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 ``Women's Health Research and 
Prevention Amendments of 1998''.

  TITLE I--PROVISIONS RELATING TO WOMEN'S HEALTH RESEARCH AT NATIONAL 
                          INSTITUTES OF HEALTH

    SEC. 101. RESEARCH ON DRUG DES; NATIONAL PROGRAM OF EDUCATION.
    (a) Research.--Section 403A(e) of the Public Health Service Act (42 
U.S.C. 283a(e)) is amended by striking ``1996'' and inserting ``2003''.
    (b) National Program for Education of Health Professionals and 
Public.--Title XVII of the Public Health Service Act (42 U.S.C. 300u et 
seq.) is amended by adding at the end the following:


                        ``education regarding des

    ``Sec. 1710. (a) In General.--The Secretary, acting through the 
heads of the appropriate agencies of the Public Health Service, shall 
carry out a national program for the education of health professionals 
and the public with respect to the drug diethylstilbestrol (commonly 
known as DES). To the extent appropriate, such national program shall 
use methodologies developed through the education demonstration program 
carried out under section 403A. In developing and carrying out the 
national program, the Secretary shall consult closely with 
representatives of nonprofit private entities that represent 
individuals who have been exposed to DES and that have expertise in 
community-based information campaigns for the public and for health 
care providers. The implementation of the national program shall begin 
during fiscal year 1999.
    ``(b) 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 1999 through 2003. The 
authorization of appropriations established in the preceding sentence 
is in addition to any other authorization of appropriation that is 
available for such purpose.''.
    SEC. 102. RESEARCH ON OSTEOPOROSIS, PAGET'S DISEASE, AND RELATED 
      BONE DISORDERS.
    Section 409A(d) of the Public Health Service Act (42 U.S.C. 
284e(d)) is amended by striking ``and 1996'' and inserting ``through 
2003''.

SEC. 103. RESEARCH ON CANCER.

    (a) Research on Breast Cancer.--Section 417B(b)(1) of the Public 
Health Service Act (42 U.S.C. 286a-8(b)(1)) is amended--
        (1) in subparagraph (A), by striking ``and 1996'' and inserting 
    ``through 2003''; and
        (2) in subparagraph (B), by striking ``and 1996'' and inserting 
    ``through 2003''.
    (b) Research on Ovarian and Related Cancer Research.--Section 
417B(b)(2) of the Public Health Service Act (42 U.S.C. 286a-8(b)(2)) is 
amended by striking ``and 1996'' and inserting ``through 2003''.
    SEC. 104. RESEARCH ON HEART ATTACK, STROKE, AND OTHER 
      CARDIOVASCULAR DISEASES IN WOMEN.
    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 424 the 
following:


    ``heart attack, stroke, and other cardiovascular diseases in women

    ``Sec. 424A. (a) In General.--The Director of the Institute shall 
expand, intensify, and coordinate research and related activities of 
the Institute with respect to heart attack, stroke, and other 
cardiovascular diseases in women.
    ``(b) Coordination With Other Institutes.--The Director of the 
Institute shall coordinate activities under subsection (a) with similar 
activities conducted by the other national research institutes and 
agencies of the National Institutes of Health to the extent that such 
Institutes and agencies have responsibilities that are related to heart 
attack, stroke, and other cardiovascular diseases in women.
    ``(c) Certain Programs.--In carrying out subsection (a), the 
Director of the Institute shall conduct or support research to expand 
the understanding of the causes of, and to develop methods for 
preventing, cardiovascular diseases in women. Activities under such 
subsection shall include conducting and supporting the following:
        ``(1) Research to determine the reasons underlying the 
    prevalence of heart attack, stroke, and other cardiovascular 
    diseases in women, including African-American women and other women 
    who are members of racial or ethnic minority groups.
        ``(2) Basic research concerning the etiology and causes of 
    cardiovascular diseases in women.
        ``(3) Epidemiological studies to address the frequency and 
    natural history of such diseases and the differences among men and 
    women, and among racial and ethnic groups, with respect to such 
    diseases.
        ``(4) The development of safe, efficient, and cost-effective 
    diagnostic approaches to evaluating women with suspected ischemic 
    heart disease.
        ``(5) Clinical research for the development and evaluation of 
    new treatments for women, including rehabilitation.
        ``(6) Studies to gain a better understanding of methods of 
    preventing cardiovascular diseases in women, including applications 
    of effective methods for the control of blood pressure, lipids, and 
    obesity.
        ``(7) Information and education programs for patients and 
    health care providers on risk factors associated with heart attack, 
    stroke, and other cardiovascular diseases in women, and on the 
    importance of the prevention or control of such risk factors and 
    timely referral with appropriate diagnosis and treatment. Such 
    programs shall include information and education on health-related 
    behaviors that can improve such important risk factors as smoking, 
    obesity, high blood cholesterol, and lack of exercise.
    ``(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 1999 through 2003. The 
authorization of appropriations established in the preceding sentence 
is in addition to any other authorization of appropriation that is 
available for such purpose.''.

