information about the full range of
family support, training, information services, com-
munication options and are given the opportunity to
consider the full range of educational and program
placements and options for their child.
‘‘(4) The term ‘medical evaluation by a physi-
cian’ refers to key components including history, ex-
amination, and medical decision making focused on
symptomatic and related body systems for the purpose
of diagnosing the etiology of hearing loss and related
physical conditions, and for identifying appropriate
treatment and referral options.
‘‘(5) The term ‘medical intervention’ refers to the
process by which a physician provides medical diag-
nosis and direction for medical and/or surgical treat-
ment options of hearing loss and/or related medical
disorder associated with hearing loss.
‘‘(6) The term ‘newborn and infant hearing
screening’ refers to objective physiologic procedures to
detect possible hearing loss and to identify newborns
and infants who, after rescreening, require further
audiologic and medical evaluations.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—
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‘‘(1) STATEWIDE NEWBORN AND INFANT HEAR-
ING
SCREENING, EVALUATION
AND
INTERVENTION
PROGRAMS AND SYSTEMS.—For the purpose of car-
rying out subsection (a), there are authorized to be
appropriated to the Health Resources and Services
Administration such sums as may be necessary for
fiscal year 2002.
‘‘(2) TECHNICAL
ASSISTANCE, DATA
MANAGE-
MENT, AND APPLIED RESEARCH; CENTERS FOR DIS-
EASE CONTROL AND PREVENTION.—For the purpose of
carrying out subsection (b)(1), there are authorized to
be appropriated to the Centers for Disease Control
and Prevention such sums as may be necessary for
fiscal year 2002.
‘‘(3) TECHNICAL
ASSISTANCE, DATA
MANAGE-
MENT, AND APPLIED RESEARCH; NATIONAL INSTITUTE
ON
DEAFNESS
AND
OTHER
COMMUNICATION
DIS-
ORDERS.—For the purpose of carrying out subsection
(b)(2), there are authorized to be appropriated to the
National Institute on Deafness and Other Commu-
nication Disorders such sums as may be necessary for
fiscal year 2002.’’.
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TITLE VIII—CHILDREN AND
EPILEPSY
SEC. 801. NATIONAL PUBLIC HEALTH CAMPAIGN ON EPI-
LEPSY; SEIZURE DISORDER DEMONSTRATION
PROJECTS 
IN 
MEDICALLY 
UNDERSERVED
AREAS.
Subpart I of part D of title III of the Public Health
Service Act (42 U.S.C. 254b) is amended by adding at the
end the following section:
‘‘SEC. 330E. EPILEPSY; SEIZURE DISORDER.
‘‘(a) NATIONAL PUBLIC HEALTH CAMPAIGN.—
‘‘(1) IN GENERAL.—The Secretary shall develop
and implement public health surveillance, education,
research, and intervention strategies to improve the
lives of persons with epilepsy, with a particular em-
phasis on children. Such projects may be carried out
by the Secretary directly and through awards of
grants or contracts to public or nonprofit private en-
tities. The Secretary may directly or through such
awards provide technical assistance with respect to
the planning, development, and operation of such
projects.
‘‘(2) CERTAIN
ACTIVITIES.—Activities under
paragraph (1) shall include—
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‘‘(A) expanding current surveillance activi-
ties through existing monitoring systems and im-
proving registries that maintain data on indi-
viduals with epilepsy, including children;
‘‘(B) enhancing research activities on the
diagnosis, treatment, and management of epi-
lepsy;
‘‘(C) implementing public and professional
information and education programs regarding
epilepsy, including initiatives which promote ef-
fective management of the disease through chil-
dren’s programs which are targeted to parents,
schools, daycare providers, patients;
‘‘(D) undertaking educational efforts with
the media, providers of health care, schools and
others regarding stigmas and secondary disabil-
ities related to epilepsy and seizures, and its ef-
fects on youth;
‘‘(E) utilizing and expanding partnerships
with organizations with experience addressing
the health and related needs of people with dis-
abilities; and
‘‘(F) other activities the Secretary deems
appropriate.
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‘‘(3) COORDINATION
OF
ACTIVITIES.—The Sec-
retary shall ensure that activities under this sub-
section are coordinated as appropriate with other
agencies of the Public Health Service that carry out
activities regarding epilepsy and seizure.
‘‘(b) SEIZURE DISORDER; DEMONSTRATION PROJECTS
IN MEDICALLY UNDERSERVED AREAS.—
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting
through the Administrator of the Health Resources
and Services Administration, may make grants for
the purpose of carrying out demonstration projects to
improve access to health and other services regarding
seizures to encourage early detection and treatment in
children and others residing in medically underserved
areas.
‘‘(2) APPLICATION FOR GRANT.—A grant may
not be awarded under paragraph (1) unless an appli-
cation therefore is submitted to the Secretary and the
Secretary approves such application. Such applica-
tion shall be submitted in such form and manner and
shall contain such information as the Secretary may
prescribe.
‘‘(c) DEFINITIONS.—For purposes of this section:
‘‘(1) The term ‘‘epilepsy’’ refers to a chronic and
serious neurological condition characterized by exces-
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sive electrical discharges in the brain causing recur-
ring seizures affecting all life activities. The Secretary
may revise the definition of such term to the extent
the Secretary determines necessary.
‘‘(2) The term ‘‘medically underserved’’ has the
meaning applicable under section 799B(6).
‘‘(d) 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 2001 through 2005.’’.
TITLE IX—SAFE MOTHERHOOD;
INFANT HEALTH PROMOTION
Subtitle A—Safe Motherhood
Prevention Research
SEC. 901. PREVENTION RESEARCH AND OTHER ACTIVITIES.
Part B of title III of the Public Health Service Act,
as amended by section 601 of this Act, is amended by insert-
ing after section 317J the following section:
‘‘SAFE MOTHERHOOD
‘‘SEC. 317K. (a) SURVEILLANCE.—
‘‘(1) PURPOSE.—The purpose of this subsection
is to develop surveillance systems at the local, State,
and national level to better understand the burden of
maternal complications and mortality and to decrease
the disparities among population at risk of death and
complications from pregnancy.
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‘‘(2) ACTIVITIES.—For the purpose described in
paragraph (1), the Secretary, acting through the Di-
rector of the Centers for Disease Control and Preven-
tion, may carry out the following activities:
‘‘(A) The Secretary may establish and im-
plement a national surveillance program to iden-
tify and promote the investigation of deaths and
severe complications that occur during preg-
nancy.
‘‘(B) The Secretary may expand the Preg-
nancy Risk Assessment Monitoring System to
provide surveillance and collect data in each
State.
‘‘(C) The Secretary may expand the Mater-
nal and Child Health Epidemiology Program to
provide technical support, financial assistance,
or the time-limited assignment of senior epi-
demiologists to maternal and child health pro-
grams in each State.
‘‘(b) PREVENTION RESEARCH.—
‘‘(1) PURPOSE.—The purpose of this subsection
is to provide the Secretary with the authority to fur-
ther expand research concerning risk factors, preven-
tion strategies, and the roles of the family, health care
providers and the community in safe motherhood.
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‘‘(2) RESEARCH.—The Secretary may carry out
activities to expand research relating to—
‘‘(A) encouraging preconception counseling,
especially for at risk populations such as dia-
betics;
‘‘(B) the identification of critical compo-
nents of prenatal delivery and postpartum care;
‘‘(C) the identification of outreach and sup-
port services, such as folic acid education, that
are available for pregnant women;
‘‘(D) the identification of women who are at
high risk for complications;
‘‘(E) preventing preterm delivery;
‘‘(F) preventing urinary tract infections;
‘‘(G) preventing unnecessary caesarean sec-
tions;
‘‘(H) an examination of the higher rates of
maternal mortality among African American
women;
‘‘(I) an examination of the relationship be-
tween domestic violence and maternal complica-
tions and mortality;
‘‘(J) preventing and reducing adverse health
consequences that may result from smoking, alco-
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hol and illegal drug use before, during and after
pregnancy;
‘‘(K) preventing infections that cause ma-
ternal and infant complications; and
‘‘(L) other areas determined appropriate by
the Secretary.
‘‘(c) PREVENTION PROGRAMS.—
‘‘(1) IN GENERAL.—The Secretary may carry out
activities to promote safe motherhood, including—
‘‘(A) public education campaigns on healthy
pregnancies and the building of partnerships
with outside organizations concerned about safe
motherhood;
‘‘(B) education programs for physicians,
nurses and other health care providers; and
‘‘(C) activities to promote community sup-
port services for pregnant women.
‘‘(d) 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 2001 through 2005.’’.
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Subtitle B—Pregnant Women and
Infants Health Promotion
SEC. 911. PROGRAMS REGARDING PRENATAL AND POST-
NATAL HEALTH.
Part B of title III of the Public Health Service Act,
as amended by section 901 of this Act, is amended by insert-
ing after section 317K the following section:
‘‘PRENATAL AND POSTNATAL HEALTH
‘‘SEC. 317L. (a) IN GENERAL.—The Secretary, acting
through the Director of the Centers for Disease Control and
Prevention, shall carry out programs—
‘‘(1) to collect, analyze, and make available data
on prenatal smoking, alcohol and illegal drug use, in-
cluding data on the implications of such activities
and on the incidence and prevalence of such activities
and their implications;
‘‘(2) to conduct applied epidemiological research
on the prevention of prenatal and postnatal smoking,
alcohol and illegal drug use;
‘‘(3) to support, conduct, and evaluate the effec-
tiveness of educational and cessation programs; and
‘‘(4) to provide information and education to the
public on the prevention and implications of prenatal
and postnatal smoking, alcohol and illegal drug use.
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‘‘(b) GRANTS.—In carrying out subsection (a), the Sec-
retary may award grants to and enter into contracts with
States, local governments, scientific and academic institu-
tions, Federally qualified health centers, and other public
and nonprofit entities, and may provide technical and con-
sultative assistance to such entities.
‘‘(c) 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 2001 through 2005.’’.
TITLE X— PEDIATRIC RESEARCH
INITIATIVE
SEC. 1001. ESTABLISHMENT OF PEDIATRIC RESEARCH INI-
TIATIVE.
Part B of title IV of the Public Health Service Act,
as amended by section 101 of this Act, is amended by add-
ing at the end the following:
‘‘PEDIATRIC RESEARCH INITIATIVE
‘‘SEC. 409D. (a) ESTABLISHMENT.—The Secretary
shall establish within the Office of the Director of NIH a
Pediatric Research Initiative (referred to in this section as
the ‘Initiative’) to conduct and support research that is di-
rectly related to diseases, disorders, and other conditions in
children. The Initiative shall be headed by the Director of
NIH.
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‘‘(b) PURPOSE.—The purpose of the Initiative is to
provide funds to enable the Director of NIH—
‘‘(1) to increase support for pediatric biomedical
research within the National Institutes of Health to
realize the expanding opportunities for advancement
in scientific investigations and care for children;
‘‘(2) to enhance collaborative efforts among the
Institutes to conduct and support multidisciplinary
research in the areas that the Director deems most
promising; and
‘‘(3) in coordination with the Food and Drug
Administration, to increase the development of ade-
quate pediatric clinical trials and pediatric use infor-
mation to promote the safer and more effective use of
prescription drugs in the pediatric population.
‘‘(c) DUTIES.—In carrying out subsection (b), the Di-
rector of NIH shall—
‘‘(1) consult with the Director of the National
Institute of Child Health and Human Development
and the other national research institutes, in consid-
ering their requests for new or expanded pediatric re-
search efforts, and consult with the Administrator of
the Health Resources and Services Administration
and other advisors as the Director determines to be
appropriate;
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‘‘(2) have broad discretion in the allocation of
any Initiative assistance among the Institutes, among
types of grants, and between basic and clinical re-
search so long as the assistance is directly related to
the illnesses and conditions of children; and
‘‘(3) be responsible for the oversight of any newly
appropriated Initiative funds and annually report to
Congress and the public on the extent of the total
funds obligated to conduct or support pediatric re-
search across the National Institutes of Health, in-
cluding the specific support and research awards allo-
cated through the Initiative.
‘‘(d) AUTHORIZATION.—For the purpose of carrying
out this section, there are authorized to be appropriated
$50,000,000 for fiscal year 2001, and such sums as may
be necessary for each of the fiscal years 2002 through 2005.
‘‘(e) TRANSFER OF FUNDS.—The Director of NIH may
transfer amounts appropriated under this section to any
of the Institutes for a fiscal year to carry out the purposes
of the Initiative under this section.’’.
SEC. 1002. INVESTMENT IN TOMORROW’S PEDIATRIC RE-
SEARCHERS.
(a) IN GENERAL.—Subpart 7 of part C of title IV of
the Public Health Service Act, as amended by section 921
of this Act, is amended by adding at the end the following:
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‘‘INVESTMENT IN TOMORROW’S PEDIATRIC RESEARCHERS
‘‘SEC. 452G. (a) ENHANCED SUPPORT.—In order to
ensure the future supply of researchers dedicated to the care
and research needs of children, the Director of the Institute,
after consultation with the Administrator of the Health Re-
sources and Services Administration, shall support activi-
ties to provide for—
‘‘(1) an increase in the number and size of insti-
tutional training grants to institutions supporting
pediatric training; and
‘‘(2) an increase in the number of career develop-
ment awards for health professionals who intend to
build careers in pediatric basic and clinical research.
‘‘(b) AUTHORIZATION.—For the purpose of carrying
out subsection (a), there are authorized to be appropriated
such sums as may be necessary for each of the fiscal years
2001 through 2005.’’.
(b) PEDIATRIC RESEARCH LOAN REPAYMENT PRO-
GRAM.—Part G of title IV of the Public Health Service Act
(42 U.S.C. 288 et seq.) is amended by inserting after section
487E the following section:
‘‘PEDIATRIC RESEARCH LOAN REPAYMENT PROGRAM
‘‘SEC. 487F. (a) IN GENERAL.—The Secretary, in con-
sultation with the Director of NIH, may establish a pedi-
atric research loan repayment program. Through such
program—
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‘‘(1) the Secretary shall enter into contracts with
qualified health professionals under which such pro-
fessionals will agree to conduct pediatric research, in
consideration of the Federal government agreeing to
repay, for each year of such service, not more than
$35,000 of the principal and interest of the edu-
cational loans of such professionals; and
‘‘(2) the Secretary shall, for the purpose of pro-
viding reimbursements for tax liability resulting from
payments made under paragraph (1) on behalf of an
individual, make payments, in addition to payments
under such paragraph, to the individual in an
amount equal to 39 percent of the total amount of
loan repayments made for the taxable year involved.
‘‘(b) APPLICATION OF OTHER PROVISIONS.—The provi-
sions of sections 338B, 338C, and 338E shall, except as in-
consistent with paragraph (1), apply to the program estab-
lished under such paragraph to the same extent and in the
same manner as such provisions apply to the National
Health Service Corps Loan Repayment Program established
under subpart III of part D of title III.
‘‘(c) FUNDING.—
‘‘(1) IN GENERAL.—For the purpose of carrying
out this section with respect to a national research in-
stitute the Secretary may reserve, from amounts ap-
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propriated for such institute for the fiscal year in-
volved, such amounts as the Secretary determines to
be appropriate.
‘‘(2) AVAILABILITY OF FUNDS.—Amounts made
available to carry out this section shall remain avail-
able until the expiration of the second fiscal year be-
ginning after the fiscal year for which such amounts
were made available.’’.
SEC. 1003. REVIEW OF REGULATIONS.
(a) REVIEW.—By not later than 6 months after the
date of enactment of this Act, the Secretary of Health and
Human Services shall conduct a review of the regulations
under subpart D of part 46 of title 45, Code of Federal
Regulations, consider any modifications necessary to ensure
the adequate and appropriate protection of children partici-
pating in research, and report the findings of the Secretary
to Congress.
