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108th CONGRESS
1st Session
H. R. 1565
To establish a National Center for Military Deployment Health Research
in the Department of Health and Human Services to provide an
independent means for the conduct and coordination of research into
issues relating to the deployment of members of the Armed Forces
overseas, and for other purposes.
_______________________________________________________________________
IN THE HOUSE OF REPRESENTATIVES
April 2, 2003
Ms. Baldwin (for herself, Ms. Lee, Mr. Frost, Mr. Sanders, Mrs. Jones
of Ohio, Mr. McDermott, and Mr. Conyers) introduced the following bill;
which was referred to the Committee on Energy and Commerce, and in
addition to the Committees on Veterans' Affairs, the Budget, and Armed
Services, for a period to be subsequently determined by the Speaker, in
each case for consideration of such provisions as fall within the
jurisdiction of the committee concerned
_______________________________________________________________________
A BILL
To establish a National Center for Military Deployment Health Research
in the Department of Health and Human Services to provide an
independent means for the conduct and coordination of research into
issues relating to the deployment of members of the Armed Forces
overseas, and for other purposes.
Be it enacted by the Senate and House of Representatives of the
United States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Servicemembers Health Protection Act
of 2003''.
TITLE I--NATIONAL CENTER FOR MILITARY DEPLOYMENT HEALTH RESEARCH
SEC. 101. ESTABLISHMENT OF NATIONAL CENTER FOR MILITARY DEPLOYMENT
HEALTH RESEARCH.
(a) Establishment.--
(1) In general.--There is established in the Department of
Health and Human Services a center to be known as the National
Center for Military Deployment Health Research (hereinafter in
this Act referred to as the ``Center'').
(2) Director.--The Center shall be headed by a Director,
who shall be appointed by the Secretary of Health and Human
Services.
(3) Purpose.--The Center shall, in accordance with this
Act, conduct research on deployment-related health issues of
members of the Armed Forces, veterans, and their families and
serve as the national center for coordination of private and
public research on those issues.
(b) Deployment-Related Health Issues Defined.--For purposes of this
Act, the term ``deployment-related health issues'' includes the
following:
(1) Issues relating to injuries, diseases, disorders, or
other health conditions of members of the Armed Forces arising
or incurred during deployment and resulting from combat,
training, infectious diseases, and environmental exposures.
(2) Conditions that emerge during or following deployment,
including--
(A) diagnosable conditions;
(B) medically unexplained symptoms (both physical
and mental);
(C) effects on health-related quality of life;
(D) family impacts; and
(E) sequelae of combat injuries.
(3) Conditions arising from inoculations before deployment
that are intended to provide protection from conditions that
could be encountered during deployment.
SEC. 102. FUNCTIONS.
(a) In General.--The functions of the Center shall be as follows:
(1) Development of a coordinated research plan for
deployment-related health issues.
(2) Conducting and supporting research relating to
deployment-related health issues.
(3) Creation of policies for conducting and supporting such
research and making the results of such research available to
the public and guidelines for the conduct and dissemination of
research by other Federal entities and by non-Federal entities,
in matters relating to deployment-related health issues of
members of the Armed Forces, veterans, and their families,
including policies to minimize research duplication.
(4) Evaluation of the results of research described in
paragraph (3).
(5) Development of policy recommendations that emerge from
that research.
(6) Communication of the results of the research described
in paragraph (3) to the medical community and persons with
deployment-related health issues.
(b) Core Functions.--The Center shall carry out the following core
functions:
(1) Research coordination and setting of priorities.
(2) Synthesis of research for the purpose of developing
policy recommendations.
(3) Review and analysis of longitudinal monitoring of
deployment-related health of veterans.
(4) Facilitating the use of national data resources for
research activities relating to deployment-related health
issues.
(5) Communication of the results of such research
activities to the medical community and persons with
deployment-related health issues.
(c) Consultation.--The Director of the Center shall consult closely
with the Advisory Committee on Military Deployment Health Research
established under section 104 on all aspects of the activities of the
Center.
SEC. 103. RESEARCH NETWORK.
(a) In General.--The Center shall coordinate and conduct research
activities relating to deployment-related health issues of members of
the Armed Forces, veterans, and their families. The Center's research
activities shall include (1) activities with respect to research
programs by other Federal departments and agencies, and (2) research
activities initiated by the Center.
(b) Federal Research Programs.--
(1) Inventory of federal research programs.--The Center
shall develop and maintain an inventory of research programs
relating to deployment-related health issues carried out by the
Secretary of Defense, the Secretary of Veterans Affairs, the
Secretary of Health and Human Services, and other Federal officials.
(2) Consultation.--The Center shall consult with, and seek
the advice of, other federally sponsored researchers in
developing the Center's research agenda.
(c) Center-Initiated Research.--
(1) In general.--The Center shall conduct a broad-based
research program into deployment-related health issues. As part
of that program, the Center may, from funds appropriated for
that purpose, make grants for research into deployment-related
health issues. Any such grant shall be made based upon issuance
of a request for applications or a request for proposals.
Applications and proposals shall be assessed through a peer-
review process, which shall, to the extent possible, be carried
out by the National Institutes of Health.
(2) Solicitation of proposals.--In conducting such
research, the Center shall solicit proposals from other Federal
agencies, from universities, and from other research entities.
(3) Research network.--In awarding contracts for research,
the Center shall seek to establish a network of research sites
at academic medical centers, university-wide research
facilities, and other appropriate sources.
(d) Core Research Principles.--Center-initiated research shall be
conducted using the following core set of principles:
(1) Use of a scientific peer-review process for all
research.
