Preventive Health Amendments of 1992
PL 102-531 (H.R.3635), enacted 10/27/1992

PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3469 
Public Law 102-531 
102d Congress 
An Act 
To amend the Public Health Service Act to revise and extend the program 
block grants for preventive health and health services, and for other purposes. 
of 
Oct. 27, 1992 
Be it enacted by the Senate and House of Representatives 
of 
the United States of America in Congress assembled, 
SECTION 1. SHORT TITLE; TABLE OF CONTENTS. 
(a) SHORT TITLE.—^This Act may be cited as the "Preventive 
Health Amendments of 1992". 
(b) TABLE OF CONTENTS.—The table of contents for this Act 
is as follows: 
Sec. 1. Short title; table of contents. 
TITLE I — P R E V E N T I V E HEALTH AND HEALTH SERVICES BLOCK GRANT 
Sec. 101. Authorization of appropriations. 
Sec. 102. Use of allotments. 
Sec. 103. Application for payments. 
Sec. 104. Reports, data, and audits. 
TITLE II—NATIONAL FOUNDATION FOR THE CENTERS FOR DISEASE 
CONTROL AND PREVENTION 
Sec. 201. Establishment of Foimdation. 
TITLE III—CERTAIN PROGRAMS 
Sec. 301. Iryury control. 
Sec. 302. Establishment of Office of Adolescent Health. 
Sec. 303. Lead poisoning prevention. 
Sec. 304. Preventable cases of infertility arising as result of sexually transmitted 
diseases. 
Sec. 305. Bulk purchases of vaccines for certain programs. 
Sec. 306. State programs regarding data on birth defects. 
Sec. 307. Screenings for breast and cervical cancer. 
Sec. 308. Screenings for prostate cancer. 
Sec. 309. Certain programs. 
Sec. 310. International cooperation. 
Sec. 311. Miscellaneous provisions. 
Sec. 312. Change in name of Centers for Disease Control. 
Sec. 313. Technical corrections. 
Sec. 314. Authorization of appropriations regarding vaccine compensation. 
TITLE I—PREVENTIVE HEALTH AND 
HEALTH SERVICES BLOCK GRANT 
[H.R. 3635] 
Preventive 
Health 
Amendments 
of 1992. 
42 u s e 201 
note. 
SEC. 101. AUTHORIZATION OF APPROPRIATIONS. 
(a) IN GENERAL.—Section 1901(a) of the Public Health Service 
Act (42 U.S.C. 300w(a)) is amended by striking "For the purpose" 
and all that follows and inserting the following: "For the purpose 
of allotments under section 1902, there are authorized to be appro-
E
riated $205,000,000 for fiscal year 1993, and such sums as may 
e necessary for each of the fiscal years 1994 through 1997.". 
(b) ALLOCATION FOR SERVICES FOR RAPE VICTIMS AND FOR RAPE 
PREVENTION.—Section 1901(b) of the Public Health Service Act 
106 STAT. 3470 
PUBLIC LAW 102-531—OCT. 27, 1992 
(42 U.S.C. 300w(b)) is amended by striking "$3,500,000" and insert-
ing "$7,000,000". 
SEC. 102. USE OF ALLOTMENTS. 
(a) IN GENERAL.—Section 1904(aXl) of the Public Health Serv-
ice Act (42 U.S.C. 300w-3(aXl)) is amended to read as follows: 
"(1) Except as provided in subsections (b) and (c), pajrments made 
to a State under section 1903 may be used for the following: 
"(A) Activities consistent with making progress toward 
achieving the objectives established by the Secretary for the 
health status of the population of the United States for the 
year 2000 (in this part referred to as 'y^ar 2000 health 
objectives'). 
"(B) Preventive health service programs for the control 
of rodents and for community and school-based fluoridation 
programs. 
"(C) Feasibility studies and planning for emergency medical 
services systems and the establishment, expansion, and 
improvement of such systems. Amounts for such systems may 
not be used for the costs of the operation of the systems or 
the purchase of equipment for the systems, except that such 
amounts may be used for the payment of not more than 50 
percent of the costs of purchasing commimications equipment 
for the systems. Amounts may be expended for feasibility 
studies or planning for the traimia-care components of such 
systems only if the studies or planning, respectively, is consist-
ent with the requirements of section 1213(a). 
"(D) Providing services to victims of sex offenses and for 
prevention of sex offenses. 
"(E) With respect to activities described in any of subpara-
graphs (A) throuj^h (D), related planning, administration, and 
educational activities. 
"(F) Monitoring and evaluation of activities carried out 
under any of subparagraphs (A) through (E)". 
(b) TRANSFERS FROM CERTAIN ALLOTMENT.—Section 1904(c) of 
the Public Health Service Act (42 U.S.C. 300w-3(c)) is amended 
by striking "parts B and C" and inserting "part B". 
SEC. 103. A P P U C A T I O N FOR PAYMENTS. 
(a) IN GENERAL.—Section 1905 of the Public Health Service 
Act (42 U.S.C. 300w-4) is amended to read as follows: 
"APPLICATION FOR PAYMENTS; STATE PLAN 
"SEC 1905. (a) IN GENERAL.—The Secretary may make pay-
ments under section 1903 to a State for a fiscal year only if— 
"(1) the State submits to the Secretary an application for 
the payments; 
"(2) the application contains a State plan in accordance 
with subsection (b); 
"(3) the application contains the certification described in 
subsection (c); 
"(4) the application contains such assurances as the Sec-
retary may require regarding the compliance of the State with 
the requirements of this part (including assurances regarding 
compliance with the agreements described in subsection (c)); 
and 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3471 
"(5) the application is in such form and is submitted by 
such date as the Secretary may require. 
"(b) STATE PLAN.—^A State plan required in subsection (aX2) 
for a fiscal year is in accordance with this subsection if the plan 
meets the following conditions: 
"(1) The plan is developed by the State agency with prin-
cipal responsibility for public health programs, in consultation 
with the advisory committee established pursuant to subsection 
(0(2). 
"(2) The plan specifies the activities authorized in section 
1904 that are to be carried out with pajonents made to the 
State under section 1903, including a specification of the year 
2000 health objectives for which the State will expend the 
payments. 
"(3) The plan specifies the populations in the State for 
which such activities are to be carried out. 
"(4) The plan specifies any populations in the State that 
have a disparate need for such activities. 
"(5) With respect to each population specified under para-
graph (3), the plan contains a strategy for expending such 
pajonents to carry out such activities to make progress toward 
improving the health status of the population, which strategy 
includes— 
"(A) a description of the programs and projects to be 
carried out; 
"(B) an estimate of the number of individuals to be 
served by the programs and projects; and 
"(C) an estimate of the number of public health person-
nel needed to carry out the strategy. 
"(6) The plan specifies the amount of such payments to 
be expended for each of such activities and, with respect to 
the activity involved— 
"(A) the amount to be expended for each population 
specified under paragraph (3); and 
"(B) the amount to be expended for each population 
specified under paragraph (4). 
"(c) STATE CERTIFICATION.—^The certification referred to in sub-
section (aX3) for a fiscal year is a certification to the Secretary 
by the chief executive officer of the State involved as follows: 
"(1)(A) In the development of the State plan required in 
subsection (aX2)— 
"(i) the chief health officer of the State held public 
hearings on the plan; and 
"(ii) proposals for the plan were made public in a 
manner that facilitated comments from public and private 
entities (including Federal and other public agencies). 
"(B) The State agrees that, if any revisions are made in 
such plan during the fiscal year, the State will, with respect 
to the revisions, hold hearings and make proposals public in 
accordance with subparagraph (A), and will submit to the Sec-
retary a description of the revisions. 
"(2) The State has established an advisory committee in 
accordance with subsection (d). 
"(3) The State agrees to expend payments under section 
1903 only for the activities authorized in section 1904. 
"(4) The State agrees to expend such payments in accord-
ance with the State plan submitted under subsection (a)(2) 
106 STAT. 3472 
PUBLIC LAW 102-531—OCT. 27, 1992 
(with any revisions submitted to the Secretary under paragraph 
(IXB)), including meiking expenditures to carry out the strategy 
contained in the plan pursuant to subsection (bX5). 
"(SXA) The State agrees that, in the case of each population 
for which such strategy is carried out, the State will measure 
the extent of progress being made toward improving the health 
status of the population. 
"(B) The State agrees t h a t ^ 
"(i) the State will collect and report data in accordance 
with section 1906(a); and 
"(ii) for purposes of subparagraph (A), progress will 
be measured through use of each of the applicable uniform 
data items developed by the Secretary under paragraph 
(2) of such section, or if no such items are applicable, 
through use of the uniform criteria developed by the Sec-
retary under paragraph (3) of such section. 
"(6) With respect to the activities authorized in section 
1904, the State agrees to maintain State expenditures for such 
activities at a level that is not less than the average level 
of such expenditures maintained by the State for the 2-year 
period preceding the fiscal year for which the State is applying 
to receive pajmients under section 1903. 
"(7) The State agrees to establish reasonable criteria to 
evaluate the effective performance of entities that receive funds 
from such pa}anents and procedures for procedural and sub-
stantive independent State review of the failure by the State 
to provide funds for any such entity. 
"(8) The State agrees to permit and cooperate with Federal 
investigations undertaken in accordance with section 1907. 
"(9) The State has in effect a system to protect from 
inappropriate disclosure patient and sex offense victim records 
maintained by the State in connection with an activity funded 
under this part or by any entity which is receiving payments 
from the allotment of the State under this part. 
"(10) The State agrees to provide the officer of the State 
government responsible for the administration of the State 
highway safety program with an opportunity to— 
"(A) participate in the development of any plan by 
*
^ 
the State relating to emergency medical services, as such 
plan relates to highway safety; and 
"(B) review and comment on any proposal by any State 
agency to use any Federal grant or Federal payment 
received by the State for the provision of emergency medical 
services as such proposal relates to highway safety. 
"(d) STATE ADVISORY COMMITTEE.— 
"(1) IN GENERAL.—For purposes of subsection (c)(2), an 
advisory committee is in accordance with this subsection if 
such committee is known as the State Preventive Health 
Advisory Committee (in this subsection referred to as the 
'Committee') and the Committee meets the conditions described 
in the subsequent paragraphs of this subsection. 
"(2) DUTIES.—^A condition under paragraph (1) for a State 
is that the duties of the Committee are— 
"(A) to hold public hearings on the State plan required 
in subsection (a)(2); and , 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3473 
"(B) to make recommendations pursuant to subsection 
(bXl) regarding the development and implementation of 
such plan, including recommendations on— 
''(i) the conduct of assessments of the public health; 
"(ii) which of the activities authorized in section 
1904 should be carried out in the State; 
"(iii) the allocation of payments made to the State 
under section 1903; 
"(iv) the coordination of activities carried out imder 
such plan with relevant programs of other entities; 
and 
"(v) the collection and reporting of data in accord-
ance with section 1906(a). 
**(3) COMPOSITION.— 
"(A) A condition under paragraph (1) for a State is 
that the Committee is composed of such members of the 
general public, and such ofilcials of the health departments 
of political subdivisions of the State, as may be necessary 
to provide adequate representation of the general public 
and of such health departments. 
"(B) With respect to compliance with subparagraph 
(A), the membership of advisory committees established 
pursuant to subsection (cX2) may include representatives 
of community-based 
organizations (including 
minority 
community-based organizations), schools of public health, 
and entities to which the State involved awards grants 
or contracts to carry out activities authorized in section 
1904. 
"(4) CHAIR; MEETINGS.—^A condition under paragraph (1) 
for a State is that the State public health officer serves as 
the chair of the Committee, and that the Committee meets 
not less than twice each fiscal year.". 
(b) 
DELAYED APPLICABILITY OF 
REQUIREMENT REGARDING 
42USC300W-4 
ADVISORY COMMITTEES.—With respect to compliance with the "°**-
requirement established in subsection (c)(2) of section 1905 of the 
Public Health Service Act (as amended by subsection (a) of this 
section), a State is deemed, notwithstanding such section, to be 
in compliance with such requirement if the State establishes an 
advisory committee in accordance with subsection (d) of such section 
not later than 180 days after the date of the enactment of this 
Act. 
SEC. 104. REPORTS, DATA, AND AUDITS. 
(a) IN GENERAL.—Section 1906(a) of the PubHc Health Service 
Act (42 U.S.C. 300w-5(a)) is amended to read as follows: 
"(a)(1) For purposes of section 1905(c)(5)(B)(i), a State is collect-
ing and reporting data for a fiscal year in accordance with this 
subsection if the State submits to the Secretary, not later than 
February 1 of the succeeding fiscal year, a report that— 
"(A) describes the purposes for which the State expended 
payments made to the State under section 1903; 
"(B) pursuant to section 1905(c)(5)(A), describes the extent 
of progress made by the State for purposes of such section; 
"(C) meets the conditions described in the subsequent para-
graphs of this subsection; and 
59-194 O—93 
24:QL3(Pt. 4) 
106 STAT. 3474 
PUBLIC LAW 102-531—OCT. 27, 1992 
"(D) contains such additional information regarding activi-
ties authorized in section 1904, and is submitted in such form, 
as the Secretary may require. 
"(2)(A) The Secretary, in consultation with the States, shall 
develop sets of data for uniformlv defining health status for pur-
poses of the year 2000 health objectives (which sets are in this 
subsection referred to as 'iiniform data sets'). Each of such sets 
shall consist of one or more categories of information (in this sub-
section individually referred to as a 'uniform data item'). The Sec-
retan^ shall develop formats for the uniform collecting and reporting 
of inmrmation on such items. 