(b) AREAS OF REVIEW.—In conducting the review
under subsection (a), the Secretary of Health and Human
Services shall consider—
(1) the appropriateness of the regulations for
children of differing ages and maturity levels, includ-
ing legal status;
(2) the definition of ‘‘minimal risk’’ for a
healthy child or for a child with an illness;
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(3) the definitions of ‘‘assent’’ and ‘‘permission’’
for child clinical research participants and their par-
ents or guardians and of ‘‘adequate provisions’’ for
soliciting assent or permission in research as such
definitions relate to the process of obtaining the agree-
ment of children participating in research and the
parents or guardians of such children;
(4) the definitions of ‘‘direct benefit to the indi-
vidual subjects’’ and ‘‘generalizable knowledge about
the subject’s disorder or condition’’;
(5) whether payment (financial or otherwise)
may be provided to a child or his or her parent or
guardian for the participation of the child in re-
search, and if so, the amount and type given;
(6) the expectations of child research partici-
pants and their parent or guardian for the direct ben-
efits of the child’s research involvement;
(7) safeguards for research involving children
conducted in emergency situations with a waiver of
informed assent;
(8) parent and child notification in instances in
which the regulations have not been complied with;
(9) compliance with the regulations in effect on
the date of enactment of this Act, the monitoring of
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such compliance, and enforcement actions for viola-
tions of such regulations; and
(10) the appropriateness of current practices for
recruiting children for participation in research.
(c) CONSULTATION.—In conducting the review under
subsection (a), the Secretary of Health and Human Services
shall consult broadly with experts in the field, including
pediatric pharmacologists, pediatricians, pediatric profes-
sional societies, bioethics experts, clinical investigators, in-
stitutional review boards, industry experts, appropriate
Federal agencies, and children who have participated in re-
search studies and the parents, guardians, or families of
such children.
(d) CONSIDERATION OF ADDITIONAL PROVISIONS.—In
conducting the review under subsection (a), the Secretary
of Health and Human Services shall consider and, not later
than 6 months after the date of enactment of this Act, report
to Congress concerning—
(1) whether the Secretary should establish data
and safety monitoring boards or other mechanisms to
review adverse events associated with research involv-
ing children; and
(2) whether the institutional review board over-
sight of clinical trials involving children is adequate
to protect children.
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SEC. 1004. LONG-TERM CHILD DEVELOPMENT STUDY.
(a) PURPOSE.—It is the purpose of this section to au-
thorize the National Institute of Child Health and Human
Development to conduct a national longitudinal study of
environmental influences (including physical, chemical, bi-
ological, and psychosocial) on children’s health and develop-
ment.
(b) IN GENERAL.—The Director of the National Insti-
tute of Child Health and Human Development shall estab-
lish a consortium of representatives from appropriate Fed-
eral agencies (including the Centers for Disease Control and
Prevention, the Environmental Protection Agency) to—
(1) plan, develop, and implement a prospective
cohort study, from birth to adulthood, to evaluate the
effects of both chronic and intermittent exposures on
child health and human development; and
(2) investigate basic mechanisms of develop-
mental disorders and environmental factors, both risk
and protective, that influence health and develop-
mental processes.
(c) REQUIREMENT.—The study under subsection (b)
shall—
(1) incorporate behavioral, emotional, edu-
cational, and contextual consequences to enable a
complete assessment of the physical, chemical, biologi-
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cal and psychosocial environmental influences on
children’s well-being;
(2) gather data on environmental influences and
outcomes on diverse populations of children, which
may include the consideration of prenatal exposures;
(3) consider health disparities among children
which may include the consideration of prenatal ex-
posures.
(d) REPORT.—Beginning not later than 3 years after
the date of enactment of this Act, and periodically thereafter
for the duration of the study under this section, the Director
of the National Institute of Child Health and Human De-
velopment shall prepare and submit to the appropriate
committees of Congress a report on the implementation and
findings made under the planning and feasibility study
conducted under this section.
(e) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section
$18,000,000 for fiscal year 2001, and such sums as may
be necessary for each the fiscal years 2002 through 2005.
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TITLE XI—CHILDHOOD
MALIGNANCIES
SEC. 1101. PROGRAMS OF CENTERS FOR DISEASE CONTROL
AND PREVENTION AND NATIONAL INSTI-
TUTES OF HEALTH.
Part P of title III of the Public Health Service Act,
as amended by section 702 of this Act, is amended by add-
ing at the end the following section:
‘‘SEC. 399N. CHILDHOOD MALIGNANCIES.
‘‘(a) IN GENERAL.—The Secretary, acting as appro-
priate through the Director of the Centers for Disease Con-
trol and Prevention and the Director of the National Insti-
tutes of Health, shall study environmental and other risk
factors for childhood cancers (including skeletal malig-
nancies, leukemias, malignant tumors of the central nervous
system, lymphomas, soft tissue sarcomas, and other malig-
nant neoplasms) and carry out projects to improve out-
comes among children with childhood cancers and resultant
secondary conditions, including limb loss, anemia, rehabili-
tation, and palliative care. Such projects shall be carried
out by the Secretary directly and through awards of grants
or contracts.
‘‘(b) CERTAIN
ACTIVITIES.—Activities under sub-
section (a) include—
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‘‘(1) the expansion of current demographic data
collection and population surveillance efforts to in-
clude childhood cancers nationally;
‘‘(2) the development of a uniform reporting sys-
tem under which treating physicians, hospitals, clin-
ics, and states report the diagnosis of childhood can-
cers, including relevant associated epidemiological
data; and
‘‘(3) support for the National Limb Loss Infor-
mation Center to address, in part, the primary and
secondary needs of persons who experience childhood
cancers in order to prevent or minimize the disabling
nature of these cancers.
‘‘(c) COORDINATION OF ACTIVITIES.—The Secretary
shall assure that activities under this section are coordi-
nated as appropriate with other agencies of the Public
Health Service that carry out activities focused on child-
hood cancers and limb loss.
‘‘(d) DEFINITION.—For purposes of this section, the
term ‘childhood cancer’ refers to a spectrum of different ma-
lignancies that vary by histology, site of disease, origin,
race, sex, and age. The Secretary may for purposes of this
section revise the definition of such term to the extent deter-
mined by the Secretary to be appropriate.
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‘‘(e) 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 2001 through 2005.’’.
TITLE XII—ADOPTION
AWARENESS
Subtitle A—Infant Adoption
Awareness
SEC. 1201. GRANTS REGARDING INFANT ADOPTION AWARE-
NESS.
Subpart I of part D of title III of the Public Health
Service Act, as amended by section 801 of this Act, is
amended by adding at the end the following section:
‘‘SEC. 330F. CERTAIN SERVICES FOR PREGNANT WOMEN.
‘‘(a) INFANT ADOPTION AWARENESS.—
‘‘(1) IN
GENERAL.—The Secretary shall make
grants to national, regional, or local adoption organi-
zations for the purpose of developing and imple-
menting programs to train the designated staff of eli-
gible health centers in providing adoption informa-
tion and referrals to pregnant women on an equal
basis with all other courses of action included in non-
directive counseling to pregnant women.
‘‘(2) BEST-PRACTICES GUIDELINES.—
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‘‘(A) IN GENERAL.—A condition for the re-
ceipt of a grant under paragraph (1) is that the
adoption organization involved agree that, in
providing training under such paragraph, the
organization will follow the guidelines developed
under subparagraph (B).
‘‘(B) PROCESS
FOR
DEVELOPMENT
OF
GUIDELINES.—
‘‘(i) IN GENERAL.—The Secretary shall
establish and supervise a process described
in clause (ii) in which the participants
are—
‘‘(I) an appropriate number and
variety of adoption organizations that,
as a group, have expertise in all mod-
els of adoption practice and that rep-
resent all members of the adoption
triad (birth mother, infant, and adop-
tive parent); and
‘‘(II) affected public health enti-
ties.
‘‘(ii) DESCRIPTION OF PROCESS.—The
process referred to in clause (i) is a process
in which the participants described in such
clause collaborate to develop best-practices
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guidelines on the provision of adoption in-
formation and referrals to pregnant women
on an equal basis with all other courses of
action included in nondirective counseling
to pregnant women.
‘‘(iii) DATE
CERTAIN
FOR
DEVELOP-
MENT.—The Secretary shall ensure that the
guidelines described in clause (ii) are devel-
oped not later than 180 days after the date
of the enactment of the Children’s Health
Act of 2000.
‘‘(C) 
RELATION
TO
AUTHORITY
FOR
GRANTS.—The Secretary may not make any
grant under paragraph (1) before the date on
which the guidelines under subparagraph (B) are
developed.
‘‘(3) USE OF GRANT.—
‘‘(A) IN GENERAL.—With respect to a grant
under paragraph (1)—
‘‘(i) an adoption organization may ex-
pend the grant to carry out the programs
directly or through grants to or contracts
with other adoption organizations;
‘‘(ii) the purposes for which the adop-
tion organization expends the grant may
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include the development of a training cur-
riculum, consistent with the guidelines de-
veloped under paragraph (2)(B); and
‘‘(iii) a condition for the receipt of the
grant is that the adoption organization
agree that, in providing training for the
designated staff of eligible health centers,
such organization will make reasonable ef-
forts to ensure that the individuals who pro-
vide the training are individuals who are
knowledgeable in all elements of the adop-
tion process and are experienced in pro-
viding adoption information and referrals
in the geographic areas in which the eligible
health centers are located, and that the des-
ignated staff receive the training in such
areas.
‘‘(B) RULE OF CONSTRUCTION REGARDING
TRAINING OF TRAINERS.—With respect to indi-
viduals who under a grant under paragraph (1)
provide training for the designated staff of eligi-
ble health centers (referred to in this subpara-
graph as ‘trainers’), subparagraph (A)(iii) may
not be construed as establishing any limitation
regarding the geographic area in which the
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trainers receive instruction in being such train-
ers. A trainer may receive such instruction in a
different geographic area than the area in which
the trainer trains (or will train) the designated
staff of eligible health centers.
‘‘(4) 
ADOPTION
ORGANIZATIONS; 
ELIGIBLE
HEALTH CENTERS; OTHER DEFINITIONS.—For pur-
poses of this section:
‘‘(A) The term ‘adoption organization’
means 
a 
national, 
regional, 
or 
local
organization—
‘‘(i) among whose primary purposes
are adoption;
‘‘(ii) that is knowledgeable in all ele-
ments of the adoption process and on pro-
viding adoption information and referrals
to pregnant women; and
‘‘(iii) that is a nonprofit private enti-
ty.
‘‘(B) The term ‘designated staff’, with re-
spect to an eligible health center, means staff of
the center who provide pregnancy or adoption
information and referrals (or will provide such
information and referrals after receiving train-
ing under a grant under paragraph (1)).
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‘‘(C) The term ‘eligible health centers’
means public and nonprofit private entities that
provide health services to pregnant women.
‘‘(5) TRAINING FOR CERTAIN ELIGIBLE HEALTH
CENTERS.—A condition for the receipt of a grant
under paragraph (1) is that the adoption organiza-
tion involved agree to make reasonable efforts to en-
sure that the eligible health centers with respect to
which training under the grant is provided include—
‘‘(A) eligible health centers that receive
grants under section 1001 (relating to voluntary
family planning projects);
‘‘(B) eligible health centers that receive
grants under section 330 (relating to community
health centers, migrant health centers, and cen-
ters regarding homeless individuals and residents
of public housing); and
‘‘(C) eligible health centers that receive
grants under this Act for the provision of services
in schools.
‘‘(6) PARTICIPATION
OF
CERTAIN
ELIGIBLE
HEALTH CLINICS.—In the case of eligible health cen-
ters that receive grants under section 330 or 1001:
‘‘(A) Within a reasonable period after the
Secretary begins making grants under para-
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graph (1), the Secretary shall provide eligible
health centers with complete information about
the training available from organizations receiv-
ing grants under such paragraph. The Secretary
shall make reasonable efforts to encourage eligible
health centers to arrange for designated staff to
participate in such training. Such efforts shall
affirm Federal requirements, if any, that the eli-
gible health center provide nondirective coun-
seling to pregnant women.
‘‘(B) All costs of such centers in obtaining
the training shall be reimbursed by the organiza-
tion that provides the training, using grants
under paragraph (1).
‘‘(C) Not later than one year after the date
of the enactment of the Children’s Health Act of
2000, the Secretary shall submit to the appro-
priate committees of the Congress a report evalu-
ating the extent to which adoption information
and referral, upon request, are provided by eligi-
ble health centers. Within a reasonable time after
training under this section is initiated, the Sec-
retary shall submit to the appropriate commit-
tees of the Congress a report evaluating the ex-
tent to which adoption information and referral,
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upon request, are provided by eligible health cen-
ters in order to determine the effectiveness of
such training and the extent to which such
training complies with subsection (a)(1). In pre-
paring the reports required by this subpara-
graph, the Secretary shall in no respect interpret
the provisions of this section to allow any inter-
ference in the provider-patient relationship, any
breach of patient confidentiality, or any moni-
toring or auditing of the counseling process or
patient records which breaches patient confiden-
tiality or reveals patient identity. The reports
required by this subparagraph shall be conducted
by the Secretary acting through the Adminis-
trator of the Health Resources and Services Ad-
ministration and in collaboration with the Di-
rector of the Agency for Healthcare Research and
Quality.
‘‘(b) APPLICATION FOR GRANT.—The Secretary may
make a grant under subsection (a) only if an application
for the grant is submitted to the Secretary and the applica-
tion is in such form, is made in such manner, and contains
such agreements, assurances, and information as the Sec-
retary determines to be necessary to carry out this section.
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‘‘(c) 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 2001 through 2005.’’.
Subtitle B—Special Needs Adoption
Awareness
SEC. 1211. SPECIAL NEEDS ADOPTION PROGRAMS; PUBLIC
AWARENESS CAMPAIGN AND OTHER ACTIVI-
TIES.
Subpart I of part D of title III of the Public Health
Service Act, as amended by section 1201 of this Act, is
amended by adding at the end the following section:
‘‘SEC. 330G. SPECIAL NEEDS ADOPTION PROGRAMS; PUBLIC
AWARENESS CAMPAIGN AND OTHER ACTIVI-
TIES.
‘‘(a) SPECIAL NEEDS ADOPTION AWARENESS CAM-
PAIGN.—
‘‘(1) IN GENERAL.—The Secretary shall, through
making grants to nonprofit private entities, provide
for the planning, development, and carrying out of a
national campaign to provide information to the pub-
lic regarding the adoption of children with special
needs.
‘‘(2) INPUT ON PLANNING AND DEVELOPMENT.—
In providing for the planning and development of the
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national campaign under paragraph (1), the Sec-
retary shall provide for input from a number and va-
riety of adoption organizations throughout the States
in order that the full national diversity of interests
among adoption organizations is represented in the
planning and development of the campaign.
‘‘(3) CERTAIN FEATURES.—With respect to the
national campaign under paragraph (1):
‘‘(A) The campaign shall be directed at var-
ious populations, taking into account as appro-
priate differences among geographic regions, and
shall be carried out in the language and cultural
context that is most appropriate to the popu-
lation involved.
‘‘(B) The means through which the cam-
paign may be carried out include—
‘‘(i) placing public service announce-
ments on television, radio, and billboards;
and
‘‘(ii) providing information through
means that the Secretary determines will
reach individuals who are most likely to
adopt children with special needs.
‘‘(C) The campaign shall provide informa-
tion on the subsidies and supports that are
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available to individuals regarding the adoption
of children with special needs.
‘‘(D) The Secretary may provide that the
placement of public service announcements, and
the dissemination of brochures and other mate-
rials, is subject to review by the Secretary.
‘‘(4) MATCHING REQUIREMENT.—
‘‘(A) IN
GENERAL.—With respect to the
costs of the activities to be carried out by an en-
tity pursuant to paragraph (1), a condition for
the receipt of a grant under such paragraph is
that the entity agree to make available (directly
or through donations from public or private enti-
ties) non-Federal contributions toward such costs
in an amount that is not less than 25 percent
of such costs.
