In this task, you are given text for US Congressional and California state bills, your task is to generate a summary for this bill.

Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Child Abuse Reform and Enforcement 
Act of 2005'' or ``CARE Act of 2005''.

    TITLE I--WITHHOLDING AND REDISTRIBUTION OF CERTAIN STATE CHILD 
                            PROTECTION FUNDS

SEC. 101. WITHHOLDING AND REDISTRIBUTION OF STATE FUNDS.

    (a) Child Abuse Prevention and Treatment Act.--Beginning 1 year 
after the date of the enactment of this Act, the Secretary of Health 
and Human Services shall reduce, by 25 percent, the allocation to a 
State for a fiscal year under title I of the Child Abuse Prevention and 
Treatment Act that does not meet each of the requirements of title II 
of this Act.
    (b) National Child Protection Act of 1993.--Beginning 1 year after 
the date of the enactment of this Act, the Attorney General shall 
reduce, by 25 percent, amounts under a grant under section 4(b) of the 
National Child Protection Act of 1993 to a State for a fiscal year that 
does not meet each of the requirements of title II of this Act.
    (c) Redistribution of Funds.--The Attorney General shall, using 
funds withheld under this section and amounts appropriated pursuant to 
the authorization of appropriations under section 102, provide grants 
to States that meet the requirements of title II of this Act. A grant 
made under this subsection shall be used--
            (1) for the computerization of data and criminal history 
        files for purposes of title II of this Act;
            (2) for the improvement of existing data and computerized 
        criminal history files for purposes of title II of this Act; 
        and
            (3) to assist the State in the transmittal of data and 
        criminal records to, or the indexing of data and criminal 
        history records in, the national data and criminal history 
        systems for purposes of title II of this Act.

SEC. 102. AUTHORIZATION OF APPROPRIATIONS FOR ADDITIONAL FUNDING GRANTS 
              FOR THE IMPROVEMENT OF CHILD ABUSE CRIME INFORMATION.

    There are authorized to be appropriated for additional grants under 
section 101(c) $50,000,000 for each of the fiscal years 2006 through 
2009.

     TITLE II--CHILD SEXUAL ABUSE PROTECTION AND SENTENCING REFORM

SEC. 201. REQUIREMENT TO EQUALIZE SENTENCING REQUIREMENTS FOR 
              INTRAFAMILIAL AND EXTRAFAMILIAL CHILD SEXUAL ABUSE.

    (a) State Study of Laws Regarding Intrafamilial and Extrafamilial 
Child Sexual Abuse.--A State meets the requirements of this subsection 
if, not later than 1 year after the date of enactment of this Act, the 
State--
            (1) has studied the laws in the State that apply to 
        intrafamilial and extrafamilial sexual abuse of children; and
            (2) has examined, at a minimum--
                    (A) issues concerning differences in laws 
                applicable to intrafamilial and extrafamilial child 
                sexual abuse;
                    (B) issues concerning disparities in charging and 
                sentencing perpetrators of child sexual abuse, 
                resulting from differences in applicable laws; and
                    (C) issues concerning legislative actions necessary 
                to equalize charging and sentencing of perpetrators of 
                sexual abuse without regard to familial relationship of 
                perpetrator to child victim.
    (b) Report to the Attorney General.--A State meets the requirements 
of this subsection if the State submits to the Attorney General a 
report that contains the results of the study conducted under 
subsection (a).
    (c) Legislative Actions to Equalize Sentencing Requirements.--
            (1) In general.--Except as provided in paragraph (2), a 
        State meets the requirements of this subsection if, not later 
        than 1 year after the date of enactment of this Act, the State 
        has implemented legislative actions necessary to equalize 
        charging and sentencing of perpetrators of sexual abuse without 
        regard to familial relationship of perpetrator to child victim.
            (2) Exception.--The Attorney General may provide for an 
        extension of the 1-year time requirement in paragraph (1) for 
        any State if the Attorney General determines that State 
        legislation (other than legislation appropriating funds) is 
        required to meet the additional requirements imposed by this 
        Act.

SEC. 202. REQUIREMENT TO GATHER INFORMATION ON SEXUAL ABUSE OF 
              CHILDREN.