"(B) A condition under paragraph (1)(C) for a fiscal year is 
that the State involved will, in accordance with the applicable 
format under subparagraph (A), collect during such year, and 
include in the report under paragraph (1), the necessary information 
for one uniform data item from each of the uniform data sets, 
which items are selected for the State by the Secretary. 
"(C) In the case of fiscal year 1995 and each subsequent fiscal 
year, a condition under paragraph (1) for a State is that the State 
will, in accordance with the applicable format under subparagraph 
(A), collect during such year, and include in the report imder 
paragraph (1), the necessary information for each of the imiform 
data sets appropriate to the year 2000 health objectives that the 
State has, in the State plan submitted under section 1905 for 
the fiscal year, specified as a purpose for which pa3nnents under 
section 1903 are to be expended. 
"(3) The Secretary, in consultation with the States, shall estab-
lish criteria for the uniform collection and reporting of data on 
activities authorized in section 1904 with respect to which no uni-
form data items exist. 
"(4) A condition under paragraph (1) for a fiscal year is that 
the State involved will make copies of the report submitted under 
such paragraph for the fiscal year available for public inspection, 
* 
' 
and will upon request provide a copy of the report to any individual 
for a charge not exceeding the cost of providing the copy.'. 
(b) CONFORMING AMENDMENTS.—Section 1906 
of the Public 
Health Service Act (42 U.S.C. 300w-5) is amended— 
(1) in the heading for the section, by inserting ", DATA," 
aft»r "REPORTS"; and 
(2) by striking subsection (d). 
SEC. 
1
0
5
. 
REPEAL 
OF 
YEAR 
2
0
0
0 
HEALTH 
OBJECTIVES 
PLANNING 
ACT. 
The Year 2000 Health Objectives Planning Act (Public Law 
101-582; 42 U.S.C. 246 note) is repealed. 
TITLE II—NATIONAL FOUNDATION FOR 
THE CENTERS FOR DISEASE CON-
TROL AND PREVENTION 
SEC. 201. ESTABUSHMENT OF FOUNDATION. 
Title III of the Pubhc Health Service Act (42 U.S.C. 241 et 
seq.), as amended by section 401 of Public Law 102-321 (106 
Stat. 419), is amended by adding at the end the following new 
part: 
. 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3475 
"PART N—NATIONAL FOUNDATION FOR THE CENTERS FOR DISEASE 
CONTROL AND PREVENTION 
'^EC. 399F. ESTABUSHMENT AND DUTIES OF FOUNDATION. 
42 USC 280D-LL. 
"(a) IN GENERAL.—^There shall be established in accordance 
with this section a nonprofit private corporation to be known as 
the National Foundation for tne Centers for Disease Control and 
Prevention (in this part, referred to as the 'Foundation'). The 
Foundation shall not be an agency or instrumentality of the Federal 
Government, and officers, employees, and members of the board 
of the Foundation shall not be officers or employees of the Federal 
Government. 
"(b) PURPOSE OF FOUNDATION.—The purpose of the Foundation 
shall be to support and carry out activities for the prevention 
and control of diseases, disorders, injuries, and disabilities, and 
for promotion of public health. 
"(c) ENDOWMENT FUND.— 
"(1) IN GENERAL.—In carrying out subsection (b), the 
Foundation shall establish a fund for providing endowments 
for positions that are associated with the Centers for Disease 
Control and Prevention and dedicated to the purpose described 
in such subsection. Subject to subsection (fKlXB), the fund 
shall consist of such donations as may be provided by non-
Federal entities and such non-Federal assets of the Foundation 
(including earnings of the Foundation and the fund) as the 
Foundation may elect to transfer to the fund. 
"(2) AUTHORIZED EXPENDITURES OF FUND.—The provision 
of endowments under paragraph (1) shall be the exclusive 
fimction of the fund established imder such paragraph. Such 
endowments may be expended only for the compensation of 
individuals holding the positions, for staff, equipment, quarters, 
travel, and other expenditures that are appropriate in support-
ing the positions, and for recruiting individuals to hold the 
positions endowed by the fund. 
*(d) CERTAIN ACTIVITIES OF FOUNDATION.—In carrying out sub-
section (b), the Foimdation may provide for the following with 
respect to the purpose described in such subsection: 
"(1) Programs of fellowships for State and local public 
health officials to work and study in association with the Cen-
ters for Disease Control and Prevention. 
"(2) Programs of international arrangements to provide 
opportunities for public health officials of other countries to 
serve in public health capacities in the United States in associa-
tion with the Centers for Disease Control and Prevention or 
elsewhere, or opportunities for employees of such Centers (or 
other public health officials in the United States) to serve 
in such capacities in other countries, or both. 
"(3) Studies, projects, and research (which may include 
applied research on the effectiveness of prevention activities, 
demonstration projects, and programs and projects involving 
international. Federal, State, and local governments). 
"(4) Forums for government officials and appropriate pri-
vate entities to exchange information. Participants in such 
forums may include institutions of higher education and appro-
priate international organizations. 
"(5) Meetings, conferences, courses, and training work-
shops. 
106 STAT. 3476 
PUBLIC LAW 102-531—OCT. 27, 1992 
"(6) Programs to improve the collection and analysis of 
data on the health status of various populations. 
- 
j.f\,.. 
"(7) Programs for writing, editing, printing, and publishing 
of books and other materials. 
"(8) Other activities to carry out the purpose described 
in subsection (b). 
"(e) 
GENERAL 
STRUCTURE 
OF 
FOUNDATION; 
NONPROFIT 
STATUS.— 
"(1) BOARD OF DIRECTORS.—The Foundation shall have a 
board of directors (in this part referred to as the 'Board'), 
which shall be established and conducted in accordance with 
subsection (f). The Board shall establish the general policies 
of the Foundation for canying out subsection (b), including 
the establishment of the bylaws of the Foundation. 
"(2) EXECUTIVE DIRECTOR.—The Foundation shall have an 
executive director (in this part referred to as the 'Director'), 
who shall be appointed by the Board, who shall serve at the 
pleasure of the Board, and for whom the Board shall establish 
the rate of compensation. Subject to compliance with the policies 
and bylaws established by the Board pursuant to paragraph 
(1), the Director shall be responsible for the daily operations 
of the Foundation in carrying out subsection (b). 
"(3) NONPROFIT STATUS.—In carrying out subsection (b), 
the Board shall establish such policies and bylaws under para-
graph (1), and the Director shall carry out such activities under 
paragraph (2), as may be necessary to ensure that the Foimda-
tion maintains status as an organization that— 
"(A) is described in subsection (c)(3) of section 501 
of the Internal Revenue Code of 1986; and 
"(B) is, under subsection (a) of such section, exempt 
from taxation. 
"(f) BOARD OF DIRECTORS.— 
"(1) CERTAIN BYLAWS.— 
"(A) In establishing bylaws under subsection (eXD, 
the Board shall ensure that the bylaws of the Foundation 
include bylaws for the following: 
,., 
"(i) Policies for the selection of the officers, employ-
ees, agents, and contractors of the Foundation. 
"(ii) Policies, including ethical standards, for the 
acceptance and disposition of donations to the Founda-
tion and for the disposition of the assets of the 
Foundation. 
"(iii) Policies for the conduct of the general oper-
ations of the Foundation. 
"(iv) Policies for writing, editing, printing, and 
publishing of books and other materials, and the 
acquisition of patents and licenses for devices and 
procedures developed by the Foundation. 
"(B) In establishing bylaws under subsection (eXD, 
the Board shall ensure that the bylaws of the Foundation 
(and activities carried out under the bylaws) do not— 
"(i) reflect unfavorably upon the ability of the 
Foundation, or the Centers for Disease Control and 
*' 
Prevention, to carry out its responsibilities or official 
duties in a fair and objective manner; or 
PUBUC LAW 102-531—OCT. 27,1992 
106 STAT. 3477 
"(ii) compromise, or appear to compromise, the 
integrity of any governmental program or any officer 
or employee involved in such program. 
"(2) COMPOSITION.— 
"(A) Subject to subparagraph (B), the Board shall be 
composed of 7 individuals, appointed in accordance with 
paragraph (4), who collectively possess education or experi-
ence appropriate for representing the general field of public 
health, the general field of international health, and the 
general public. Each such individual shall be a voting mem-
ber of the Board. 
"(B) The Board may, through amendments to the 
bylaws of the Foundation, provide that the number of mem-
bers of the Board shall be a greater number than the 
number specified in subparagraph (A). 
"(3) CHAIR.—^The Board shall, from among the members 
of the Board, designate an individual to serve as the chair 
of the Board (in ^is subsection referred to as the 'Chair*). 
"(4) APPOINTMENTS, VACANCIES, AND TERMS.—Subject to 
subsection (j) (regarding the initial membership of the Board), 
the following shall apply to the Board: 
"(A) Any vacancy in the membership of the Board 
shall be filled by appointment by the Board, afi«r consider-
ation of suggestions made by the Chair and the Director 
regarding me appointments. Any such vacancy shall be 
filled not later than the expiration of the 180-day period 
beginning on the date on which the vacancv occurs. 
"(B) The term of ofiice of each member of the Board 
appointed under subparagraph (A) shall be 5 years. A 
member of the Board may continue to serve afi«r the 
expiration of the term of the member until the expiration 
of the 180-day period beginning on the date on which 
the term of the member expires. 
"(C) A vacamcy in the membership of the Board shall 
not affect the power of the Board to carry out the duties 
of the Board. If a member of the Board does not serve 
the full term applicable under subparagraph (B), the 
individual appointed to fill the resulting vacancy shall be 
appointed for the remainder of the term of the predecessor 
of Uie individual. 
"(5) COMPENSATION.—Members of the Board may not 
receive compensation for service on the Board. The members 
may be reimburoed for travel, subsistence, and other necessary 
expenses incurred in carrying out the duties of the Board. 
"(g) CERTAIN RESPONSIBIUTIES OF EXECUTIVE DIRECTOR.—In 
carrying out subsection (eX2), the Director shall carry out the 
following fimctions: 
"(1) Hire, promote, compensate, and discharge officers and 
employees of the Foundation, and define the duties of the 
officers and employees. 
"(2) Accept and administer donations to the Foundation, 
and administer the assets of the Foundation. 
''(d) Establish a process for the selection of candidates 
for holding endowed positions under subsection (c). 
"(4) Enter into such financial agreements as are appro-
priate in carrying out the activities of uie Foundation. 
106 STAT. 3478 
PUBLIC LAW 102-531—OCT. 27, 1992 
"(5) Take such action as may be necessary to acquire pat-
ents and licenses for devices and procedures developed by the 
Foundation and the employees of the Foundation. 
%&) Adopt, alter, and use a corporate seal, which shall 
be judicially noticed. 
"(7) Commence and respond to judicial proceedings in the 
name of the Foundation. 
**(S) Other functions that are appropriate in the determina-
tion of the Director. 
"(h) GENERAL PROVISIONS.— 
"(1) AuTHOMTY FOR ACCEPTING FUNDS.—The Director of 
the Centers for Disease Control and Prevention may accept 
and utilize, on behalf of the Federal Government, any gift, 
donation, bequest, or devise of real or personal property from 
the Foundation for the purpose of aiding or facilitating the 
work of such Centers. Funds may be accepted and utilized 
by such Director under the preceding sentence without regard 
to whether the funds are designated as general-purpose funds 
or special-purpose funds. 
"(2) 
AUTHORITY 
FOR 
ACCEPTANCE 
OF 
VOLUNTARY 
SERVICES.— 
"(A) The Director of the Centers for Disease Control 
and Prevention may accept, on behalf of the Federal 
Government, any voluntary services provided to such Cen-
ters by the Foundation for the purpose of aiding or facilitat-
ing the work of such Centers. In the case of an individual, 
such Director may accept the services provided under the 
preceding sentence by the individual for not more than 
2 years. 
"(B) The limitation established in subparagraph (A) 
regarding the period of time in which services may be 
accepted applies to each individual who is not an employee 
of the Federal Government and who serves in association 
with the Centers for Disease Control and Prevention pursu-
ant to financial support from the Foundation. 
"(3) ADMINISTRATIVE CONTROL.—No officer, employee, or 
member of the Board of the Foundation may exercise any 
administrative 
or managerial 
control 
over any Federal 
employee. 
"(4) APPLICABILITY OF CERTAIN STANDARDS TO NON-FEDERAL 
EMPLOYEES.—In the case of any individual who is not an 
employee of the Federal Government and who serves in associa-
tion with the Centers for Disease Control and Prevention pursu-
ant to financial support from the Foundation, the Foundation 
shall negotiate a memorandum of understanding with the 
individual and the Director of the Centers for Disease Control 
and Prevention specif5dng that the individual— 
"(A) shall be subject to the ethical and procedural 
standards regulating Federal employment, scientific inves-
tigation, and research findings (including publications and 
patents) that are required of individuals employed by the 
Centers for Disease Control and Prevention, including 
standards under this Act, the Ethics in Government Act, 
and the Technology Transfer Act; and 
"(B) shall be subject to such ethical and procedural 
standards under chapter 11 of title 18, United States Code 
(relating to conflicts of interest), as the Director of such 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3479 
Centers determines is appropriate, except such memoran-
dum may not provide that the individual shall be subject 
to the standards of section 209 of such chapter. 
"(5) FINANCIAL CONFLICTS OF INTEREST.—Any individual 
who is an officer, employee, or member of the Board of the 
Foundation may not directly or indirectly participate in the 
consideration or determination by the Foundation of any ques-
tion affecting— 
"(A) any direct or indirect financial interest of the 
individual; or 
"(B) any direct or indirect financial interest of any 
business organization or other entity of which the individ-
ual is an officer or employee or in which the individual 
has a direct or indirect financial interest. 