‘‘(B) DETERMINATION OF AMOUNT CONTRIB-
UTED.—Non-Federal contributions under sub-
paragraph (A) may be in cash or in kind, fairly
evaluated, including plant, equipment, or serv-
ices. Amounts provided by the Federal Govern-
ment, or services assisted or subsidized to any
significant extent by the Federal Government,
may not be included in determining the amount
of such contributions.
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‘‘(b) NATIONAL RESOURCES PROGRAM.—The Sec-
retary shall (directly or through grant or contract) carry
out a program that, through toll-free telecommunications,
makes available to the public information regarding the
adoption of children with special needs. Such information
shall include the following:
‘‘(1) A list of national, State, and regional orga-
nizations that provide services regarding such adop-
tions, including exchanges and other information on
communicating with the organizations. The list shall
represent the full national diversity of adoption orga-
nizations.
‘‘(2) Information beneficial to individuals who
adopt such children, including lists of support groups
for adoptive parents and other postadoptive services.
‘‘(c) OTHER PROGRAMS.—With respect to the adoption
of children with special needs, the Secretary shall make
grants—
‘‘(1) to provide assistance to support groups for
adoptive parents, adopted children, and siblings of
adopted children; and
‘‘(2) to carry out studies to identify—
‘‘(A) the barriers to completion of the adop-
tion process; and
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‘‘(B) those components that lead to favorable
long-term outcomes for families that adopt chil-
dren with special needs.
‘‘(d) APPLICATION FOR GRANT.—The Secretary may
make an award of a grant or contract under this section
only if an application for the award is submitted to the
Secretary and the application is in such form, is made in
such manner, and contains such agreements, assurances,
and information as the Secretary determines to be necessary
to carry out this section.
‘‘(e) FUNDING.—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 2001
through 2005.’’.
TITLE XIII—TRAUMATIC BRAIN
INJURY
SEC. 1301. PROGRAMS OF CENTERS FOR DISEASE CONTROL
AND PREVENTION.
(a) IN GENERAL.—Section 393A of the Public Health
Service Act (42 U.S.C. 280b–1b) is amended—
(1) in subsection (b)—
(A) in paragraph (1), by striking ‘‘and’’ at
the end;
(B) in paragraph (2), by striking the period
and inserting ‘‘; and’’; and
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(C) by adding at the end the following:
‘‘(3) the implementation of a national education
and awareness campaign regarding such injury (in
conjunction with the program of the Secretary regard-
ing health-status goals for 2010, commonly referred to
as Healthy People 2010), including—
‘‘(A) the national dissemination of informa-
tion on—
‘‘(i) incidence and prevalence; and
‘‘(ii) information relating to traumatic
brain injury and the sequelae of secondary
conditions arising from traumatic brain in-
jury upon discharge from hospitals and
trauma centers; and
‘‘(B) the provision of information in pri-
mary care settings, including emergency rooms
and trauma centers, concerning the availability
of State level services and resources.’’;
(2) in subsection (d)—
(A) in the second sentence, by striking ‘‘an-
oxia due to near drowning.’’ and inserting ‘‘an-
oxia due to trauma.’’; and
(B) in the third sentence, by inserting before
the period the following: ‘‘, after consultation
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with States and other appropriate public or non-
profit private entities’’.
(b) NATIONAL REGISTRY.—Part J of title III of the
Public Health Service Act (42 U.S.C. 280b et seq.) is
amended by inserting after section 393A the following sec-
tion:
‘‘NATIONAL PROGRAM FOR TRAUMATIC BRAIN INJURY
REGISTRIES
‘‘SEC. 393B. (a) IN GENERAL.—The Secretary, acting
through the Director of the Centers for Disease Control and
Prevention, may make grants to States or their designees
to operate the State’s traumatic brain injury registry, and
to academic institutions to conduct applied research that
will support the development of such registries, to collect
data concerning—
‘‘(1) demographic information about each trau-
matic brain injury;
‘‘(2) information about the circumstances sur-
rounding the injury event associated with each trau-
matic brain injury;
‘‘(3) administrative information about the source
of the collected information, dates of hospitalization
and treatment, and the date of injury; and
‘‘(4) information characterizing the clinical as-
pects of the traumatic brain injury, including the se-
verity of the injury, outcomes of the injury, the types
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of treatments received, and the types of services uti-
lized.’’.
SEC. 1302. STUDY AND MONITOR INCIDENCE AND PREVA-
LENCE.
Section 4 of Public Law 104–166 (42 U.S.C. 300d–
61 note) is amended—
(1) in subsection (a)(1)(A)—
(A) by striking clause (i) and inserting the
following:
‘‘(i)(I) determine the incidence and
prevalence of traumatic brain injury in all
age groups in the general population of the
United States, including institutional set-
tings; and
‘‘(II) determine appropriate methodo-
logical strategies to obtain data on the inci-
dence and prevalence of mild traumatic
brain injury and report to Congress con-
cerning such within 18 months of the date
of enactment of the Children’s Health Act of
2000; and’’; and
(B) in clause (ii), by striking ‘‘, if the Sec-
retary determines that such a system is appro-
priate’’;
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(2) in subsection (a)(1)(B)(i), by inserting ‘‘, in-
cluding return to work or school and community par-
ticipation,’’ after ‘‘functioning’’; and
(3) in subsection (d), to read as follows:
‘‘(d) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
2001 through 2005.’’.
SEC. 1303. PROGRAMS OF NATIONAL INSTITUTES OF
HEALTH.
(a) INTERAGENCY PROGRAM.—Section 1261(d)(4) of
the Public Health Service Act (42 U.S.C. 300d–61(d)(4))
is amended—
(1) in subparagraph (A), by striking ‘‘degree of
injury’’ and inserting ‘‘degree of brain injury’’;
(2) in subparagraph (B), by striking ‘‘acute in-
jury’’ and inserting ‘‘acute brain injury’’; and
(3) in subparagraph (D), by striking ‘‘injury
treatment’’ and inserting ‘‘brain injury treatment’’.
(b) DEFINITION.—Section 1261(h)(4) of the Public
Health 
Service 
Act 
(42 
U.S.C. 
300d–61(h)(4)) 
is
amended—
(1) in the second sentence, by striking ‘‘anoxia
due to near drowning.’’ and inserting ‘‘anoxia due to
trauma.’’; and
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(2) in the third sentence, by inserting before the
period the following: ‘‘, after consultation with States
and other appropriate public or nonprofit private en-
tities’’.
(c) RESEARCH ON COGNITIVE AND NEUROBEHAVIORAL
DISORDERS ARISING FROM TRAUMATIC BRAIN INJURY.—
Section 1261(d)(4) of the Public Health Service Act (42
U.S.C. 300d–61(d)(4)) is amended—
(1) in subparagraph (C), by striking ‘‘and’’ after
the semicolon at the end;
(2) in subparagraph (D), by striking the period
at the end and inserting ‘‘; and’’; and
(3) by adding at the end the following:
‘‘(E) 
carrying 
out 
subparagraphs 
(A)
through (D) with respect to cognitive disorders
and neurobehavioral consequences arising from
traumatic brain injury, including the develop-
ment, modification, and evaluation of therapies
and programs of rehabilitation toward reaching
or restoring normal capabilities in areas such as
reading, comprehension, speech, reasoning, and
deduction.’’.
(d) AUTHORIZATION
OF APPROPRIATIONS.—Section
1261 of the Public Health Service Act (42 U.S.C. 300d–
61) is amended by adding at the end the following:
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‘‘(i) 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 2001 through 2005.’’.
SEC. 1304. PROGRAMS OF HEALTH RESOURCES AND SERV-
ICES ADMINISTRATION.
Section 1252 of the Public Health Service Act (42
U.S.C. 300d–51) is amended—
(1) in the section heading by striking ‘‘DEM-
ONSTRATION’’;
(2) in subsection (a), by striking ‘‘demonstra-
tion’’;
(3) in subsection (b)(3)—
(A) in subparagraph (A)(iv), by striking
‘‘representing traumatic brain injury survivors’’
and inserting ‘‘representing individuals with
traumatic brain injury’’; and
(B) in subparagraph (B), by striking ‘‘who
are survivors of’’ and inserting ‘‘with’’;
(4) in subsection (c)—
(A) in paragraph (1), by striking ‘‘, in
cash,’’; and
(B) in paragraph (2), by amending the
paragraph to read as follows:
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‘‘(2) DETERMINATION
OF
AMOUNT
CONTRIB-
UTED.—Non-Federal contributions under paragraph
(1) may be in cash or in kind, fairly evaluated, in-
cluding plant, equipment, or services. Amounts pro-
vided by the Federal Government, or services assisted
or subsidized to any significant extent by the Federal
Government, may not be included in determining the
amount of such contributions.’’;
(5) by redesignating subsections (e) through (h)
as subsections (g) through (j), respectively; and
(6) by inserting after subsection (d) the following
subsections:
‘‘(e) CONTINUATION OF PREVIOUSLY AWARDED DEM-
ONSTRATION PROJECTS.—A State that received a grant
under this section prior to the date of the enactment of the
Children’s Health Act of 2000 may compete for new project
grants under this section after such date of enactment.
‘‘(f) USE OF STATE GRANTS.—
‘‘(1) COMMUNITY SERVICES AND SUPPORTS.—A
State shall (directly or through awards of contracts to
nonprofit private entities) use amounts received under
a grant under this section for the following:
‘‘(A) To develop, change, or enhance com-
munity-based service delivery systems that in-
clude timely access to comprehensive appropriate
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services 
and 
supports. 
Such 
service 
and
supports—
‘‘(i) shall promote full participation by
individuals with brain injury and their
families in decision making regarding the
services and supports; and
‘‘(ii) shall be designed for children and
other individuals with traumatic brain in-
jury.
‘‘(B) To focus on outreach to underserved
and inappropriately served individuals, such as
individuals in institutional settings, individuals
with low socioeconomic resources, individuals in
rural communities, and individuals in culturally
and linguistically diverse communities.
‘‘(C) To award contracts to nonprofit enti-
ties for consumer or family service access train-
ing, consumer support, peer mentoring, and par-
ent to parent programs.
‘‘(D) To develop individual and family
service coordination or case management sys-
tems.
‘‘(E) To support other needs identified by
the advisory board under subsection (b) for the
State involved.
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‘‘(2) BEST PRACTICES.—
‘‘(A) IN GENERAL.—State services and sup-
ports provided under a grant under this section
shall reflect the best practices in the field of trau-
matic brain injury, shall be in compliance with
title II of the Americans with Disabilities Act of
1990, and shall be supported by quality assur-
ance measures as well as state-of-the-art health
care and integrated community supports, regard-
less of the severity of injury.
‘‘(B) DEMONSTRATION BY STATE AGENCY.—
The State agency responsible for administering
amounts received under a grant under this sec-
tion shall demonstrate that it has obtained
knowledge and expertise of traumatic brain in-
jury and the unique needs associated with trau-
matic brain injury.
‘‘(3) STATE CAPACITY BUILDING.—A State may
use amounts received under a grant under this section
to—
‘‘(A) educate consumers and families;
‘‘(B) train professionals in public and pri-
vate sector financing (such as third party pay-
ers, State agencies, community-based providers,
schools, and educators);
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‘‘(C) develop or improve case management
or service coordination systems;
‘‘(D) develop best practices in areas such as
family or consumer support, return to work,
housing or supportive living personal assistance
services, assistive technology and devices, behav-
ioral health services, substance abuse services,
and traumatic brain injury treatment and reha-
bilitation;
‘‘(E) tailor existing State systems to provide
accommodations to the needs of individuals with
brain injury (including systems administered by
the State departments responsible for health,
mental health, labor/employment, education,
mental 
retardation/developmental 
disorders,
transportation, and correctional systems);
‘‘(F) improve data sets coordinated across
systems and other needs identified by a State
plan supported by its advisory council; and
‘‘(G) develop capacity within targeted com-
munities.’’;
(5) in subsection (g) (as so redesignated), by
striking ‘‘agencies of the Public Health Service’’ and
inserting ‘‘Federal agencies’’;
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(6) in subsection (i) (as redesignated by para-
graph (3))—
(A) in the second sentence, by striking ‘‘an-
oxia due to near drowning.’’ and inserting ‘‘an-
oxia due to trauma.’’; and
(B) in the third sentence, by inserting before
the period the following: ‘‘, after consultation
with States and other appropriate public or non-
profit private entities’’; and
(7) in subsection (j) (as so redesignated), by
amending the subsection to read as follows:
‘‘(j) 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 2001 through 2005.’’.
SEC. 1305. STATE GRANTS FOR PROTECTION AND ADVO-
CACY SERVICES.
Part E of title XII of the Public Health Service Act
(42 U.S.C. 300d–51 et seq.) is amended by adding at the
end the following:
‘‘SEC. 1253. STATE GRANTS FOR PROTECTION AND ADVO-
CACY SERVICES.
‘‘(a) IN GENERAL.—The Secretary, acting through the
Administrator of the Health Resources and Services Admin-
istration (referred to in this section as the ‘Administrator’),
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shall make grants to protection and advocacy systems for
the purpose of enabling such systems to provide services to
individuals with traumatic brain injury.
‘‘(b) SERVICES PROVIDED.—Services provided under
this section may include the provision of—
‘‘(1) information, referrals, and advice;
‘‘(2) individual and family advocacy;
‘‘(3) legal representation; and
‘‘(4) specific assistance in self-advocacy.
‘‘(c) APPLICATION.—To be eligible to receive a grant
under this section, a protection and advocacy system shall
submit an application to the Administrator at such time,
in such form and manner, and accompanied by such infor-
mation and assurances as the Administrator may require.
‘‘(d) APPROPRIATIONS LESS THAN $2,700,000.—
‘‘(1) IN GENERAL.—With respect to any fiscal
year in which the amount appropriated under sub-
section (i) to carry out this section is less than
$2,700,000, the Administrator shall make grants from
such amount to individual protection and advocacy
systems within States to enable such systems to plan
for, develop outreach strategies for, and carry out
services authorized under this section for individuals
with traumatic brain injury.
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‘‘(2) AMOUNT.—The amount of each grant pro-
vided under paragraph (1) shall be determined as set
forth in paragraphs (2) and (3) of subsection (e).
‘‘(e) APPROPRIATIONS OF $2,700,000 OR MORE.—
‘‘(1) POPULATION BASIS.—Except as provided in
paragraph (2), with respect to each fiscal year in
which the amount appropriated under subsection (i)
to carry out this section is $2,700,000 or more, the
Administrator shall make a grant to a protection and
advocacy system within each State.
‘‘(2) AMOUNT.—The amount of a grant provided
to a system under paragraph (1) shall be equal to an
amount bearing the same ratio to the total amount
appropriated for the fiscal year involved under sub-
section (i) as the population of the State in which the
grantee is located bears to the population of all
States.
‘‘(3) MINIMUMS.—Subject to the availability of
appropriations, the amount of a grant a protection
and advocacy system under paragraph (1) for a fiscal
year shall—
‘‘(A) in the case of a protection and advo-
cacy system located in American Samoa, Guam,
the United States Virgin Islands, or the Com-
monwealth of the Northern Mariana Islands, and
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the protection and advocacy system serving the
American Indian consortium, not be less than
$20,000; and
‘‘(B) in the case of a protection and advo-
cacy system in a State not described in subpara-
graph (A), not be less than $50,000.
‘‘(4) INFLATION ADJUSTMENT.—For each fiscal
year in which the total amount appropriated under
subsection (i) to carry out this section is $5,000,000
or more, and such appropriated amount exceeds the
total amount appropriated to carry out this section
in the preceding fiscal year, the Administrator shall
increase each of the minimum grants amount de-
scribed in subparagraphs (A) and (B) of paragraph
(3) by a percentage equal to the percentage increase
in the total amount appropriated under subsection (i)
to carry out this section between the preceding fiscal
year and the fiscal year involved.
‘‘(f) CARRYOVER.—Any amount paid to a protection
and advocacy system that serves a State or the American
Indian consortium for a fiscal year under this section that
remains unobligated at the end of such fiscal year shall re-
main available to such system for obligation during the next
fiscal year for the purposes for which such amount was
originally provided.
