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] ...
``(B) The Secretary may expand the Pregnancy Risk
Assessment Monitoring System to provide surveillance
and collect data in each of the 50 States.
``(C) The Secretary may expand the Maternal and
Child Health Epidemiology Program to provide technical
support, financial assistance, or the time-limited
assignment of senior epidemiologists to maternal and
child health programs in each of the 50 States.
``(b) Prevention Research.--
``(1) Purpose.--The purpose of this subsection is to
provide the Secretary with the authority to further expand
research concerning risk factors, prevention strategies, and
the roles of the family, health care providers and the
community in safe motherhood.
``(2) Research.--The Secretary may carry out activities to
expand research relating to--
``(A) encouraging preconception counseling,
especially for at risk populations such as diabetics;
``(B) the identification of critical components of
prenatal delivery and postpartum care;
``(C) the identification of outreach and support
services, such as folic acid education, that are
available for pregnant women;
``(D) the identification of women who are at high
risk for complications;
``(E) preventing preterm delivery;
``(F) preventing urinary tract infections;
``(G) preventing unnecessary caesarean sections;
``(H) an examination of the higher rates of
maternal mortality among African American women;
``(I) an examination of the relationship between
domestic violence and maternal complications and
mortality;
``(J) preventing smoking, alcohol and illegal drug
usage before, during and after pregnancy;
``(K) preventing infections that cause maternal and
infant complications; and
``(L) other areas determined appropriate by the
Secretary.
``(c) Prevention Programs.--
``(1) In general.--The Secretary may carry out activities
to promote safe motherhood, including--
``(A) public education campaigns on healthy
pregnancies and the building of partnerships with
outside organizations concerned about safe motherhood;
``(B) education programs for physicians, nurses and
other health care providers; and
``(C) activities to promote community support
services for pregnant women.
``(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.''.
Subtitle B--Pregnant Mothers and Infants Health Promotion
SEC. 911. SHORT TITLE.
This subtitle may be cited as the ``Pregnant Mothers and Infants
Health Protection Act''.
SEC. 912. PROGRAMS REGARDING PRENATAL AND POSTNATAL HEALTH.
Part B of title III of the Public Health Service Act, as amended by
section 902 of this Act, is amended by inserting after section 317L the
following section:
``prenatal and postnatal health
``Sec. 317M. (a) In General.--The Secretary, acting through the
Director of the Centers for Disease Control and Prevention, shall carry
out programs--
``(1) to collect, analyze, and make available data on
prenatal smoking, alcohol and illegal drug usage, including
data on the implications of such activities and on the
incidence and prevalence of such activities and their
implications;
``(2) to conduct applied epidemiological research on the
prevention of prenatal and postnatal smoking, alcohol and
illegal drug usage;
``(3) to support, conduct, and evaluate the effectiveness
of educational and cessation programs; and
``(4) to provide information and education to the public on
the prevention and implications of prenatal and postnatal
smoking, alcohol and illegal drug usage.
``(b) Grants.--In carrying out subsection (a), the Secretary may
award grants to and enter into contracts with States, local
governments, scientific and academic institutions, Federally qualified
health centers, and other public and nonprofit entities, and may
provide technical and consultative assistance to such entities.
``(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.''.
TITLE X--REVISION AND EXTENSION OF PROGRAMS
Subtitle A--Pediatric Research Initiative
SEC. 1001. SHORT TITLE.
This subtitle may be cited as the ``Pediatric Research Initiative
Act of 2000''.
SEC. 1002. ESTABLISHMENT OF PEDIATRIC RESEARCH
INITIATIVE.
Part B of title IV of the Public Health Service Act, as amended by
section 112 of this Act, is amended by adding at the end the following:
``pediatric research initiative
``Sec. 409D. (a) Establishment.--The Secretary shall establish
within the Office of the Director of NIH a Pediatric Research
Initiative (referred to in this section as the `Initiative'). The
Initiative shall be headed by the Director of NIH.
``(b) Purpose.--The purpose of the Initiative is to provide funds
to enable the Director of NIH to provide--
``(1) increased support for pediatric biomedical research
within the National Institutes of Health to ensure that the
expanding opportunities for advancement in scientific
investigations and care for children are realized;
``(2) enhanced collaborative efforts among the Institutes
to support multidisciplinary research in the areas that the
Director deems most promising; and
``(3) the development of adequate pediatric clinical trials
and pediatric use information to promote the safer and more
effective use of prescription drugs in the pediatric
population.
``(c) Duties.--In carrying out subsection (b), the Director of NIH
shall--
``(1) consult with the Director of the National Institute
of Child Health and Human Development and the Directors of the
other national research institutes, in considering their
requests for new or expanded pediatric research efforts, and
consult with the Administrator of the Health Resources and
Services Administration and other advisors as the Director
determines to be appropriate;
``(2) have broad discretion in the allocation of any
Initiative assistance among the Institutes, among types of
grants, and between basic and clinical research so long as
the--
``(A) assistance is directly related to the
illnesses and conditions of children; and
``(B) assistance is extramural in nature; and
``(3) be responsible for the oversight of any newly
appropriated Initiative funds and annually report to Congress
and the public on the extent of the total extramural support
for pediatric research across the NIH, including the specific
support and research awards allocated through the Initiative.
``(d) Authorization.--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.