"(6) AUDITS; AVAILABILITY OF RECORDS.—The Foundation 
shall— 
"(A) provide for biennial audits of the financial condi-
tion of the Foundation; and 
"(B) make such audits, and all other records, docu-
ments, and other papers of the Foundation, available to 
the Secretary and the Comptroller General of the United 
States for examination or audit. 
"(7) REPORTS.— 
"(A) Not later than February 1 of each fiscal year, 
the Foundation shall publish a report describing the activi-
ties of the Foundation during the preceding fiscal year. 
Each such report shall include for the fiscal year involved 
a comprehensive statement of the operations, activities, 
financial 
condition, 
and 
accomplishments 
of 
the 
Foundation. 
"(B) With respect to the financial condition of the 
Foundation, each report under subparagraph (A) shall 
include the source, and a description of, all gifts to the 
Foundation of real or personal property, and the source 
and amount of all gifts to the Foundation of money. Each 
such report shsiU include a specification of any restrictions 
on the purposes for which gifts to the Foundation may 
be used. 
"(C) The Foundation shall make copies of each report Public . 
submitted under subparagraph (A) available for public "^formation. 
inspection, and shall upon request provide a copy of the 
report to any individual for a charge not exceeding the 
cost of providing the copy. 
"(8) 
LIAISON FROM CENTERS FOR DISEASE CONTROL AND 
PREVENTION.—^The Director of the Centers for Disease Control 
and Prevention shall serve as the liaison representative of 
such Centers to the Board and the Foundation, 
"(i) FEDERAL FUNDING.— 
"(1) AUTHORITY FOR ANNUAL GRANTS.— 
"(A) The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, shall— 
"(i) for fiscal year 1993, make a grant to an entity 
described in subsection (j)(9) (relating to the establish-
ment of a committee to establish the Foundation); 
"(ii) for fiscal year 1994, raake a grant to the 
committee established under such subsection, or if the 
106 STAT. 3480 
PUBLIC LAW 102-531—OCT. 27, 1992 
Appropriation 
authorization. 
Foundation has been established, to the Foundation; 
and 
''(iii) for fiscal year 1995 and each subsequent fiscal 
year, make a grant to the Foundation. 
"(B) A grant under subparagraph (A) may be 
expended— 
"(i) in the case of an entity receiving the grant 
under subparagraph (AXi), only for the purpose of 
carrying out the duties established in subsection (jX9) 
for the entity; 
"(ii) in tiie case of the committee established under 
such subsection, only for the purpose of carrying out 
the duties established in subsection (j) for the commit-
tee; and 
"(iii) in the case of the Foundation, only for the 
purpose of the administrative expenses of the 
Foundation. 
"(C) A grant under subparagraph (A) may not be 
expended to provide amounts for the fund established under 
subsection (c). 
"(D) For the purposes described in subparagraph (B)— 
"(i) any portion of the grant made under subpara-
graph (AXi) for fiscal year 1993 that remains unobli-
gated after the entity receiving the grant completes 
the duties established in subsection (jX9) for the entity 
shall be available to the committee established under 
such subsection; and 
"(ii) any portion of a grant under subparagraph 
(A) made for fiscal year 1993 or 1994 that remains 
unobligated after such committee completes the duties 
established in such subsection for the committee shall 
be available to the Foundation. 
"(2) FUNDING FOR GRANTS.— 
"(A) For the purpose of grants imder paragraph (1), 
there is authorized to be appropriated $500,000 for each 
fiscal year. 
"(B) For the purpose of grants under paragraph (1), 
the Secretaiy may for each fiscal year make available not 
more than $500,000 from the amounts appropriated for 
the fiscal year for the programs of the Department of 
Health and Human Services. Such amounts may be made 
available witiiout regard to whether amounts have been 
appropriated under subparagraph (A). 
"(3) CERTAIN RESTRICTION.—If llie Foundation receives Fed-
eral funds for the purpose of serving as a fiscal intermediaiy 
between Federal a^enaes, the Foundation may not receive sucn 
funds for the indurect costs of carrying out such purpose in 
an amount exceeding 10 percent of me direct costs of carrying 
out such purpose. The preceding sentence may not be construed 
as authorizing the expenditure of any grant imder paragraph 
(1) for such purpose. 
*
*
(
j
) COMMITTEE FOR ESTABLISHMENT OF FOUNDATION.— 
"(1) IN GENERAL.—^There shall be established in accordance 
with this subsection a committee to cany out the functions 
described in paragraph (2) (which committee is referred to 
in this subsection as the 'Committee'). 
PUBLIC LAW 102-531—OCT. 27,1992 
106 STAT. 3481 
"(2) FUNCTIONS.—^The functions referred to in paragraph 
(1) for the Committee are as follows: 
"(A) To carry out such activities as may be necessary 
to incorporate the Foundation imder the laws of the State 
involved, including serving as incorporators for the Foimda-
tion. Such activities shall include ensuring that the articles 
of incorporation for the Foundation require that the 
Foundation be established and operated in accordance with 
the applicable provisions of this part (or any successor 
to this part), including such provisions as may be in effect 
pursuant to amendments enacted after the date of the 
enactment of the Preventive Health Amendmente of 1992. 
**(B) To ensure that the Foundation qualifies for and 
maintains the status described in subsection (eX3) (regard-
ing taxation). 
"(C) To establish the general policies and initial bylaws 
of the Foundation, which bylaws shall include the bylaws 
described in subsections (e)(3) and (fXl). 
"(D) To provide for the initial operation of the Founda-
tion, including providing for quarters, equipment, and staff. 
"(E) To appoint the initial members of the Board in 
accordance with the requirements established in subsection 
(f)(2XA) for the composition of the Board, and in accordance 
with such other qualifications as the Committee may deter-
mine to be appropriate regarding such composition. Of 
the members so appointed— 
"(i) 2 shall be appointed to serve for a term of 
3 years; 
"(ii) 2 shall be appointed to serve for a term of 
4 years; and 
"(iii) 3 shall be appointed to serve for a term 
of 5 years. 
"(3) COMPLETION OF FUNCTIONS OF COMMITTEE; INITIAL 
MEETING OF BOARD.— 
"(A) The Committee shall complete the functions 
required in paragraph (1) not later than September 30, 
1994. The Committee shall terminate upon the expiration Termination 
of the 30-day period beginning on the date on which the °
*
*
®
-
Secretary determines that the functions have been 
completed. 
"(B) The initial meeting of the Board shall be held 
not later than November 1,1994. 
"(4) COMPOSITION.—The Committee shall be composed of 
5 members, each of whom shall be a voting member. Of the 
members of the Committee— 
"(A) no fewer than 2 shall have broad, general experi-
ence in public health; and 
"(B) no fewer than 2 shall have broad, general experi-
ence in nonprofit private organizations (without regard to 
whether the individuals have experience in public health). 
"(5) CHAIR.—^The Committee shall, from among the mem-
bers of the Committee, designate an individual to serve as 
the chair of the Committee. 
"(6) TERMS; VACANCIES.—The term of members of the 
Committee shall be for the duration of the Committee. A 
vacancy in the membership of the Committee shall not affect 
the power of the Committee to carry out the duties of the 
106 STAT. 3482 
PUBLIC LAW 102-531—OCT. 27, 1992 
Committee. If a member of the Committee does not serve the 
^ 1 term, the individual appointed to fill the resulting vacancy 
shall be appointed for the remainder of the term of the prede-
cessor of the individual. 
"(7) COMPENSATION.—^Members of the Committee may not 
receive compensation for service on the Committee. Members 
of the Committee may be reimbursed for travel, subsistence, 
and other necessary expenses incurred in carrying out the 
duties of the Committee. 
"(8) COMMITTEE SUPPORT.—The Director of the Centers for 
Disease Control and Prevention may, from amounts available 
to the Director for the general administration of such Centers, 
provide staff and financial support to assist the Committee 
^ t h carrying out the functions described in paragraph (2). 
In providing such staff and support, the Director may both 
detail employees and contract for assistance.". 
"(9) GRANT FOR ESTABUSHMENT OF COMMITTEE.— 
"(A) With respect to a grant under paragraph (IXAXD 
of subsection (i) lor fiscal year 1993, an entity described 
in this paragraph is a private nonprofit entity with signifi-
cant experience in domestic and international issues of 
public health. Not later than 180 days afi^r the date of 
the enactment of the Preventive Health Amendments of 
1992, the Secretary shall make the grant to such an entity 
(subject to the availability of funds under paragraph (2) 
of such subsection). 
"(B) The grant referred to in subparagraph (A) may 
be made to an entity only if the entity agrees that— 
' 
"(i) the entity will establish a committee that is 
composed in accordance with paragraph (4); and 
* ' 
"(ii) the entity will not select an individual for 
membership on the Committee unless the individual 
- 
' 
agrees that the Committee will operate in accordance 
with each of the provisions of this subsection that 
relate to the operation of the Committee. 
"(C) The Secretary may make a grant referred to in 
subparagraph (A) only if the applicant for the grant makes 
an agreement that the grant will not be expended for 
any purpose other than carrying out subparagraph (B). 
Such a grant may be made only if an application for the 
grant is submitted to the Secretary containing such agree-
ment, and the application is in such form, is made in 
such manner, and contains such other agreements and 
such assurances and information as the Secretary deter-
mines to be necessary to carry out this paragraph.". 
TITLE III—CERTAIN PROGRAMS 
SEC. 301. INJURY CONTROL. 
Section 392(b) of the Public Health Service Act (42 U.S.C. 
280b-l(b)) is amended— 
(1) in paragraph (1), by striking "and" after the semicolon 
at the end; 
(2) in paragraph (2)— 
Public 
(A) by adding at the end the following sentence: "In 
information. 
carrying out the preceding sentence, the Secretary shall 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3483 
disseminate such information to the public, including 
through elementary and secondary schools."; and 
(B) by striking the period at the end and inserting 
*
*
; and"; and 
(3) by adding at the end the following paragraph: 
"(3) xaake grants to States and, after consultation with 
State health agencies, to other pubUc or nonprofit private enti-
ties for the purpose of carrjring out demonstration projects 
for the prevention and control of injuries at sites that are 
not subject to the Occupational Safety and Health Act of 1970, 
including homes, elementary and secondary schools, and public 
buildings.". 
SEC. 302. ESTABLISHMENT OF OFFICE OF ADOLESCENT HEALTH. 
Title XVII of the Ptiblic Health Service Act (42 U.S.C. 300u 
et seq.) is amended by adding at the end the following section: 
"OFFICE OF ADOLESCENT HEALTH 
"SEC 1708. (a) IN GENERAL.—There is established an Office 42USC300u-7. 
of Adolescent Health within the Office of the Assistant Secretary 
for Health, which office shall be headed by a director appointed 
by the Secretary. The Secretary^ shall carry out this section acting 
through the Director of such Ofitice. 
"(D) DUTIES.—^With respect to adolescent health, the Secretary 
shall— 
"(1) coordinate all activities within the Department of 
HealUi and Human Services that relate to disease prevention, 
health promotion, preventive health services, and health 
information and education with respect to the appropriate use 
of health care, including coordinating— 
"(A) the design of programs, support for programs, 
and the evaluation of programs; 
"(B) the monitoring of trends; 
"(C) projects of research (including multidisciplinary 
projects) on adolescent health; and 
"(D) the training of health providers who work with 
adolescents, particularly nurse practitioners, physician 
assistants, and social workers; 
"(2) coordinate the activities described in paragraph (1) 
vdth similar activities in the private sector; and 
"(3) support projects, conduct research, and disseminate 
information relating to preventive medicine, health promotion, 
and physical fitness and sports medicine. 
"(c) CERTAIN DEMONSTRATION PROJECTS.— 
"(1) IN GENERAL.—In carrying out subsection (bX3), the 
Secretary may make ^ants to carry out demonstration projects 
for the purpose of improving adolescent health, including 
projects to train health care providers in )>roviding services 
to adolescents and projects to reduce the incidence of violence 
among adolescents, particularly among minority males. 
"(2) AUTHORIZATION OF APPROPRIATIONS.—For the purpose 
of carrving out paragraph (1), there are authorized to be appro-
priated $5,000,000 for fiscsd year 1993, and such sums as 
may be necessary for each of the fiscal years 1994 through 
1997. 
"(d) INFORMATION CLEARINGHOUPS.—^In carrying out subsection 
(b), the Secretary shall establish and maintain a National Informa-
106 STAT. 3484 
PUBLIC LAW 102-531—OCT. 27, 1992 
tion Clearinghouse on Adolescent Health to collect and disseminate 
to health professionals and the general public information on adoles-
cent healtn. 
"(e) NATIONAL PLAN.—In carrying out subsection (b), the Sec-
retary shall develop a national plan for improving adolescent health. 
The plan shall be consistent with the applicable objectives estab-
lished by the Secretary for the health status of the people of 
the United States for the year 2000, and shall be periodically 
reviewed, and as appropriate, revised. The plan, and anv revisions 
in the plan, shall be submitted to the Committee on Energy and 
Commerce of the House of Representatives and the Committee 
on Labor and Human Resources of the Senate. 
"(f) ADOLESCENT HEALTH.—^For purposes of this section, the 
term 'adolescent hecdth', with respect to adolescents of all ethnic 
and racial ^oups, means all diseases, disorders, and conditions 
(induing with respect to mental health)— 
^1) unique to adolescents, or more serious or more preva-
lent in adolescents; 
"(2) for which the factors of medical risk or tvpes of medical 
intervention are different for adolescents, or for which it is 
unknown whether such factors or types are different for 
adolescents; or 
"(3) with respect to which there has been insufficient clini-
cal research involving adolescents as subjects or insufficient 
clinical data on adolescents.". 
