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SECTION 1. SHORT TITLE.

This Act may be cited as the ''Poison Control Center Enhancement
and Awareness Act Amendments of 2003''.

SEC. 2. FINDINGS.

The Congress finds the following:
(1) Poison control centers are our Nation's primary defense
against injury and deaths from poisoning. Twenty-four hours a day,
the general public as well as health care practitioners contact
their local poison centers for help in diagnosing and treating
victims of poisoning and other toxic exposures.
(2) Poisoning is the third most common form of unintentional
death in the United States. In any given year, there will be
between 2,000,000 and 4,000,000 poison exposures. More than 50
percent of these exposures will involve children under the age of 6
who are exposed to toxic substances in their home. Poisoning
accounts for 285,000 hospitalizations, 1,200,000 days of acute
hospital care, and 13,000 fatalities annually.
(3) Stabilizing the funding structure and increasing
accessibility to poison control centers will promote the
utilization of poison control centers, and reduce the inappropriate
use of emergency medical services and other more costly health care
services.
(4) The tragic events of September 11, 2001, and the anthrax
cases of October 2001, have dramatically changed our Nation. During
this time period, poison centers in many areas of the country were
answering thousands of additional calls from concerned residents.
Many poison centers were relied upon as a source for accurate
medical information about the disease and the complications
resulting from prophylactic antibiotic therapy.
(5) The 2001 Presidential Task Force on Citizen Preparedness in
the War on Terrorism recommended that the Poison Control Centers be
used as a source of public information and public education
regarding potential biological, chemical, and nuclear domestic
terrorism.
(6) The increased demand placed upon poison centers to provide
emergency information in the event of a terrorist event involving a
biological, chemical, or nuclear toxin will dramatically increase
call volume.

SEC. 3. AMENDMENT TO PUBLIC HEALTH SERVICE ACT.

Title XII of the Public Health Service Act (42 U.S.C. 300d et seq.)
is amended by adding at the end the following:

''Part G--Poison Control

''SEC. 1271. MAINTENANCE OF A NATIONAL TOLL-FREE NUMBER.