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‘‘(g) DIRECT PAYMENT.—Notwithstanding any other
provision of law, the Administrator shall pay directly to
any protection and advocacy system that complies with the
provisions of this section, the total amount of the grant for
such system, unless the system provides otherwise for such
payment.
‘‘(h) ANNUAL REPORT.—Each protection and advo-
cacy system that receives a payment under this section shall
submit an annual report to the Administrator concerning
the services provided to individuals with traumatic brain
injury by such system.
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section
$5,000,000 for fiscal year 2001, and such sums as may be
necessary for each the fiscal years 2002 through 2005.
‘‘(j) DEFINITIONS.—In this section:
‘‘(1) AMERICAN INDIAN CONSORTIUM.—The term
‘American Indian consortium’ means a consortium
established under part C of the Developmental Dis-
abilities Assistance Bill of Rights Act (42 U.S.C. 6042
et seq.).
‘‘(2) PROTECTION AND ADVOCACY SYSTEM.—The
term ‘protection and advocacy system’ means a pro-
tection and advocacy system established under part C
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of the Developmental Disabilities Assistance and Bill
of Rights Act (42 U.S.C. 6042 et seq.).
‘‘(3) STATE.—The term ‘State’, unless otherwise
specified, means the several States of the United
States, the District of Columbia, the Commonwealth
of Puerto Rico, the United States Virgin Islands,
Guam, American Samoa, and the Commonwealth of
the Northern Mariana Islands.’’.
SEC. 1306. AUTHORIZATION OF APPROPRIATIONS FOR CER-
TAIN PROGRAMS.
Section 394A of the Public Health Service Act (42
U.S.C. 280b–3) is amended by striking ‘‘and’’ after ‘‘1994’’
and by inserting before the period the following: ‘‘, and such
sums as may be necessary for each of the fiscal years 2001
through 2005.’’.
TITLE XIV—CHILD CARE SAFETY
AND HEALTH GRANTS
SEC. 1401. DEFINITIONS.
In this title:
(1) CHILD WITH A DISABILITY; INFANT OR TOD-
DLER WITH A DISABILITY.—The terms ‘‘child with a
disability’’ and ‘‘infant or toddler with a disability’’
have the meanings given the terms in sections 602
and 632 of the Individuals with Disabilities Edu-
cation Act (20 U.S.C. 1401 and 1431).
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(2) ELIGIBLE CHILD CARE PROVIDER.—The term
‘‘eligible child care provider’’ means a provider of
child care services for compensation, including a pro-
vider of care for a school-age child during non-school
hours, that—
(A) is licensed, regulated, registered, or oth-
erwise legally operating, under State and local
law; and
(B) satisfies the State and local require-
ments,
applicable to the child care services the provider pro-
vides.
(3) SECRETARY.—The term ‘‘Secretary’’ means
the Secretary of Health and Human Services.
(4) STATE.—The term ‘‘State’’ means any of the
several States of the United States, the District of Co-
lumbia, the Commonwealth of Puerto Rico, the
United States Virgin Islands, Guam, American
Samoa, and the Commonwealth of the Northern Mar-
iana Islands.
SEC. 1402. AUTHORIZATION OF APPROPRIATIONS.
There are authorized to be appropriated to carry out
this title $200,000,000 for fiscal year 2001, and such sums
as may be necessary for each subsequent fiscal year.
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SEC. 1403. PROGRAMS.
The Secretary shall make allotments to eligible States
under section 1404. The Secretary shall make the allotments
to enable the States to establish programs to improve the
health and safety of children receiving child care outside
the home, by preventing illnesses and injuries associated
with that care and promoting the health and well-being of
children receiving that care.
SEC. 1404. AMOUNTS RESERVED; ALLOTMENTS.
(a) AMOUNTS RESERVED.—The Secretary shall reserve
not more than 1⁄2 of 1 percent of the amount appropriated
under section 1402 for each fiscal year to make allotments
to Guam, American Samoa, the United States Virgin Is-
lands, and the Commonwealth of the Northern Mariana Is-
lands to be allotted in accordance with their respective
needs.
(b) STATE ALLOTMENTS.—
(1) GENERAL RULE.—From the amounts appro-
priated under section 1402 for each fiscal year and
remaining after reservations are made under sub-
section (a), the Secretary shall allot to each State an
amount equal to the sum of—
(A) an amount that bears the same ratio to
50 percent of such remainder as the product of
the young child factor of the State and the allot-
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be determined by dividing the per capita income
of all individuals in the United States, by the
per capita income of all individuals in the State.
(B) LIMITATIONS.—If an allotment percent-
age determined under subparagraph (A) for a
State—
(i) is more than 1.2 percent, the allot-
ment percentage of the State shall be consid-
ered to be 1.2 percent; and
(ii) is less than 0.8 percent, the allot-
ment percentage of the State shall be consid-
ered to be 0.8 percent.
(C) PER CAPITA INCOME.—For purposes of
subparagraph (A), per capita income shall be—
(i) determined at 2-year intervals;
(ii) applied for the 2-year period be-
ginning on October 1 of the first fiscal year
beginning after the date such determination
is made; and
(iii) equal to the average of the annual
per capita incomes for the most recent pe-
riod of 3 consecutive years for which satis-
factory data are available from the Depart-
ment of Commerce on the date such deter-
mination is made.
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(c) DATA AND INFORMATION.—The Secretary shall ob-
tain from each appropriate Federal agency, the most recent
data and information necessary to determine the allotments
provided for in subsection (b).
(d) DEFINITION.—In this section, the term ‘‘State’’ in-
cludes only the several States of the United States, the Dis-
trict of Columbia, and the Commonwealth of Puerto Rico.
SEC. 1405. STATE APPLICATIONS.
To be eligible to receive an allotment under section
1404, a State shall submit an application to the Secretary
at such time, in such manner, and containing such infor-
mation as the Secretary may require. The application shall
contain information assessing the needs of the State with
regard to child care health and safety, the goals to be
achieved through the program carried out by the State
under this title, and the measures to be used to assess the
progress made by the State toward achieving the goals.
SEC. 1406. USE OF FUNDS.
(a) IN GENERAL.—A State that receives an allotment
under section 1404 shall use the funds made available
through the allotment to carry out 2 or more activities con-
sisting of—
(1) providing training and education to eligible
child care providers on preventing injuries and ill-
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nesses in children, and promoting health-related prac-
tices;
(2) strengthening licensing, regulation, or reg-
istration standards for eligible child care providers;
(3) assisting eligible child care providers in
meeting licensing, regulation, or registration stand-
ards, including rehabilitating the facilities of the pro-
viders, in order to bring the facilities into compliance
with the standards;
(4) enforcing licensing, regulation, or registra-
tion standards for eligible child care providers, in-
cluding holding increased unannounced inspections of
the facilities of those providers;
(5) providing health consultants to provide ad-
vice to eligible child care providers;
(6) assisting eligible child care providers in en-
hancing the ability of the providers to serve children
with disabilities and infants and toddlers with dis-
abilities;
(7) conducting criminal background checks for
eligible child care providers and other individuals
who have contact with children in the facilities of the
providers;
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(8) providing information to parents on what
factors to consider in choosing a safe and healthy
child care setting; or
(9) assisting in improving the safety of transpor-
tation practices for children enrolled in child care
programs with eligible child care providers.
(b) SUPPLEMENT, NOT SUPPLANT.—Funds appro-
priated pursuant to the authority of this title shall be used
to supplement and not supplant other Federal, State, and
local public funds expended to provide services for eligible
individuals.
SEC. 1407. REPORTS.
Each State that receives an allotment under section
1404 shall annually prepare and submit to the Secretary
a report that describes—
(1) the activities carried out with funds made
available through the allotment; and
(2) the progress made by the State toward
achieving the goals described in the application sub-
mitted by the State under section 1405.
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TITLE XV—HEALTHY START
INITIATIVE
SEC. 1501. CONTINUATION OF HEALTHY START PROGRAM.
Subpart I of part D of title III of the Public Health
Service Act, as amended by section 1211 of this Act, is
amended by adding at the end the following section:
‘‘SEC. 330H. HEALTHY START FOR INFANTS.
‘‘(a) IN GENERAL.—
‘‘(1) CONTINUATION
AND
EXPANSION
OF
PRO-
GRAM.—The Secretary, acting through the Adminis-
trator of the Health Resources and Services Adminis-
tration, Maternal and Child Health Bureau, shall
under authority of this section continue in effect the
Healthy Start Initiative and may, during fiscal year
2001 and subsequent years, carry out such program
on a national basis.
‘‘(2) DEFINITION.—For purposes of paragraph
(1), the term ‘Healthy Start Initiative’ is a reference
to the program that, as an initiative to reduce the
rate of infant mortality and improve perinatal out-
comes, makes grants for project areas with high an-
nual rates of infant mortality and that, prior to the
effective date of this section, was a demonstration pro-
gram carried out under section 301.
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‘‘(3) ADDITIONAL GRANTS.— Effective upon in-
creased funding beyond fiscal year 1999 for such Ini-
tiative, additional grants may be made to States to
assist communities with technical assistance, replica-
tion of successful projects, and State policy formation
to reduce infant and maternal mortality and mor-
bidity.
‘‘(b) REQUIREMENTS FOR MAKING GRANTS.—In mak-
ing grants under subsection (a), the Secretary shall require
that applicants (in addition to meeting all eligibility cri-
teria established by the Secretary) establish, for project
areas under such subsection, community-based consortia of
individuals and organizations (including agencies respon-
sible for administering block grant programs under title V
of the Social Security Act, consumers of project services,
public health departments, hospitals, health centers under
section 330, and other significant sources of health care
services) that are appropriate for participation in projects
under subsection (a).
‘‘(c) COORDINATION.—Recipients of grants under sub-
section (a) shall coordinate their services and activities with
the State agency or agencies that administer block grant
programs under title V of the Social Security Act in order
to promote cooperation, integration, and dissemination of
information with Statewide systems and with other commu-
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nity services funded under the Maternal and Child Health
Block Grant.
‘‘(d) RULE OF CONSTRUCTION.—Except to the extent
inconsistent with this section, this section may not be con-
strued as affecting the authority of the Secretary to make
modifications in the program carried out under subsection
(a).
‘‘(e) ADDITIONAL SERVICES FOR AT-RISK PREGNANT
WOMEN AND INFANTS.—
‘‘(1) IN
GENERAL.—The Secretary may make
grants to conduct and support research and to pro-
vide additional health care services for pregnant
women and infants, including grants to increase ac-
cess to prenatal care, genetic counseling, ultrasound
services, and fetal or other surgery.
‘‘(2) ELIGIBLE PROJECT AREA.—The Secretary
may make a grant under paragraph (1) only if the
geographic area in which services under the grant
will be provided is a geographic area in which a
project under subsection (a) is being carried out, and
if the Secretary determines that the grant will add to
or expand the level of health services available in such
area to pregnant women and infants.
‘‘(3) EVALUATION BY GENERAL ACCOUNTING OF-
FICE.—
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‘‘(A) IN
GENERAL.—During fiscal year
2004, the Comptroller General of the United
States shall conduct an evaluation of activities
under grants under paragraph (1) in order to
determine whether the activities have been effec-
tive in serving the needs of pregnant women with
respect to services described in such paragraph.
The evaluation shall include an analysis of
whether such activities have been effective in re-
ducing the disparity in health status between the
general population and individuals who are
members of racial or ethnic minority groups. Not
later than January 10, 2004, the Comptroller
General shall submit to the Committee on Com-
merce in the House of Representatives, and to
the Committee on Health, Education, Labor, and
Pensions in the Senate, a report describing the
findings of the evaluation.
‘‘(B) RELATION TO GRANTS REGARDING AD-
DITIONAL
SERVICES
FOR
AT-RISK
PREGNANT
WOMEN AND INFANTS.—Before the date on which
the evaluation under subparagraph (A) is sub-
mitted in accordance with such subparagraph—
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‘‘(i) the Secretary shall ensure that
there are not more than five grantees under
paragraph (1); and
‘‘(ii) an entity is not eligible to receive
grants under such paragraph unless the en-
tity has substantial experience in providing
the health services described in such para-
graph.
‘‘(f) FUNDING.—
‘‘(1) GENERAL PROGRAM.—
‘‘(A) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—For the purpose of carrying out this sec-
tion (other than subsection (e)), there are author-
ized to be appropriated such sums as may be
necessary for each of the fiscal years 2001
through 2005.
‘‘(B) ALLOCATIONS.—
‘‘(i) PROGRAM
ADMINISTRATION.—Of
the amounts appropriated under subpara-
graph (A) for a fiscal year, the Secretary
may reserve up to 5 percent for coordina-
tion, dissemination, technical assistance,
and data activities that are determined by
the Secretary to be appropriate for carrying
out the program under this section.
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‘‘(ii) EVALUATION.—Of the amounts
appropriated under subparagraph (A) for a
fiscal year, the Secretary may reserve up to
1 percent for evaluations of projects carried
out under subsection (a). Each such evalua-
tion shall include a determination of wheth-
er such projects have been effective in reduc-
ing the disparity in health status between
the general population and individuals who
are members of racial or ethnic minority
groups.
‘‘(2) ADDITIONAL SERVICES FOR AT-RISK PREG-
NANT WOMEN AND INFANTS.—
‘‘(A) 
AUTHORIZATION
OF
APPROPRIA-
TIONS.—For the purpose of carrying out sub-
section (e), there are authorized to be appro-
priated such sums as may be necessary for each
of the fiscal years 2001 through 2005.
‘‘(B) ALLOCATION
FOR
COMMUNITY-BASED
MOBILE HEALTH UNITS.—Of the amounts appro-
priated under subparagraph (A) for a fiscal
year, the Secretary shall make available not less
than 10 percent for providing services under sub-
section 
(e) 
(including 
ultrasound 
services)
through visits by mobile units to communities
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that are eligible for services under subsection
(a).’’.
TITLE XVI—ORAL HEALTH PRO-
MOTION AND DISEASE PRE-
VENTION
SEC. 1601. IDENTIFICATION OF INTERVENTIONS THAT RE-
DUCE THE BURDEN AND TRANSMISSION OF
ORAL, 
DENTAL, 
AND 
CRANIOFACIAL 
DIS-
EASES IN HIGH RISK POPULATIONS; DEVEL-
OPMENT OF APPROACHES FOR PEDIATRIC
ORAL AND CRANIOFACIAL ASSESSMENT.
(a) IN GENERAL.—The Secretary of Health and
Human Services, through the Maternal and Child Health
Bureau, the Indian Health Service, and in consultation
with the National Institutes of Health and the Centers for
Disease Control and Prevention, shall—
(1) support community-based research that is de-
signed to improve understanding of the etiology,
pathogenesis, diagnosis, prevention, and treatment of
pediatric oral, dental, craniofacial diseases and con-
ditions and their sequelae in high risk populations;
(2) support demonstrations of preventive inter-
ventions in high risk populations including nutrition,
parenting, and feeding techniques; and
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(3) develop clinical approaches to assess indi-
vidual patients for the risk of pediatric dental dis-
ease.
(b) COMPLIANCE WITH STATE PRACTICE LAWS.—
Treatment and other services shall be provided pursuant to
this section by licensed dental health professionals in ac-
cordance with State practice and licensing laws.
(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated such sums as may be nec-
essary to carry out this section for each the fiscal years 2001
through 2005.
SEC. 1602. ORAL HEALTH PROMOTION AND DISEASE PRE-
VENTION.
Part B of title III of the Public Health Service Act,
as amended by section 911 of this Act, is amended by insert-
ing after section 317L the following section:
‘‘ORAL HEALTH PROMOTION AND DISEASE PREVENTION
‘‘SEC. 317M. (a) GRANTS TO INCREASE RESOURCES
FOR COMMUNITY WATER FLUORIDATION.—
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting
through the Director of the Centers for Disease Con-
trol and Prevention, may make grants to States and
Indian tribes for the purpose of increasing the re-
sources available for community water fluoridation.