SEC. 105. AGING PROCESSES REGARDING WOMEN.

    Section 445H of the Public Health Service Act (42 U.S.C. 285e-10) 
is amended--
        (1) by striking ``The Director'' and inserting ``(a) The 
    Director''; and
        (2) by adding at the end the following subsection:
    ``(b) 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 1999 through 2003. The authorization of appropriations 
established in the preceding sentence is in addition to any other 
authorization of appropriation that is available for such purpose.''.

SEC. 106. OFFICE OF RESEARCH ON WOMEN'S HEALTH.

    Section 486(d)(2) of the Public Health Service Act (42 U.S.C. 
287d(d)(2)) is amended by striking ``Director of the Office'' and 
inserting ``Director of NIH''.

TITLE II--PROVISIONS RELATING TO WOMEN'S HEALTH AT CENTERS FOR DISEASE 
                         CONTROL AND PREVENTION

SEC. 201. NATIONAL CENTER FOR HEALTH STATISTICS.

    Section 306(n) of the Public Health Service Act (42 U.S.C. 242k(n)) 
is amended--
        (1) in paragraph (1), by striking ``through 1998'' and 
    inserting ``through 2003''; and
        (2) in paragraph (2), by striking ``through 1998'' and 
    inserting ``through 2003''.

SEC. 202. NATIONAL PROGRAM OF CANCER REGISTRIES.

    Section 399L(a) of the Public Health Service Act (42 U.S.C. 280e-
4(a)) is amended by striking ``through 1998'' and inserting ``through 
2003''.
    SEC. 203. NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION 
      PROGRAM.
    (a) Services.--Section 1501(a)(2) of the Public Health Service Act 
(42 U.S.C. 300k(a)(2)) is amended by inserting before the semicolon the 
following: ``and support services such as case management''.
    (b) Providers of Services.--Section 1501(b) of the Public Health 
Service Act (42 U.S.C. 300k(b)) is amended--
        (1) in paragraph (1), by striking ``through grants'' and all 
    that follows and inserting the following: ``through grants to 
    public and nonprofit private entities and through contracts with 
    public and private entities.''; and
        (2) by striking paragraph (2) and inserting the following:
        ``(2) Certain applications.--If a nonprofit private entity and 
    a private entity that is not a nonprofit entity both submit 
    applications to a State to receive an award of a grant or contract 
    pursuant to paragraph (1), the State may give priority to the 
    application submitted by the nonprofit private entity in any case 
    in which the State determines that the quality of such application 
    is equivalent to the quality of the application submitted by the 
    other private entity.''.
    (c) Authorizations of Appropriations.--
        (1) Supplemental grants for additional preventive health 
    services.--Section 1509(d)(1) of the Public Health Service Act (42 
    U.S.C. 300n-4a(d)(1)) is amended by striking ``through 1998'' and 
    inserting ``through 2003''.
        (2) General program.--Section 1510(a) of the Public Health 
    Service Act (42 U.S.C. 300n-5(a)) is amended by striking ``through 
    1998'' and inserting ``through 2003''.
    SEC. 204. CENTERS FOR RESEARCH AND DEMONSTRATION OF HEALTH 
      PROMOTION.
    Section 1706(e) of the Public Health Service Act (42 U.S.C. 300u-
5(e)) is amended by striking ``through 1998'' and inserting ``through 
2003''.