    A State meets the requirements of this section if the State--
            (1) compiles and analyzes data relating to intrafamilial 
        and extrafamilial sexual abuse of children;
            (2) promotes regulations requiring the gathering of such 
        data by State courts and State agencies for compilation and 
        analysis purposes;
            (3) provides, on an annual basis, to the Attorney General, 
        the Secretary of Health and Human Services, and the Bureau of 
        Justice Statistics a report containing the data referred to in 
        paragraph (1) and a description of the regulations referred to 
        in paragraph (2).

A: Child Abuse Reform and Enforcement Act of 2005 - CARE Act of 2005 - Directs the Secretary of Health and Human Services and the Attorney General to reduce by 25 percent certain fiscal year allocations and grant amounts, under the Child Abuse Prevention and Treatment Act and the National Child Protection Act of 1993, respectively, to any state that is not in compliance with requirements of this Act.

Directs the Attorney General to use such withheld amounts and authorized funds under this Act for additional grants to states in compliance to computerize, improve, transmit, and index their own data and criminal history files in the national data and criminal history systems for child sexual abuse protection and sentencing reform.

Requires a state, to be eligible for funding under this Act, to: (1) study its laws pertaining to intrafamilial and extrafamilial sexual abuse of children, and examine issues concerning their differences; (2) examine disparities in charging and sentencing perpetrators of child sexual abuse; (3) examine, and implement, legislative actions necessary to equalize charging and sentencing without regard to familial relationship of perpetrator to child victim; (4) compile, analyze, and report relevant data; and (5) promote regulations requiring its courts and agencies to compile such data.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Sustainable Revenue for Oregon 
Counties Act of 2009''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) more than half of the land in the State of Oregon is 
        owned by the Federal Government;
            (2) in many counties of the State, significant portions of 
        the land of the counties (often significantly more than half of 
        the land of the counties) is owned by the Federal Government;
            (3) the land described in paragraph (2) includes Forest 
        Service land and Oregon and California grant land;
            (4) the counties described in paragraph (2) are unable to 
        derive revenue from property taxes on land owned by the Federal 
        Government;
            (5) historically, payments made by the Federal Government 
        based on revenues from harvesting timber (including Oregon and 
        California grant land and Forest Service payments) have 
        provided a revenue substitute for property taxes;
            (6) the Secure Rural Schools and Community Self-
        Determination Act of 2000 (16 U.S.C. 500 note; Public Law 106-
        393) augmented the payments described in paragraph (5) because 
        of a significant decline in timber harvest revenues;
            (7) Congress extended the payments described in paragraph 
        (6) for 1 year in 2007, and for 4 years effective beginning in 
        2008, to provide time to develop a long-term sustainable 
        alternative to the payments described in paragraph (6);
            (8) the prospects for a long-term extension are uncertain 
        because of concerns regarding Federal budget deficits and long-
        term financial assistance to local governments of the State;
            (9) counties of the State that have historically received 
        the payments described in paragraph (5) are in need of a 
        sustainable, long-term revenue source;
            (10) there are opportunities for the conduct of activities 
        in the Federal forest land of the counties of the State that 
        could be structured to be economically and environmentally 
        sustainable, including--
                    (A) the harvesting of timber (including thinning to 
                restore forest health) in a sustainable manner and in 
                sustainable quantities;
                    (B) the removal of biomass material from the forest 
                land for--
                            (i) the generation of electricity; and
                            (ii) the production of cellulosic biofuels;
                    (C) the conduct of activities that could--
                            (i) increase the sequestration by the 
                        forest land of atmospheric carbon; or
                            (ii) provide other ecosystem services for 
                        communities, such as clean water; and
                    (D) the conduct of recreational activities;
            (11) other sources of revenue, including State and local 
        revenue sources, should also be considered in selecting a 
        sustainable, long-term revenue source; and
            (12) payments made by the Federal Government could be 
        continued under a variety of different payment methodologies.

SEC. 3. DEFINITIONS.

    In this Act:
            (1) Secretaries concerned.--The term ``Secretaries 
        concerned'' means--
                    (A) the Secretary of Agriculture; and
                    (B) the Secretary of the Interior.
            (2) State.--The term ``State'' means the State of Oregon.
            (3) Task force.--The term ``Task Force'' means the Oregon 
        Task Force on Sustainable Revenue for Counties established by 
        section 4(a).