‘‘(2) USE OF FUNDS.—A State shall use amounts
provided under a grant under paragraph (1)—
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‘‘(A) to purchase fluoridation equipment;
‘‘(B) to train fluoridation engineers;
‘‘(C) to develop educational materials on the
benefits of fluoridation; or
‘‘(D) to support the infrastructure necessary
to monitor and maintain the quality of water
fluoridation.
‘‘(b) COMMUNITY WATER FLUORIDATION.—
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting
through the Director of the Centers for Disease Con-
trol and Prevention and in collaboration with the Di-
rector of the Indian Health Service, shall establish a
demonstration project that is designed to assist rural
water systems in successfully implementing the water
fluoridation guidelines of the Centers for Disease Con-
trol and Prevention that are entitled ‘‘Engineering
and Administrative Recommendations for Water
Fluoridation, 1995’’ (referred to in this subsection as
the ‘EARWF’).
‘‘(2) REQUIREMENTS.—
‘‘(A) 
COLLABORATION.—In 
collaborating
under paragraph (1), the Directors referred to in
such paragraph shall ensure that technical as-
sistance and training are provided to tribal pro-
grams located in each of the 12 areas of the In-
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dian Health Service. The Director of the Indian
Health Service shall provide coordination and
administrative support to tribes under this sec-
tion.
‘‘(B) GENERAL USE OF FUNDS.—Amounts
made available under paragraph (1) shall be
used to assist small water systems in improving
the effectiveness of water fluoridation and to
meet the recommendations of the EARWF.
‘‘(C) FLUORIDATION SPECIALISTS.—
‘‘(i) IN
GENERAL.—In carrying out
this subsection, the Secretary shall provide
for the establishment of fluoridation spe-
cialist engineering positions in each of the
Dental Clinical and Preventive Support
Centers through which technical assistance
and training will be provided to tribal
water operators, tribal utility operators and
other Indian Health Service personnel
working directly with fluoridation projects.
‘‘(ii) LIAISON.—A fluoridation spe-
cialist shall serve as the principal technical
liaison between the Indian Health Service
and the Centers for Disease Control and
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Prevention with respect to engineering and
fluoridation issues.
‘‘(iii) CDC.—The Director of the Cen-
ters for Disease Control and Prevention
shall appoint individuals to serve as the
fluoridation specialists.
‘‘(D) IMPLEMENTATION.—The project estab-
lished under this subsection shall be planned, im-
plemented and evaluated over the 5-year period
beginning on the date on which funds are appro-
priated under this section and shall be designed
to serve as a model for improving the effective-
ness of water fluoridation systems of small rural
communities.
‘‘(3) EVALUATION.—In conducting the ongoing
evaluation as provided for in paragraph (2)(D), the
Secretary 
shall 
ensure 
that 
such 
evaluation
includes—
‘‘(A) the measurement of changes in water
fluoridation compliance levels resulting from as-
sistance provided under this section;
‘‘(B) the identification of the administra-
tive, technical and operational challenges that
are unique to the fluoridation of small water sys-
tems;
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‘‘(C) the development of a practical model
that may be easily utilized by other tribal, state,
county or local governments in improving the
quality of water fluoridation with emphasis on
small water systems; and
‘‘(D) the measurement of any increased per-
centage of Native Americans or Alaskan Natives
who receive the benefits of optimally fluoridated
water.
‘‘(c) SCHOOL-BASED DENTAL SEALANT PROGRAM.—
‘‘(1) 
IN
GENERAL.—The 
Secretary, 
acting
through the Director of the Centers for Disease Con-
trol and Prevention and in collaboration with the Ad-
ministrator of the Health Resources and Services Ad-
ministration, may award grants to States and In-
dian tribes to provide for the development of school-
based dental sealant programs to improve the access
of children to sealants.
‘‘(2) USE OF FUNDS.—A State shall use amounts
received under a grant under paragraph (1) to pro-
vide funds to eligible school-based entities or to public
elementary or secondary schools to enable such enti-
ties or schools to provide children with access to den-
tal care and dental sealant services. Such services
shall be provided by licensed dental health profes-
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sionals in accordance with State practice licensing
laws.
‘‘(3) ELIGIBILITY.—To be eligible to receive
funds under paragraph (1), an entity shall—
‘‘(A) prepare and submit to the State an
application at such time, in such manner and
containing such information as the state may re-
quire; and
‘‘(B) be a public elementary or secondary
school—
‘‘(i) that is located in an urban area
in which and more than 50 percent of the
student population is participating in fed-
eral or state free or reduced meal programs;
or
‘‘(ii) that is located in a rural area
and, with respect to the school district in
which the school is located, the district in-
volved has a median income that is at or
below 235 percent of the poverty line, as de-
fined in section 673(2) of the Community
Services Block Grant Act (42 U.S.C.
9902(2)).
‘‘(d) DEFINITIONS.—For purposes of this section, the
term ‘Indian tribe’ means an Indian tribe or tribal organi-
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zation as defined in section 4(b) and section 4(c) of the In-
dian Self-Determination and Education Assistance Act.
‘‘(e) 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 2001 through 2005.’’.
SEC. 1603. COORDINATED PROGRAM TO IMPROVE PEDI-
ATRIC ORAL HEALTH.
Part B of the Public Health Service Act (42 U.S.C.
243 et seq.) is amended by adding at the end the following:
‘‘COORDINATED PROGRAM TO IMPROVE PEDIATRIC ORAL
HEALTH
‘‘SEC. 320A. (a) IN GENERAL.—The Secretary, acting
through the Administrator of the Health Resources and
Services Administration, shall establish a program to fund
innovative oral health activities that improve the oral
health of children under 6 years of age who are eligible for
services provided under a Federal health program, to in-
crease the utilization of dental services by such children,
and to decrease the incidence of early childhood and baby
bottle tooth decay.
‘‘(b) GRANTS.—The Secretary shall award grants to
or enter into contracts with public or private nonprofit
schools of dentistry or accredited dental training institu-
tions or programs, community dental programs, and pro-
grams operated by the Indian Health Service (including
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federally recognized Indian tribes that receive medical serv-
ices from the Indian Health Service, urban Indian health
programs funded under title V of the Indian Health Care
Improvement Act, and tribes that contract with the Indian
Health Service pursuant to the Indian Self-Determination
and Education Assistance Act) to enable such schools, insti-
tutions, and programs to develop programs of oral health
promotion, to increase training of oral health services pro-
viders in accordance with State practice laws, or to increase
the utilization of dental services by eligible children.
‘‘(c) DISTRIBUTION.—In awarding grants under this
section, the Secretary shall, to the extent practicable, ensure
an equitable national geographic distribution of the grants,
including areas of the United States where the incidence
of early childhood caries is highest.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out this section
$10,000,000 for each the fiscal years 2001 through 2005.’’.
TITLE XVII—VACCINE-RELATED
PROGRAMS
Subtitle A—Vaccine Compensation
Program
SEC. 1701. CONTENT OF PETITIONS.
(a) IN GENERAL.—Section 2111(c)(1)(D) of the Public
Health Service Act (42 U.S.C. 300aa–11(c)(1)(D)) is
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amended by striking ‘‘and’’ at the end and inserting ‘‘or
(iii) suffered such illness, disability, injury, or condition
from the vaccine which resulted in inpatient hospitalization
and surgical intervention, and’’.
(b) EFFECTIVE DATE.—The amendment made by sub-
section (a) takes effect upon the date of the enactment of
this Act, including with respect to petitions under section
2111 of the Public Health Service Act that are pending on
such date.
Subtitle B—Childhood
Immunizations
SEC. 1711. CHILDHOOD IMMUNIZATIONS.
Section 317(j)(1) of the Public Health Service Act (42
U.S.C. 247b(j)(1)) is amended in the first sentence by strik-
ing ‘‘1998’’ and all that follows and inserting ‘‘1998
through 2005.’’.
TITLE XVIII—HEPATITIS C
SEC. 1801. SURVEILLANCE AND EDUCATION REGARDING
HEPATITIS C.
Part B of title III of the Public Health Service Act,
as amended by section 1602 of this Act, is amended by in-
serting after section 317M the following section:
‘‘SURVEILLANCE AND EDUCATION REGARDING HEPATITIS C
VIRUS
‘‘SEC. 317N. (a) IN GENERAL.—The Secretary, acting
through the Director of the Centers for Disease Control and
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Prevention, may (directly and through grants to public and
nonprofit private entities) provide for programs to carry
out the following:
‘‘(1) To cooperate with the States in imple-
menting a national system to determine the incidence
of hepatitis C virus infection (in this section referred
to as ‘HCV infection’) and to assist the States in de-
termining the prevalence of such infection, including
the reporting of chronic HCV cases.
‘‘(2) To identify, counsel, and offer testing to in-
dividuals who are at risk of HCV infection as a result
of receiving blood transfusions prior to July 1992, or
as a result of other risk factors.
‘‘(3) To provide appropriate referrals for coun-
seling, testing, and medical treatment of individuals
identified under paragraph (2) and to ensure, to the
extent practicable, the provision of appropriate fol-
low-up services.
‘‘(4) To develop and disseminate public informa-
tion and education programs for the detection and
control of HCV infection, with priority given to high
risk populations as determined by the Secretary.
‘‘(5) To improve the education, training, and
skills of health professionals in the detection and con-
trol of HCV infection, with priority given to pediatri-
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cians and other primary care physicians, and obste-
tricians and gynecologists.
‘‘(b) LABORATORY PROCEDURES.—The Secretary may
(directly and through grants to public and nonprofit pri-
vate entities) carry out programs to provide for improve-
ments in the quality of clinical-laboratory procedures re-
garding hepatitis C, including reducing variability in lab-
oratory results on hepatitis C antibody and PCR testing.
‘‘(c) 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 2001 through 2005.’’.
TITLE XIX—NIH INITIATIVE ON
AUTOIMMUNE DISEASES
SEC. 1901. AUTOIMMUNE DISEASES; INITIATIVE THROUGH
DIRECTOR OF NATIONAL INSTITUTES OF
HEALTH.
Part B of title IV of the Public Health Service Act
(42 U.S.C. 284 et seq.), as amended by section 1001 of this
Act, is amended by adding at the end the following:
‘‘SEC. 409E. AUTOIMMUNE DISEASES.
‘‘(a) EXPANSION, INTENSIFICATION, AND COORDINA-
TION OF ACTIVITIES.—
‘‘(1) IN GENERAL.—The Director of NIH shall
expand, intensify, and coordinate research and other
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activities of the National Institutes of Health with re-
spect to autoimmune diseases.
‘‘(2) ALLOCATIONS BY DIRECTOR OF NIH.—With
respect to amounts appropriated to carry out this sec-
tion for a fiscal year, the Director of NIH shall allo-
cate the amounts among the national research insti-
tutes that are carrying out paragraph (1).
‘‘(3) DEFINITION.—The term ‘autoimmune dis-
ease’ includes, for purposes of this section such dis-
eases or disorders with evidence of autoimmune
pathogensis as the Secretary determines to be appro-
priate.
‘‘(b) COORDINATING COMMITTEE.—
‘‘(1) IN GENERAL.—The Secretary shall ensure
that the Autoimmune Diseases Coordinating Com-
mittee (referred to in this section as the ‘Coordinating
Committee’) coordinates activities across the National
Institutes and with other Federal health programs
and activities relating to such diseases.
‘‘(2) COMPOSITION.—The Coordinating Com-
mittee shall be composed of the directors or their des-
ignees of each of the national research institutes in-
volved in research with respect to autoimmune dis-
eases and representatives of all other Federal depart-
ments and agencies whose programs involve health
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psychosocial, and rehabilitative issues, including
studies of the disproportionate impact of such
diseases on women;
‘‘(B) identify priorities among the pro-
grams and activities of the National Institutes of
Health regarding such diseases; and
‘‘(C) reflect input from a broad range of sci-
entists, patients, and advocacy groups.
‘‘(2) CERTAIN ELEMENTS OF PLAN.—The plan
under paragraph (1) shall, with respect to auto-
immune diseases, provide for the following as appro-
priate:
‘‘(A) Research to determine the reasons un-
derlying the incidence and prevalence of the dis-
eases.
‘‘(B) Basic research concerning the etiology
and causes of the diseases.
‘‘(C) Epidemiological studies to address the
frequency and natural history of the diseases, in-
cluding any differences among the sexes and
among racial and ethnic groups.
‘‘(D) The development of improved screen-
ing techniques.
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‘‘(E) Clinical research for the development
and evaluation of new treatments, including new
biological agents.
‘‘(F) Information and education programs
for health care professionals and the public.
‘‘(3) IMPLEMENTATION OF PLAN.—The Director
of NIH shall ensure that programs and activities of
the National Institutes of Health regarding auto-
immune diseases are implemented in accordance with
the plan under paragraph (1).
‘‘(d) REPORTS
TO
CONGRESS.—The Coordinating
Committee under subsection (b)(1) shall biennially submit
to the Committee on Commerce of the House of Representa-
tives, and the Committee on Health, Education, Labor and
Pensions of the Senate, a report that describes the research,
education, and other activities on autoimmune diseases
being conducted or supported through the national research
institutes, and that in addition includes the following:
‘‘(1) The plan under subsection (c)(1) (or revi-
sions to the plan, as the case may be).
‘‘(2) Provisions specifying the amounts expended
by the National Institutes of Health with respect to
each of the autoimmune diseases included in the plan.
‘‘(3) Provisions identifying particular projects or
types of projects that should in the future be consid-
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ered by the national research institutes or other enti-
ties in the field of research on autoimmune diseases.
‘‘(e) 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 2001 through 2005. The authorization
of appropriations established in the preceding sentence is
in addition to any other authorization of appropriations
that is available for conducting or supporting through the
National Institutes of Health research and other activities
with respect to autoimmune diseases.’’.
TITLE XX—GRADUATE MEDICAL
EDUCATION 
PROGRAMS 
IN
CHILDREN’S HOSPITALS
SEC. 2001. PROVISIONS TO REVISE AND EXTEND PROGRAM.
(a) PAYMENTS.—Section 340E(a) of the Public Health
Service Act (42 U.S.C. 256e(a)) is amended—
(1) by striking ‘‘and 2001’’ and inserting
‘‘through 2005’’; and
(2) by adding at the end the following: ‘‘The Sec-
retary shall promulgate regulations pursuant to the
rulemaking requirements of title 5, United States
Code, which shall govern payments made under this
subpart.’’.
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(b) UPDATING RATES.—Section 340E(c)(2)(F) of the
Public Health Service Act (42 U.S.C. 256e(c)(2)(F)) is
amended by striking ‘‘hospital’s cost reporting period that
begins during fiscal year 2000’’ and inserting ‘‘Federal fis-
cal year for which payments are made’’.
(c) RESIDENT COUNT FOR INTERIM PAYMENTS.—Sec-
tion 340E(e)(1) of the Public Health Service Act (42 U.S.C.
256e(e)(1)) is amended by adding at the end the following:
‘‘Such interim payments to each individual hospital shall
be based on the number of residents reported in the hos-
pital’s most recently filed medicare cost report prior to the
application date for the Federal fiscal year for which the
interim payment amounts are established. In the case of
a hospital that does not report residents on a medicare cost
report, such interim payments shall be based on the number
of residents trained during the hospital’s most recently com-
pleted medicare cost report filing period.’’.
(d) WITHHOLDING.—Section 340E(e)(2) of the Public
Health Service Act (42 U.S.C. 256e(e)(2)) is amended—
(1) by adding ‘‘and indirect’’ after ‘‘direct’’;
(2) by adding at the end the following: ‘‘The Sec-
retary shall withhold up to 25 percent from each in-
terim installment for direct and indirect graduate
medical education paid under paragraph (1) as nec-
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essary to ensure a hospital will not be overpaid on an
interim basis.’’.