                               Speaker of the House of Representatives.

                            Vice President of the United States and    
                                               President of the Senate.

A: TABLE OF CONTENTS: 
     Title I:  Provisions Relating to Women's Health Research at 
          National Institutes of Health 
     Title II:  Provisions Relating to Women's Health at Centers 
          for Disease Control and Prevention 
Women's Health Research and Prevention Amendments of 1998 - 
Title I:  Provisions Relating to Women's Health Research at National Institutes of Health
 - Amends the Public Health Service Act to extend the authorization of appropriations for programs regarding diethylstilbestrol (DES). 
Mandates a program of education of health professionals and the public concerning DES.  Authorizes appropriations. 
(Sec. 102) Extends the authorizations of appropriations for:  (1) research on osteoporosis, Paget's disease, and related bone disorders; (2) breast cancer programs; and (3) programs on ovarian and other cancers of the reproductive system of women. 
(Sec. 104) Mandates expansion, intensification, and coordination of research and related activities of the National Heart, Lung, and Blood Institute regarding heart attack, stroke, and other cardiovascular diseases in women.  Authorizes appropriations. 
(Sec. 105) Extends the authorization of appropriations for research on the aging processes of women. 
(Sec. 106) Requires that the Director of the National Institutes of Health (currently, the Director of the Office of Research on Women's Health) appoint members of the Advisory Committee on Women's Health. 
Title II:  Provisions Relating to Women's Health at Centers for Disease Control and Prevention
 - Extends the authorization of appropriations for the National Center for Health Statistics and the National Program of Cancer Registries. 
(Sec. 203) Authorizes grants to States to ensure the provision to women screened for breast or cervical cancer of support services such as case management.  Allows certain breast and cervical cancer programs to be carried out through grants to public and nonprofit private entities and contracts with public or private entities (currently, through grants and contracts with public or nonprofit private entities).  Allows a State to give priority to a nonprofit entity over an entity that is not a nonprofit if the quality of the entities' applications are equivalent.  Extends authorizations of appropriations for:  (1) annual evaluations of programs relating to preventive health measures regarding breast and cervical cancers; and (2) various breast and cervical cancer preventive health measures. 
(Sec. 204) Extends the authorization of appropriations for centers for research and demonstration regarding health promotion and disease prevention.
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Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Clean Water Compliance and 
Affordability Act''.

SEC. 2. INTEGRATED MUNICIPAL STORMWATER AND WASTEWATER APPROACH 
              FRAMEWORK.