(2) Dissemination of research results to the scientific
community through conventional venues of scientific
communication.
(3) Encouragement of interagency, interdepartmental, and
Federal-academic collaboration.
SEC. 104. ADVISORY COMMITTEE.
(a) Establishment of Advisory Committee.--The Center shall have an
Advisory Committee on Military Deployment Health Research. The Advisory
Committee shall advise the Secretary of Health and Human Services and
the Director of the Center on all aspects of the activities of the
Center.
(b) Membership.--The Advisory Committee shall consist of 21
members, appointed as follows:
(1) 12 members appointed by the President, of whom--
(A) 6 shall be appointed from persons who, by
reason of training, experience, and education, have
qualifications in the fields of research to be
conducted by the Center; and
(B) 6 shall be appointed from the general
population, including persons representing the
interests of veterans and their families and the
general public.
(2) 3 members appointed by the Secretary of Veterans
Affairs from officers and employees of the Department of
Veterans Affairs.
(3) 3 members appointed by the Secretary of Defense from
officers and employees of the Department of Defense and members
of the Armed Forces.
(4) 3 members appointed by the Secretary of Health and
Human Services from officers and employees of the Department of
Health and Human Services.
(c) Recommendations by Independent Scientific Entity.--The
President shall designate an independent scientific entity to make
recommendations for appointments under paragraph (1) of subsection (b).
When making such recommendations, the entity shall recommend twice the
number of candidates as there are positions available.
(d) Terms.--Persons appointed to the Advisory Committee under
paragraph (1) of subsection (b) shall serve for a term of three years,
except that--
(1) of the persons initially appointed pursuant to
subsection (b)(1)(A), two shall be appointed for a term of one
year and two shall be appointed for a term of two years; and
(2) of the persons initially appointed pursuant to
subsection (b)(1)(B), two shall be appointed for a term of one
year and two shall be appointed for a term of two years.
(e) Pay and Travel Expenses.--
(1) Pay.--Persons appointed to the Advisory Committee under
paragraph (1) of subsection (b) shall receive pay at the daily
equivalent of the rate of basic pay payable for level V of the
Executive Schedule for each day engaged in functions for the
Advisory Committee. Persons appointed to the Advisory Committee
under paragraph (2), (3), or (4) of subsection (b) shall
receive no additional compensation by reason of service on the
Advisory Committee.
(2) Travel expenses.--Members of the Advisory Committee
shall be allowed travel expenses, including per diem in lieu of
subsistence, at rates authorized for employees of agencies
under subchapter I of chapter 57 of title 5, United States
Code, while away from their homes or regular places of business
in the performance of services for the Commission.
(f) Chair.--The President shall designate one of the members of the
Advisory Committee to chair the Advisory Committee.
(g) Meetings.--The Advisory Committee shall meet on the call of the
chair or a majority of the members of the Advisory Board.
(h) Federal Advisory Committee Act.--Section 14 of the Federal
Advisory Committee Act shall not apply to the Advisory Committee.
SEC. 105. ANNUAL REPORT.
The Secretary of Health and Human Services shall submit to Congress
an annual report on the activities of the Center. The report shall
include--
(1) a description of the activities of the Center during
the preceding fiscal year and
(2) a detailed description of the proposed budget for the
Center for the next fiscal year.
SEC. 106. BUDGET.
In the President's budget for any fiscal year submitted to Congress
under section 1105 of title 31, United States Code, amounts requested
for the activities of the Center shall be set forth separately and
distinctly, with amounts requested for the core functions of the Center
and for Center-initiated research identified individually.
TITLE II--CENTERS FOR RESEARCH ON POST-DEPLOYMENT ILLNESSES IN
DEPARTMENT OF VETERANS AFFAIRS
SEC. 201. ESTABLISHMENT OF CENTERS.
(a) In General.--Subchapter II of chapter 73 of title 38, United
States Code, is amended by adding at the end the following new section:
``Sec. 7327. Centers for research on post-deployment illnesses
``(a)(1) The Secretary shall establish and operate centers for
research, education, and clinical activities related to post-deployment
illnesses. Such centers shall be known as `National Centers for
Military Post-Deployment Illness Research'. Such centers shall be
established and operated by collaborating Department facilities as
provided in subsection (c)(1).
``(2) For purposes of this section, term `post-deployment illness'
means any health condition being currently studied or that will be
studied that has (or that may have) an association to or relation to a
military deployment mission, including a peacekeeping mission.
``(3) Each such center shall function as a center for--
``(A) research on post-deployment illnesses;
``(B) the use by the Department of specific models for
furnishing services to treat post-deployment illnesses;
``(C) education and training of health-care professionals of
the Department; and
``(D) the development and implementation of innovative
clinical activities and systems of care with respect to the
delivery of such services by the Department.
``(4) The Secretary shall provide for the research conducted by
such centers to be compiled and transmitted to a centrally located
coordinating center.
``(b)(1) The Secretary shall, upon the recommendation of the Under
Secretary for Health, the Secretary of Defense, and the Secretary of
Health and Human Services, designate not more than 25 centers under
this section. In making such designations, the Secretary shall ensure
that the centers designated are located in various geographic regions
of the United States.
``(2) The authority of the Secretary to establish and operate centers
under this section is subject to the appropriation of funds for that
purpose.
``(c) The Secretary may not designate a health-care facility as a
location for a center under subsection (a) unless the peer review panel
established under subsection (d) has determined under that subsection
that the proposal submitted by such facility as a location for a new
center under subsection (a) is among those proposals which have met the
highest competitive standards of scientific and clinical merit, and the
Secretary (upon the recommendation of the Under Secretary for Health)
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