‘‘(A) IN
GENERAL.—Assistance provided 
under subsection (b) shall, to the maximum ex-
tent practicable, be used to establish at least 20 
hydrocephalus treatment centers located at pub-
lic and private hospital in developing countries 
with a high incidence of hydrocephalus, which 
shall include treatment costs, endoscopy equip-
ment and medical supplies necessary to provide 
ETV/CPC procedures to treat hydrocephalus. 
‘‘(B) STAFFING.—The treatment centers 
described in subparagraph (A) shall be staffed 
by— 
‘‘(i) one or more surgeons who have 
successfully completed the surgeon training 
program provided pursuant to paragraph 
(2); and 
‘‘(ii) a patient care administrator. 
‘‘(C) TREATMENT.—The treatment centers 
described in subparagraph (A) shall— 
‘‘(i) provide surgery to treat hydro-
cephalus in children; 
‘‘(ii) perform at least 50 hydro-
cephalus surgeries annually including a 
minimum of 25 ETV or ETV/CPC sur-
geries; and 
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‘‘(iii) provide post-surgery care and 
support for the children treated in accord-
ance with clause (i). 
‘‘(4) MEDICAL
RECORDS
AND
DATA.—Assist-
ance provided under subsection (b) shall, to the 
maximum extent practicable, include the mainte-
nance of medical records which track patient care 
activities and information about the causes and inci-
dence rates of PIH. 
‘‘(d) DEFINITIONS.—In this section: 
‘‘(1) CPC.—The term ‘CPC’ means choroid 
plexus cauterization, a surgical procedure to reduce 
the production of cerebrospinal fluid in the brain. 
‘‘(2) ETV.—The term ‘ETV’ means endoscopic 
third ventriculostomy, a shunt-less surgical proce-
dure in which an opening is created in the floor of 
the third ventricle of the brain allowing cerebro-
spinal fluid to bypass any obstruction and flow di-
rectly to the basal cisterns. 
‘‘(3) ETV/CPC.—The term ‘ETV/CPC’ means 
the shunt-less surgical method for treating hydro-
cephalus through the combination of ETV and CPC 
surgical procedures. 
‘‘(4) 
HYDROCEPHALUS.—The 
term 
‘hydro-
cephalus’ means a medical condition in which an ab-
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normal accumulation of cerebrospinal fluid in the 
ventricles or cavities of the brain causes increased 
intracranial pressure inside the skull and progressive 
enlargement of the head. 
‘‘(5) MEDICAL
PRACTITIONERS.—The term 
‘medical practitioners’ means physicians, nurses and 
other clinicians. 
‘‘(6) PIH.—The term ‘PIH’ means post-infec-
tious or acquired hydrocephalus which is the onset 
of hydrocephalus after birth due to the affects of an 
infection, such as meningitis, that has attacked the 
brain. 
‘‘(7) VP SHUNT.—The term ‘VP shunt’ means 
a ventriculoperitonea shunt which is a plastic tube 
that is regulated by a valve and surgically placed in 
a brain ventricle that allows the cerebrospinal fluid 
to flow out of the brain through the tube and into 
the patient’s abdomen. 
‘‘(e) AUTHORIZATION OF APPROPRIATIONS.—Of the 
amounts made available to carry out this chapter for child 
survival and maternal health programs, there are author-
ized to be appropriated to the President such sums as may 
be necessary for each of the fiscal years 2014 through 
2018 to carry out this section.’’. 
Æ 
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