    (a) In General.--In the first 5 fiscal years beginning after the 
date of enactment of this Act, the Administrator of the Environmental 
Protection Agency (referred to in this section as the 
``Administrator''), in coordination with appropriate State, local, and 
regional authorities, shall carry out a pilot program under which the 
Administrator shall work cooperatively with and facilitate the efforts 
of eligible municipalities to develop and implement integrated plans to 
meet wastewater and stormwater obligations of the eligible 
municipalities under the Federal Water Pollution Control Act (33 U.S.C. 
1251 et seq.) in a more cost-effective and flexible manner.
    (b) Framework.--The Administrator shall carry out the pilot program 
in a manner that is consistent with the Integrated Municipal Stormwater 
and Wastewater Approach Framework issued by the Environmental 
Protection Agency and dated May 2012.
    (c) Selection of Eligible Municipalities.--
            (1) In general.--The Administrator, in consultation with 
        States that have approved National Pollutant Discharge 
        Elimination System programs, shall select not less than 15 
        eligible municipalities to participate in the pilot program.
            (2) Eligible municipality.--An eligible municipality is a 
        county, city, town, township, or subdivision of a State or 
        local government that--
                    (A) qualifies as a National Pollutant Discharge 
                Elimination System permit holder or designee; or
                    (B) is a party to an administrative order, 
                administrative consent agreement, or judicial consent 
                decree to comply with the requirements of the Federal 
                Water Pollution Control Act (33 U.S.C. 1251 et seq.).
            (3) Selection factors.--
                    (A) In general.--In selecting the eligible 
                municipalities to participate in the pilot program, the 
                Administrator shall give priority to--
                            (i) eligible municipalities that are 
                        operating under an administrative order, 
                        administrative consent agreement, or judicial 
                        consent decree to comply with the requirements 
                        of the Federal Water Pollution Control Act (33 
                        U.S.C. 1251 et seq.);
                            (ii) eligible municipalities that are 
                        affected by affordability constraints in 
                        planning and implementing control measures to 
                        address wet weather discharges from wastewater 
                        and stormwater facilities of the eligible 
                        municipalities; and
                            (iii) eligible municipalities with a 
                        history of knowledgeable, detailed, and 
                        comprehensive efforts to develop integrated and 
                        adaptive clean water management practices.
                    (B) Use of adaptive management approaches.--In 
                selecting eligible municipalities to participate in the 
                pilot program, the Administrator may give priority to 
                an eligible municipality that is seeking to develop and 
                implement an integrated plan that includes adaptive 
                approaches to account for changed or future uncertain 
                circumstances, including--
                            (i) the use of new innovative technical or 
                        institutional approaches; and
                            (ii) the ability to adapt the integrated 
                        plan in response to new regulatory requirements 
                        and reductions in financial capability.
    (d) Approval of Integrated Plans.--
            (1) In general.--In approving the integrated plan of an 
        eligible municipality under the pilot program established under 
        subsection (a), the Administrator shall--
                    (A) account for the financial capability of the 
                eligible municipality to adequately address the 
                requirements of the Federal Water Pollution Control Act 
                (33 U.S.C. 1251 et seq.) that apply to the eligible 
                municipality;
                    (B) prioritize the obligations of the eligible 
                municipality under the Federal Water Pollution Control 
                Act (33 U.S.C. 1251 et seq.) according to the most 
                cost-effective and environmentally beneficial outcomes;
                    (C) account for the maintenance, operational, and 
                regulatory obligations of the eligible municipality; 
                and
                    (D) enable the eligible municipality to implement 
                innovative and flexible approaches to meet the 
                obligations of the eligible municipality under the 
                Federal Water Pollution Control Act (33 U.S.C. 1251 et 
                seq.).
            (2) Additional authorities.--In carrying out the pilot 
        program established under subsection (a), the Administrator 
        may, in full coordination and mutual agreement with an eligible 
        municipality selected to participate in the pilot program--
                    (A) extend the allowable national pollutant 
                discharge elimination system permit term under section 
                402 of the Federal Water Pollution Control Act (33 
                U.S.C. 1342) to a maximum of 25 years, and make 
                corresponding changes to any associated implementation 
                schedule;
                    (B) modify the implementation terms of a consent 
                decree entered into by the eligible municipality with 
                the Administrator pursuant to that Act; and
                    (C) provide additional regulatory flexibility under 
                the Federal Water Pollution Control Act (33 U.S.C. 1251 
                et seq.) in approving and implementing an integrated 
                plan that includes adaptive approaches in order to 
                encourage the innovation integral to such approaches.
    (e) Report to Congress.--Not later than 1 year after the date of 
enactment of this Act, and each year thereafter for 5 years, the 
Administrator shall submit to Congress a report on the results of the 
pilot program established under subsection (a), including a description 
of the specific outcomes expected to be achieved that will reduce the 
costs of complying with the requirements of the Federal Water Pollution 
Control Act (33 U.S.C. 1251 et seq.) for--
            (1) eligible municipalities participating in the pilot 
        program; and
            (2) eligible municipalities that are similarly situated but 
        not participating in the pilot program.

