Preventive Health Amendments of 1984
PL 98-555 (S.2301), enacted 10/30/1984

98 STAT. 2854 
PUBLIC LAW 98-555—OCT. 30, 1984 
Public Law 98-555 
98th Congress 
An Act 
Oct. 30, 1984 
To revise and extend programs for the provision of health services and preventive 
[S. 2301] 
health services, and for other purposes. 
Preventive 
Health 
Amendments of 
1984. 
42 u s e 201 note. 
42 u s e 201 note. 
Grants. 
Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled. That (a) this Act 
may be cited as the "Preventive Health Amendments of 1984". 
(b) Whenever in this Act an amendment or repeal is expressed in 
terms of an amendment to, or repeal of, a section or other provision, 
the reference shall be considered to be made to a section or other 
provision of the Public Health Service Act. 
SEC. 2. (a) Section 317(j)(l) (42 U.S.C. 247bO')(l)) is amended— 
(1) by striking out "immunize children against immunizable 
diseases" and inserting in lieu thereof "immunize individuals 
against vaccine-preventable diseases", and 
(2) by striking out "and" after "1983," and by inserting before 
the period a comma and the following: "$52,000,000 for the 
fiscal year ending September 30, 1985, $59,000,000 for the fiscal 
year ending September 30, 1986, and $65,000,000 for the fiscal 
year ending September 30,1987". 
(b) Section 317(j)(2) is amended by striking out "and" after "1983," 
and by inserting before the period a comma and the following: 
"$8,000,000 for the fiscal year ending September 30, 1985, $9,000,000 
for the fiscal year ending September 30, 1986, and $10,000,000 for 
the fiscal year ending September 30,1987". 
SEC. 3. (a) The first sentence of section 318(d)(1) (42 U.S.C. 
247c(d)(l)) is amended by striking out "and" after "1983," and by 
inserting before the period a comma and the following: "$57,000,000 
for the fiscal year ending September 30, 1985, $62,500,000 for the 
fiscal year ending September 30, 1986, and $68,000,000 for the fiscal 
year ending September 30,1987". 
(b)(1) Subsection (a) of section 318 is amended by striking out 
"research" and all that follows in such section and inserting in lieu 
thereof the following: "research in, and training and public health 
programs for, the prevention and control of sexually transmitted 
diseases.". 
(2) Subsection (b) of section 318 is amended to read as follows: 
"(b) The Secretary may make grants to States, political subdivi-
sions of States, and any other public and nonprofit private entity 
for— 
"(1) research into the prevention and control of sexually 
transmitted diseases; 
"(2) demonstration projects for the prevention and control of 
sexually transmitted diseases; 
"(3) public information and education programs for the pre-
vention and control of such diseases, and 
"(4) education, training, and clinical skills improvement ac-
tivities in the prevention and control of such diseases for health 
professionals (including allied health personnel).". 
PUBLIC LAW 98-555—OCT. 30, 1984 
98 STAT. 2855 
(3) Subsection (c) of section 318 is amended by inserting "and" at 
the end of paragraph (3), by striking out paragraph (4), and by 
redesignating paragraph (5) as paragraph (4). 
(4) The second sentence of section 318(d)(1) is amended by striking 
out "5 per centum" and inserting in lieu thereof "10 per centum". 
(5)(A) Section 318 is amended by redesignating subsections (d) 
through (f) as subsections (e) through (g) and by adding after subsec-
tion (c) the following new subsection: 
"(d) The Secretary, acting through the Director of the Centers for 
Disease Control, may make grants to public and nonprofit private 
entities for information and education programs on, and for the 
diagnosis, prevention, and control of, acquired immune deficiency 
syndrome. The authority to make grants under this section for 
acquired immune deficiency syndrome is not the exclusive authority 
to make grants under this Act for acquired immune deficiency 
syndrome.". 
(B) Subsection (e)(1) of section 318 (as so redesignated) is 
amended— 
(i) by striking out "(b) and (c)" in the first sentence and 
inserting in lieu thereof "(b), (c), and (d)", 
(ii) by striking out "(b) or (c)" in the second sentence and 
inserting in lieu thereof "(b), (c), or (d)", and 
(iii) by adding at the end the following: "If the appropriations 
under the first sentence for fiscal year 1985 exceed $50,000,000, 
one-half of the amount in excess of $50,000,000 shall be made 
available for grants under subsection (d); if the appropriations 
under the first sentence for fiscal year 1986 exceed $52,500,000, 
one-half of the amount in excess of $52,500,000 shall be made 
available for such grants; and if the appropriations under the 
first sentence for fiscal year 1987 exceed $55,000,000, one-half of 
the amount in excess of $55,000,000 shall be made available for 
such grants.". 
(6)(A) Section 318 is amended by striking out "venereal disease" 
each place it occurs and inserting in lieu thereof "sexually transmit-
ted diseases". 
(B) The heading for such section 318 is amended by striking out 
"VENEREAL DISEASE" and inserting in lieu thereof "SEXUALLY TRANS-
MITTED DISEASES AND ACQUIRED IMMUNE DEFICIENCY SYNDROME". 
(C) Section 318 is amended by striking out the subsection (g) which 
was in effect on the day before the date of enactment of this Act. 