SEC. 303. LEAD POISONING PREVENTION. 
(a) IN GENERAL.—Section 317A of the Public Health Service 
Act (42 U.S.C. 247b-l) is amended to read as follows: 
"SCREENINGS, REFERRALS, AND EDUCATION REGARDING LEAD 
POISONING 
"SEC. 317A (a) AUTHORITY FOR GRANTS.— 
"(1) IN GENERAL.—Subject to paragraph (2), the Secretary, 
acting through the Director of the Centers for Disease Control 
and Prevention, may make grants to States and political sub-
divisions of States for the initiation and expansion of commu-
nity programs designed— 
"(A) to provide, for infants and children— 
"(i) screening for elevated blood lead levels; 
"(ii) referral for treatment of such levels; and 
"(iii) referral for environmental intervention associ-
ated with such levels; and 
"(B) to provide education about childhood lead 
poisoning. 
(2) 
AUTHORITY REGARDING CERTAIN ENTITIES.-With 
respect to a geographic area with a need for activities author-
ized in paragraph (1), in any case in which neither the State 
nor the political subdivision in which such area is located 
has applied for a grant under paragraph (1), the Secretary 
may make a grant imder such paragraph to any grantee under 
section 329, 330, 340, or 340A for carrying out such activities 
in the area. 
"(3) PROVISION OF ALL SERVICES AND ACTIVITIES THROUGH 
EACH GRANTEE.—^In making grants under paragraph (1), the 
Secretary shall ensure that each of the activities described 
in such paragraph is provided through each grantee under 
PUBUC LAW 102-531—OCT. 27, 1992 
106 STAT. 3485 
such paragraph. The Secretary may authorize such a grantee 
to provide the services and activities directly, or uirough 
arrangements with other providers. 
*
*
(
b
) STATUS AS MEDICAID PROVIDER.— 
"(1) IN GENERAL.—Subject to paragraph (2), the Secretary 
may not make a grant under subsection (a) unless, in the 
case of any service described in such subsection that is made 
available pursuant to the State plan approved under title XIX 
of the Social Security Act for the State involved— 
"(A) the applicant for the grant will provide the service 
directly, and tne applicant has entered into a participation 
agreement under the State plan and is qualified to receive 
payments under such plan: or 
"(B) the applicant will enter into an agreement with 
a provider under which the provider will provide the serv-
ice, and the provider has entered into sudi a participation 
agreement and is qualified to receive such payments. 
"(2) 
WAIVER REGARDING CERTAIN SECONDARY AGREE-
MENTS.— 
"(A) In the case of a provider making an agreement 
pursuant to paragraph (IXB) regarding the provision of 
services, the requirement established in such paragraph 
regarding a participation agreement shall be waived bv 
the Secretary if the provider does not, in providing health 
care services, impose a charge or accept reimbursement 
available 
firom 
any third-party payor, including reimburse-
ment under any insurance policy or under any Federal 
or State health benefits plan. 
"(B) A determination by the Secretary of whether a 
provider referred to in subparagraph (A) meets the criteria 
for a waiver under such subparagraph shall be made with-
out regard to whether the provider accepts voluntary dona-
tions regarding the provision of services to the public. 
'Xc) PRIORITY IN MAKING GRANTS.—In making grants under 
subsection (a), the Secretary shall give priority to applications for 
E
rograms that will serve areas with a high incidence of elevated 
IOMI lead levels in infants and children. 
''(d) GRANT APPLICATION.—No erant may be made under sub-
section (a), unless an application therefor has been submitted to, 
and approved bv, the Secretary. Such an application shall be in 
such form and shall be submitted in such manner as the Secretary 
shall prescribe and shall include each of the following: 
"(1) A complete description of the program which is to 
be provided by or thiough the applicant. 
"(2) Assurances satisfactoiy to the Secretary that the pro-
gram to be provided under the grant appUed for will include 
educational programs designed to— 
"(A) communicate to parents, educators, and local 
health officials the significance and prevalence of lead 
poisoning in infants and children (including tilie sources 
of lead exposure, the importance of screening young chil-
dren for lead, and the preventive steps that parents can 
take in reducing the nsk of lead poisoning) which the 
prt^pram is designed to detect and prevent; and 
'^B) communicate to health professionals and para-
professionals updated knowledge concerning lead poisoning 
and research (including the health consequences, if any, 
106 STAT. 3486 
PUBUC LAW 102-531—OCT. 27,1992 
of low-level lead burden; the prevalence of lead poisoning 
among all socioeconomic g^upings; the benefits of 
expanded lead screening; and the uerapeutic and other 
interventions available to prevent and combat lead poison-
ing in affected children and families). 
'^3) Assurances satisfactoiy to the Secretary that the 
applicant will report on a quarterly basis the number of infants 
and children screened for elevated blood lead levels, the number 
of infants and children who were found to have elevated blood 
lead levels, the number and type of medical referrals made 
for such infants and children, the outcome of such referrals, 
and other information to measure program effectiveness. 
"(4) Assurances satisfactory to the Secretary that the 
applicant will make such reports respecting the program 
involved as the Secretary may require. 
"(5) Assurances satisfactory to the Secretary that the 
applicant will coordinate the activities carried out pursuant 
to subsection (a) with related activities and services carried 
out in the State by grantees under title V or XIX of the 
Social Security Act. 
"(6) Assurances satisfactory to the Secretary that Federal 
funds made available under such a grant for any period will 
be so used as to supplement and, to the extent practical, 
increase the level of State, local, and other non-Federal funds 
that would, in the absence of such Federal funds, be made 
available for the program for which the grant is to be made 
and will in no event supplant such State, local, and other 
non-Federal funds. 
"(7) Such other information as the Secretary may prescribe. 
"(e) RELATIONSHIP TO SERVICES AND ACTIVITIES UNDER OTHER 
PROGRAMS.— 
"(1) IN GENERAL.—^A recipient of a grant under subsection 
(a) may not make pajrments from the grant for any service 
or activity to the extent that payment has been made, or 
can reasonably be expected to be made, with respect to such 
service or activity— 
"(A) under any State compensation program, under 
an insurance policy, or under any Federal or State health 
benefits program; or 
"(B) by an entity that provides health services on a 
prepaid basis. 
"(2) APPUCABILTTY TO CERTAIN SECONDARY AGREEMENTS 
F
O
R P
R
O
V
I
S
I
O
N O
F SERVICES.—Paragraph (1) shall not apply 
in the case of a provider through which a grantee under sub-
section (a) provides services imder such subsection if the Sec-
retary has provided a waiver under subsection (bX2) regarding 
the provider. 
*
*
(
f
) M
E
T
H
O
D A
N
D A
M
O
U
N
T O
F PAYMENT.—The Secretary shall 
determine the amount of a grant made under subsection (a). Pay-
ments under such grants may be made in advance on the basis 
of estimates or by way of reimbursement, with necessary acUust-
ments on accoimt of imderpayments or overpayments, and in such 
installments and on such terms and conditions as the Secretary 
finds necessary to carry out the purposes of such grants. Not more 
than 10 percent of any grant may be obligated for administrative 
costs. 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3487 
"(g) SUPPLIES, EQUIPMENT, AND EMPLOYEE DETAIL.—The Sec-
retary, at the request of a recipient of a grant under subsection 
(a), may reduce the amount of such grant by— 
"(1) the fair market value of any supplies or equipment 
furnished the grant recipient; and 
"(2) the amoimt of the pay, allowances, and travel expenses 
of any ofKcer or employee of the Government when detailed 
to the grant recipient and the amount of any other costs 
inciirred in connection with the detail of such officer or 
employee; 
when tne furnishing of such supplies or equipment or the detail 
of such an officer or employee is for the convenience of and at 
the request of such grant recipient and for the purpose of canying 
out a program with respect to which the grant imder subsection 
(a) is made. 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, or in detailing the person-
nel, on which the reduction of such grant is based, and such amoimt 
shall be deemed as part of the grant and shall be deemed to 
have been paid to the grant recipient. 
"(h) RECORDS.—^Each recipient of a grant imder subsection (a) 
shall keep such records as the Secretary shall prescribe, including 
records which fully disclose the amoimt and disposition by such 
recipient of the proceeds of such grant, the total cost of the under-
taking in connection with which such grant was made, and the 
amount of that portion of the cost of the imdertaking supplied 
by other sources, and such other records as will facilitate an effective 
audit. 
"(i) AUDIT AND EXAMINATION OF RECORDS.—The Secretary and 
the Comptroller General of the United States, or any of their 
duly authorized representatives, shall have access for the purpose 
of audit and examination to any books, documents, papers, and 
records of the recipient of a grant under subsection (a), that are 
pertinent to such grant, 
"(j) ANNUAL REPORT.— 
"(1) IN GENERAL.—Not later than May 1 of each year, 
the Secretary shall submit to the Congress a report on the 
effectiveness during the preceding fiscal year of programs car-
ried out with grante under subsection (a) and of any programs 
that are carried out by the Secretary pursuant to subsection 
(1X2). 
"(2) CERTAIN REQUIREMENTS.—Each report under para-
graph (1) shall include, in addition to any other information 
that the Secretary may require, the following information: 
"(A) The number of infants and children screened. 
"(B) Demographic information on the population of 
infants and children screened, including the age and racial 
or ethnic status of such population. 
"(C) The niunber of screening sites. 
"(D) A description of the severity of the extent of the 
blood lead levels of the infants and children screened, 
expressed in categories of severity. 
"(E) The sources of pajonent for the screenings. 
"(F) A comparison of the data provided pursuant to 
subparagraphs (A) through (E) with the equivalent data, 
if any, provided in the report under paragrapn (1) preceding 
the report involved. 
106 STAT. 3488 
PUBLIC LAW 102-531—OCT. 27, 1992 
"(k) INDIAN TRIBES.—^For purposes of this section, the term 
'political subdivision' includes Indian tribes. 
"(1) FUNDING.— 
**(1) AUTHORIZATION OF APPROPRIATIONS.—For the purpose 
of canying out this section, there are authorized to be appro-
priated $40,000,000 for fiscal year 1993, and such siuns as 
may be necessary for each of the fiscal years 1994 through 
1997. 
"(2) ALLOCATION FOR OTHER PROGRAMS.—Of the amounts 
appropriated under paragraph (1) for any fiscal year, the Sec-
retary may reserve not more than 20 percent for carrying 
out programs regarding the activities described in subsection 
(a) in addition to the program of grants established in such 
subsection.". 
(b) OTHER PROGRAMS.—Part A of title III of the Public Health 
Service Act (42 U.S.C. 241 et seq.) is amended by inserting after 
section 317A the following section: 
"EDUCATION, TECHNOLOGY ASSESSMENT, AND EPIDEMIOLOGY 
REGARDING LEAD POISONING 
42 use 247b-3. 
"SEC. 317B. (a) PREVENTION.— 
"(1) PUBLIC EDUCATION.—The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, 
shall carry out a program to educate healtii professionals ana 
paraprofessionals and the general public on the prevention 
of lead poisoning in infants and children. In canying out the 
program, the Secretary shall make available information 
concerning the health effects of low-level lead toxicity, the 
causes of lead poisoning, and the primary and secondaiv 
preventive measures that may be token to prevent such 
poisoning. 
Establishment. 
"(2) INTERAGENCY TASK FORCE.— 
''(A) Not later than 6 months after the date of the 
enactment of the Preventive Health Amendmente of 1992, 
the Secretary shall estoblish a council to be known as 
the Interagency Task Force on the Prevention of Lead 
Poisonii^ (in this paragraph referred to as the Task 
Force'), "fiie Task Force shall coordinate the efforte of Fed-
eral agencies to prevent lead poisoning. 
"(B) The Task Force shall be composed o
f
— 
"(i) the Secretory, who shall serve as the chair 
of the Task Force; 
"(ii) the Secretory of Housing and 
Urban 
Development; 
"(iii) the Administrator of the Environmentol 
Protection Agency; and 
"(iv) senior staff of each of the officials specified 
in clauses (i) through (iii), as selected by the officials 
respectively. 
"(C) The Task Force shall— 
"(i) review, evaluate, and coordinate current strate-
gies and plans formulated by the officials serving as 
members ofthe Task Force, including— 
"(I) the plan of the Secretory of Health and 
Human Services entitled "Strategic Plan for the 
Elimination of Lead Poisoning", dated February 
21,1991; 
PUBLIC LAW 102-531—OCT. 27,1992 
106 STAT. 3489 
"(11) the plan of the Secretary of Housing and 
Urban Development entitled "Comprehensive and 
Workable Plan for the Abatement of Lead-Based 
Paint in Privately Owned Housing^, dated Decem-
ber 7,1990; and 
"(III) the strategy of the Administrator of the 
Environmental Protection Agency entitled "Strat-
egy for Reducing Lead Exposures", dated February 
21,1991; 
"(ii) develop a tmified implementation plan for pro-
grams that receive Federal financial assistance for 
activities related to the prevention of lead poisoning; 
"(iii) establish a mechanism for sharing and 
disseminating information among the agencies rep-
resented on the Task Force; 
"(iv) identify the most promising areas of research 
and education concerning lead poisoning; 
"(v) identify the practical and technological con-
strednts to expanding lead poisoning prevention; 
"(vi) annually carry out a comprehensive review Reports, 
of Federal programs providing assistance to prevent 
lead poisoning, and not later than May 1 of each year, 
submit to the Committee on Labor and Hiunan 
Resources of the Senate and the Committee on the 
Environment and Public Works of the Senate, and 
to the Committee on Energy and Commerce of the 
House of Representatives, a report that summarizes 
the findings made as a result of such review and that 
contains the recommendations of the Task Force on 
the programs and policies with respect to which the 
Task Force is established, including related budgetary 
recommendations; and 
"(vii) annually review and coordinate departmental 
and agency budgetary requests with respect to all lead 
poisoning 
prevention 
activities 
of 
the 
Fed-
eral Government. 
