Home > 106th Congressional Bills > H.R. 4365 (enr) To amend the Public Health Service Act with respect to children's health. [Enrolled bill] ...H.R. 4365 (enr) To amend the Public Health Service Act with respect to children's health. [Enrolled bill] ...
data according to guidelines prescribed by the Director of the
Centers for Disease Control and Prevention; and
``(4) such other information as the Secretary may require.
``(d) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2001 through 2005.''.
SEC. 512. TECHNICAL AND CONFORMING AMENDMENTS.
Title III of the Public Health Service Act (42 U.S.C. 241 et seq.)
is amended--
(1) in part L, by redesignating section 399D as section
399A;
(2) in part M--
(A) by redesignating sections 399H through 399L as
sections 399B through 399F, respectively;
(B) in section 399B (as so redesignated), in
subsection (e)--
(i) by striking ``section 399K(b)'' and
inserting ``subsection (b) of section 399E'';
and
(ii) by striking ``section 399C'' and
inserting ``such section'';
(C) in section 399E (as so redesignated), in
subsection (c), by striking ``section 399H(a)'' and
inserting ``section 399B(a)''; and
(D) in section 399F (as so redesignated)--
(i) in subsection (a), by striking
``section 399I'' and inserting ``section
399C'';
(ii) in subsection (a), by striking
``subsection 399J'' and inserting ``section
399D''; and
(iii) in subsection (b), by striking
``subsection 399K'' and inserting ``section
399E'';
(3) in part N, by redesignating section 399F as section
399G; and
(4) in part O--
(A) by redesignating sections 399G through 399J as
sections 399H through 399K, respectively;
(B) in section 399H (as so redesignated), in
subsection (b), by striking ``section 399H'' and
inserting ``section 399I'';
(C) in section 399J (as so redesignated), in
subsection (b), by striking ``section 399G(d)'' and
inserting ``section 399H(d)''; and
(D) in section 399K (as so redesignated), by
striking ``section 399G(d)(1)'' and inserting ``section
399H(d)(1)''.
Subtitle B--Prevention Activities
SEC. 521. PREVENTIVE HEALTH AND HEALTH SERVICES BLOCK GRANT; SYSTEMS
FOR REDUCING ASTHMA-RELATED ILLNESSES THROUGH URBAN
COCKROACH MANAGEMENT.
Section 1904(a)(1) of the Public Health Service Act (42 U.S.C.
300w-3(a)(1)) is amended--
(1) by redesignating subparagraphs (E) and (F) as
subparagraphs (F) and (G), respectively;
(2) by adding a period at the end of subparagraph (G) (as
so redesignated);
(3) by inserting after subparagraph (D), the following:
``(E) The establishment, operation, and coordination of
effective and cost-efficient systems to reduce the prevalence
of asthma and asthma-related illnesses among urban populations,
especially children, by reducing the level of exposure to
cockroach allergen through the use of integrated pest
management, as applied to cockroaches. Amounts expended for
such systems may include the costs of building maintenance and
the costs of programs to promote community participation in the
carrying out at such sites of integrated pest management, as
applied to cockroaches. For purposes of this subparagraph, the
term `integrated pest management' means an approach to the
management of pests in public facilities that combines
biological, cultural, physical, and chemical tools in a way
that minimizes economic, health, and environmental risks.'';
(4) in subparagraph (F) (as so redesignated), by striking
``subparagraphs (A) through (D)'' and inserting ``subparagraphs
(A) through (E)''; and
(5) in subparagraph (G) (as so redesignated), by striking
``subparagraphs (A) through (E)'' and inserting ``subparagraphs
(A) through (F)''.
Subtitle C--Coordination of Federal Activities
SEC. 531. COORDINATION THROUGH NATIONAL INSTITUTES OF HEALTH.
Subpart 2 of part C of title IV of the Public Health Service Act
(42 U.S.C. 285b et seq.) is amended by inserting after section 424A the
following section:
``coordination of federal asthma activities
``Sec. 424B (a) In General.--The Director of Institute shall,
through the National Asthma Education Prevention Program Coordinating
Committee--
``(1) identify all Federal programs that carry out asthma-
related activities;
``(2) develop, in consultation with appropriate Federal
agencies and professional and voluntary health organizations, a
Federal plan for responding to asthma; and
``(3) not later than 12 months after the date of the
enactment of the Children's Health Act of 2000, submit
recommendations to the appropriate committees of the Congress
on ways to strengthen and improve the coordination of asthma-
related activities of the Federal Government.
``(b) Representation of the Department of Housing and Urban
Development.--A representative of the Department of Housing and Urban
Development shall be included on the National Asthma Education
Prevention Program Coordinating Committee for the purpose of performing
the tasks described in subsection (a).
``(c) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2001 through 2005.''.
Subtitle D--Compilation of Data
SEC. 541. COMPILATION OF DATA BY CENTERS FOR DISEASE CONTROL AND
PREVENTION.
Part B of title III of the Public Health Service Act, as amended by
section 401 of this Act, is amended by inserting after section 317I the
following section:
``compilation of data on asthma
``Sec. 317J. (a) In General.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention and in
consultation with the Director of the National Heart, Lung, and Blood
Institute, shall--
``(1) conduct local asthma surveillance activities to
collect data on the prevalence and severity of asthma and the
quality of asthma management;
``(2) compile and annually publish data on the prevalence
of children suffering from asthma in each State; and
``(3) to the extent practicable, compile and publish data
on the childhood mortality rate associated with asthma
nationally.
``(b) National Coordinating Committee.--The Director of the
National Heart, Lung, and Blood Institute shall in carrying out
subsection (a) consult with the National Asthma Education Prevention
Program Coordinating Committee.