SEC. 4. TASK FORCE.

    (a) Establishment.--There is established a task force to be known 
as the ``Oregon Task Force on Sustainable Revenue for Counties''.
    (b) Membership.--
            (1) Composition.--The Task Force shall be composed of 15 
        members, of whom--
                    (A) 4 members shall be appointed by the Secretaries 
                concerned, of whom--
                            (i) each shall represent a county of the 
                        State; and
                            (ii) 2 shall represent counties in which 
                        there is located Oregon and California grant 
                        land;
                    (B) 1 member shall be appointed by the Governor of 
                the State as the representative of the Governor of the 
                State;
                    (C) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in 
                economics (including natural resource economics);
                    (D) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in 
                sustainable forestry practices;
                    (E) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in 
                scientific and economic aspects of biomass energy;
                    (F) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in the 
                scientific aspects of ecosystem services that are 
                provided by temperate forests (including, at a minimum, 
                the scientific aspects of carbon sequestration);
                    (G) 1 member shall be appointed by the Secretaries 
                concerned from among persons who are experts in fields 
                relating to wildlife habitat, endangered species, and 
                biodiversity;
                    (H) 1 member shall be appointed by the Secretaries 
                concerned as a representative of the forest products 
                industry located in the State;
                    (I) 1 member shall be appointed by the Secretaries 
                concerned as a representative of regionally or locally 
                recognized conservation organizations located in the 
                State;
                    (J) 1 member shall be appointed by the Secretaries 
                concerned as a representative of--
                            (i) organized labor; or
                            (ii) nontimber forest product harvester 
                        groups;
                    (K) 1 member shall be appointed by the Secretaries 
                concerned as a representative of persons who 
                participate in or provide recreational activities or 
                are engaged in related activities; and
                    (L) 1 member shall be appointed by the Secretaries 
                concerned as a representative of Indian tribes that are 
                located in the State.
            (2) Date of appointments.--The appointment of a member of 
        the Task Force shall be made not later than 60 days after the 
        date of enactment of this Act.
    (c) Term; Vacancies.--
            (1) Term.--A member shall be appointed for the life of the 
        Task Force.
            (2) Vacancies.--A vacancy on the Task Force--
                    (A) shall not affect the powers of the Task Force; 
                and
                    (B) shall be filled in the same manner as the 
                original appointment was made.
    (d) Initial Meeting.--Not later than 30 days after the date on 
which all members of the Task Force have been appointed, the Task Force 
shall hold the initial meeting of the Task Force.
    (e) Meetings.--
            (1) In general.--The Task Force shall meet at the call of 
        the Chairperson.
            (2) Public access.--Each meeting of the Task Force shall be 
        open to the public.
    (f) Quorum.--A majority of the members of the Task Force shall 
constitute a quorum, but a lesser number of members may hold hearings.
    (g) Chairperson and Vice Chairperson.--The Task Force shall select 
a Chairperson and Vice Chairperson from among the members of the Task 
Force.

SEC. 5. DUTIES.

