‘‘(5) Provision of public health laboratory serv-
ices that complement private clinical laboratory serv-
ices and that screen for diseases and conditions
(such as metabolic diseases in newborns, provide as-
sessments of blood lead levels and other environ-
mental toxicants, diagnose and contact tracing of
sexually transmitted diseases, tuberculosis and other
diseases requiring partner notification, test for infec-
tious and food-borne diseases, and monitor the safe-
ty of water and food supplies).
‘‘(6) Training and education of new and exist-
ing health professionals in the field of public health,
with special emphasis on epidemiology, biostatistics,
health education, public health administration, pub-
lic health nursing and dentistry, environmental and
occupational health sciences, public health nutrition,
social and behavioral health sciences, operations re-
search, and laboratory technology.
‘‘(7) Leadership, policy development and admin-
istration activities, including assessing needs and the
supply and distribution of health professionals; the
setting of public health standards; the development
of community public health policies; and the develop-
ment of community public health coalitions.
‘‘(d) RESTRICTIONS ON USE OF GRANT.—
‘‘(1) IN GENERAL.—A funding agreement for a
grant under subsection (a) for a State is that the
grant will not be expended—
‘‘(A) to provide inpatient services;
‘‘(B) to make cash payments to intended
recipients of health services;
‘‘(C) to purchase or improve land, pur-
chase, construct, or permanently improve (other
than minor remodeling) any building or other
facility, or purchase major medical equipment;
‘‘(D) to satisfy any requirement for the ex-
penditure of non-Federal funds as a condition
for the receipt of Federal funds; or
‘‘(E) to provide financial assistance to any
entity other than a public or nonprofit private
entity.
‘‘(2) LIMITATION
ON
ADMINISTRATIVE
EX-
PENSES.—A funding agreement for a grant under
subsection (a) is that the State involved will not ex-
pend more than 20 percent of the grant for adminis-
trative expenses with respect to the grant.
‘‘(e) MAINTENANCE OF EFFORT.—A funding agree-
ment for a grant under subsection (a) is that the State
involved will maintain expenditures of non-Federal
amounts for core health functions at a level that is not
less than the level of such expenditures maintained by the
State for the fiscal year preceding the first fiscal year for
which the State receives such a grant.
‘‘SEC. 2713. NUMBER OF FUNCTIONS; PLANNING.
‘‘(a) NUMBER
OF FUNCTIONS.—Subject to sub-
section (b), a funding agreement for a grant under section
2712 is that the State involved will carry out each of the
activities described in subsection (c) of such section.
‘‘(b) PLANNING.—In making grants under section
2712, the Secretary shall for each State designate a period
during which the State is to engage in planning to meet
the responsibilities of the State under subsection (a). The
period so designated may not exceed 18 months. With re-
spect to such period for a State, a funding agreement for
a grant under section 2712 for any fiscal year containing
any portion of the period is that, during the period, the
State will expend the grant only for such planning.
‘‘SEC. 2714. SUBMISSION OF INFORMATION; REPORTS.
‘‘(a) SUBMISSION OF INFORMATION.—The Secretary
may make a grant under section 2712 only if the State
involved submits to the Secretary the following informa-
tion:
‘‘(1) A description of the relationship between
community health providers, public and private
health plans, and the public health system of the
State.
‘‘(2) A description of existing deficiencies in the
public health system at the State level and the local
level, using standards under the Healthy People
2000 Objectives.
‘‘(3) A description of public health priorities
identified at the State level and local levels, includ-
ing the 10 leading causes of death and their respec-
tive direct and indirect costs to the State and the
Federal Government.
‘‘(4) Measurable outcomes and process objec-
tives (using criteria under the Healthy People 2000
Objectives) which indicate improvements in health
status as a result of the activities carried out under
section 2712(c).
‘‘(5) Information regarding each such activity,
which—
‘‘(A) identifies the amount of State and
local funding expended on each such activity for
the fiscal year preceding the fiscal year for
which the grant is sought; and
‘‘(B) provides a detailed description of how
additional Federal funding will improve each
such activity by both the State and local public
health agencies.