``(c) Collaborative Efforts.--The activities described in
subsection (a)(1) may be conducted in collaboration with eligible
entities awarded a grant under section 399L.''.
TITLE VI--BIRTH DEFECTS PREVENTION ACTIVITIES
Subtitle A--Folic Acid
SEC. 601. SHORT TITLE.
This subtitle may be cited as the ``Folic Acid Promotion and Birth
Defects Prevention Act of 2000''.
SEC. 602. PROGRAM REGARDING EFFECTS OF FOLIC ACID IN PREVENTION OF
BIRTH DEFECTS.
Part B of title III of the Public Health Service Act, as amended by
section 541 of this Act, is amended by inserting after section 317J the
following section:
``effects of folic acid in prevention of birth defects
``Sec. 317K. (a) In General.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention, shall carry
out a program (directly or through grants or contracts) for the
following purposes:
``(1) To provide education and training for health
professionals and the general public for purposes of explaining
the effects of folic acid in preventing birth defects and for
purposes of encouraging each woman of reproductive capacity
(whether or not planning a pregnancy) to consume on a daily
basis a dietary supplement that provides an appropriate level
of folic acid.
``(2) To conduct research with respect to such education
and training, including identifying effective strategies for
increasing the rate of consumption of folic acid by women of
reproductive capacity.
``(3) To conduct research to increase the understanding of
the effects of folic acid in preventing birth defects,
including understanding with respect to cleft lip, cleft
palate, and heart defects.
``(4) To provide for appropriate epidemiological activities
regarding folic acid and birth defects, including
epidemiological activities regarding neural tube defects.
``(b) Consultations With States and Private Entities.--In carrying
out subsection (a), the Secretary shall consult with the States and
with other appropriate public or private entities, including national
nonprofit private organizations, health professionals, and providers of
health insurance and health plans.
``(c) Technical Assistance.--The Secretary may (directly or through
grants or contracts) provide technical assistance to public and
nonprofit private entities in carrying out the activities described in
subsection (a).
``(d) Evaluations.--The Secretary shall (directly or through grants
or contracts) provide for the evaluation of activities under subsection
(a) in order to determine the extent to which such activities have been
effective in carrying out the purposes of the program under such
subsection, including the effects on various demographic populations.
Methods of evaluation under the preceding sentence may include surveys
of knowledge and attitudes on the consumption of folic acid and on
blood folate levels. Such methods may include complete and timely
monitoring of infants who are born with neural tube defects.
``(e) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 2001 through 2005.''.
Subtitle B--National Center on Birth Defects and Developmental
Disabilities
SEC. 611. NATIONAL CENTER ON BIRTH DEFECTS AND
DEVELOPMENTAL DISABILITIES.
Section 317C of the Public Health Service Act (42 U.S.C. 247b-4) is
amended--
(1) by striking the heading for the section and inserting
the following:
``national center on birth defects and developmental disabilities'';
(2) by striking ``Sec. 317C. (a)'' and all that follows
through the end of subsection (a) and inserting the following:
``Sec. 317C. (a) In General.--
``(1) National center.--There is established within the
Centers for Disease Control and Prevention a center to be known
as the National Center on Birth Defects and Developmental
Disabilities (referred to in this section as the `Center'),
which shall be headed by a director appointed by the Director
of the Centers for Disease Control and Prevention.
``(2) General duties.--The Secretary shall carry out
programs--
(A) to collect, analyze, and make available data on
birth defects (in a manner that facilitates compliance
with subsection (d)(2)), including data on the causes
of such defects and on the incidence and prevalence of
such defects;
(B) to operate regional centers for the conduct of
applied epidemiological research on the prevention of
such defects; and
(C) to provide information and education to the
public on the prevention of such defects.
``(3) Folic acid.--The Secretary shall carry out section
317K through the Center.
``(4) Certain programs.--
``(A) Transfers.--All programs and functions
described in subparagraph (B) are transferred to the
Center, effective on the date of the enactment of the
Children's Health Act of 2000.
``(B) Relevant programs.--The programs and
functions described in this subparagraph are all
programs and functions that--
``(i) relate to birth defects, folic acid,
cerebral palsy, mental retardation, child
development, newborn screening, autism, fragile
X syndrome, fetal alcohol syndrome, pediatric
genetics, or disability prevention; and
``(ii) were carried out through the
National Center for Environmental Health as of
the day before the date of the enactment of the
Act referred to in subparagraph (A).
``(C) Related transfers.--Personnel employed in
connection with the programs and functions specified in
subparagraph (B), and amounts available for carrying
out the programs and functions, are transferred to the
Center, effective on the date of the enactment of the
Act referred to in subparagraph (A). Such transfer of
amounts does not affect the period of availability of
the amounts, or the availability of the amounts with
respect to the purposes for which the amounts may be
expended.''; and
(3) in subsection (b)(1), in the matter preceding
subparagraph (A), by striking ``(a)(1)'' and inserting
``(a)(2)(A)''.
TITLE VII--EARLY DETECTION, DIAGNOSIS, AND TREATMENT REGARDING HEARING
LOSS IN INFANTS
SEC. 701. SHORT TITLE.
This title may be cited as the ``Newborn and Infant Hearing
Screening and Intervention Act of 2000''.
SEC. 702. PURPOSES.
The purposes of this title are to clarify the authority within the
Public Health Service Act to authorize statewide newborn and infant
hearing screening, evaluation and intervention programs and systems,
technical assistance, a national applied research program, and
interagency and private sector collaboration for policy development, in
order to assist the States in making progress toward the following
goals:
(1) All babies born in hospitals in the United States and
its territories should have a hearing screening before leaving
the birthing facility. Babies born in other countries and
residing in the United States via immigration or adoption
should have a hearing screening as early as possible.
(2) All babies who are not born in hospitals in the United
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