    (a) Consideration and Review of Revenue Sources.--
            (1) In general.--The Task Force shall consider and review 
        concepts for the establishment of a long-term revenue source 
        for counties located in the State that have historically 
        received Federal funds.
            (2) Revenue sources.--In conducting the consideration and 
        review under paragraph (1), in accordance with paragraph (3), 
        the Task Force shall consider--
                    (A) revenue sources proposed by relevant 
                legislation or administrative actions;
                    (B) payments based on timber harvests (including 
                thinning to restore forest health) carried out at 
                sustainable levels;
                    (C) payments based on revenues that each county of 
                the State could have received through property taxation 
                if the land owned by the Federal Government located in 
                the county was privately held and subject to a property 
                tax;
                    (D) revenue based on--
                            (i) a portion of the proceeds from sales of 
                        material collected from public land located in 
                        the State for the production of biomass 
                        electricity or cellulosic liquid transportation 
                        fuels;
                            (ii) user fees for recreational activities 
                        carried out on public land located in the 
                        State;
                            (iii) payments for increases in carbon 
                        sequestration; and
                            (iv) land exchanges or transfers that could 
                        provide compensation for nontaxable Federal 
                        land located in counties of the State;
                    (E) local sources of revenue that could be used to 
                reduce or eliminate the reliance of counties of the 
                State on Federal funds (including taxes, user fees, or 
                economic development activities that could increase the 
                revenue base of the counties of the State);
                    (F) payments made by the Federal Government to the 
                counties of the State, including--
                            (i) guaranteed payments that are to be 
                        established at a reduced level and not based on 
                        timber harvest revenues; and
                            (ii) guaranteed payments that are to be 
                        established--
                                    (I) at a level similar to the level 
                                of payments reauthorized in 2008;
                                    (II) in part by timber harvest 
                                revenues; and
                                    (III) with the use of additional 
                                Federal funds to the extent that timber 
                                harvest revenues described in subclause 
                                (II) do not meet the guaranteed level 
                                of payment; and
                    (G) any other revenue source that the Task Force 
                determines to be appropriate for consideration and 
                review.
            (3) Factors.--In considering each revenue source under 
        paragraph (2), the Task Force shall take into account--
                    (A) the long-term sustainability of each revenue 
                source considered under paragraph (2);
                    (B) the relative value, long-term sustainability, 
                and any other implication of the relative reliance of 
                the counties of the State on revenues arising from 
                Federal forests located in the counties, as compared to 
                other local revenue sources;
                    (C) the potential long-term effects of each revenue 
                source considered under paragraph (2) on the economies 
                of the counties of the State;
                    (D) revenue sources that are used by other cities 
                or counties of the State;
                    (E) the environmental effects of each revenue 
                source considered under paragraph (2);
                    (F) the effect of each revenue source considered 
                under paragraph (2) on local revenue streams and county 
                services; and
                    (G) comments submitted to the Task Force by a 
                stakeholder relating to any issue or proposal 
                considered by the Task Force.
    (b) Hearings.--
            (1) In general.--The Task Force shall hold such hearings, 
        meet and act at such times and places, take such testimony, and 
        receive such evidence as the Task Force considers advisable to 
        receive the input and determine the opinions of the public and 
        stakeholders with respect to the establishment of a 
        sustainable, long-term revenue source for the counties of the 
        State.
            (2) Incorporation of public and stakeholder input.--In 
        preparing the report required under subsection (c), the Task 
        Force shall incorporate into the recommendations of the Task 
        Force required under subsection (c)(2), to the maximum extent 
        practicable, the public and stakeholder input received under 
        paragraph (1).
    (c) Report.--Not later than 9 months after the date of enactment of 
this Act, the Task Force shall submit to the Committee on Natural 
Resources of the House of Representatives and the Committee on Energy 
and Natural Resources of the Senate a report that contains--
            (1) a detailed statement of the findings and conclusions of 
        the Task Force;
            (2) a description of not less than 2 policy scenarios for 
        providing sustainable revenue to the counties of the State that 
        are recommended by not less than \3/5\ of the members of the 
        Task force for consideration by the Federal Government, the 
        State, and the counties of the State as the Task Force 
        considers appropriate (including such legislation and 
        administrative actions necessary to implement each policy 
        scenario);
            (3) a description of the opinion of each member of the Task 
        Force regarding each policy scenario described in paragraph 
        (2);
            (4) a description of the minority views of each member of 
        the Task Force who does not support any policy scenario 
        described in paragraph (2);
            (5) a description of each revenue source considered but not 
        recommended by the Task Force under paragraph (2), including--
                    (A) an explanation of each reason why the Task 
                Force did not recommend the policy scenario; and
                    (B) a description of the minority views of each 
                member of the Task Force relating to the decision by 
                the Task Force not to recommend the policy scenario; 
                and
            (6) a summary of comments received by the Task Force under 
        subsections (a)(3)(G) and (b)(1).
    (d) Required Hearings.--Not later than 60 days after the date on 
which each committee described in subsection (c) receives the report 
required under that subsection, each committee shall hold a hearing to 
evaluate the recommendations contained in the report.

SEC. 6. POWERS.

    (a) Information From Federal Agencies.--
            (1) In general.--The Task Force may secure directly from a 
        Federal agency such information as the Task Force considers 
        necessary to carry out this Act.
            (2) Provision of information.--On request of the 
        Chairperson of the Task Force, the head of the agency shall 
        provide the information to the Task Force.
    (b) Postal Services.--The Task Force may use the United States 
mails in the same manner and under the same conditions as other 
agencies of the Federal Government.
    (c) Gifts.--The Task Force may accept, use, and dispose of gifts or 
donations of services or property.