(e) RECONCILIATION.—Section 340E(e)(3) of the Pub-
lic Health Service Act (42 U.S.C. 256e(e)(3)) is amended
to read as follows:
‘‘(3) RECONCILIATION.—Prior to the end of each
fiscal year, the Secretary shall determine any changes
to the number of residents reported by a hospital in
the application of the hospital for the current fiscal
year to determine the final amount payable to the
hospital for the current fiscal year for both direct ex-
pense and indirect expense amounts. Based on such
determination, the Secretary shall recoup any over-
payments made to pay any balance due to the extent
possible. The final amount so determined shall be con-
sidered a final intermediary determination for the
purposes of section 1878 of the Social Security Act
and shall be subject to administrative and judicial re-
view under that section in the same manner as the
amount of payment under section 1186(d) of such Act
is subject to review under such section.’’.
(f) AUTHORIZATION
OF APPROPRIATIONS.—Section
340E(f) of the Public Health Service Act (42 U.S.C. 256e(f))
is amended—
(1) in paragraph (1)(A)—
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(A) in clause (i), by striking ‘‘and’’ at the
end;
(B) in clause (ii), by striking the period
and inserting ‘‘; and’’; and
(C) by adding at the end the following:
‘‘(iii) for each of the fiscal years 2002
through 2005, such sums as may be nec-
essary.’’; and
(2) in paragraph (2)—
(A) in subparagraph (A), by striking ‘‘and’’
at the end;
(B) in subparagraph (B), by striking the
period and inserting ‘‘; and’’; and
(C) by adding at the end the following:
‘‘(C) for each of the fiscal years 2002
through 2005, such sums as may be necessary.’’.
(g) DEFINITION OF CHILDREN’S HOSPITAL.—Section
340E(g)(2) of the Public Health Service Act (42 U.S.C.
256e(g)(2)) is amended by striking ‘‘described in’’ and all
that follows and inserting the following: ‘‘with a medicare
payment agreement and which is excluded from the medi-
care inpatient prospective payment system pursuant to sec-
tion 1886(d)(1)(B)(iii) of the Social Security Act and its
accompanying regulations.’’.
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TITLE XXI—SPECIAL NEEDS OF
CHILDREN 
REGARDING
ORGAN TRANSPLANTATION
SEC. 2101. ORGAN PROCUREMENT AND TRANSPLANTATION
NETWORK; AMENDMENTS REGARDING NEEDS
OF CHILDREN.
(a) IN GENERAL.—Section 372(b)(2) of the Public
Health Service Act (42 U.S.C. 274(b)(2)) is amended—
(1) in subparagraph (J), by striking ‘‘and’’ at
the end;
(2) in each of subparagraphs (K) and (L), by
striking the period and inserting a comma; and
(3) by adding at the end the following subpara-
graphs:
‘‘(M) recognize the differences in health and
in organ transplantation issues between children
and adults throughout the system and adopt cri-
teria, polices, and procedures that address the
unique health care needs of children,
‘‘(N) carry out studies and demonstration
projects for the purpose of improving procedures
for organ donation procurement and allocation,
including but not limited to projects to examine
and attempt to increase transplantation among
populations with special needs, including chil-
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dren and individuals who are members of racial
or ethnic minority groups, and among popu-
lations with limited access to transportation,
and
‘‘(O) provide that for purposes of this para-
graph, the term ‘children’ refers to individuals
who are under the age of 18.’’.
(b) 
STUDY
REGARDING
IMMUNOSUPPRESSIVE
DRUGS.—
(1) IN GENERAL.—The Secretary of Health and
Human Services (referred to in this subsection as the
‘‘Secretary’’) shall provide for a study to determine
the costs of immunosuppressive drugs that are pro-
vided to children pursuant to organ transplants and
to determine the extent to which health plans and
health insurance cover such costs. The Secretary may
carry out the study directly or through a grant to the
Institute of Medicine (or other public or nonprofit
private entity).
(2) RECOMMENDATIONS
REGARDING
CERTAIN
ISSUES.—The Secretary shall ensure that, in addition
to making determinations under paragraph (1), the
study under such paragraph makes recommendations
regarding the following issues:
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(A) The costs of immunosuppressive drugs
that are provided to children pursuant to organ
transplants and to determine the extent to which
health plans, health insurance and government
programs cover such costs.
(B) The extent of denial of organs to be re-
leased for transplant by coroners and medical ex-
aminers.
(C) The special growth and developmental
issues that children have pre- and post- organ
transplantation.
(D) Other issues that are particular to the
special health and transplantation needs of chil-
dren.
(3) REPORT.—The Secretary shall ensure that,
not later than December 31, 2001, the study under
paragraph (1) is completed and a report describing
the findings of the study is submitted to the Congress.
TITLE XXII—MUSCULAR
DYSTROPHY RESEARCH
SEC. 2201. MUSCULAR DYSTROPHY RESEARCH.
Part B of title IV of the Public Health Service Act,
as amended by section 1901 of this Act, is amended by add-
ing at the end the following:
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‘‘MUSCULAR DYSTROPHY RESEARCH
‘‘SEC. 409F. (a) COORDINATION OF ACTIVITIES.—The
Director of NIH shall expand and increase coordination in
the activities of the National Institutes of Health with re-
spect to research on muscular dystrophies, including
Duchenne muscular dystrophy.
‘‘(b) ADMINISTRATION OF PROGRAM; COLLABORATION
AMONG AGENCIES.—The Director of NIH shall carry out
this section through the appropriate institutes, including
the National Institute of Neurological Disorders and Stroke
and in collaboration with any other agencies that the Direc-
tor determines appropriate.
‘‘(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated such sums as may be nec-
essary to carry out this section for each of the fiscal years
2001 through 2005. Amounts appropriated under this sub-
section shall be in addition to any other amounts appro-
priated for such purpose.’’.
TITLE 
XXIII—CHILDREN 
AND
TOURETTE 
SYNDROME
AWARENESS
SEC. 2301. GRANTS REGARDING TOURETTE SYNDROME.
Part A of title XI of the Public Health Service Act
is amended by adding at the end the following section:
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‘‘TOURETTE SYNDROME
‘‘SEC. 1108. (a) IN GENERAL.—The Secretary shall de-
velop and implement outreach programs to educate the pub-
lic, health care providers, educators and community based
organizations about the etiology, symptoms, diagnosis and
treatment of Tourette Syndrome, with a particular empha-
sis on children with Tourette Syndrome. Such programs
may be carried out by the Secretary directly and through
awards of grants or contracts to public or nonprofit private
entities.
‘‘(b) CERTAIN
ACTIVITIES.—Activities under sub-
section (a) shall include—
‘‘(1) the production and translation of edu-
cational materials, including public service announce-
ments;
‘‘(2) the development of training material for
health care providers, educators and community based
organizations; and
‘‘(3) outreach efforts directed at the misdiagnosis
and underdiagnosis of Tourette Syndrome in children
and in minority groups.
‘‘(c) 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 2001 through 2005.’’.
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TITLE XXIV—CHILDHOOD
OBESITY PREVENTION
SEC. 2401. PROGRAMS OPERATED THROUGH THE CENTERS
FOR DISEASE CONTROL AND PREVENTION.
Title III of the Public Health Service Act (42 U.S.C.
241 et seq.), as amended by section 1101 of this Act, is
amended by adding at the end the following part:
‘‘PART Q—PROGRAMS TO IMPROVE THE HEALTH
OF CHILDREN
‘‘SEC. 399W. GRANTS TO PROMOTE CHILDHOOD NUTRITION
AND PHYSICAL ACTIVITY.
‘‘(a) IN GENERAL.—The Secretary, acting though the
Director of the Centers for Disease Control and Prevention,
shall award competitive grants to States and political sub-
divisions of States for the development and implementation
of State and community-based intervention programs to
promote good nutrition and physical activity in children
and adolescents.
‘‘(b) ELIGIBILITY.—To be eligible to receive a grant
under this section a State or political subdivision of a State
shall prepare and submit to the Secretary an application
at such time, in such manner, and containing such infor-
mation as the Secretary may require, including a plan that
describes—
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‘‘(1) how the applicant proposes to develop a
comprehensive program of school- and community-
based approaches to encourage and promote good nu-
trition and appropriate levels of physical activity
with respect to children or adolescents in local com-
munities;
‘‘(2) the manner in which the applicant shall co-
ordinate with appropriate State and local authorities,
such as State and local school departments, State de-
partments of health, chronic disease directors, State
directors of programs under section 17 of the Child
Nutrition Act of 1966, 5-a-day coordinators, gov-
ernors councils for physical activity and good nutri-
tion, and State and local parks and recreation de-
partments; and
‘‘(3) the manner in which the applicant will
evaluate the effectiveness of the program carried out
under this section.
‘‘(c) USE OF FUNDS.—A State or political subdivision
of a State shall use amount received under a grant under
this section to—
‘‘(1) develop, implement, disseminate, and evalu-
ate school- and community-based strategies in States
to reduce inactivity and improve dietary choices
among children and adolescents;
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‘‘(2) expand opportunities for physical activity
programs in school- and community-based settings;
and
‘‘(3) develop, implement, and evaluate programs
that promote good eating habits and physical activity
including opportunities for children with cognitive
and physical disabilities.
‘‘(d) TECHNICAL ASSISTANCE.—The Secretary may
set-aside an amount not to exceed 10 percent of the amount
appropriated for a fiscal year under subsection (h) to per-
mit the Director of the Centers for Disease Control and Pre-
vention to—
‘‘(1) provide States and political subdivisions of
States with technical support in the development and
implementation of programs under this section; and
‘‘(2) disseminate information about effective
strategies and interventions in preventing and treat-
ing obesity through the promotion of good nutrition
and physical activity.
‘‘(e) LIMITATION ON ADMINISTRATIVE COSTS.—Not to
exceed 10 percent of the amount of a grant awarded to the
State or political subdivision under subsection (a) for a fis-
cal year may be used by the State or political subdivision
for administrative expenses.
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‘‘(f) TERM.—A grant awarded under subsection (a)
shall be for a term of 3 years.
‘‘(g) DEFINITION.—In this section, the term ‘children
and adolescents’ means individuals who do not exceed 18
years of age.
‘‘(h) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
2001 through 2005.
‘‘SEC. 399X. APPLIED RESEARCH PROGRAM.
‘‘(a) IN GENERAL.—The Secretary, acting through the
Centers for Disease Control and Prevention and in con-
sultation with the Director of the National Institutes of
Health, shall—
‘‘(1) conduct research to better understand the re-
lationship between physical activity, diet, and health
and factors that influence health-related behaviors;
‘‘(2) develop and evaluate strategies for the pre-
vention and treatment of obesity to be used in com-
munity-based interventions and by health profes-
sionals;
‘‘(3) develop and evaluate strategies for the pre-
vention and treatment of eating disorders, such as
anorexia and bulimia;
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‘‘(4) conduct research to establish the prevalence,
consequences, and costs of childhood obesity and its ef-
fects in adulthood;
‘‘(5) identify behaviors and risk factors that con-
tribute to obesity;
‘‘(6) evaluate materials and programs to provide
nutrition education to parents and teachers of chil-
dren in child care or pre-school and the food service
staff of such child care and pre-school entities; and
‘‘(7) evaluate materials and programs that are
designed to educate and encourage physical activity
in child care and pre-school facilities.
‘‘(b) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
2001 through 2005.
‘‘SEC. 399Y. EDUCATION CAMPAIGN.
‘‘(a) IN GENERAL.—The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
and in collaboration with national, State, and local part-
ners, physical activity organizations, nutrition experts, and
health professional organizations, shall develop a national
public campaign to promote and educate children and their
parents concerning—
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‘‘(1) the health risks associated with obesity, in-
activity, and poor nutrition;
‘‘(2) ways in which to incorporate physical ac-
tivity into daily living; and
‘‘(3) the benefits of good nutrition and strategies
to improve eating habits.
‘‘(b) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
2001 through 2005.
‘‘SEC. 399Z. HEALTH PROFESSIONAL EDUCATION AND
TRAINING.
‘‘(a) IN GENERAL.—The Secretary, acting through the
Director of the Centers for Disease Control and Prevention,
in collaboration with the Administrator of the Health Re-
sources and Services Administration and the heads of other
agencies, and in consultation with appropriate health pro-
fessional associations, shall develop and carry out a pro-
gram to educate and train health professionals in effective
strategies to—
‘‘(1) better identify and assess patients with obe-
sity or an eating disorder or patients at-risk of be-
coming obese or developing an eating disorder;
‘‘(2) counsel, refer, or treat patients with obesity
or an eating disorder; and
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‘‘(3) educate patients and their families about ef-
fective strategies to improve dietary habits and estab-
lish appropriate levels of physical activity.
‘‘(b) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
2001 through 2005.’’.
TITLE XXV—EARLY DETECTION
AND TREATMENT REGARDING
CHILDHOOD 
LEAD 
POI-
SONING
SEC. 2501. CENTERS FOR DISEASE CONTROL AND PREVEN-
TION EFFORTS TO COMBAT CHILDHOOD LEAD
POISONING.
(a) REQUIREMENTS FOR LEAD POISONING PREVEN-
TION GRANTEES.—Section 317A of the Public Health Serv-
ice Act (42 U.S.C. 247b–1) is amended—
(1) in subsection (d)—
(A) by redesignating paragraph (7) as
paragraph (8); and
(B) by inserting after paragraph (6) the fol-
lowing:
‘‘(7) Assurances satisfactory to the Secretary that
the applicant will ensure complete and consistent re-
porting of all blood lead test results from laboratories
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and health care providers to State and local health
departments in accordance with guidelines of the Cen-
ters for Disease Control and Prevention for standard-
ized reporting as described in subsection (m).’’; and
(2) in subsection (j)(2)—
(A) in subparagraph (F) by striking ‘‘(E)’’
and inserting ‘‘(F)’’;
(B) by redesignating subparagraph (F) as
subparagraph (G); and
(C) by inserting after subparagraph (E) the
following:
‘‘(F) The number of grantees that have es-
tablished systems to ensure mandatory reporting
of all blood lead tests from laboratories and
health care providers to State and local health
departments.’’.
(b) GUIDELINES FOR STANDARDIZED REPORTING.—
Section 317A of the Public Health Service Act (42 U.S.C.
247b–1) is amended by adding at the end the following:
‘‘(m) GUIDELINES FOR STANDARDIZED REPORTING.—
The Secretary, acting through the Director of the Centers
for Disease Control and Prevention, shall develop national
guidelines for the uniform reporting of all blood lead test
results to State and local health departments.’’.
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(c) DEVELOPMENT AND IMPLEMENTATION OF EFFEC-
TIVE DATA MANAGEMENT BY THE CENTERS FOR DISEASE
CONTROL AND PREVENTION.—
(1) IN GENERAL.—The Director of the Centers
for Disease Control and Prevention shall—
(A) assist with the improvement of data
linkages between State and local health depart-
ments and between State health departments and
the Centers for Disease Control and Prevention;
(B) assist States with the development of
flexible, comprehensive State-based data manage-
ment systems for the surveillance of children
with lead poisoning that have the capacity to
contribute to a national data set;
(C) assist with the improvement of the abil-
ity of State-based data management systems and
federally-funded means-tested public benefit pro-
grams (including the special supplemental food
program for women, infants and children (WIC)
under section 17 of the Child Nutrition Act of
1966 (42 U.S.C. 1786) and the early head start
program under section 645A of the Head Start
Act (42 U.S.C. 9840a(h)) to respond to ad hoc
inquiries and generate progress reports regarding
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the lead blood level screening of children enrolled
in those programs;
(D) assist States with the establishment of
a capacity for assessing how many children en-
rolled in the medicaid, WIC, early head start,
and other federally-funded means-tested public
benefit programs are being screened for lead poi-
soning at age-appropriate intervals;
(E) use data obtained as result of activities
under this section to formulate or revise existing
lead blood screening and case management poli-
cies; and
(F) establish performance measures for eval-
uating State and local implementation of the re-
quirements and improvements described in sub-
paragraphs (A) through (E).