SEC. 4. (a) Section 1901(a) (42 U.S.C. 300w(a)) is amended by 
striking out "and" after "1983," and by inserting before the period a 
comma and the following: "$98,500,000 for the fiscal year ending 
September 30,1985, $98,500,000 for the fiscal year ending September 
30, 1986, and $98,500,000 for the fiscal year ending September 30, 
1987". 
(b) Section 1901(b) is amended by striking out "$3,000,000" and 
inserting in lieu thereof "$3,500,000". 
SEC. 5. (a) Section 1905(c) (42 U.S.C. 300w-4) is amended by 
striking out paragraphs (2) and (4) and redesignating paragraphs (3) 
and (5) through (8) as paragraphs (2) through (6), respectively. 
(b) Section 1906(a)(1)(B) (42 U.S.C. 300w-5) is amended by striking 
out "activities of the State under this part" and inserting in lieu 
thereof "preventive health and preventive health services programs 
in the State assisted by funds from allotments under this part, 
including a summary of the services which were provided, the 
42 u s e 247c. 
Grants. 
Acquired 
immune 
deficiency 
syndrome. 
98 STAT. 2856 
PUBLIC LAW 98-555—OCT. 30, 1984 
42 u s e 300W-5. 
Public 
information. 
42 u s e 300W-4. 
providers of such services, and the individuals who received such 
services". 
(c) Section 1906 is amended by adding at the end the following: 
"(d) The Secretary, in consultation with appropriate national 
organizations, shall develop model criteria and forms for the collec-
tion of data and information with respect to services provided under 
this part to enable States to share uniform data and information 
with respect to the provision of such services.". 
(d) Subsection (e) of section 1905 is repealed. 
SEC 6. (a) Section 339(a)(5) (42 U.S.C. 255(a)(5)) is amended by 
striking out "and" after "1983," and by inserting before the period a 
comma and "September 30, 1985, September 30, 1986, and Septem-
ber 30,1987". 
(b) Section 339(b)(5) is amended by striking out "and" after "1983," 
and by inserting before the period a comma and "September 30, 
1985, September 30,1986, and September 30,1987". 
SEC. 7. Part A of title XIX is amended by inserting after section 
1909 (42 U.S.C. 300w-8) the following new section: 
Grants. 
42 u s e 300W-9. 
Appropriation 
authorization. 
EMERGENCY MEDICAL SERVICES FOR CHILDREN 
"SEC. 1910. (a) For activities in addition to the activities which 
may be carried out by States under section 1904(a)(lXF), the Secre-
tary may make grants to not more than four States in any fiscal 
year to support a program of demonstration projects in such States 
for the expansion and improvement of emergency medical services 
for children who need treatment for trauma or critical care. Any 
grant made under this subsection shall be for a one-year period. 
"(b) The Secretary may renew a grant made under subsection (a) 
for one additional one-year period only if the Secretary determines 
that renewal of such grant will provide significant benefits through 
the collection, analysis, and dissemination of information or data 
which will be useful to other States. 
"(c) To carry out this section, there are authorized to be appropri-
ated $2,000,000 for fiscal year 1985 and for each of the two succeed-
ing fiscal years.". 
SEC. 8. Part A of title XIX (as amended by section 7 of this Act) is 
amended by adding at the end the following new section: 
PUBLIC LAW 98-555—OCT. 30, 1984 
98 STAT. 2857 
"STATE PLANNING GRANTS 
"SEC. 1910A. (a) The Secretary may make grants to assist States 
42 USC 300w-l0. 
to— 
"(1) develop long range plans to achieve the goals, objectives, 
and priorities established by the Secretary pursuant to title 
XVII; 
"(2) identify particular needs within States for services and 
activities that may be conducted with payments made under 
allotments under section 1902; and 
"(3) determine the progress of States in achieving the goals, 
objectives, and priorities described in paragraph (1) and, to the 
extent feasible, use scientifically valid measures to make such 
determinations. 
"0)) To carry out this section, there are authorized to be appropri- 
Appropriation 
ated $5,000,000 for fiscal year 1985 and for each of the two succeed- 
authorization. 
ing fiscal years.". 
SEC. 9. Section 1001 (42 U.S.C. 300) is amended by redesignating 
subsection (c) as subsection (d) and by inserting after subsection Ot)) 
the following new subsection: 
"(c) The Secretary, at the request of a recipient of a grant under 
subsection (a), may reduce the amount of such grant by the fair 
market value of any supplies or equipment furnished the grant 
recipient by the Secretary. The amount by which any such grant is 
so reduced shall be available for payment by the Secretary of the 
costs incurred in furnishing the supplies or equipment on which the 
reduction of such grant is based. Such amount shall be deemed as 
part of the grant and shall be deemed to have been paid to the grant 
recipient.". 
Approved October 30, 1984. 
LEGISLATIVE HISTORY—S. 2301 (H.R. 5538): 
HOUSE REPORT No. 98-1063 accompanying H.R. 5538 (Comm. on Energy and 
Commerce). 
SENATE REPORT No. 98-393 (Comm. on Labor and Human Resources). 
CONGRESSIONAL RECORD, Vol. 130 (1984): 
Sept. 28, considered and passed Senate. 
Oct. 1, H.R. 5538 considered and passed House; S. 2301, amended, passed in lieu. 
Oct. 9, Senate concurred in House amendment with an amendment; House 
concurred in Senate amendment.