SEC. 7. TASK FORCE PERSONNEL MATTERS.

    (a) Compensation of Members.--Each member of the Task Force shall 
serve without compensation.
    (b) Travel Expenses.--A member of the Task Force shall be allowed 
travel expenses, including per diem in lieu of subsistence, at rates 
authorized for an employee of an agency under subchapter I of chapter 
57 of title 5, United States Code, while away from the home or regular 
place of business of the member in the performance of the duties of the 
Task Force.
    (c) Detail of Federal Government Employees.--
            (1) In general.--An employee of the Federal Government may 
        be detailed to the Task Force without reimbursement.
            (2) Civil service status.--The detail of the employee shall 
        be without interruption or loss of civil service status or 
        privilege.
    (d) Procurement of Temporary and Intermittent Services.--The 
Chairperson of the Task Force may procure temporary and intermittent 
services in accordance with section 3109(b) of title 5, United States 
Code, at rates for individuals that do not exceed the daily equivalent 
of the annual rate of basic pay prescribed for level V of the Executive 
Schedule under section 5316 of that title.

SEC. 8. AUTHORIZATION OF APPROPRIATIONS.

    There are authorized to be appropriated such sums as are necessary 
to carry out this Act, to remain available until expended.

SEC. 9. TERMINATION OF TASK FORCE.

    The Task Force shall terminate 120 days after the date on which the 
Task Force submits the report of the Task Force under section 5(c).

A: Sustainable Revenue for Oregon Counties Act of 2009 - Establishes the Oregon Task Force on Sustainable Revenue for Counties to consider and review concepts for the establishment of a long-term revenue source for counties in Oregon that have historically received federal funds.

Directs the Task Force, in conducting the consideration and review, to consider: (1) revenue sources proposed by relevant legislation or administrative actions; (2) payments based on timber harvests, including thinning to restore forest health, carried out at sustainable levels; (3) payments based on the revenues each county could have received through property taxation if the land owned by the federal government was privately held and subject to a property tax; (4) revenue based on a portion of the proceeds from sales of material collected from public land in Oregon for the production of biomass electricity or cellulosic liquid transportation fuels, user fees for recreational activities on such land, payments for increases in carbon sequestration, and land exchanges or transfers that could provide compensation for nontaxable federal land in the counties; (5) local revenue sources that could be used to reduce or eliminate reliance of the counties on federal funds; (6) federal payments made by the government to the counties, including specified guaranteed payments; and (7) any other revenue source appropriate for review.