(2) AUTHORIZATION
OF
APPROPRIATIONS.—
There are authorized to be appropriated to carry out
this subsection such sums as may be necessary for
each the fiscal years 2001 through 2005.
(3) EFFECTIVE DATE.—This subsection takes ef-
fect on the date of enactment of this Act.
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SEC. 2502. GRANTS FOR LEAD POISONING RELATED ACTIVI-
TIES.
(a) IN GENERAL.—Part B of title III of the Public
Health Service Act (42 U.S.C. 243 et seq.), as amended by
section 1801 of this Act, is amended by inserting after sec-
tion 317N the following section:
‘‘GRANTS FOR LEAD POISONING RELATED ACTIVITIES
‘‘SEC. 317O. (a) AUTHORITY TO MAKE GRANTS.—
‘‘(1) IN
GENERAL.—The Secretary shall make
grants to States to support public health activities in
States and localities where data suggests that at least
5 percent of preschool-age children have an elevated
blood lead level through—
‘‘(A) effective, ongoing outreach and com-
munity education targeted to families most likely
to be at risk for lead poisoning;
‘‘(B) individual family education activities
that are designed to reduce ongoing exposures to
lead for children with elevated blood lead levels,
including through home visits and coordination
with other programs designed to identify and
treat children at risk for lead poisoning; and
‘‘(C) the development, coordination and im-
plementation of community-based approaches for
comprehensive lead poisoning prevention from
surveillance to lead hazard control.
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‘‘(2) STATE MATCH.—A State is not eligible for
a grant under this section unless the State agrees to
expend (through State or local funds) $1 for every $2
provided under the grant to carry out the activities
described in paragraph (1).
‘‘(3) APPLICATION.—To be eligible to receive a
grant under this section, a State shall submit an ap-
plication to the Secretary in such form and manner
and containing such information as the Secretary
may require.
‘‘(b) COORDINATION WITH OTHER CHILDREN’S PRO-
GRAMS.—A State shall identify in the application for a
grant under this section how the State will coordinate oper-
ations and activities under the grant with—
‘‘(1) other programs operated in the State that
serve children with elevated blood lead levels, includ-
ing any such programs operated under titles V, XIX,
or XXI of the Social Security Act; and
‘‘(2) one or more of the following—
‘‘(A) the child welfare and foster care and
adoption assistance programs under parts B and
E of title IV of such Act;
‘‘(B) the head start program established
under the Head Start Act (42 U.S.C. 9831 et
seq.);
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‘‘(C) the program of assistance under the
special supplemental nutrition program for
women, infants and children (WIC) under sec-
tion 17 of the Child Nutrition Act of 1966 (42
U.S.C. 1786);
‘‘(D) local public and private elementary or
secondary schools; or
‘‘(E) public housing agencies, as defined in
section 3 of the United States Housing Act of
1937 (42 U.S.C. 1437a).
‘‘(c) PERFORMANCE MEASURES.—The Secretary shall
establish needs indicators and performance measures to
evaluate the activities carried out under grants awarded
under this section. Such indicators shall be commensurate
with national measures of maternal and child health pro-
grams and shall be developed in consultation with the Di-
rector of the Centers for Disease Control and Prevention.
‘‘(d) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section
such sums as may be necessary for each of the fiscal years
2001 through 2005.’’.
(b) CONFORMING AMENDMENT.—Section 340D(c)(1) of
the Public Health Service Act (42 U.S.C. 256d(c)(1)) is
amended by striking ‘‘317E’’ and inserting ‘‘317F’’.
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SEC. 2503. TRAINING AND REPORTS BY THE HEALTH RE-
SOURCES AND SERVICES ADMINISTRATION.
(a) TRAINING.—The Secretary of Health and Human
Services, acting through the Administrator of the Health
Resources and Services Administration and in collabora-
tion with the Administrator of the Health Care Financing
Administration and the Director of the Centers for Disease
Control and Prevention, shall conduct education and train-
ing programs for physicians and other health care providers
regarding childhood lead poisoning, current screening and
treatment recommendations and requirements, and the sci-
entific, medical, and public health basis for those policies.
(b) REPORT.—The Secretary of Health and Human
Services, acting through the Administrator of the Health
Resources and Services Administration, annually shall re-
port to Congress on the number of children who received
services through health centers established under section 330
of the Public Health Service Act (42 U.S.C. 254b) and re-
ceived a blood lead screening test during the prior fiscal
year, noting the percentage that such children represent as
compared to all children who received services through such
health centers.
(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section such
sums as may be necessary for each the fiscal years 2001
through 2005.
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SEC. 2504. SCREENINGS, REFERRALS, AND EDUCATION RE-
GARDING LEAD POISONING.
Section 317A(l)(1) of the Public Health Service Act
(42 U.S.C. 247b–1(l)(1)) is amended by striking ‘‘1994’’
and all that follows and inserting ‘‘1994 through 2005.’’.
TITLE XXVI—SCREENING FOR
HERITABLE DISORDERS
SEC. 2601. PROGRAM TO IMPROVE THE ABILITY OF STATES
TO PROVIDE NEWBORN AND CHILD SCREEN-
ING FOR HERITABLE DISORDERS.
Part A of title XI of the Public Health Service Act,
as amended by section 2301 of this Act, is amended by add-
ing at the end the following:
‘‘SEC. 1109. IMPROVED NEWBORN AND CHILD SCREENING
FOR HERITABLE DISORDERS.
‘‘(a) IN GENERAL.—The Secretary shall award grants
to eligible entities to enhance, improve or expand the ability
of State and local public health agencies to provide screen-
ing, counseling or health care services to newborns and chil-
dren having or at risk for heritable disorders.
‘‘(b) USE OF FUNDS.—Amounts provided under a
grant awarded under subsection (a) shall be used to—
‘‘(1) establish, expand, or improve systems or
programs to provide screening, counseling, testing or
specialty services for newborns and children at risk
for heritable disorders;
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‘‘(2) establish, expand, or improve programs or
services to reduce mortality or morbidity from heri-
table disorders;
‘‘(3) establish, expand, or improve systems or
programs to provide information and counseling on
available therapies for newborns and children with
heritable disorders;
‘‘(4) improve the access of medically underserved
populations to screening, counseling, testing and spe-
cialty services for newborns and children having or at
risk for heritable disorders; or
‘‘(5) conduct such other activities as may be nec-
essary to enable newborns and children having or at
risk for heritable disorders to receive screening, coun-
seling, testing or specialty services, regardless of in-
come, race, color, religion, sex, national origin, age,
or disability.
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive a
grant under subsection (a) an entity shall—
‘‘(1) be a State or political subdivision of a
State, or a consortium of 2 or more States or political
subdivisions of States; and
‘‘(2) prepare and submit to the Secretary an ap-
plication that includes—
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‘‘(A) a plan to use amounts awarded under
the grant to meet specific health status goals and
objectives relative to heritable disorders, includ-
ing attention to needs of medically underserved
populations;
‘‘(B) a plan for the collection of outcome
data or other methods of evaluating the degree to
which amounts awarded under this grant will be
used to achieve the goals and objectives identified
under subparagraph (A);
‘‘(C) a plan for monitoring and ensuring
the quality of services provided under the grant;
‘‘(D) an assurance that amounts awarded
under the grant will be used only to implement
the approved plan for the State;
‘‘(E) an assurance that the provision of
services under the plan is coordinated with serv-
ices provided under programs implemented in
the State under titles V, XVIII, XIX, XX, or XXI
of the Social Security Act (subject to Federal reg-
ulations applicable to such programs) so that the
coverage of services under such titles is not sub-
stantially diminished by the use of granted
funds; and
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‘‘(F) such other information determined by
the Secretary to be necessary.
‘‘(d) LIMITATION.—An eligible entity may not use
amounts received under this section to—
‘‘(1) provide cash payments to or on behalf of af-
fected individuals;
‘‘(2) provide inpatient services;
‘‘(3) purchase land or make capital improve-
ments to property; or
‘‘(4) provide for proprietary research or train-
ing.
‘‘(e) VOLUNTARY PARTICIPATION.—The participation
by any individual in any program or portion thereof estab-
lished or operated with funds received under this section
shall be wholly voluntary and shall not be a prerequisite
to eligibility for or receipt of any other service or assistance
from, or to participation in, another Federal or State pro-
gram.
‘‘(f) SUPPLEMENT NOT SUPPLANT.—Funds appro-
priated under this section shall be used to supplement and
not supplant other Federal, State, and local public funds
provided for activities of the type described in this section.
‘‘(g) PUBLICATION.
‘‘(1) IN
GENERAL.—An application submitted
under subsection (c)(2) shall be made public by the
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State in such a manner as to facilitate comment from
any person, including through hearings and other
methods used to facilitate comments from the public.
‘‘(2) COMMENTS.—Comments received by the
State after the publication described in paragraph (1)
shall be addressed in the application submitted under
subsection (c)(2).
‘‘(h) TECHNICAL ASSISTANCE.—The Secretary shall
provide to entities receiving grants under subsection (a)
such technical assistance as may be necessary to ensure the
quality of programs conducted under this section.
‘‘(i) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section such
sums as may be necessary for each of the fiscal years 2001
through 2005.
‘‘SEC. 1110. EVALUATING THE EFFECTIVENESS OF NEW-
BORN AND CHILD SCREENING PROGRAMS.
‘‘(a) IN GENERAL.—The Secretary shall award grants
to eligible entities to provide for the conduct of demonstra-
tion programs to evaluate the effectiveness of screening,
counseling or health care services in reducing the morbidity
and mortality caused by heritable disorders in newborns
and children.
‘‘(b) DEMONSTRATION PROGRAMS.—A demonstration
program conducted under a grant under this section shall
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be designed to evaluate and assess, within the jurisdiction
of the entity receiving such grant—
‘‘(1) the effectiveness of screening, counseling,
testing or specialty services for newborns and children
at risk for heritable disorders in reducing the mor-
bidity and mortality associated with such disorders;
‘‘(2) the effectiveness of screening, counseling,
testing or specialty services in accurately and reliably
diagnosing heritable disorders in newborns and chil-
dren; or
‘‘(3) the availability of screening, counseling,
testing or specialty services for newborns and children
at risk for heritable disorders.
‘‘(c) ELIGIBLE ENTITIES.—To be eligible to receive a
grant under subsection (a) an entity shall be a State or
political subdivision of a State, or a consortium of 2 or
more States or political subdivisions of States.
‘‘SEC. 1111. ADVISORY COMMITTEE ON HERITABLE DIS-
ORDERS IN NEWBORNS AND CHILDREN.
‘‘(a) ESTABLISHMENT.—The Secretary shall establish
an advisory committee to be known as the ’Advisory Com-
mittee on Heritable Disorders in Newborns and Children’
(referred to in this section as the ’Advisory Committee’).
‘‘(b) DUTIES.—The Advisory Committee shall—
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‘‘(1) provide advice and recommendations to the
Secretary concerning grants and projects awarded or
funded under section 1109;
‘‘(2) provide technical information to the Sec-
retary for the development of policies and priorities
for the administration of grants under section 1109;
and
‘‘(3) provide such recommendations, advice or
information as may be necessary to enhance, expand
or improve the ability of the Secretary to reduce the
mortality or morbidity from heritable disorders.
‘‘(c) MEMBERSHIP.—
‘‘(1) IN GENERAL.—The Secretary shall appoint
not to exceed 15 members to the Advisory Committee.
In appointing such members, the Secretary shall en-
sure that the total membership of the Advisory Com-
mittee is an odd number.
‘‘(2) REQUIRED MEMBERS.—The Secretary shall
appoint to the Advisory Committee under paragraph
(1)—
‘‘(A) the Administrator of the Health Re-
sources and Services Administration;
‘‘(B) the Director of the Centers for Disease
Control and Prevention;
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‘‘(C) the Director of the National Institutes
of Health;
‘‘(D) the Director of the Agency for
Healthcare Research and Quality;
‘‘(E) medical, technical, or scientific profes-
sionals with special expertise in heritable dis-
orders, or in providing screening, counseling,
testing or specialty services for newborns and
children at risk for heritable disorders;
‘‘(F) members of the public having special
expertise about or concern with heritable dis-
orders; and
‘‘(G) representatives from such Federal
agencies, public health constituencies, and med-
ical professional societies as determined to be
necessary by the Secretary, to fulfill the duties of
the Advisory Committee, as established under
subsection (b).’’.
TITLE XXVII—PEDIATRIC
RESEARCH PROTECTIONS
SEC. 2701. REQUIREMENT FOR ADDITIONAL PROTECTIONS
FOR CHILDREN INVOLVED IN RESEARCH.
Notwithstanding any other provision of law, not later
than 6 months after the date of enactment of this Act, the
Secretary of Health and Human Services shall require that
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all research involving children that is conducted, supported,
or regulated by the Department of Health and Human
Services be in compliance with subpart D of part 45 of title
46, Code of Federal Regulations.
TITLE XXVIII—MISCELLANEOUS
PROVISIONS
SEC. 2801. REPORT REGARDING RESEARCH ON RARE DIS-
EASES IN CHILDREN.
Not later than 180 days after the date of the enactment
of this Act, the Director of the National Institutes of Health
shall submit to the Congress a report on—
(1) the activities that, during fiscal year 2000,
were conducted and supported by such Institutes with
respect to rare diseases in children, including
Friedreich’s ataxia and Hutchinson-Gilford progeria
syndrome; and
(2) the activities that are planned to be con-
ducted and supported by such Institutes with respect
to such diseases during the fiscal years 2001 through
2005.
SEC. 2802. STUDY ON METABOLIC DISORDERS.
(a) IN GENERAL.—The Secretary of Health and
Human Services (in this section referred to as the ‘‘Sec-
retary’’) shall, in consultation with relevant experts or
through the Institute of Medicine, study issues related to
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treatment of PKU and other metabolic disorders for chil-
dren, adolescents, and adults, and mechanisms to assure ac-
cess to effective treatment, including special diets, for chil-
dren and others with PKU and other metabolic disorders.
Such mechanisms shall be evidence-based and reflect the best
scientific knowledge regarding effective treatment and pre-
vention of disease progression.
(b) DISSEMINATION OF RESULTS.—Upon completion
of the study referred to in subsection (a), the Secretary shall
disseminate and otherwise make available the results of the
study to interested groups and organizations, including in-
surance commissioners, employers, private insurers, health
care professionals, State and local public health agencies,
and State agencies that carry out the medicaid program
under title XIX of the Social Security Act or the State chil-
dren’s health insurance program under title XXI of such
Act.
(c) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section such
sums as may be necessary for each of the fiscal years 2001
through 2003.
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TITLE XXIX—EFFECTIVE DATE
SEC. 2901. EFFECTIVE DATE.
This division and the amendments made by this divi-
sion take effect October 1, 2000, or upon the date of the
enactment of this Act, whichever occurs later.
DIVISION B—YOUTH DRUG AND
MENTAL HEALTH SERVICES
SEC. 3001. SHORT TITLE.
This division may be cited as the ‘‘Youth Drug and
Mental Health Services Act’’.
TITLE 
XXXI—PROVISIONS 
RE-
LATING 
TO 
SERVICES 
FOR
CHILDREN 
AND 
ADOLES-
CENTS
SEC. 3101. CHILDREN AND VIOLENCE.
Title V of the Public Health Service Act (42 U.S.C.
290aa et seq.) is amended by adding at the end the fol-
lowing:
‘‘PART G—PROJECTS FOR CHILDREN AND VIOLENCE
‘‘SEC. 581. CHILDREN AND VIOLENCE.
‘‘(a) IN GENERAL.—The Secretary, in consultation
with the Secretary of Education and the Attorney General,
shall carry out directly or through grants, contracts or coop-
erative agreements with public entities a program to assist
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local communities in developing ways to assist children in
dealing with violence.