"(b) TECHNOLOGY ASSESSMENT AND EPIDEMIOLOGY.—The Sec-
retary, acting through the Director of the Centers for Disease Con-
trol and Prevention, shall, directly or through grants or contracts— 
"(1) provide for the development of improved, more cost-
effective testing measures for detecting lead toxicity in children; 
"(2) provide for the development of improved methods of 
assessing the prevalence of lead poisoning, including such meth-
ods as may be necessary to conduct individual assessments 
for each State; 
"(3) provide for the collection of data on the incidence 
and prevalence of lead poisoning of infants and children, on 
the demographic characteristics of infants and children with 
such poisoning (including racial and ethnic status), and on 
the source of pa3rment for treatment for such poisoning (includ-
ing the extent to which insurance has psiid for such treatment); 
and 
"(4) provide for any applied research necessary to improve 
the effectiveness of programs for the prevention of lead poison-
ing in infants and children.". 
106 STAT. 3490 
PUBLIC LAW 102-531—OCT. 27, 1992 
SEC. 304. PREVENTABLE CASES OF INFERTILITY ARISING AS RESULT 
OF SEXUALLY TRANSMITTED DISEASES. 
Part A of title III of the Public Health Service Act (42 U.S.C. 
241 et seq.) is amended by inserting after section 318 the following 
section: 
Women. 
"INFERTILITY AND SEXUALLY TRANSMITTED DISEASES 
42USC247C-1. 
«SEC. 318A. (a) IN GENERAL.—The Secretary, acting through 
the Director of the Centers for Disease Control and Prevention, 
may make grants to States, political subdivisions of States, and 
other public or nonprofit private entities for the purpose of carrying 
out the activities described in subsection (c) regarding any treatable 
sexually transmitted disease that can cause infertility in women 
if treatment is not received for the disease. 
"(b) 
AUTHORITY 
REGARDING 
INDIVIDUAL 
DISEASES.—With 
respect to diseases described in subsection (a), the Secretary shall, 
in m£iking a grant under such subsection, specify the particular 
disease or diseases with respect to which the grant is to be made. 
The Secretary may not make the grant unless the applicant involved 
agrees to carry out this section only with respect to the disease 
or diseases so specified. 
"(c) AUTHORIZED ACTIVITIES.—^With respect to any sexually 
transmitted disease described in subsection (a), the activities 
referred to in such subsection are— 
"(1) screening women for the disease and for secondary 
conditions resulting from the disease, subject to compliance 
with criteria issued imder subsection (f); 
"(2) providing treatment to women for the disease; 
"(3) providing coxinseling to women on the prevention and 
control of the disease (including, in the case of a woman with 
the disease, counseling on the benefits of locating and providing 
such counseling to any individual from whom the woman may 
have contracted the disease and any individual whom the 
woman may have exposed to the disease); 
"(4) providing follow-up services; 
"(5) referrals for necessary medical services for women 
screened pursuant to paragraph (1), including referrals for 
evaluation and treatment with respect to acquired immiuie 
deficiency syndrome and other sexually transmitted diseases; 
"(6) in the case of any woman receiving services pursuant 
to any of paragraphs (1) through (5), providing to the partner 
of the woman the services described in such paragraphs, as 
appropriate; 
"(7) providing outreach services to inform women of the 
availability of the services described in paragraphs (1) through 
(6); 
"(8) providing to the public information and education on 
the prevention and control of the disease, including disseminat-
ing such information; and 
"(9) providing training to health care providers in carrying 
out the screenings and counseling described in paragraphs (1) 
and (3). 
"(d) REQUIREMENT OF AVAILABILITY OF ALL SERVICES THROUGH 
EACH GRANTEE.—^The Secretary may make a grant under subsection 
(a) only if the applicant involved agrees that each activity author-
ized in subsection (c) will be available through the applicant. With 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3491 
respect to compliance with such agreement, the applicant may 
expend the grant to carry out any of the activities directly, and 
may expend the grant to enter into agreements with other public 
or nonprofit private entities under \^ch the entities carry out 
the activities. 
"(e) REQUIRED PROVIDERS REGARDING CERTAIN SERVICES.—The 
Secretary may make a grant under subsection (a) only if the 
applicant involved agrees that, in expending the grant to carry 
out activities authorized in subsection (c), the services described 
in paragraphs (1) through (7) of such subsection will be provided 
only through entities that are State or local health departments, 
grantees under section 329, 330, 340, 340A, or 1001, or are other 
public or nonprofit private entities that provide health services 
to a significant number of low-income women. 
"(f) QUALITY ASSURANCE REGARDING SCREENING FOR DIS-
EASES.—^For purposes of this section, the Secretary shall establish 
criteria for ensuring the qu£dity of screening procedures for diseases 
described in subsection (a). 
"(g) CONFIDENTIALITY,.—^The Secretary may make a grant under 
subsection (a) only if the applicant involved agrees, subject to 
applicable law, to maintain the confidentiality of information on 
individuals with respect to activities carried out under subsection 
(0. 
*
*
(
h
) LIMITATION ON IMPOSITION OF FEES FOR SERVICES.—The 
Secretary may make a grant under subsection (a) only if the 
applicant involved agrees that, if a charge is imposed for the provi-
sion of services or activities under the grant, such charge— 
"(1) will be made according to a schedule of charges that 
is made available to the public; 
''(2) will be adjusted to reflect the income of the individual 
involved; and 
''(3) will not be imposed on any individual with an income 
of less than 150 pereent of the official poverty line, as estab-
lished by the Director of the Office of Management and Budget 
and revised by the Secretary in accordance with section 673(2) 
of the Omnibus Budget Reconciliation Act of 1981. 
"(i) LIMITATIONS ON CERTAIN EXPENDITURES.—The Secretary 
may make a grant under subsection (a) only if the applicant involved 
agrees that not less than 80 percent of the grant will be expended 
for the purpose of carrying out paragraphs (1) through (7) of sub-
section (c). 
*
*
(
j
) REPORTS TO SECRETARY.— 
"(1) COLLECTION OF DATA.—^The Secretary may make a 
grant under subsection (a) only if the applicant involved agrees, 
with respect to any disease selected under subsection (b) for 
the applicant, to submit to the Secretary, for each fiscal year 
for which the applicant receives such a grant, a report 
providing— 
(A) the incidence of the disease among the population 
of individuals served by the applicant; 
"(B) the number and demographic characteristics of 
individuals in such population; 
"(C) the types of interventions and treatments provided 
by the applicant, and the health conditions with respect 
to which referrals have been made pursuant to subsection 
(cX5); 
106 STAT. 3492 
PUBUC LAW 102-531—OCT. 27,1992 
^ 
"(D) an assessment of the extent to which the activities 
carried pursuant to subsection (a) have redutxMl the 
incidence of infertility in the geographic area involved; 
and 
"(E) such other information as the Secretax^ may 
require with respect to the project carried out with the 
grant. 
\2) UTILITY AND COMPARABILITY OP DATA.—The Secretary 
shall carry out activities for the purpose of ensuring the utilitv 
and comparability of data collected pursuant to paragraph (1). 
"(k) MAINTENANCE OP EPPORT.—With respect to activities for 
which a grant under subsection (a) is authorized to be expended, 
the Secretary may make such a grant only if the applicant involved 
agrees to maintain expenditures of non-Federal amounts for su(^ 
activities at a level that is not less than the average level of 
such expenditures maintained by the applicant for the 2-year period 
preceding the fiscal year for which the applicant is applymg to 
receive such a grant. 
"(1) REQUIREMENT O
F APPUCATION.— 
"(1) IN GENERAL.—^The Secretary may make a grant under 
subsection (a) only if an application for the grant is submitted 
to the Secretary, the application contains the plan required 
in paragraph (2), and the application is in such form, is made 
in such manner, and contains such agreements, assurances, 
and information as the Secretary determines to be necessary 
to carry out this section. 
**(2) SUBMISSION OF PLAN P
O
R P
R
O
G
R
A
M OP GRANTEE.— 
"(A) IN GENERAL.—^The Secretary may make a grant 
under subsection (a) only if the applicant involved submits 
to the Secretary a plan describing the manner in whidh 
the applicsmt will comply with the agreements required 
as a condition of receiving such a grant, including a speci-
fication of the entities through which activities authorized 
in subsection (c) will be provided. 
"(B) PARTICIPATION OP CERTAIN ENTITIES.—The Sec-
retary may make a grant under subsection (a) only if 
the applicant provides assurances satisfactory to the Sec-
retary that the plan submitted under subparagraph (A) 
has been prepared in consultation with an appropriate 
number and variety o
f
— 
"(i) representatives of entities in the geographic 
area involved that provide services for the prevention 
and control of sexually transmitted diseases, including 
projgrams to provide to the public information and edu-
cation reganung such diseases; and 
"(ii) representatives of entities in such area that 
provide family planning services, 
"(m) DURATION OF GRANT.—^The period during which payments 
are made to an entity from a grant under subsection (a) may 
not exceed 3 years. The provision of such payments shall be subject 
to annual approval bv tne Secretary of tne payments and subject 
to the avulability of appropriations for the nscal year involved 
to make the payments m such year. The preceding sentence may 
not be construed to establish a umitation on the number of granU 
under such subsection that may be made to an entity. 
'Xn) TECHNICAL ASSISTANCE, AND SUPPLIES AND SERVICES IN 
LIEU O
P GRANT FUNDS.— 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3493 
"(1) TECHNICAL .\SSISTANCE.—The Secretary may provide 
training and technical assistance to grantees under subsection 
(a) with respect to the planning, development, and operation 
of any program or service carried out imder such subsection. 
The Secretary may provide such technical assistance directly 
or through grants or contracts. 
"(2) 
SUPPLIES, EQUIPMENT, AND EMPLOYEE DETAIL.—The 
Secretary, at the request of a recipient of a grant under sub-
section (a), may reduce the amount of such grant by— 
"(A) the fair market value of any supplies or equipment 
furnished the grant recipient; and 
"(B) the amount of the pay, allowances, and travel 
expenses of any officer or employee of the Grovemment 
when detailed to the grant recipient and the amount of 
any other costs incurred in connection with the detail of 
such officer or employee; 
when the furnishing of such supplies or equipment or the 
detail of such an officer or employee is for the convenience 
of and at the request of such grant recipient and for the 
purpose of carrying out a program with respect to which the 
grant under subsection (a) is made. The amount by which 
any such grant is so reduced shall be available for pajrment 
by the Secretary of the costs incurred in furnishing the supplies 
or equipment, or in detailing the personnel, on which the reduc-
tion of such grant is based, and such amount shall be deemed 
as part of the grant and shall be deemed to have been paid 
to the grant recipient, 
"(o) EVALUATIONS AND REPORTS BY SECRETARY.— 
"(1) EVALUATIONS.—The Secretary shall, directly or through 
contracts with public or private entities, provide for annual 
evaluations of programs carried out pursuant to subsection 
(a) in order to determine the quality and efTectiveness of the 
programs. 
"(2) REPORT TO CONGRESS.—Not later than 1 year after 
the date on which amounts are first appropriated pursuant 
to subsection (s), and biennially thereafter, the Secretary shall 
submit to the Committee on Energy and Commerce of the 
House of Representatives, and to the Committee on Labor 
and Human Resources of the Senate, a report— 
"(A) siunmarizing the information provided to the Sec-
retary in reports made pursuant to subsection (jXD, includ-
ing information on the incidence of sexually transmitted 
diseases described in subsection (a); and 
"(B) summarizing evaluations carried out pursuant to 
paragraph (1) during the preceding fiscal year, 
"(p) COORDINATION OF FEDERAL PROGRAMS.—The Secretaryr 
shall coordinate the program carried out under this section with 
any similar programs administered by the Secretary (including 
coordination between the Director of the Centers for Disease Control 
and Prevention and the Director of the National Institutes of 
Health). 
"(q) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, other than subsections (o) and (r), there 
are authorized to be appropriated $25,000,000 for fiscal year 1993, 
and such sums as may be necessary for each of the fiscal years 
1994 and 1995. 
106 STAT. 3494 
PUBLIC LAW 102-531—OCT. 27, 1992 
"(r) SEPARATE 
GRANTS FOR RESEARCH 
ON DELIVERY OP 
SERVICES.— 
"(1) IN GENERAL.—^The Secretary may make grants for the 
purpose of conducting research on the manner in which the 
delivery of services under subsection (a) may be improved. 
The Secretary may make such grants only to grantees under 
such subsection and to public and nonprofit private entities 
that are carrying out programs substantially similar to pro-
grams carried out imder such subsection. 
"(2) AUTHORIZATION OF APPROPRIATIONS.—For the purpose 
of canying out paragraph (1), there are authorized to be appro-
priated such simis as may be necessary for each of the fiscal 
years 1993 through 1995.". 
SEC. 
3
0
6
. 
BULK 
PURCHASES 
OF 
VACCINES 
FOR 
CERTAIN 
PROGRAMS. 
Part D of title III of the Public Health Service Act (42 U.S.C. 
254b et seq.) is amended by adding at the end the following subpart: 
"Subpart VIII—Bulk Purchases of Vaccines for Certain Programs 
"BULK PURCHASES OF VACCINES FOR CERTAIN PROGRAMS 
42 use 256c. 