Requires the Task Force to hold hearings on the establishment of a sustainable, long-term revenue source for the counties.
****
Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Clinical Research Enhancement Act of 
1999''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress makes the following findings:
            (1) Clinical research is critical to the advancement of 
        scientific knowledge and to the development of cures and 
        improved treatment for disease.
            (2) Tremendous advances in biology are opening doors to new 
        insights into human physiology, pathophysiology and disease, 
        creating extraordinary opportunities for clinical research.
            (3) Clinical research includes translational research which 
        is an integral part of the research process leading to general 
        human applications. It is the bridge between the laboratory and 
        new methods of diagnosis, treatment, and prevention and is thus 
        essential to progress against cancer and other diseases.
            (4) The United States will spend more than 
        $1,200,000,000,000 on health care in 1999, but the Federal 
        budget for health research at the National Institutes of Health 
        was $15,600,000,000 only 1 percent of that total.
            (5) Studies at the Institute of Medicine, the National 
        Research Council, and the National Academy of Sciences have all 
        addressed the current problems in clinical research.
            (6) The Director of the National Institutes of Health has 
        recognized the current problems in clinical research and 
        appointed a special panel, which recommended expanded support 
        for existing National Institutes of Health clinical research 
        programs and the creation of new initiatives to recruit and 
        retain clinical investigators.
            (7) The current level of training and support for health 
        professionals in clinical research is fragmented, undervalued, 
        and underfunded.
            (8) Young investigators are not only apprentices for future 
        positions but a crucial source of energy, enthusiasm, and ideas 
        in the day-to-day research that constitutes the scientific 
        enterprise. Serious questions about the future of life-science 
        research are raised by the following:
                    (A) The number of young investigators applying for 
                grants dropped by 54 percent between 1985 and 1993.
                    (B) The number of physicians applying for first-
                time National Institutes of Health research project 
                grants fell from 1226 in 1994 to 963 in 1998, a 21 
                percent reduction.
                    (C) Newly independent life-scientists are expected 
                to raise funds to support their new research programs 
                and a substantial proportion of their own salaries.
            (9) The following have been cited as reasons for the 
        decline in the number of active clinical researchers, and those 
        choosing this career path:
                    (A) A medical school graduate incurs an average 
                debt of $85,619, as reported in the Medical School 
                Graduation Questionnaire by the Association of American 
                Medical Colleges (AAMC).
                    (B) The prolonged period of clinical training 
                required increases the accumulated debt burden.
                    (C) The decreasing number of mentors and role 
                models.
                    (D) The perceived instability of funding from the 
                National Institutes of Health and other Federal 
                agencies.
                    (E) The almost complete absence of clinical 
                research training in the curriculum of training grant 
                awardees.
                    (F) Academic Medical Centers are experiencing 
                difficulties in maintaining a proper environment for 
                research in a highly competitive health care 
                marketplace, which are compounded by the decreased 
                willingness of third party payers to cover health care 
                costs for patients engaged in research studies and 
                research procedures.
            (10) In 1960, general clinical research centers were 
        established under the Office of the Director of the National 
        Institutes of Health with an initial appropriation of 
        $3,000,000.
            (11) Appropriations for general clinical research centers 
        in fiscal year 1999 equaled $200,500,000.
            (12) Since the late 1960s, spending for general clinical 
        research centers has declined from approximately 3 percent to 1 
        percent of the National Institutes of Health budget.
            (13) In fiscal year 1999, there were 77 general clinical 
        research centers in operation, supplying patients in the areas 
        in which such centers operate with access to the most modern 
        clinical research and clinical research facilities and 
        technologies.
    (b) Purpose.--It is the purpose of this Act to provide additional 
support for and to expand clinical research programs.

SEC. 3. INCREASING THE INVOLVEMENT OF THE NATIONAL INSTITUTES OF HEALTH 
              IN CLINICAL RESEARCH.

    Part B of title IV of the Public Health Service Act (42 U.S.C. 284 
et seq.) is amended by adding at the end the following:

``SEC. 409C. CLINICAL RESEARCH.

    ``(a) In General.--The Director of National Institutes of Health 
shall undertake activities to support and expand the involvement of the 
National Institutes of Health in clinical research.
    ``(b) Requirements.--In carrying out subsection (a), the Director 
of National Institutes of Health shall--
            ``(1) consider the recommendations of the Division of 
        Research Grants Clinical Research Study Group and other 
        recommendations for enhancing clinical research; and
            ``(2) establish intramural and extramural clinical research 
        fellowship programs directed specifically at medical and dental 
        students and a continuing education clinical research training 
        program at the National Institutes of Health.
    ``(c) Support for the Diverse Needs of Clinical Research.--The 
Director of National Institutes of Health, in cooperation with the 
Directors of the Institutes, Centers, and Divisions of the National 
Institutes of Health, shall support and expand the resources available 
for the diverse needs of the clinical research community, including 
inpatient, outpatient, and critical care clinical research.
    ``(d) Peer Review.--The Director of National Institutes of Health 
shall establish peer review mechanisms to evaluate applications for the 
awards and fellowships provided for in subsection (b)(2) and section 
409D. Such review mechanisms shall include individuals who are 
exceptionally qualified to appraise the merits of potential clinical 
research training and research grant proposals.''.

SEC. 4. GENERAL CLINICAL RESEARCH CENTERS.

    (a) Grants.--Subpart 1 of part B of title IV of the Public Health 
Service Act (42 U.S.C. 287 et seq.) is amended by adding at the end the 
following:

``SEC. 481C. GENERAL CLINICAL RESEARCH CENTERS.