‘‘(b) ACTIVITIES.—Under the program under sub-
section (a), the Secretary may—
‘‘(1) provide financial support to enable local
communities to implement programs to foster the
health and development of children;
‘‘(2) provide technical assistance to local commu-
nities with respect to the development of programs de-
scribed in paragraph (1);
‘‘(3) provide assistance to local communities in
the development of policies to address violence when
and if it occurs;
‘‘(4) assist in the creation of community part-
nerships among law enforcement, education systems
and mental health and substance abuse service sys-
tems; and
‘‘(5) establish mechanisms for children and ado-
lescents to report incidents of violence or plans by
other children or adolescents to commit violence.
‘‘(c) REQUIREMENTS.—An application for a grant,
contract or cooperative agreement under subsection (a) shall
demonstrate that—
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‘‘(1) the applicant will use amounts received to
create a partnership described in subsection (b)(4) to
address issues of violence in schools;
‘‘(2) the activities carried out by the applicant
will provide a comprehensive method for addressing
violence, that will include—
‘‘(A) security;
‘‘(B) educational reform;
‘‘(C) the review and updating of school poli-
cies;
‘‘(D) alcohol and drug abuse prevention and
early intervention services;
‘‘(E) mental health prevention and treat-
ment services; and
‘‘(F) early childhood development and psy-
chosocial services; and
‘‘(3) the applicant will use amounts received
only for the services described in subparagraphs (D),
(E), and (F) of paragraph (2).
‘‘(d) GEOGRAPHICAL DISTRIBUTION.—The Secretary
shall ensure that grants, contracts or cooperative agree-
ments under subsection (a) will be distributed equitably
among the regions of the country and among urban and
rural areas.
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‘‘(e) DURATION OF AWARDS.—With respect to a grant,
contract or cooperative agreement under subsection (a), the
period during which payments under such an award will
be made to the recipient may not exceed 5 years.
‘‘(f) EVALUATION.—The Secretary shall conduct an
evaluation of each project carried out under this section and
shall disseminate the results of such evaluations to appro-
priate public and private entities.
‘‘(g) INFORMATION AND EDUCATION.—The Secretary
shall establish comprehensive information and education
programs to disseminate the findings of the knowledge de-
velopment and application under this section to the general
public and to health care professionals.
‘‘(h) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out this section,
$100,000,000 for fiscal year 2001, and such sums as may
be necessary for each of fiscal years 2002 and 2003.
‘‘SEC. 582. GRANTS TO ADDRESS THE PROBLEMS OF PER-
SONS WHO EXPERIENCE VIOLENCE RELATED
STRESS.
‘‘(a) IN GENERAL.—The Secretary shall award grants,
contracts or cooperative agreements to public and nonprofit
private entities, as well as to Indian tribes and tribal orga-
nizations, for the purpose of developing programs focusing
on the behavioral and biological aspects of psychological
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trauma response and for developing knowledge with regard
to evidence-based practices for treating psychiatric dis-
orders of children and youth resulting from witnessing or
experiencing a traumatic event.
‘‘(b) PRIORITIES.—In awarding grants, contracts or
cooperative agreements under subsection (a) related to the
development of knowledge on evidence-based practices for
treating disorders associated with psychological trauma, the
Secretary shall give priority to mental health agencies and
programs that have established clinical and basic research
experience in the field of trauma-related mental disorders.
‘‘(c) GEOGRAPHICAL DISTRIBUTION.—The Secretary
shall ensure that grants, contracts or cooperative agree-
ments under subsection (a) with respect to centers of excel-
lence are distributed equitably among the regions of the
country and among urban and rural areas.
‘‘(d) EVALUATION.—The Secretary, as part of the ap-
plication process, shall require that each applicant for a
grant, contract or cooperative agreement under subsection
(a) submit a plan for the rigorous evaluation of the activi-
ties funded under the grant, contract or agreement, includ-
ing both process and outcomes evaluation, and the submis-
sion of an evaluation at the end of the project period.
‘‘(e) DURATION OF AWARDS.—With respect to a grant,
contract or cooperative agreement under subsection (a), the
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period during which payments under such an award will
be made to the recipient may not exceed 5 years. Such
grants, contracts or agreements may be renewed.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There is
authorized to be appropriated to carry out this section,
$50,000,000 for fiscal year 2001, and such sums as may
be necessary for each of fiscal years 2002 and 2003.’’.
SEC. 3102. EMERGENCY RESPONSE.
Section 501 of the Public Health Service Act (42
U.S.C. 290aa) is amended—
(1) by redesignating subsection (m) as subsection
(o);
(2) by inserting after subsection (l) the following:
‘‘(m) EMERGENCY RESPONSE.—
‘‘(1) IN GENERAL.—Notwithstanding section 504
and except as provided in paragraph (2), the Sec-
retary may use not to exceed 2.5 percent of all
amounts appropriated under this title for a fiscal
year to make noncompetitive grants, contracts or co-
operative agreements to public entities to enable such
entities to address emergency substance abuse or men-
tal health needs in local communities.
‘‘(2) 
EXCEPTIONS.—Amounts 
appropriated
under part C shall not be subject to paragraph (1).
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‘‘(3) EMERGENCIES.—The Secretary shall estab-
lish criteria for determining that a substance abuse or
mental health emergency exists and publish such cri-
teria in the Federal Register prior to providing funds
under this subsection.
‘‘(n) LIMITATION ON THE USE OF CERTAIN INFORMA-
TION.—No information, if an establishment or person sup-
plying the information or described in it is identifiable, ob-
tained in the course of activities undertaken or supported
under section 505 may be used for any purpose other than
the purpose for which it was supplied unless such establish-
ment or person has consented (as determined under regula-
tions of the Secretary) to its use for such other purpose.
Such information may not be published or released in other
form if the person who supplied the information or who
is described in it is identifiable unless such person has con-
sented (as determined under regulations of the Secretary)
to its publication or release in other form.’’; and
(3) in subsection (o) (as so redesignated), by
striking ‘‘1993’’ and all that follows through the pe-
riod and inserting ‘‘2001, and such sums as may be
necessary for each of the fiscal years 2002 and 2003.’’.
SEC. 3103. HIGH RISK YOUTH REAUTHORIZATION.
Section 517(h) of the Public Health Service Act (42
U.S.C. 290bb–23(h)) is amended by striking ‘‘$70,000,000’’
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and all that follows through ‘‘1994’’ and inserting ‘‘such
sums as may be necessary for each of the fiscal years 2001
through 2003’’.
SEC. 3104. SUBSTANCE ABUSE TREATMENT SERVICES FOR
CHILDREN AND ADOLESCENTS.
(a) SUBSTANCE ABUSE TREATMENT SERVICES.—Sub-
part 1 of part B of title V of the Public Health Service
Act (42 U.S.C. 290bb et seq.) is amended by adding at the
end the following:
‘‘SEC. 514. SUBSTANCE ABUSE TREATMENT SERVICES FOR
CHILDREN AND ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants,
contracts, or cooperative agreements to public and private
nonprofit entities, including Native Alaskan entities and
Indian tribes and tribal organizations, for the purpose of
providing substance abuse treatment services for children
and adolescents.
‘‘(b) PRIORITY.—In awarding grants, contracts, or co-
operative agreements under subsection (a), the Secretary
shall give priority to applicants who propose to—
‘‘(1) apply evidenced-based and cost effective
methods for the treatment of substance abuse among
children and adolescents;
‘‘(2) coordinate the provision of treatment serv-
ices with other social service agencies in the commu-
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nity, including educational, juvenile justice, child
welfare, and mental health agencies;
‘‘(3) provide a continuum of integrated treat-
ment services, including case management, for chil-
dren and adolescents with substance abuse disorders
and their families;
‘‘(4) provide treatment that is gender-specific
and culturally appropriate;
‘‘(5) involve and work with families of children
and adolescents receiving treatment;
‘‘(6) provide aftercare services for children and
adolescents and their families after completion of sub-
stance abuse treatment; and
‘‘(7) address the relationship between substance
abuse and violence.
‘‘(c) DURATION
OF GRANTS.—The Secretary shall
award grants, contracts, or cooperative agreements under
subsection (a) for periods not to exceed 5 fiscal years.
‘‘(d) APPLICATION.—An entity desiring a grant, con-
tract, or cooperative agreement under subsection (a) shall
submit an application to the Secretary at such time, in
such manner, and accompanied by such information as the
Secretary may reasonably require.
‘‘(e) EVALUATION.—An entity that receives a grant,
contract, or cooperative agreement under subsection (a)
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shall submit, in the application for such grant, contract,
or cooperative agreement, a plan for the evaluation of any
project undertaken with funds provided under this section.
Such entity shall provide the Secretary with periodic eval-
uations of the progress of such project and such evaluation
at the completion of such project as the Secretary deter-
mines to be appropriate.
‘‘(f) AUTHORIZATION OF APPROPRIATIONS.—There are
authorized to be appropriated to carry out this section,
$40,000,000 for fiscal year 2001, and such sums as may
be necessary for fiscal years 2002 and 2003.
‘‘SEC. 514A. EARLY INTERVENTION SERVICES FOR CHIL-
DREN AND ADOLESCENTS.
‘‘(a) IN GENERAL.—The Secretary shall award grants,
contracts, or cooperative agreements to public and private
nonprofit entities, including local educational agencies (as
defined in section 14101 of the Elementary and Secondary
Education Act of 1965 (20 U.S.C. 8801)), for the purpose
of providing early intervention substance abuse services for
children and adolescents.
‘‘(b) PRIORITY.—In awarding grants, contracts, or co-
operative agreements under subsection (a), the Secretary
shall give priority to applicants who demonstrate an ability
to—
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‘‘(1) screen for and assess substance use and
abuse by children and adolescents;
‘‘(2) make appropriate referrals for children and
adolescents who are in need of treatment for substance
abuse;
‘‘(3) provide early intervention services, includ-
ing counseling and ancillary services, that are de-
signed to meet the developmental needs of children
and adolescents who are at risk for substance abuse;
and
‘‘(4) develop networks with the educational, juve-
nile justice, social services, and other agencies and or-
ganizations in the State or local community involved
that will work to identify children and adolescents
who are in need of substance abuse treatment services.
‘‘(c) CONDITION.—In awarding grants, contracts, or
cooperative agreements under subsection (a), the Secretary
shall ensure that such grants, contracts, or cooperative
agreements are allocated, subject to the availability of quali-
fied applicants, among the principal geographic regions of
the United States, to Indian tribes and tribal organizations,
and to urban and rural areas.
‘‘(d) DURATION
OF GRANTS.—The Secretary shall
award grants, contracts, or cooperative agreements under
subsection (a) for periods not to exceed 5 fiscal years.
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‘‘(e) APPLICATION.—An entity desiring a grant, con-
tract, or cooperative agreement under subsection (a) shall
submit an application to the Secretary at such time, in
such manner, and accompanied by such information as the
Secretary may reasonably require.
‘‘(f) EVALUATION.—An entity that receives a grant,
contract, or cooperative agreement under subsection (a)
shall submit, in the application for such grant, contract,
or cooperative agreement, a plan for the evaluation of any
project undertaken with funds provided under this section.
Such entity shall provide the Secretary with periodic eval-
uations of the progress of such project and such evaluation
at the completion of such project as the Secretary deter-
mines to be appropriate.
‘‘(g) AUTHORIZATION
OF APPROPRIATIONS.—There
are authorized to be appropriated to carry out this section,
$20,000,000 for fiscal year 2001, and such sums as may
be necessary for fiscal years 2002 and 2003.’’.
(b) YOUTH INTERAGENCY CENTERS.—Subpart 3 of
part B of title V of the Public Health Service Act (42 U.S.C.
290bb–31 et seq.) is amended by adding the following:
‘‘SEC. 520C. YOUTH INTERAGENCY RESEARCH, TRAINING,
AND TECHNICAL ASSISTANCE CENTERS.
‘‘(a) PROGRAM AUTHORIZED.—The Secretary, acting
through the Administrator of the Substance Abuse and Men-
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tal Health Services Administration, and in consultation
with the Administrator of the Office of Juvenile Justice and
Delinquency Prevention, the Director of the Bureau of Jus-
tice Assistance and the Director of the National Institutes
of Health, shall award grants or contracts to public or non-
profit private entities to establish not more than 4 research,
training, and technical assistance centers to carry out the
activities described in subsection (c).
‘‘(b) APPLICATION.—A public or private nonprofit en-
tity desiring a grant or contract under subsection (a) shall
prepare and submit an application to the Secretary at such
time, in such manner, and containing such information as
the Secretary may require.
‘‘(c) AUTHORIZED ACTIVITIES.—A center established
under a grant or contract under subsection (a) shall—
‘‘(1) provide training with respect to state-of-the-
art mental health and justice-related services and suc-
cessful mental health and substance abuse-justice col-
laborations that focus on children and adolescents, to
public policymakers, law enforcement administrators,
public defenders, police, probation officers, judges, pa-
role officials, jail administrators and mental health
and substance abuse providers and administrators;
‘‘(2) engage in research and evaluations con-
cerning State and local justice and mental health sys-
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tems, including system redesign initiatives, and dis-
seminate information concerning the results of such
evaluations;
‘‘(3) provide direct technical assistance, includ-
ing assistance provided through toll-free telephone
numbers, concerning issues such as how to accommo-
date individuals who are being processed through the
courts under the Americans with Disabilities Act of
1990 (42 U.S.C. 12101 et seq.), what types of mental
health or substance abuse service approaches are effec-
tive within the judicial system, and how community-
based mental health or substance abuse services can be
more effective, including relevant regional, ethnic,
and gender-related considerations; and
‘‘(4) provide information, training, and tech-
nical assistance to State and local governmental offi-
cials to enhance the capacity of such officials to pro-
vide appropriate services relating to mental health or
substance abuse.
‘‘(d) AUTHORIZATION OF APPROPRIATIONS.—For the
purpose of carrying out this section, there is authorized to
be appropriated $4,000,000 for fiscal year 2001, and such
sums as may be necessary for fiscal years 2002 and 2003.’’.
(c) PREVENTION OF ABUSE AND ADDICTION.—Subpart
2 of part B of title V of the Public Health Service Act (42
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U.S.C. 290bb–21 et seq.) is amended by adding the fol-
lowing:
‘‘SEC. 519E. PREVENTION OF METHAMPHETAMINE AND IN-
HALANT ABUSE AND ADDICTION.
‘‘(a) GRANTS.—The Director of the Center for Sub-
stance Abuse Prevention (referred to in this section as the
‘Director’) may make grants to and enter into contracts and
cooperative agreements with public and nonprofit private
entities to enable such entities—
‘‘(1) to carry out school-based programs con-
cerning the dangers of methamphetamine or inhalant
abuse and addiction, using methods that are effective
and evidence-based, including initiatives that give
students the responsibility to create their own anti-
drug abuse education programs for their schools; and
‘‘(2) to carry out community-based methamphet-
amine or inhalant abuse and addiction prevention
programs that are effective and evidence-based.
‘‘(b) USE OF FUNDS.—Amounts made available under
a grant, contract or cooperative agreement under subsection
(a) shall be used for planning, establishing, or admin-
istering methamphetamine or inhalant prevention pro-
grams in accordance with subsection (c).
‘‘(c) PREVENTION PROGRAMS AND ACTIVITIES.—
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methamphetamine or inhalant abuse and addic-
tion;
‘‘(F) for the monitoring and evaluation of
methamphetamine or inhalant prevention activi-
ties, and reporting and disseminating resulting
information to the public; and
‘‘(G) for targeted pilot programs with eval-
uation components to encourage innovation and
experimentation with new methodologies.
‘‘(2) PRIORITY.—The Director shall give priority
in making grants under this section to rural and
urban areas that are experiencing a high rate or
rapid increases in methamphetamine or inhalant
abuse and addiction.
‘‘(d) ANALYSES AND EVALUATION.—
‘‘(1) IN
GENERAL.—Up to $500,000 of the
amount available in each fiscal year to carry out this
section shall be made available to the Director, acting
in consultation with other Federal agencies, to sup-
port and conduct periodic analyses and evaluations of
effective prevention programs for methamphetamine
or inhalant abuse and addiction and the development
of appropriate strategies for disseminating informa-
tion about and implementing these programs.