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SECTION 1. SHORT TITLE.

This Act may be cited as the ''National Bone Marrow Donor Registry
Reauthorization Act''.

SEC. 2. NATIONAL BONE MARROW DONOR REGISTRY.

(a) National Registry.--Section 379 of the Public Health Service
Act (42 U.S.C. 274k) is amended--
(1) in subsection (a)--
(A) in paragraph (1), by striking ''except that''
and all that follows and inserting ''except that--
''(A) such limitations shall not apply to the Chair
of the board (or the Chair-elect) or to the member of
the board who most recently served as the Chair; and
''(B) 1 additional consecutive 2-year term may be
served by any member of the board who has no
employment, governance, or financial affiliation with
any donor center, recruitment group, transplant center,
or cord blood bank.''; and
(B) in paragraph (4)--
(i) by striking ''the Naval Medical
Research and Development Command'' and
inserting ''the Department of Defense Marrow
Donor Recruitment and Research Program operated
by the Department of the Navy''; and
(ii) by striking ''Organ'' after ''Division
of'';
(2) in subsection (b)--
(A) in paragraph (4), by inserting ''at least''
before ''annually'';
(B) in paragraph (7), by striking ''and comparisons
of transplant centers regarding search and other costs
that prior to transplantation are charged to patients
by transplant centers; and'';
(C) in paragraph (8), by inserting ''and outreach''
after ''and demonstration'';
(D) at the end of paragraph (8), by striking the
period and inserting a semicolon;
(E) by redesignating paragraphs (3) through (8) as
paragraphs (4) through (9);
(F) by inserting after paragraph (2), the
following:
''(3) maintain and expand medical emergency contingency
response capabilities in concert with Federal programs for
response to threats of use of terrorist or military weapons
that can damage marrow, such as ionizing radiation or chemical
agents containing mustard, so that the capability of supporting
patients with marrow damage from disease can be used to support
casualties with marrow damage;''; and
(G) by adding at the end the following:
''(10) conduct and support research to improve the
availability, efficiency, safety, and cost of transplants from
unrelated donors and the effectiveness of Registry operations;
''(11) increase the number of umbilical cord blood units
listed in the Registry and assist cord blood banks in the
Registry program in accordance with subsection (c); and
''(12) establish bylaws and procedures--
''(A) to prohibit any member of the board of
directors of the Registry who has an employment,
governance, or financial affiliation with a donor
center, recruitment group, transplant center, or cord
blood bank from participating in any decision that
materially affects the center, recruitment group,
transplant center, or cord blood bank; and
''(B) to limit the number of members of the board
with any such affiliation.'';
(3) in subsection (c)--
(A) in clause (ii) of paragraph (2)(A), by striking
'', including providing updates''; and
(B) in paragraph (3), by striking ''the
availability, as a potential treatment option, of
receiving a transplant of bone marrow from an unrelated
donor'' and inserting ''transplants from unrelated
donors as a treatment option and resources for
identifying and evaluating other therapeutic
alternatives'';
(4) in subsection (d)--
(A) in paragraph (2)(C), by inserting ''and assist
with information regarding third party payor matters''
after ''ongoing search for a donor'';
(B) in paragraph (2)(F)--
(i) by redesignating clause (v) as clause
(vi); and
(ii) by inserting after clause (iv) the
following:
''(v) Information concerning issues that
patients may face after a transplant regarding
continuity of care and quality of life.''; and
(C) in paragraph (3)(B), by striking ''Office may''
and inserting ''Office shall'';
(5) in subsection (g), by striking ''the bone marrow donor
program of the Department of the Navy'' and inserting ''the
Department of Defense Marrow Donor Recruitment and Research
Program operated by the Department of the Navy'';
(6) in subsection (h)--
(A) by striking ''Application.--'' and inserting
''Contracts.--'';
(B) by striking ''To be eligible'' and inserting
the following:
''(1) Application.--To be eligible''; and
(C) by adding at the end the following:
''(2) Considerations.--In awarding contracts under this
section, the Secretary shall give substantial weight to the
continued safety of donors and patients and other factors
deemed appropriate by the Secretary.'';
(7) in subsection (i), by striking ''include'' and
inserting ''be''; and
(8) by striking subsection (l).
(b) Bone Marrow Scientific Registry.--Section 379A of the Public
Health Service Act (42 U.S.C. 274l) is amended--
(1) in subsection (a), by adding at the end the following:
''The scientific registry shall participate in medical research
that has the potential to improve transplant outcomes.'';
(2) in subsection (c), by striking ''Each such report shall
in addition include the data required in section 379(l)
(relating to pretransplant costs).''; and
(3) by adding after subsection (c) the following:
''(d) Publicly Available Data.--The scientific registry shall make
relevant scientific information not containing individually
identifiable information available to the public in the form of
summaries and data sets to encourage medical research and to provide
information to transplant programs, physicians, and patients.''.
(c) Bone Marrow and Marrow Defined.--Part I of title III of the
Public Health Service Act (42 U.S.C. 274k et seq.) is amended--
(1) by redesignating section 379B as section 379C; and
(2) by inserting after section 379A the following:

''SEC. 379B. BONE MARROW AND MARROW DEFINED.

''For purposes of this part, the terms 'bone marrow' and 'marrow'
include bone marrow and any other source of hematopoietic progenitor
cells the acquisition or use of which is not inconsistent with Federal
law.''.
(d) Authorization of Appropriations.--Section 379C of the Public
Health Service Act, as redesignated by subsection (c), is amended to
read as follows:

''SEC. 379C. AUTHORIZATION OF APPROPRIATIONS.

''(a) In General.--For the purpose of carrying out this part, there
are authorized to be appropriated $32,000,000 for fiscal year 2004, and
such sums as may be necessary for each of the fiscal years 2005 through
2008.
''(b) Emergency Contingency Response Capabilities.--In addition to
the amounts authorized to be appropriated under subsection (a), there
are authorized to be appropriated such sums as may be necessary for the
maintenance and expansion of emergency contingency response
capabilities under section 379(b)(3).''.

Passed the House of Representatives October 1, 2003.

Attest:

Clerk.
Output:
National Bone Marrow Donor Registry Reauthorization Act - Amends the Public Health Service Act to authorize: (1) specified FY 2004 appropriations, and FY 2005 through 2008 appropriations, for the National Bone Marrow Donor Registry; and (2) appropriations for emergency contingency response capabilities.

Revises Registry provisions respecting: (1) board of directors term of office; and (2) Registry functions, including emergency response to terrorist threats injurious to bone marrow, and umbilical cord blood units and blood banks.

Defines "bone marrow" and "marrow" to include bone marrow and any other source of hematopoietic progenitor cells the acquisition or use of which is not inconsistent with Federal law.