''(a) In General.--The Secretary shall provide coordination and
assistance to regional poison control centers for the establishment of
a nationwide toll-free phone number to be used to access such centers.
''(b) Rule of Construction.--Nothing in this section shall be
construed as prohibiting the establishment or continued operation of
any privately funded nationwide toll-free phone number used to provide
advice and other assistance for poisonings or accidental exposures.
''(c) Authorization of Appropriations.--There is authorized to be
appropriated to carry out this section $2,000,000 for each of the
fiscal years 2000 through 2009. Funds appropriated under this
subsection shall not be used to fund any toll-free phone number
described in subsection (b).
''SEC. 1272. NATIONWIDE MEDIA CAMPAIGN TO PROMOTE POISON CONTROL CENTER
UTILIZATION.
''(a) In General.--The Secretary shall establish a national media
campaign to educate the public and health care providers about poison
prevention and the availability of poison control resources in local
communities and to conduct advertising campaigns concerning the
nationwide toll-free number established under section 1271.
''(b) Contract With Entity.--The Secretary may carry out subsection
(a) by entering into contracts with one or more nationally recognized
media firms for the development and distribution of monthly television,
radio, and newspaper public service announcements.
''(c) Evaluation.--The Secretary shall--
''(1) establish baseline measures and benchmarks to
quantitatively evaluate the impact of the nationwide media campaign
established under this section; and
''(2) prepare and submit to the appropriate congressional
committees an evaluation of the nationwide media campaign on an
annual basis.
''(d) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $600,000 for each of fiscal
years 2000 through 2005 and such sums as may be necessary for each of
fiscal years 2006 through 2009.
''SEC. 1273. MAINTENANCE OF THE POISON CONTROL CENTER GRANT PROGRAM.
''(a) Regional Poison Control Centers.--The Secretary shall award
grants to certified regional poison control centers for the purposes of
achieving the financial stability of such centers, and for preventing
and providing treatment recommendations for poisonings.
''(b) Other Improvements.--The Secretary shall also use amounts
received under this section to--
''(1) develop standardized poison prevention and poison control
promotion programs;
''(2) develop standard patient management guidelines for
commonly encountered toxic exposures;
''(3) improve and expand the poison control data collection
systems, including, at the Secretary's discretion, by assisting the
poison control centers to improve data collection activities;
''(4) improve national toxic exposure surveillance by enhancing
activities at the Centers for Disease Control and Prevention and
the Agency for Toxic Substances and Disease Registry;
''(5) expand the toxicologic expertise within poison control
centers; and
''(6) improve the capacity of poison control centers to answer
high volumes of calls during times of national crisis.
''(c) Certification.--Except as provided in subsection (d), the
Secretary may make a grant to a center under subsection (a) only if--
''(1) the center has been certified by a professional
organization in the field of poison control, and the Secretary has
approved the organization as having in effect standards for
certification that reasonably provide for the protection of the
public health with respect to poisoning; or
''(2) the center has been certified by a State government, and
the Secretary has approved the State government as having in effect
standards for certification that reasonably provide for the
protection of the public health with respect to poisoning.
''(d) Waiver of Certification Requirements.--
''(1) In general.--The Secretary may grant a waiver of the
certification requirement of subsection (c) with respect to a
noncertified poison control center or a newly established center
that applies for a grant under this section if such center can
reasonably demonstrate that the center will obtain such a
certification within a reasonable period of time as determined
appropriate by the Secretary.
''(2) Renewal.--The Secretary may renew a waiver under
paragraph (1).
''(3) Limitation.--In no instance may the sum of the number of
years for a waiver under paragraph (1) and a renewal under
paragraph (2) exceed 5 years. The preceding sentence shall take
effect as if enacted on February 25, 2000.
''(e) Supplement Not Supplant.--Amounts made available to a poison
control center under this section shall be used to supplement and not
supplant other Federal, State, or local funds provided for such center.
''(f) Maintenance of Effort.--A poison control center, in utilizing
the proceeds of a grant under this section, shall maintain the
expenditures of the center for activities of the center at a level that
is not less than the level of such expenditures maintained by the
center for the fiscal year preceding the fiscal year for which the
grant is received.
''(g) Matching Requirement.--The Secretary may impose a matching
requirement with respect to amounts provided under a grant under this
section if the Secretary determines appropriate.
''(h) Authorization of Appropriations.--There are authorized to be
appropriated to carry out this section $25,000,000 for each of the
fiscal years 2000 through 2004 and $27,500,000 for each of fiscal years
2005 through 2009.

''SEC. 1274. RULE OF CONSTRUCTION.

''Nothing in this part may be construed to ease any restriction in
Federal law applicable to the amount or percentage of funds
appropriated to carry out this part that may be used to prepare or
submit a report.''.

SEC. 4. CONFORMING AMENDMENT.

The Poison Control Center Enhancement and Awareness Act (42 U.S.C.
14801 et seq.) is hereby repealed.

Speaker of the House of Representatives.

Vice President of the United States and
President of the Senate.
Poison Control Center Enhancement and Awareness Act Amendments of 2003 - (Sec. 3) Amends the Public Health Service Act to direct the Secretary of Health and Human Services to provide coordination and assistance to regional poison control centers for a nationwide toll-free phone number. Authorizes appropriations through FY 2009.

Directs the Secretary to establish a national media campaign to educate the public and health care providers about poison prevention and the availability of local poison control resources, and to conduct advertising campaigns concerning such nationwide toll-free number. Authorizes the Secretary to enter into contracts with one or more nationally recognized media firms for the development and distribution of related monthly television, radio, and newspaper public service announcements. Authorizes appropriations through FY 2009.

Directs the Secretary to award grants to certified (with a discretionary five-year maximum certification waiver) regional poison control centers for: (1) center financial stability; and (2) poison prevention and treatment. Directs the Secretary to: (1) develop standardized poison prevention and poison control promotion programs; (2) develop standard patient management guidelines for commonly encountered toxic exposures; (3) improve and expand poison control data collection systems; (4) improve national toxic exposure surveillance by enhancing activities at the Centers for Disease Control and Prevention and the Agency for Toxic Substances and Disease Registry; (5) expand toxicologic expertise within poison control centers; and (6) improve poison control center capacity to answer high call volumes during a national crisis. Authorizes appropriations through FY 2009.

(Sec. 4) Repeals the Poison Control Center Enhancement and Awareness Act.