"SEC. 340B. (a) AGREEMENTS FOR PURCHASES.— 
"(1) IN GENERAL.—Not later than 180 days after the date 
of the enactment of the Preventive Health Amendments of 
1992, the Secretary, acting through the Director of the Centers 
for Disease Control and Prevention and in consultation with 
the Administrator of the Health Resources and Services 
Administration, shall enter into negotiations with manufactur-
ers of vaccines for the purpose of establishing and maintaining 
agreements under which entities described in paragraph (2) 
may purchase vaccines from the manufacturers at the prices 
specified in the agreements. 
"(2) RELEVANT ENTITIES.—The entities referred to in para-
graph (1) are entities that provide immunizations against vac-
cine-preventable diseases under the programs established in 
sections 329, 330, 340, and 340A. 
"(b) NEGOTIATION OF PRICES.—In carrying out subsection (a), 
the Secretary shall, to the extent practicable, ensure that the prices 
provided for in agreements under such subsection are comparable 
to the prices provided for in agreements negotiated by the Secretary 
on behalf of grantees under section 317(j)(l). 
"(c) AUTHORITY OF SECRETARY.—^In carrying out subsection (a), 
the Secretary, in the discretion of the Secretary, may enter into 
the agreements described in such subsection (and may decline to 
enter into such agreements), may modify such agreements, may 
extend such agreements, and may terminate such agreements. 
"(d) RULE OF CONSTRUCTION.—This section may not be con-
strued as requiring any State to reduce or terminate the supply 
of vaccines provided by the State to any of the entities described 
in subsection (a)(2).''. 
SEC. 306. STATE PROGRAMS REGARDING DATA ON BIRTH DEFECTS. 
(a) IN GENERAL.—^Part A of title III of the Public Health Service 
Act, as amended by section 303(b) of this Act, is amended by 
inserting after section 317B the following section: 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3495 
"COLLECTION OF DATA ON BIRTH DEFECTS 
"SEC. 317C. (a) STATE PROGRAMS.— 
42 use 247b-4. 
"(1) IN GENERAL.—^The Secretary, acting through the Direc-
tor of the Centers for Disease Control and Prevention, shall 
encourage States to establish or improve programs for the 
collection and analysis of epidemiological data on birth defects. 
"(2) 
PROVISION 
OF ASSISTANCE.—The 
Secretary 
may, 
directly or through grants, cooperative agreements, or contracts, 
provide assistance to States regarding the purpose specified 
in subsection (a). 
"(b) NATIONAL CLEARINGHOUSE.—The Secretary, acting through 
the Director of the Centers for Disease Control and Prevention, 
shall establish and maintain a National Information Clearinghouse 
on Birth Defects to collect and disseminate to health professionals 
and the general public information on birth defects, including the 
prevention of such defects. 
"(c) REPORT.—Not later than July 1, 1993, and biennially there-
after, the Secretary shall submit to the Committee on Energy 
and Commerce of the House of Representatives, and the Committee 
on Labor and Human Resources of the Senate, a report describing 
activities carried out under this section and containing any rec-
ommendations of the Secretary regarding this section. 
"(d) AUTHORIZATION OF APPROPRIATIONS.—For the purpose of 
carrying out this section, there are authorized to be appropriated 
$5,000,000 for fiscal year 1993, and such sums as may be necessary 
for each of the fiscal years 1994 and 1995.". 
SEC. 307. SCREENINGS FOR BREAST AND CERVICAL CANCER. 
Title XV of the Public Health Service Act (42 U.S.C. 300k 
et seq.) is amended by inserting after section 1502 the following 
section: 
'nSEC. 1S02A. REQUIREMENT REGARDING MEDICAID. 
42 use 300M. 
'The Secretary may not make a grant under section 1501 
for a program in a State unless the State plan under title XIX 
of the Social Security Act for the State includes the screening 
procedures specified in subparagraphs (A) and (B) of section 
1503(a)(2) as medical assistance provided under the plan.". 
SEC. 
3
0
8
. 
SCREENINGS 
FOR 
PROSTATE 
CANCER. 
Part A of title III of the Public Health Service Act, as amended 
by section 306 of this Act, is amended by inserting after section 
317C the following section: 
"PREVENTIVE HEALTH MEASURES WITH RESPECT TO PROSTATE 
CANCER 
"SEC. 317D. (a) IN GENERAL.—The Secretarv, acting through 42USC247b-5. 
the Director of the Centers for Disease Control and Prevention, 
may make grants to States and local health departments for the 
purpose of enabling such States and departments to carry out 
programs— 
"(1) to screen men for prostate cancer as a preventive 
health measure; 
"(2) to provide appropriate referrals for medical treatment 
of men screened pursuant to para^aph (1) and to ensure, 
to the extent practicable, the provision of appropriate follow-
up services; 
106 STAT. 3496 
PUBLIC LAW 102-531—OCT. 27, 1992 
"(3) to develop and disseminate public information and 
education programs for the detection and control of prostate 
cancer; 
"(4) to improve the education, training, and skills of health 
professionals (including appropriate allied health professionals) 
in the detection and control of prostate cancer; 
"(5) to establish mechanisms through which the States 
and such departments can monitor the quality of screening 
procedures for prostate cancer, including uie interpretation of 
such procedures; and 
"(6) to evaluate activities conducted under pcuragraphs (1) 
through (5) through appropriate surveillance or program mon-
itoring activities, 
"(b) REQUIREMENT OF MATCHING FUNDS.— 
"(1) IN GENERAL.—The Secretary may not make a grant 
under subsection (a) unless the applicant involved agrees, with 
respect to the costs to be incurred by the applicant in carrying 
out the purpose described in such section, to make available 
non-Federal contributions (in cash or in kind under paragraph 
(2)) toward such costs in an amoimt equal to not less than 
$1 for each $3 of Federal funds provided in the grant. Such 
contributions may be made directly or through donations from 
public or private entities. 
"(2) DETERMINATION OF AMOUNT OF NON-FEDERAL CON-
TRIBUTION.— 
"(A) Non-Federal contributions required in paragraph 
(1) may be in cash or in kind, fairly evaluated, including 
equipment or services (and excluding indirect or overhead 
costs). Amounts provided by the Federal Government, or 
services assisted or subsidized to any significant extent 
by the Federal (government, may not be included in deter-
mining the amount of such non-Federal contributions. 
"(B) In making a determination of the amount of non-
Federal contributions for purposes of paragraph (1), the 
Secretary may include only non-Federal contributions in 
excess of the average amount of non-Federal contributions 
made by the applicant involved toward the purpose 
described in subsection (a) for the 2-year period preceding 
the fiscal year for which the applicant involved is applying 
to receive a grant under such subsection. 
"(C) In making a determination of the amount of non-
Federal contributions for purposes of paragraph (1), the 
Secretary shall, subject to subparagraphs (A) and (B) of 
this paragraph, include any non-Federal amounts expended 
pursuant to title XIX of the Social Security Act by the 
applicant involved toward the purpose described in para-
graphs (1) and (2) of subsection (a), 
"(c) EDUCATION ON SIGNIFICANCE OF EARLY DETECTION.—The 
Secretary may not make a grant under subsection (a) imless the 
applicant involved agrees that, in carrying out subsection (aX3), 
the applicant will carry out education programs to communicate 
to men, and to local health officials, the significance of the early 
detection of prostate cancer. 
"(d) REQUIREMENT OF PROVISION OF ALL SERVICES BY DATE 
CERTAIN.—^Ilie Secretary may not make a grant under subsection 
(a) unless the applicant involved agrees— 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3497 
"(1) to ensure that, initially and throughout the period 
during which amounts are received pursuant to the grant, 
not less tiian 60 percent of the grant is expended to provide 
each of tiie services or activities described in paragraphs (1) 
and (2) of such subsection; 
"(2) to ensure that, by the end of any second fiscal year 
of payments pursuant to the grant, each of the services or 
activities described in such subsection is provided; and 
"(3) to ensure that not more than 40 percent of the grant 
is expended to provide the services or activities described in 
paragraphs (3) through (6) of such section, 
"(e) ADDITIONAL REQUIRED AGREEMENTS.— 
**(1) PRIORITY FOR LOW-INCOME MEN.—The Secretary may 
not make a grant under subsection (a) unless the apphcant 
involved agrees that low-income men, and men at risk of pros-
tate cancer, will be given priority in the provision of services 
and activities pursuant to paragraphs (1) and (2) of such 
subsection. 
"(2) LIMITATION ON IMPOSITION OF FEES FOR SERVICES.— 
The Secretary may not make a grant under subsection (a) 
unless the applicant involved agrees that, if a charge is imposed 
for the provision of services or activities under the grant, such 
charge— 
"(A) will be made according to a schedule of charges 
that is made available to the public; 
"(B) will be a4justed to reflect the income of the man 
involved; and 
"(C) will not be imposed on any man with an income 
of less than 100 percent of the official poverty line, as 
established by the Director of the Office of Management 
and Budget and revised by the Secretary in accordance 
with section 673(2) of the Omnibus Budget Reconciliation 
Actofl98L 
"(3) RELATIONSHIP TO ITEMS AND SERVICES UNDER OTHER 
PROGRAMS.—^The Secretary may not make a grant under sub-
section (a) unless the applicant involved agrees that the grant 
will not be expended to make payment for any item or service 
to the extent that payment has been made, or can reasonably 
be expected to be made, with respect to such item or service— 
'^A) under any State compensation program, under 
an insurance policy, or under any Federal or State health 
benefits program; or 
"(B) by an entity that provides health services on a 
prepaid basis. 
"(4) COORDINATION WITH OTHER PROSTATE CANCER PRO-
GRAMS.—^The Secretary may not make a grant under subsection 
(a) unless the applicant involved agrees that the services and 
activities fimdea through the grant will be coordinated with 
other Federal, State, and local prostate cancer programs. 
"(5) LIMITATION ON ADMINISTRATIVE EXPENSES.—The Sec-
retary may not make a grant under subsection (a) unless tJie 
applicant involved agrees that not more than 10 percent of 
the grant will be expended for administrative expenses witii 
respect to the grant. 
**(6) RESTRICTIONS ON USE OF GRANT.—The Secretary may 
not make a grant under subsection (a) unless the applicant 
106 STAT. 3498 
PUBLIC LAW 102-531—OCT. 27, 1992 
involved agrees that the grant will not be expended to provide 
inpatient hospital services for any individual. 
"(7) RECORDS AND AUDITS.—The Secretary may not make 
a grant under subsection (a) unless the applicant involved 
agrees that— 
"(A) the applicant will establish such fiscal control 
;
^ 
and fund accounting procedures as may be necessary to 
ensure the proper disbursal of, and accounting for, amounts 
received by the applicant under such section; and 
"(B) upon request, the applicant will provide records 
maintained pursuant to paragraph (1) to the Secretary 
or the Comptroller of the United States for purposes of 
auditing the expenditures by the applicant of the grant. 
"(f) REPORTS TO SECRETARY.—The Secretary may not make 
a grant imder subsection (a) unless the applicant involved agrees 
to submit to the Secretary such reports as the Secretary may 
require with respect to the grant. 
"(g) DESCRIPTION OF INTENDED USES OF GRANT.—^The Secretary 
may not make a grant under subsection (a) unless— 
"(1) the applicant involved submits to the Secretary a 
description of the purposes for which the applicant intends 
to expend the grant; 
"(2) the description identifies the populations, areas, and 
localities in the applicant with a need for the services or activi-
ties described in subsection (a); 
"(3) the description provides information relating to the 
services and activities to be provided, including a description 
of the manner in which the services and activities will be 
coordinated with any similar services or activities of public 
or nonprivate entities; and 
"(4) the description provides assurances that the grant 
funds will be used in the most cost-effective manner. 
"(h) REQUIREMENT OF SUBMISSION OF APPLICATION.—The Sec-
retary may not make a grant under subsection (a) unless an applica-
tion for the grant is submitted to the Secretary, the application 
contains the description of intended uses required in subsection 
(g), and the application is in such form, is made in such manner, 
and contains such agreements, assurances, and information as the 
Secretary determines to be necessary to carry out this section, 
"(i) METHOD AND AMOUNT OF PAYMENT.—The Secretary shall 
determine the amount of a grant made under subsection (a). Pay-
ments under such grants may be made in advance on the basis 
of estimates or by way of reimbursement, with necessary adjust-
ments on account of the underpayments or overpajnnents, and 
in such installments and on such terms and conditions as the 
Secretary finds necessary to carry out the purposes of such grants. 
"(j) TECHNICAL ASSISTANCE AND PROVISION OF SUPPLIES AND 
SERVICES IN LIEU OF GRANT FUNDS.— 
"(1) TECHNICAL ASSISTANCE,—The Secretary may provide 
training and technical assistance with respect to the planning, 
development, and operation of any program or service carried 
out pursuant to subsection (a). The Secretary may provide 
such technical assistance directly or through grants to, or con-
tracts with, public and private entities. 
"(2) PROVISION OF SUPPLIES AND SERVICES IN LIEU OF GRANT 
FUNDS.— 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3499 
"(A) Upon the request of an applicant receiving a grant 
under subsection (a), the Secretary may, subject to subpara-
graph (B), provide supplies, ec^uipment, and services for 
the purpose of aiding the apphcant in canying out such 
section and, for such purpose, may detail to the applicant 
any o
f
i
E
L
c
e
r or employee of the Department of Health and 
Human Services. 
"(B) With respect to a request described in subpara-
graph (A), the Secretary shall reduce the amount of pay-
ments under the grant under subsection (a) to the applicant 
involved by an amount eaual to the costs of detailing 
personnel (including pay, allowances, and travel expenses) 
and the fair market value of any supplies, eqiiipment, 
or services provided by the Secretfury. The Secretary shall, 
for the payment of expenses incurred in complying with 
such request, expend the amounts withheld, 
''(k) DEFINITION.—^For purposes of this section, the term hmits 
of local government' includes Indian tribes. 