‘‘(6) A description of activities under section
2712(c) to be carried out at the local level, and a
specification for each such activity of—
‘‘(A) the communities in which the activity
will be carried out and any collaborating agen-
cies; and
‘‘(B) the amount of the grant to be ex-
pended for the activity in each community so
specified.
‘‘(7) A description of how such activities have
been coordinated with activities supported under
title V of the Social Security Act (relating to mater-
nal and child health).
‘‘(b) REPORTS.—A funding agreement for a grant
under section 2712 is that the States involved will, not
later than the date specified by the Secretary, submit to
the Secretary a report describing—
‘‘(1) the purposes for which the grant was ex-
pended;
‘‘(2) the health status of the population of the
State, as measured by criteria under the Healthy
People 2000 Objectives; and
‘‘(3) the progress achieved and obstacles en-
countered in using uniform data sets under such Ob-
jectives.
‘‘SEC. 2715. APPLICATION FOR GRANT.
‘‘The Secretary may make a grant under section
2712 only if an application for the grant is submitted to
the Secretary, the application contains each agreement de-
scribed in this part, the application contains the informa-
tion required in section 2712(c), 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 part.
‘‘SEC. 2716. DETERMINATION OF AMOUNT OF ALLOTMENT.
‘‘For purposes of section 2712, the allotment under
this section for a State for a fiscal year shall be deter-
mined through a formula established by the Secretary on
the basis of the population, economic indicators, and
health status of each State. Such allotment shall be the
product of—
‘‘(1) a percentage determined under the for-
mula; and
‘‘(2) the amount appropriated under section
2711 for the fiscal year, less any amounts reserved
under section 2717.
‘‘SEC. 2717. ALLOCATIONS FOR CERTAIN ACTIVITIES.
‘‘Of the amounts made available under section 2711
for a fiscal year for carrying out this part, the Secretary
may reserve not more than 15 percent for carrying out
the following activities:
‘‘(1) Technical assistance with respect to plan-
ning, development, and operation of activities under
section 2712(b), including provision of biostatistical
and epidemiological expertise, provision of laboratory
expertise, and the development of uniform data sets
under the Health People 2000 Objectives.
‘‘(2) Development and operation of a national
information network among State and local health
agencies for utilizing such uniform data sets.
‘‘(3) Program monitoring and evaluation of ac-
tivities carried out under section 2712(b).
‘‘(4) Development of a unified electronic report-
ing mechanism to improve the efficiency of adminis-
trative management requirements regarding the pro-
vision of Federal grants to State public health agen-
cies.
‘‘PART 2—COMPREHENSIVE EVALUATION OF DIS-
EASE 
PREVENTION 
AND 
HEALTH 
PRO-
MOTION PROGRAMS
‘‘SEC. 2718. AUTHORIZATIONS OF APPROPRIATIONS FROM
FUND.
‘‘For the purpose of carrying out this part, there are
authorized 
to 
be 
appropriated 
from 
the 
Fund,
$100,000,000 for fiscal year 1996, and $150,000,000 for
each of the fiscal years 1997 through 2000.
‘‘SEC. 2719. EVALUATION OF PROGRAMS.
‘‘(a) GRANTS.—The Secretary may make grants to,
or enter into cooperative agreements or contracts with, eli-
gible entities for the purpose of enabling such entities to
carry out evaluations of the type described in subsection
(c). The Secretary shall carry out this section acting
through the Director of the Centers for Disease Control
and Prevention, subject to subsection (g).