A: Clean Water Compliance and Affordability Act  This bill requires the Environmental Protection Agency (EPA) to carry out a pilot program to facilitate the efforts of eligible municipalities to develop and implement integrated plans to meet their wastewater and stormwater obligations under the Federal Water Pollution Control Act (commonly known as the Clean Water Act) in a cost-effective and flexible manner and consistent with the Integrated Municipal Stormwater and Wastewater Approach Framework issued by the EPA in May 2012. The pilot program must facilitate the efforts of at least 15 municipalities. A municipality is eligible to participate in the pilot program if it is: (1) a National Pollutant Discharge Elimination System (NPDES) permit holder or designee; or (2) a party to an administrative order, administrative consent agreement, or judicial consent decree to comply with the requirements of the Clean Water Act. The EPA must give priority to municipalities that: (1) are affected by affordability constraints in planning and implementing control measures addressing wet weather discharges from wastewater and stormwater facilities; and (2) have a history of knowledgeable, detailed, and comprehensive efforts to develop integrated and adaptive clean water management practices. The EPA may give priority to municipalities seeking to develop and implement an integrated plan that includes approaches that adapt to changed or future uncertain circumstances. With the mutual agreement of participating municipalities, the EPA may: (1) extend the allowable NPDES permit term by up to 25 years, (2) modify the implementation terms of a consent decree, and (3) provide additional regulatory flexibility in approving and implementing an integrated plan that includes adaptive approaches.
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Q: SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Prevention of Escapement of 
Genetically Altered Salmon in the United States Act''.

SEC. 2. PROHIBITION ON SALE OF GENETICALLY ALTERED SALMON.

    (a) Prohibition.--It shall be unlawful for a person--
            (1) to ship, transport, offer for sale, sell, or purchase a 
        covered fish, or a product containing covered fish, in 
        interstate or foreign commerce;
            (2) to have custody, control, or possession of, with the 
        intent to ship, transport, offer for sale, sell, or purchase a 
        covered fish, or a product containing covered fish, in 
        interstate commerce;
            (3) to engage in net-pen aquaculture of covered fish;
            (4) to release a covered fish into a natural environment; 
        or
            (5) to have custody, control, or possession of a covered 
        fish with the intent to release it into a natural environment.
    (b) Exception.--Subsection (a) shall not apply to a fish, fish 
part, or product--
            (1) under confined use, or intended for confined use, for 
        scientific research;
            (2) collected for the purpose of enforcing this Act; or
            (3) if the Under Secretary of Commerce for Oceans and 
        Atmosphere, in consultation with the Director of the United 
        States Fish and Wildlife Service and any other Federal, State, 
        or tribal entity the Under Secretary considers appropriate, 
        reviews any application requesting an action by a department or 
        agency of the Federal government to permit an act prohibited 
        under subsection (a), including any environmental assessment 
        prepared as part of that application, and--
                    (A) prepares a finding of no significant impact in 
                accordance with the National Environmental Policy Act 
                of 1969 (42 U.S.C. 4321 et seq.); or
                    (B) finds the application to be consistent with an 
                environmental impact statement prepared by the Under 
                Secretary in accordance with section 102(2)(C) of the 
                National Environmental Policy Act of 1969 (42 U.S.C. 
                4332) that includes--
                            (i) an environmental risk analysis that 
                        assesses the potential direct and indirect 
                        impacts from escapement of covered fish on wild 
                        and cultured fish stocks and environments that 
                        may be exposed to such covered fish;
                            (ii) a failure mode and effects analysis 
                        that quantitatively assesses the best- and 
                        worst-case probabilities of failure of each 
                        applicable confinement technique;
                            (iii) an assessment of the costs of control 
                        or eradication of escaped covered fish; and
                            (iv) an assessment of the potential 
                        economic damage in terms of loss of production 
                        or sales to relevant wild and cultured fish 
                        stocks and environments from the escapement of 
                        covered fish.
    (c) Environmental Impact Considerations.--
            (1) Notice.--Each agency, department, or other unit of the 
        Federal Government shall promptly notify the Under Secretary of 
        Commerce for Oceans and Atmosphere when an action involving 
        covered fish, or a product containing covered fish is first 
        identified by such unit.
            (2) Ensuring compliance.--The Under Secretary of Commerce 
        for Oceans and Atmosphere, in cooperation with each Federal, 
        State, or tribal entity that the Under Secretary considers 
        appropriate, may monitor any mitigation measures proposed under 
        subsection (b)(3) to ensure implementation and compliance 
        therewith.
            (3) Provisions as complementary.--The provisions of this 
        Act are in addition to, and shall not affect the operation of, 
        other Federal, State, or local laws regulating a covered fish, 
        or a product containing covered fish.
    (d) Rules and Regulations.--The Secretary shall prescribe such 
rules and regulations as the Secretary considers necessary to carry out 
the provisions of this Act.

