Women's Health Research and Prevention Amendments of 1998
PL 105-340 (S.1722), enacted 10/31/1998

PUBLIC LAW 105-340—OCT. 31, 1998 
112 STAT. 3191 
Public Law 105-
105th Congress 
-340 
An Act 
To amend the Public Health Service Act to revise and extend certain programs 
with respect to women's health research and prevention activities at the National 
Institutes of Health and the Centers for Disease Control and Prevention. 
Be it enacted by the Semite and House of Representatives 
of 
the United States of America in Congress assembled, 
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 NA-
TIONAL INSTITUTES OF HEALTH 
Oct. 31, 1998 
IS. 1722] 
Women's Health 
Research and 
Prevention 
Amendments of 
1998 
42 use 201 note. 
SEC. 101. RESEARCH ON imVG DES; NATIONAL PROGRAM OF EDU-
CATKW. 
(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 PROFES-
SIONALS AND PUBLIC—Title XVII of the Public Health Service Act 
(42 U.S.C. 300u et seq.) is amended by addmg at the end the 
following: 
"EDUCATION REGARDING DES 
"SEC. 1710. (a) IN GENERAL.—The Secretary, acting through 42USC300u-9. 
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 appro-
priate, 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 tiiat have expertise in community-based information 
campaigns for the public and for health care providers. The 
implementation of the national program shall begin during fisced 
year 1999. 
"(b) ALTHORIZATION OF APPROPRIATIONS.—For the purpose of 
canying out this section, there are authorized to be appropriated 
112 STAT. 3192 
PUBLIC LAW 105-340—OCT. 31, 1998 
such sums as may be necessary for each of the fiscal years 1999 
through 2003. The authorization of appropriations estabUshed in 
the preceding sentence is in addition to any other authorization 
of appropriation that is available for such purpose.". 
SEC. 102. RESEARCH ON OSTEOPOROSIS, FACET'S DISEASE, AND 
RELATED BONE DISORDERS. 
Section 409A(d) of the Public Health Service Act (42 U.S.C. 
284e(d)) is £imended by striking "and 1996" and inserting "through 
2003". 
SEC. 103. RESEARCH ON CANCER 
(a) RESEARCH ON BREAST CANCER.—Section 417B(b)(l) of the 
42USC285a-8. 
Public Health Service Act (42 U.S.C. 286a-8(b)(l)) is amended— 
(1) in subparagraph (A), by striking "and 1996" and insert-
ing "through 2003"; and 
(2) in subparagraph (B), by striking "and 1996" and insert-
ing "through 2003". 
(b) RESEARCH ON OVARIAN AND RELATED CANCER RESEARCH.— 
42USC285a-8. 
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 sifter section 
424 the following: 
"HEART ATTACK, STROKE, AND OTHER CARDIOVASCULAR DISEASES IN 
WOMEN 
42 use 285b-7a. 
"SEC. 424A. (a) IN GENERAL.—The Director of the Institute 
shall expand, intensify, and coordinate research and related activi-
ties 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, £ind 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 
PUBLIC LAW 105-340—OCT. 31, 1998 
112 STAT. 3193 
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 pres-
sure, lipids, and obesity. 
"(7) Information and education programs for patients and 
health care providers on risk factors associated with heeirt 
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 edu-
cation on health-related behaviors that can improve such impor-
tant risk factors as smoking, obesity, high blood cholesterol, 
and lack of exercise. 
"(d) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
canying 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 Pubhc Health Service Act (42 U.S.C. 285e-
10) is amended— 
(1) by striking "The Director" and inserting "(a) The Direc-
tor"; and 
(2) by adding at the end the following subsection: 
"(b) For the purpose of carrying out this section, there are Appropriation 
authorized to be appropriated such sums as may be necessEiry authorization. 
for each of the fiscal years 1999 through 2003. The authorization 
of appropriations established in the preceding sentence is in addi-
tion 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 PubUc 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 Pubhc Health Service Act (42 U.S.C. 
242k(n)) is amended— 
(1) in paragraph (1), by striking "through 1998" and insert-
ing "through 2003'*; and 
112 STAT. 3194 
PUBLIC LAW 105-340—OCT. 31, 1998 
(2) in paragraph (2), by striking "through 1998" and insert-
ing "through 2003". 
SEC. 202. NATIONAL PROGRAM OF CANCER REGISTRIES. 
Section 399L(a) of the Pubhc 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 DETEC-
TION PROGRAM. 
(a) SERVICES.—Section 1501(a)(2) of the PubUc Health Service 
Act (42 U.S.C. 300k(a)(2)) is amended by inserting before the semi-
colon the following: "and support services such as case manage-
ment". 
(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 strUdng "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 
£ind 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 appHcation is equivalent to the quality of the application 
submitted by the other private entity.". 
(c) AtTTHORIZATIONS OF APPROPRIATIONS.— 
(1) SUPPLEMENTAL GRANTS FOR ADDITIONAL PREVENTIVE 
HEALTH SERVICES.—Section 1509(d)(1) of the PubUc Health 
Service Act (42 U.S.C. 300n-4a(d)(l)) is amended by striking 
"through 1998" and inserting "through 2003". 
(2) GENERAL PROGRAM.—Section 1510(a) of the PubUc 
Health Service Act (42 U.S.C. 300n-5(a)) is amended by striking 
"through 1998" and inserting "through 2003". 
PUBLIC LAW 105-340—OCT. 31, 1998 
112 STAT. 3195 
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". 
Approved October 31, 1998. 
LEGISLATIVE HISTORY—S. 1722: 
CONGRESSIONAL RECORD, Vol. 144 (1998): 
Oct. 12, considered and passed Senate. 
Oct. 13, considered and passed House. 
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 34 (1998): 
Oct. 31, Presidential statement.