‘‘(b) REQUIREMENTS.—
‘‘(1) ELIGIBLE ENTITIES.—To be eligible to re-
ceive an award of a grant, cooperative agreement, or
contract under subsection (a), an entity must—
‘‘(A) be a public, nonprofit, or private en-
tity or a university;
‘‘(B) prepare and submit to the Secretary
an application at such time, in such form, and
containing such information as the Secretary
may require, including a plan for the conduct of
the evaluation under the grant;
‘‘(C) provide assurances that any informa-
tion collected while conducting evaluations
under this section will be maintained in a con-
fidential manner with respect to the identities
of the individuals from which such information
is obtained; and
‘‘(D) meet any other requirements that the
Secretary determines to be appropriate.
‘‘(2) TYPES OF ENTITIES.—In making awards
under subsection (a), the Secretary shall consider
applications from entities proposing to conduct eval-
uations using community programs, managed care
programs, State and county health departments,
public education campaigns, school programs, and
other appropriate programs. The Secretary shall en-
sure that not less than 25 percent of the amounts
appropriated under section 2718 for a fiscal year are
used for making such awards to entities that will use
the amounts to conduct evaluations in the work-
place.
‘‘(c) USE OF FUNDS.—
‘‘(1) EVALUATIONS.—An award under sub-
section (a) shall be used to—
‘‘(A) conduct evaluations to determine the
extent to which clinical preventive services,
health promotion and unintentional injury pre-
vention activities, and interpersonal and com-
munity violence prevention activities, achieve
short-term and long-term health care cost re-
ductions and health status improvement with
respect to the Healthy People 2000 Objectives;
and
‘‘(B) evaluate other areas determined ap-
propriate by the Secretary.
‘‘(2) INCLUSION
OF
CERTAIN
POPULATION
GROUPS.—In carrying out this section, the Secretary
shall ensure that data concerning women, children,
minorities, older individuals with different income
levels, retirees, and individuals from diverse geo-
graphical backgrounds, are obtained.
‘‘(3) MINIMUM
SERVICES.—The evaluations
that the Secretary may provide for under this sec-
tion include (but are not limited to) evaluations of
programs that provide one or more of the following
services:
‘‘(A) Blood pressure screening and control
(to detect and control hypertension and coro-
nary health disease).
‘‘(B) Early cancer screening.
‘‘(C) Blood cholesterol screening and con-
trol.
‘‘(D) Smoking cessation programs.
‘‘(E) Substance abuse programs.
‘‘(F) Dietary and nutrition counseling, in-
cluding nutrition.
‘‘(G) Physical fitness counseling.
‘‘(H) Stress management.
‘‘(I) Diabetes education and screening.
‘‘(J) Intraocular pressure screening.
‘‘(K) Monitoring of prescription drug use.
‘‘(L) Violence and injury prevention pro-
grams.
‘‘(M) Health education.
‘‘(N) Immunization rates.
‘‘(4) ENVIRONMENTAL DATA.—Evaluations con-
ducted under this section may consider the health ef-
fects and cost-effectiveness of certain environmental
programs, including fluoridation programs, traffic
safety programs, pollution control programs, acci-
dent prevention programs, and antismoking pro-
grams.
‘‘(5) PUBLIC POLICIES.—Evaluations conducted
under this section may consider the effects of pre-
vention-oriented social and economic policies on im-
provement of health status and their long-term cost
effectiveness.
‘‘(6) USE OF EXISTING DATA.—In conducting
evaluations under this section, entities shall use ex-
isting data and health promotion and screening pro-
grams where practicable.
‘‘(7) COOPERATION.—In providing for an eval-
uation under this section, the Secretary shall encour-
age the recipient of the award and public and pri-
vate entities with relevant expertise (including State
and local agencies) to collaborate for purposes of
conducting the evaluation.
‘‘(d) SITES.—Recipients of awards under subsection
(a) shall select evaluation sites under the award that
present the greatest potential for new and relevant knowl-
edge. Such recipients, in selecting such sites, shall ensure
that—
‘‘(1) the sites provide evidence of pilot testing,
process evaluation, formative evaluation, availability
assessment strategies and results;
‘‘(2) the sites provide evidence of a clear defini-
tion of the program and protocols for the implemen-
tation of the evaluation; and