SEC. 3. ENFORCEMENT AND PENALTIES.

    (a) Enforcement.--The Secretary of Commerce may enforce section 2 
in the same manner, by the same means, and with the same jurisdiction, 
powers, and duties provided under sections 308, 309, 310, and 311 of 
the Magnuson-Stevens Fishery Conservation and Management Act (16 U.S.C. 
1858, 1859, 1860, and 1861).
    (b) Penalties.--A person who violates section 2 shall be subject to 
the penalties, and entitled to the privileges and immunities, under 
sections 308, 309, 310, and 311 of the Magnuson-Stevens Fishery 
Conservation and Management Act (16 U.S.C. 1858, 1859, 1860, and 1861).

SEC. 4. REPORT ON RISKS TO WILD FISH STOCKS.

    Not later than 180 days after the date of enactment of this Act, 
the Under Secretary of Commerce for Oceans and Atmosphere shall 
transmit to the Committee on Commerce, Science, and Transportation of 
the Senate and the Committee on Natural Resources of the House of 
Representatives the report under section 1007 of the Food and Drug 
Administration Amendments Act of 2007 (21 U.S.C. 2106).

SEC. 5. DEFINITIONS.

    In this Act:
            (1) Confined use.--The term ``confined use'' means any 
        operation, undertaken within a secured, land-based facility, 
        that involves a covered fish controlled by specific measures 
        that effectively prevent the covered fish from having contact 
        with and impact on the external environment, including 
        biological and physical confinement measures.
            (2) Covered fish.--The term ``covered fish'' means any 
        finfish, live or dead, including the gametes, fertilized eggs, 
        offspring, and descendants thereof, that is modified or 
        produced through the application of recombinant 
        deoxyribonucleic acid (DNA) technologies, using DNA from an 
        organism's own genome or that of another species, that overcome 
        natural physiological reproductive barriers and that are not 
        techniques used in traditional breeding and selection.
            (3) Finding of no significant impact.--The term ``finding 
        of no significant impact'' has the meaning given the term in 
        section 1508.13 of title 40, Code of Federal Regulations.
            (4) Product.--The term ``product'' means an item 
        manufactured or produced for sale or use as food.

A:
Prevention of Escapement of Genetically Altered Salmon in the United States Act  This bill prohibits a person from:   shipping, transporting, offering for sale, selling, or purchasing a genetically altered finfish, or a food product containing those fish, in commerce;  having custody, control, or possession of those fish or food products with the intent to ship, transport, offer for sale, sell, or purchase them in commerce;  engaging in net-pen aquaculture (pens of fish contained by nets) of those fish;  releasing those fish into a natural environment; or  having custody, control, or possession of those fish with the intent to release them into a natural environment.    Fish, fish parts, or products confined for scientific research or collected to enforce this Act are exempted from the prohibition. An additional exemption is established if the National Oceanic and Atmospheric Administration (NOAA): (1) prepares a finding of no significant impact in accordance with the National Environmental Policy Act of 1969 after reviewing an application requesting a federal agency to permit activity prohibited by this Act, or (2) finds the application to be consistent with an environmental impact statement that includes an environmental risk analysis and specified assessments of costs and potential economic damage. Each federal agency must promptly notify NOAA when an action involving those fish or food products is first identified by the agency. The Department of Commerce may enforce penalties for violations of this Act under specified provisions of the Magnuson-Stevens Fishery Conservation and Management Act.
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