    ``(a) Grants.--The Director of the National Center for Research 
Resources shall award grants for the establishment of general clinical 
research centers to provide the infrastructure for clinical research 
including clinical research training and career enhancement. Such 
centers shall support clinical studies and career development in all 
settings of the hospital or academic medical center involved.
    ``(b) Activities.--In carrying out subsection (a), the Director of 
National Institutes of Health shall expand the activities of the 
general clinical research centers through the increased use of 
telecommunications and telemedicine initiatives.
    ``(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 fiscal year.''.
    (b) Enhancement Awards.--Part B of title IV of the Public Health 
Service Act (42 U.S.C. 284 et seq.), as amended by section 3, is 
further amended by adding at the end the following:

``SEC. 409D. ENHANCEMENT AWARDS.

    ``(a) Mentored Patient-Oriented Research Career Development 
Awards.--
            ``(1) Grants.--
                    ``(A) In general.--The Director of the National 
                Institutes of Health shall make grants (to be referred 
                to as `Mentored Patient-Oriented Research Career 
                Development Awards') to support individual careers in 
                clinical research at general clinical research centers 
                or at other institutions that have the infrastructure 
                and resources deemed appropriate for conducting 
                patient-oriented clinical research.
                    ``(B) Use.--Grants under subparagraph (A) shall be 
                used to support clinical investigators in the early 
                phases of their independent careers by providing salary 
                and such other support for a period of supervised 
                study.
            ``(2) Applications.--An application for a grant under this 
        subsection shall be submitted by an individual scientist at 
        such time as the Director may require.
            ``(3) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated such sums as may be necessary for each fiscal 
        year.
    ``(b) Mid-Career Investigator Awards in Patient-Oriented 
Research.--
            ``(1) Grants.--
                    ``(A) In general.--The Director of the National 
                Institutes of Health shall make grants (to be referred 
                to as `Mid-Career Investigator Awards in Patient-
                Oriented Research') to support individual clinical 
                research projects at general clinical research centers 
                or at other institutions that have the infrastructure 
                and resources deemed appropriate for conducting 
                patient-oriented clinical research.
                    ``(B) Use.--Grants under subparagraph (A) shall be 
                used to provide support for mid-career level clinicians 
                to allow such clinicians to devote time to clinical 
                research and to act as mentors for beginning clinical 
                investigators.
            ``(2) Applications.--An application for a grant under this 
        subsection shall be submitted by an individual scientist at 
        such time as the Director requires.
            ``(3) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated such sums as may be necessary for each fiscal 
        year.
    ``(c) Graduate Training in Clinical Investigation Award.--
            ``(1) In general.--The Director of the National Institutes 
        of Health shall make grants (to be referred to as `Graduate 
        Training in Clinical Investigation Awards') to support 
        individuals pursuing master's or doctoral degrees in clinical 
        investigation.
            ``(2) Applications.--An application for a grant under this 
        subsection shall be submitted by an individual scientist at 
        such time as the Director may require.
            ``(3) Limitations.--Grants under this subsection shall be 
        for terms of 2 years or more and shall provide stipend, 
        tuition, and institutional support for individual advanced 
        degree programs in clinical investigation.
            ``(4) Definition.--As used in this subsection, the term 
        `advanced degree programs in clinical investigation' means 
        programs that award a master's or Ph.D. degree in clinical 
        investigation after 2 or more years of training in areas such 
        as the following:
                    ``(A) Analytical methods, biostatistics, and study 
                design.
                    ``(B) Principles of clinical pharmacology and 
                pharmacokinetics.
                    ``(C) Clinical epidemiology.
                    ``(D) Computer data management and medical 
                informatics.
                    ``(E) Ethical and regulatory issues.
                    ``(F) Biomedical writing.
            ``(5) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated such sums as may be necessary for each fiscal 
        year.
    ``(d) Clinical Research Curriculum Awards.--
            ``(1) In general.--The Director of the National Institutes 
        of Health shall make grants (to be referred to as `Clinical 
        Research Curriculum Awards') to institutions for the 
        development and support of programs of core curricula for 
        training clinical investigators, including medical students. 
        Such core curricula may include training in areas such as the 
        following:
                    ``(A) Analytical methods, biostatistics, and study 
                design.
                    ``(B) Principles of clinical pharmacology and 
                pharmacokinetics.
                    ``(C) Clinical epidemiology.
                    ``(D) Computer data management and medical 
                informatics.
                    ``(E) Ethical and regulatory issues.
                    ``(F) Biomedical writing.
            ``(2) Applications.--An application for a grant under this 
        subsection shall be submitted by an individual institution or a 
        consortium of institutions at such time as the Director may 
        require. An institution may submit only 1 such application.
            ``(3) Limitations.--Grants under this subsection shall be 
        for terms of up to 5 years and may be renewable.
            ``(4) Authorization of appropriations.--For the purpose of 
        carrying out this subsection, there are authorized to be 
        appropriated such sums as may be necessary for each fiscal 
        year.''.