"(1) AUTHORIZATION OF APPROPRIATIONS.— 
"(1) IN GENERAL.—^For the purpose of carrying out this 
section, there are authorized to be appropriated $20,000,000 
for fiscal year 1993, and such sums as may be necessary for 
each of the fiscal years 1994 through 1996. 
"(2) ALLOCATION FOR TECHNICAL ASSISTANCE.—Of 
the 
amounts appropriated under paragraph (1) for a fiscal year, 
the Secretary shall reserve not more than 20 percent for carry-
ing out subsection (jXl).**. 
SEC. 309. CERTAIN PROGRAMS. 
(a) MIGRANT HEALTH CENTERS.— 
(1) INFANT MORTALITY AND MORBIDITY.—Section 329(hX2) 
of the Public Health Service Act (42 U.S.C. 254b(hX2)) is 
amended— 
(A) by amending subparagraph (B) to read as follows: 
"(B) The Secretary may make grants to migrant health centers 
for the purpose of assisting such centers in— 
"(i) providing comprehensive health care and support serv-
ices for the reduction of (I) the incidence of infant mortality, 
and (II) morbidity among children who are less than 3 years 
of age; and 
"(ii) developing and coordinating service and referral 
arrangements between migrant health centers and other enti-
ties for the health management of pregnant women and chil-
dren described in clause (i)."; and 
(B) by adding at the end the following subparagraphs: 
"(D) The Secretary may make a grant under subparagraph 
(B) only if the migrant health center involved agrees to expend 
the grant for the following activities with respect to the purpose 
described in such subparagraph: 
"(i) Primary nealtn services, including prenatal care. 
"(ii) Community education, outreach, and case finding. 
"(iii) Case management services. 
"(iv) Client education, including parenting and child devel-
opment education. 
"(E) The purposes for which a migrant health center may 
expend a grant under subparagraph (B) include, with respect to 
the purpose described in such subparagraph, substance abuse 
106 STAT. 3500 
PUBLIC LAW 102-531—OCT. 27,1992 
screenii^, counseling and referral services, and other necessary 
nonmedical support services, including child care, translation serv-
ices, and housing assistance. 
"(F) The Secretai^ may make a grant under subparagraph 
(B) only if the migrant health center involved agrees that— 
"(i) the center will coordinate the provision of services 
under the grant to each of the recipients of the services; 
'Xii) such services will be continuous for each such recipient; 
"(iii) the center will provide follow-up services for individ-
uals who are referred by the center for services described 
in subparagraph (£); and 
'Xiv) me grant will be expended to supplement, and not 
supplant, the expenditures of the center for primary heallii 
services (including prenatal care) with respect to the purpose 
described in such suoparagraph.". 
(2) CERTAIN SERVICES.—Section 329(aX6XC) of the Public 
Health Service Act (42 U.S.C. 254b(aX6XC)) is amended by 
inserting after 'Veil child services," Uie following: 'immuniza-
tions against vaccine-preventable diseases, screenings for ele-
vated blood lead levels,". 
(3) CERTAIN EXPENDITURES.—Section 329(dX4) of the Public 
Health Service Act (42 U.S.C. 254b(dX4)) is amended by adding 
at the end the following subparagraph: 
"(C) With respect to amounts described in clauses (i) and (ii) 
of subparagraph (A), the Secretary may not restrict expenditures 
of such amounts by any grantee under paragraph dXA) for— 
"(i) repair or minor renovation of the pnysical plant; 
"(ii) eistablishment of a financial reserve as required for 
the funiishin^ of services on a prepaid basis or as needed 
to cover unanticipated expenses; 
"(iii) interest payments on short-term loans to cover cash 
shortfalls; or 
"(iv) necessary salary requirements to remain competitive 
in hiring health care practitioners.", 
(b) COMMUNITY HEALTH CENTERS.— 
(1) INFANT MORTALITY AND MORBIDITY.—Section 330(gX2) 
of the Public Health Service Act (42 U.S.C. 254c(gX2)) is 
amended— 
(A) by amending subparagraph (B) to read as follows: 
"(B) The Seoretary may make erants to community health 
centei s for the purpose of assisting such centers in— 
"(i) provicung comprehensive health care and support serv-
ices for the reduction of (I) the incidence of infant mortality, 
and (II) morbidity among children who are less than 3 years 
of age; and 
"(ii) developing and coordinating service and referral 
arrangements between community health centers and other 
entities for the health management of pregnant women and 
diildren described in clause (i). ; and 
(B) by adding at the end the following subparagraphs: 
"(D) The Seoretary may make a grant imder subparagraph 
(B) only if the community health center involved agrees to expend 
the grant for the following activities with respect to the pun>ose 
described in such subparagraph: 
"(i) Primary health services, including prenatal care. 
"(ii) Community education, outreach, and case finding. 
"(iii) Case management services. 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3501 
"(iv) Client education, including parenting and child devel-
opment education. 
''(E) The purposes for which a community health center may 
expend a grant under subparagraph (B) include, with respect to 
the purpose described in such subparagraph, substance abuse 
screening, counseling and referral services, and other necessary 
nonmedical support services, including child care, translation serv-
ices, and housing assistance. 
"(F) The Secretary may make a grant under subparagraph 
(B) only if the community health center involved agrees that— 
"(i) the center will coordinate the provision of services 
under the grant to each of the recipients of the services; 
"(ii) such services will be continuous for each such recipient; 
"(iii) the center will provide follow-up services for individ-
uals who are referred by the center for services described 
in subparagraph (E); and 
"(iv) the grant will be expended to supplement, and not 
supplant, the expenditures of the center for primary health 
services (including prenatal care) with respect to the purpose 
described in such subparagraph.". 
(2) CERTAIN SERVICES.—Section 330(bXlXC) of the Public 
Health Service Act (42 U.S.C. 254c(bXlXC)) is amended by 
inserting sifter "well child services," the following: "immuniza-
tions against vaccine-preventable diseases, screenings for ele-
vated blood lead levels,". 
(3) CERTAIN EXPENDITURES.—Section 330(dX4) of the Public 
Health Service Act (42 U.S.C. 254c(dX4)) is amended by adding 
at the end the following subparagraph: 
"(C) With respect to amounts described in clauses (i) and (ii) 
of subparagraph (A), the Secretary may not restrict expenditures 
of such amounts by any grantee under paragraph (1) for— 
"(i) repair or minor renovation of the physical plant; 
"(ii) esteblishment of a financial reserve as required for 
the furnishing of services on a prepaid basis or as needed 
to cover unanticipated expenses; 
"(iii) interest pa>inents on short-term loans to cover cash 
shortfalls; or 
"(iv) necessary salary requirements to remain competitive 
in hiring health care practitioners.". 
(c) HEALTH CARE FOR THE HOMELESS.—Section 340 of the Public 
Health Service Act (42 U.S.C. 256) is amended by adding at the 
end the following subsection: 
"(t) INFANT MORTALITY AND MORBIDITY.— 
"(1) IN GENERAli.—^The Secretary may make grants to 
grantees under subsection (a) for the purpose of assisting such 
grantees in— 
"(A) providing comprehensive health care and support 
services for the reduction of (i) the incidence of infant 
mortality, and (ii) morbidity among children who are less 
, than 3 years of age; and 
"(B) developing and coordinating service and referral 
arrangements between such grantees and other entities 
for the health management of pregnant women and chil-
dren described in subparagraph (A). 
"(2) REQUIRED ACTIVITIES.—The Secretary may make a 
grant under paragraph (1) only if the applicant involved agrees 
106 STAT. 3502 
PUBLIC LAW 102-531—OCT. 27, 1992 
to expend the grant for the following activities with respect 
to the puipose described in such paragraph: 
"(A) Primary health services, including prenatal care. 
"(B) Community education, outreach, and case finding. 
"(C) Case management services. 
"(D) CUent education, including parenting and child 
development education. 
"(3) CERTAIN AUTHORIZED AcmvrnES.—The purposes for 
which a grant under paragraph (1) may be expended include, 
with respect to the purpose described in such paragraph, sub-
stance abuse screening, counseling and referral services, and 
other necessary nonmedical support services, including child 
care, translation services, and housing assistance. 
"(4) CERTAIN REQUIREMENTS REGARDING PROVISION OF SERV-
ICES.—^The Secretary may make a grant under paragraph (1) 
only if the applicant involved agrees that— 
"(A) the applicant will coordinate the provision of serv-
ices under the grant to each of the recipients of the services; 
"(B) such services will be continuous for each such 
recipient; 
"(C) the applicant will provide follow-up services for 
individuals who are referred by the applicant for services 
described in paragraph (3); and 
"(D) the grant will be expended to supplement, and 
not supplant, the expenditures of the applicant for primary 
health services (including prenatal care) with respect to 
the purpose described in paragraph (1). 
"(5) APPLICATION FOR GRANT.—The Secretary may make 
a grant under paragraph (1) only if an application for the 
grant is submitted to the Secretary and the application is 
m such form, is made in such manner, and contains such 
agreements, assurances, and information as the Secretary 
determines to be necessary to carry out this subsection. 
"(6) 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 of the 
fiscal years 1993 and 1994.". 
(d) HEALTH CARE FOR RESIDENTS OF PUBUC HOUSING.—Section 
340A of the Public Health Service Act (42 U.S.C. 256a) is amended 
by adding at the end the following subsection: 
"(q) INFANT MORTALITY AND MORBIDITY.— 
"(1) IN GENERAL.—^The Secretary may make grants to 
grantees under subsection (a) for the purpose of assisting such 
grantees in— 
"(A) providing comprehensive health care and support 
services for the reduction of (i) the incidence of infant 
mortality, and (ii) morbidity among children who are less 
than 3 years of age; and 
"(B) developmg and coordinating service and referral 
arrangements between such grantees and other entities 
for the health management of pregnant women and chil-
dren described in subparagraph (A). 
"(2) REQUIRED ACTIVITIES.—^The Secretary may make a 
grant under paragraph (1) only if the applicant involved agrees 
to expend the grant for the following activities with respect 
to the purpose described in such paragraph: 
"(A) Primary health services, including prenatal care. 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3503 
"(B) Community education, outreach, and case finding. 
"(C) Case management services. 
"(D) Client education, including parenting and child 
development education. 
"(3) CERTAIN AUTHORIZED AcmvrnES.—The purposes for 
which a grant under paragraph (1) may be expended include, 
with resTOct to the purpose described in such paragraph, sub-
stance abuse screening, counseling and referral services, and 
other necessary nonmedical support services, including child 
care, translation services, and housing assist£uice. 
"(4) CERTAIN REQUIREMENTS REGARDING PROVISION OF SERV-
ICES.—^The Secretary may make a grant under paragraph (1) 
only if the applicant involved agrees that— 
"(A) the applicant will coordinate the provision of serv-
ices under the grant to each of the recipients of the services; 
''(B) such services will be continuous for each such 
recipient; 
"(C) the applicant will provide follow-up services for 
individuals who are referrea by the applicant for services 
described in paraj^aph (3); and 
"(D) the grant will be expended to supplement, and 
not supplant, the expenditures of the applicant for primary 
health services (including prenatal care) with respect to 
the purpose described in paragraph (1). 
"(5) APPUCATION FOR ORANT.^The Secretary may make 
a grant under paragraph (1) only if an application for the 
^ant is submitted to the Secretary and tne appUcation is 
m such form, is made in such manner, and contains such 
agreements, assurances, and information as the Secretary 
determines to be necessary to carry out this subsection. 
**(6) 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 of the 
fiscal years 1993 and 1994.". 
SEC. 310. INTERNATIONAL COOPERATION. 
Section 307(b) of the Public Health Service Act (42 U.S.C. 
242/(b)) is amended— 
(1) in paragraph (6), by striking "and" after the semicolon 
at the end; 
(2) in paragraph (7), by striking the period at the end 
and inserting "; ana*; and 
(3) by adding at the end the following paragraph: 
"(8) enter into contracts with individuals for the provision 
of services (as defined in section 104 of part 37 of title 48, 
Code of Federal Regulations (48 CFR 37.104)) in participating 
foreign countries, wnich individuals may not be deemed employ-
ees 01 the United Stetes for any purpose.". 
SEC. 311. MISCELLANEOUS PROVISIONS. 
(a) CERTAIN STUDY.—Section 813 of the Health Maintenance 
Organization Amendments of 1986 (42 U.S.C. 300e note) is repealed. 
The amendment made by the preceding sentence shall take effect Effective date. 
as if enacted on November 14,1986. 
(b) HEALTH INFORMATION.— 
(1) GENERAL AUTHORITY.—Section 1701(aXllXC) of the 
Public Health Service Act (42 U.S.C. 300u(aXllXC)) is amended 
by striking "preventive health services," and inserting tiie fol-
106 STAT. 3504 
PUBLIC LAW 102-531—OCT. 27, 1992 
lowing: 'preventive health services (which may include informa-
tion concerning models and standards for insurance coverage 
of such services),". 
(2) RESEARCH PROGRAMS.—Section 1702(aX6) of the Public 
Health Service Act (42 U.S.C. 300u-2(aX6)) is amended by 
inserting before the period the following: "(which measures 
and services may include blood pressure screening, cholesterol 
screening and control, smoking cessation programs, substance 
abuse programs, cancer screening, dietary and nutritional coim-
seling, diabetes screening and education, intraocular pressure 
screening, and stress management)". 
SEC. 312. CHANGE IN NAME OF CENTERS FOR DISEASE CONTROL. 
(a) 
COMPREHENSIVE 
SMOKING 
EDUCATION ACT.—Section 
3(bXl)(A) of the Comprehensive Smoking Education Act (15 U.S.C. 
1341(bXlXA)) is amended by striking out "Centers for Disease Con-
trol" and inserting in lieu thereof "Centers for Disease Control 
and Prevention". 
(b) EDUCATION AMENDMENTS OF 1978.—Section 1121(bX2) of 
25 use 2001. 
the Education Amendments of 1978 is amended by striking out 
"Federal Center for Disease Control" and inserting in lieu thereof 
"Centers for Disease Control and Prevention". 
(c) VETERANS* BENEFITS AND SERVICES ACT OF 1988.—Section 
123(bXl) of the Veterans' Benefits and Services Act of 1988 (38 
U.S.C. 210 note) is amended by striking out "Centers for Disease 
Control" and inserting in lieu thereof "Centers for Disease Control 
and Prevention". 
(d) PuBUC HEALTH SERVICE ACT.—The Public Health Service 
Act is amended— 
(1) in section 227 (42 U.S.C. 236) by striking out "Centers 
for Disease Control" each place that such occurs and inserting 
in lieu thereof "Centers for Disease Control and Prevention"^ 
(2) in section 319(a) (42 U.S.C. 247d(a)) by striking out 
"Centers for Disease Control" and inserting in Ueu thereof 
"Centers for Disease Control and Prevention"; 
(3) in section 391 (42 U.S.C. 280b) by striking out "Centers 
for Disease Control" each place that such occurs and inserting 
in lieu thereof "Centers for Disease Control and Prevention*^ 
(4) in section 392 (42 U.S.C. 280b-l) by striking out "Cen-
ters for Disease Control" each place that such occurs and insert-
ing in lieu thereof "Centers for Disease Control and Prevention"; 
(5) in section 393 (42 U.S.C. 280b-2) by striking out "Cen-
ters for Disease Control" and inserting in lieu thereof "Centers 
for Disease Control and Prevention"; 
(6) in section 430(bX2XAXi) (42 U.S.C. 285c-4(bX2XAXi)) 
by striking out "Centers for Disease Control" aiid inserting 
in lieu thereof "Centers for Disease Control and Prevention^ 
(7) in section 442(bX2XA) (42 U.S.C. 285d-7(bX2XA)) by 
striking out "Centers for Disease Control" and inserting in 
lieu thereof "Centers for Disease Control and Prevention"; 
(8) in section 464D(bX2XA) (42 U.S.C. 285m-4(bX2XA)) 
by striking out "Centers for Disease Control" and inserting 
in lieu thereof "Centers for Disease Control and Prevention^ 
(9) in section 494(a) (42 U.S.C. 289c(a)) by striking out 
"Centers for Disease Control" and inserting in lieu thereof 
"Centers for Disease Control and Prevention"; 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3505 
(10) in section 508(bX6) (42 U.S.C. 290aa-6(bX6)) by strik- 42 use 290bb-i. 
ing out "Centers for Disease Control" and inserting in lieu 
thereof "Centers for Disease Control and Prevention"; 
(11) in section 509B(a) (42 U.S.C. 290aa-9(a)) by striking 
out "Centers for Disease Control" and inserting in lieu thereof 
"Centers for Disease Control and Prevention"; 
(12) in section 1706(cX2XB) (42 U.S.C. 300u-5(cX2XB)) by 
striking out "Centers for Disease Control" and inserting in 
lieu thereof "Centers for Disease Control and Prevention"; 
(13) in section 2102 (42 U.S.C. 300aa-2) by striking out 
"Centers for Disease Control" each place that such occurs and 
inserting in lieu thereof "Centers for Disease Control and 
Prevention"; 
(14) in section 2119(aX2) (42 U.S.C. 300aa-19(aX2)) by 
striking out "Centers for Disease Control" and inserting in 
Ueu thereof "Centers for Disease Control and Prevention"; 
(15) in section 2126(bX2) (42 U.S.C. 300aa-26(bX2)) by 
striking out "Centers for Disease Control" and inserting in 
lieu thereof "Centers for Disease Control and Prevention"; 
(16) in section 2301(bX4) (42 U.S.C. 300cc(bX4)) by striking 
out "Centers for Disease Control" and inserting in lieu thereof 
"Centers for Disease (Control and Prevention"; 
(17) in section 2303 (42 U.S.C. 300cc-2) by striking out 
"Centers for Disease Control" each place that such occurs and 
inserting in lieu thereof "Centers for Disease Control and 
Prevention"; 
(18) m section 2315(b) (42 U.S.C. 300cc-15(b)) by striking 
out "Centers for Disease Clontrol" and inserting in lieu thereof 
"Centers for Disease Control and Prevention"; 
(19) in section 2317 (42 U.S.C. 300cc-17) by striking out 
"Centers for Disease Control" each place that such occurs and 
inserting in lieu thereof "Centers for Disease Control and 
Prevention"; 
(20^ in section 2320 (42 U.S.C. 300cc-20) by striking out 
"Centers for Disease Control" each place that such occurs and 
inserting in lieu thereof "Centers for Disease Control and 
Prevention"; 
(21) in section 2341(a) (42 U.S.C. 300cc-31(a)) by striking 
out "Centers for Disease CJontrol" and inserting in lieu thereof 
"Centers for Disease Control and Prevention"; 
(22) in section 2521 (42 U.S.C. 300ee-31) by striking out 
"Centers for Disease Control" each place that such occurs and 
inserting in lieu thereof "Centers for Disease Control and 
Prevention"; 
(23) in section 2522(a) (42 U.S.C. 300ee-32(a)) by striking 
out "Centers for Disease Control" and inserting in lieu thereof 
"Centers for Disease Control and Prevention"; 
(24) in section 2524(bX2) (42 U.S.C. 300ee-34(bX2)) by 
striking out "Centers for Disease Control" and inserting in 
lieu thereof "Centers for Disease Control and Prevention"; 
(25) in section 2601 by striking out "Centers for Disease 42 use 300ff-il. 
Control" each place that such occiu^ and inserting in lieu 
thereof "Centers for Disease Control and Prevention"; 
(26) in section 2602(aXl) by striking out "Centers for Dis- 42 use 300ff-l2. 
ease Control" and inserting in lieu thereof "Centers for Disease 
Control and Prevention"; 
59-194 0-93 
25 : QL 3 (Pt. 4) 
106 STAT. 3506 
PUBLIC LAW 102-531—OCT. 27, 1992 
42 use 300ff-i3. 
(27) in section 2603(a)(3XBXi) by striking out "Centers 
for Disease Control" and inserting in lieu thereof "Centers 
for Disease Control and Prevention"; 
42 use 300ff-i7. 
(28) in section 2607(2) by striking out "Centers for Disease 
Control" and inserting in lieu thereof "Centers for Disease 
Control and Prevention"; 
42 use 300ff-27. 
(29) in section 2617(dX3XA) by striking out "Centers for 
Disease Control" and inserting in lieu thereof "Centers for 
Disease Control and Prevention"; 
42 use 300ff-28. 
(30) in section 2618(cXl) by striking out "Centers for Dis-
ease Control" and inserting in lieu thereof "Centers for Disease 
Control and Prevention"; 
42 use 300ff-4i. 
(31) in section 2641(a) by striking out "Centers for Disease 
Control" and inserting in lieu thereof "Centers for Disease 
Control and Prevention"; 
42 use 300ff-43. 
(32) in section 2643(cXl)(A) by striking out "Centers for 
Disease Control" and inserting in lieu thereof "Centers for 
Disease Control and Prevention"; 
42 use 300ff-49. 
(33) in section 2649 by striking out "Centers for Disease 
Control" each place that such occurs and inserting in lieu 
thereof "Centers for Disease Control and Prevention"; and 
42 use 300ff-75. 
(34) in section 2675(a) by striking out "Centers for Disease 
Control" each place that such occurs and inserting in lieu 
thereof "Centers for Disease Control and Prevention". 
(e) HEALTH OMNIBUS PROGRAMS EXTENSION OF 1988.—The 
Health Omnibus Programs Extension of 1988 is amended— 
(1) in section 161 (42 U.S.C. 241 note) by striking out 
"Centers for Disease Control" each place that such occurs and 
inserting in lieu thereof "Centers for Disease Control and 
Prevention"; 
(2) in section 252 (42 U.S.C. 300ee-l) by striking out "Cen-
ters for Disease Control" and inserting in lieu thereof "Centers 
for Disease Control and Prevention"; and 
(3) in section 253 (42 U.S.C. 300ee-2) by striking out "Cen-
ters for Disease Control" each place that such occurs and insert-
ing in lieu thereof "Centers for Disease Control and Prevention". 
(0 HEALTH RESEARCH EXTENSION ACT OF 1985.—Section 
5(bXlXG) of the Health Research Extension Act of 1985 (42 U.S.C. 
281 note) is amended by striking out "Centers for Disease Control" 
and inserting in lieu thereof "Centers for Disease Control and 
Prevention". 
(g) PAINT POISONING PREVENTION.—Section 501(3XBXi) of Pub-
Uc Law 91-695 (42 U.S.C. 4841(3XBXi)) is amended by striking 
out "Center for Disease Control" and inserting in lieu thereof "Cen-
ters for Disease Control and Prevention". 
(h) COMPREHENSIVE ENVIRONMENTAL RESPONSE, COMPENSA-
TION A
N
D LIABILITY ACT OF 1980.—Section 104 of the Comprehen-
sive Environmental Response, Compensation and Liability Act of 
1980 (42 U.S.C. 9604) is amended by striking out "Centers for 
Disease Control" each place that such occurs and inserting in lieu 
thereof "Centers for Disease Control and Prevention". 
42 use 236 note. 
(i) RuLE OF CONSTRUCTION.—The amendments made by this 
section may not be construed as prohibiting the Director of the 
Centers for Disease Control and Prevention from utilizing for official 
purposes the term "CDC" as an acronym for such Centers. 
PUBLIC LAW 102-531—OCT. 27, 1992 
106 STAT. 3507 
SEC. 313. TECHNICAL CORHECTIONS. 
(a) IN GENERAL.—The Public Health Service Act, as amended 
by Uie Health Professions Education Extension Amendments of 
1992 (the enactment of the bill, H.R. 3508, of the One Hundred 
Second Congress), is amended— 
(1) in section 735(b), by striking "smaller: the amount ^"'«' P 2021. 
requested in its application; or an amount which" and inserting 
"smaller: (A) the amoimt requested in its application; or (B) 
an amount which"; 
(2) in section 746— 
Ante, p. 2034. 
(A) in subsection (aX2XA)— 
(i) in clause (i), by striking "Health Professionals" 
and inserting "Health Professions"; and 
(ii) in the matter after and below clause (ii), by 
moving the matter two ems to the right; and 
(B) in subsection (iXl)— 
(i) by moving subparagraph (A) two ems to the 
right; and 
(ii) by moving subparagraphs (B) and (C) four ems 
to the right; 
(3) in section 748(a), in the matter preceding paragraph Ante, p. 2043. 
(1), by striking "hospital" and inserting "hospitals"; 
(4) in section 776(aX3), by striking "no grant" and inserting Ante, p. 2050. 
"No grant"; 
(5) in section 791(b), in the matter preceding paragraph Ante, p. 2058. 
( 1 ) -
(A) by striking "763" and inserting "763, 766, or 767"; 
and 
(B) by striking "752(a)" and inserting "798(fK2)"; 
(6) in section 793(cX2), by striking "subparts I and II of Ante, p. 2O6I. 
part D," and inserting "this title,"; 
(7) in section 795(aX3), by striking "in the case" and insert- Ante, p. 2063. 
ing "In the case"; 
(8) in section 798(d), by inserting "of the United States" Ante, p. 2064. 
after "Statutes"; 
(9) in section 820(dX5XA), by striking "nursing respect Ante,p.20Q9. 
to" and inserting "nursing with respect to"; 
(10) in section 860(d), by inserting "827," after "822,"; and Ante, p. 2075. 
(11) in part B of title VIII, by striking subpart III and 42 USC prec. 
redesignating subpart IV as subpart III. 
^^J^ 297n*"** 
(b) RELATED TECHNICAL CORRECTION.—The Health Professions ^ 
Education Extension Amiendments of 1992 (the enactment of the 
bill, H.R. 3508, of the One Hundred Second Congress) is amended Ante, p. 2080. 
in 
section 
301(aX2) by striking "voluntarjr" and 
inserting 
"voluntarily". 
(c) EFFECTIVE DATE.—^The amendments described in this section 42 use 292g 
are made, and take effect, immediately after the enactment of "°^' 
the bill, H.R. 3508, of the One Hundred Second Congress. 
106 STAT. 3508 
PUBLIC LAW 102-531—OCT. 27, 1992 
SEC. 314. AUTHORIZATION OF APPROPRIATIONS REGARDING VAC-
CINE COBIPEN8ATION. 
Section 2115(j) of the Public Health Service Act (42 U.S.C. 
300aa-15(i)) is amended by striking "$80,000,000 for fiscal year 
1993," and inserting "$110,000,000 for 
fiscal 
year 1993,". 
Approved October 27, 1992. 
•;.j,^,v,-. 
LEGISLATIVE HISTORY—H.R. 3635: 
HOUSE REPORTS: Nos. 102-318 (Comm. on Energy and Commerce) and 102-1019 
(Comm. of Conference). 
CONGRESSIONAL RECORD: 
Vol. 137 (1991): Nov. 19, considered and passed House. 
Nov. 27, considered and passed Senate, amended. 
Vol. 138 (1992): Oct. 5, House agreed to conference report. 
Oct. 7, Senate agreed to conference report. 
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 28 (1992): 
Oct. 27, Presidential statement.