SEC. 5. LOAN REPAYMENT PROGRAM REGARDING CLINICAL RESEARCHERS.

    Part G of title IV of the Public Health Service Act is amended by 
inserting after section 487E (42 U.S.C. 288-5) the following:

``SEC. 487F. LOAN REPAYMENT PROGRAM REGARDING CLINICAL RESEARCHERS.

    ``(a) In General.--The Secretary, acting through the Director of 
the National Institutes of Health, shall establish a program to enter 
into contracts with qualified health professionals under which such 
health professionals agree to conduct clinical research, in 
consideration of the Federal Government agreeing to repay, for each 
year of service conducting such research, not more than $35,000 of the 
principal and interest of the educational loans of such health 
professionals.
    ``(b) Application of Provisions.--The provisions of sections 338B, 
338C, and 338E shall, except as inconsistent with subsection (a) of 
this section, apply to the program established under subsection (a) to 
the same extent and in the same manner as such provisions apply to the 
National Health Service Corps Loan Repayment Program established in 
subpart III of part D of title III.
    ``(c) Funding.--
            ``(1) 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 fiscal 
        year.
            ``(2) Availability.--Amounts appropriated for carrying out 
        this section shall remain available until the expiration of the 
        second fiscal year beginning after the fiscal year for which 
        the amounts were made available.''.

SEC. 6. DEFINITION.

    Section 409 of the Public Health Service Act (42 U.S.C. 284d) is 
amended--
            (1) by striking ``For purposes'' and inserting ``(a) Health 
        Service Research.--For purposes''; and
            (2) by adding at the end the following:
    ``(b) Clinical Research.--As used in this title, the term `clinical 
research' means patient oriented clinical research conducted with human 
subjects, or research on the causes and consequences of disease in 
human populations involving material of human origin (such as tissue 
specimens and cognitive phenomena) for which an investigator or 
colleague directly interacts with human subjects in an outpatient or 
inpatient setting to clarify a problem in human physiology, 
pathophysiology or disease, or epidemiologic or behavioral studies, 
outcomes research or health services research, or developing new 
technologies, therapeutic interventions, or clinical trials.''.

SEC. 7. OVERSIGHT BY GENERAL ACCOUNTING OFFICE.

    Not later than 18 months after the date of enactment of this Act, 
the Comptroller General of the United States shall submit to the 
Congress a reporting describing the extent to which the National 
Institutes of Health has complied with the amendments made by this Act.

            Passed the Senate November 19, 1999.

            Attest:

                                                    GARY SISCO,

                                                             Secretary.

A:
(Sec. 4) Mandates grants to: (1) establish general clinical research centers to provide the infrastructure for clinical research, including clinical research training and career enhancement; (2) support individual careers in clinical research at general clinical research centers or at other institutions (to be known as Mentored Patient-Oriented Research Career Development Awards); (3) support individual clinical research projects at general clinical research centers or at other institutions (to be known as Mid-Career Investigator Awards in Patient-Oriented Research); (4) support individuals pursuing master's or doctoral degrees in clinical investigation (to be known as Graduate Training in Clinical Investigation Awards); and (5) develop and support programs for training clinical investigators in biostatistics, pharmacology, and other core curricula (to be known as Clinical Research Curriculum Awards). Authorizes appropriations.
(Sec. 5) Directs the Secretary of Health and Human Services to establish a loan repayment program for qualified health professionals who have contracted with the Federal Government to conduct clinical research in return for the Government's repayment of a specified amount of their educational loans for each year of service. Authorizes appropriations to carry out the loan repayment provisions.
(Sec. 7) Directs the Comptroller General to report to Congress on the extent to which the NIH has complied with requirements of this Act.
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