``(e) Transfer of Funds.--The Director of NIH may transfer amounts
appropriated under this section to any of the Institutes for a fiscal
year to carry out the purposes of the Initiative under this section.''.
SEC. 1003. INVESTMENT IN TOMORROW'S PEDIATRIC
RESEARCHERS.
Subpart 7 of part C of title IV of the Public Health Service Act,
as amended by section 921 of this Act, is amended by adding at the end
the following:
``investment in tomorrow's pediatric researchers
``Sec. 452G. (a) In General.--In order to ensure the future supply
of researchers dedicated to the care and research needs of children,
the Director of the Institute, after consultation with the
Administrator of the Health Resources and Services Administration,
shall support activities to provide for--
``(1) an increase in the number and size of institutional
training grants to pediatric departments of medical schools and
to children's hospitals; and
``(2) an increase in the number of career development
awards for health professionals who are in pediatric
specialties or subspecialties and intend to build careers in
pediatric basic and clinical research.
``(b) Authorization.--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--Other Programs
SEC. 1011. CHILDHOOD IMMUNIZATIONS.
Section 317(j)(1) of the Public Health Service Act (42 U.S.C.
247b(j)(1)) is amended in the first sentence by striking ``1998'' and
all that follows and inserting ``1998 through 2003.''.
SEC. 1012. SCREENINGS, REFERRALS, AND EDUCATION REGARDING LEAD
POISONING.
Section 317A(l)(1) of the Public Health Service Act (42 U.S.C.
247b-1(l)(1)) is amended by striking ``1994'' and all that follows and
inserting ``1994 through 2003.''.
TITLE XI--CHILDHOOD SKELETAL MALIGNANCIES
SEC. 1101. PROGRAMS OF CENTERS FOR DISEASE CONTROL AND PREVENTION AND
NATIONAL INSTITUTES OF HEALTH.
Part P of title III of the Public Health Service Act, as amended by
section 703 of this Act, is amended by adding at the end the following
section:
``SEC. 399N. CHILDHOOD SKELETAL MALIGNANCIES.
``(a) In General.--The Secretary, acting as appropriate through the
Director of the Centers for Disease Control and Prevention and the
Director of the National Institutes of Health, shall study
environmental and other risk factors for childhood skeletal cancers,
and carry out projects to improve outcomes among children with
childhood skeletal cancers and resultant secondary conditions,
including limb loss. Such projects shall be carried out by the
Secretary directly and through awards of grants or contracts to public
or nonprofit entities.
``(b) Certain Activities.--Activities under subsection (a)
include--
``(1) the expansion of current demographic data collection
and population surveillance efforts to include childhood
skeletal cancers nationally;
``(2) the development of a uniform reporting system under
which treating physicians, hospitals, clinics, and states
report the diagnosis of childhood skeletal cancers, including
relevant associated epidemiological data; and
``(3) support for the National Limb Loss Information Center
to address, in part, the primary and secondary needs of persons
who experience childhood skeletal cancers in order to prevent
or minimize the disabling nature of these cancers.
``(c) Coordination of Activities.--The Secretary shall assure that
activities under this section are coordinated as appropriate with other
agencies of the Public Health Service that carry out activities focused
on childhood cancers and limb loss.
``(d) Definition.--For purposes of this section, the term
`childhood skeletal cancer' refers to any malignancy originating in the
connective tissue of a person before skeletal maturity including the
appendicular and axial skeleton. The Secretary may for purposes of this
section revise the definition of such term to the extent determined by
the Secretary to be appropriate.
``(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.''.
TITLE XII--ADOPTION AWARENESS
Subtitle A--Infant Adoption Awareness
SEC. 1201. SHORT TITLE.
This subtitle may be cited as the ``Infant Adoption Awareness Act
of 2000''.
SEC. 1202. GRANTS REGARDING INFANT ADOPTION AWARENESS.
Subpart I of part D of title III of the Public Health Service Act,
as amended by section 801 of this Act, is amended by adding at the end
the following section:
``SEC. 330F. CERTAIN SERVICES FOR PREGNANT WOMEN.
``(a) Infant Adoption Awareness.--
``(1) In general.--The Secretary shall make grants to
national, regional, or local adoption organizations for the
purpose of developing and implementing programs to train the
designated staff of eligible health centers in providing
adoption information and referrals to pregnant women on an
equal basis with all other courses of action included in
nondirective counseling.
``(2) Best-practices guidelines.--
``(A) In general.--A condition for the receipt of a
grant under paragraph (1) is that the adoption
organization involved agree that, in providing training
under such paragraph, the organization will follow the
guidelines developed under subparagraph (B).
``(B) Process for development of guidelines.--
``(i) In general.--The Secretary shall
establish and supervise a process described in
clause (ii) in which the participants are--
``(I) an appropriate number and
variety of adoption organizations that,
as a group, have expertise in all
models of adoption practice and that
represent all members of the adoption
triad (birth mother, infant, and
adoptive parent); and
``(II) affected public health
entities.
``(ii) Description of process.--The process
referred to in clause (i) is a process in which
the participants described in such clause
collaborate to develop best-practices
guidelines on the provision of adoption
information and referrals to pregnant women on
an equal basis with all other courses of action
included in nondirective counseling.
``(iii) Date certain for development.--The
Secretary shall ensure that the guidelines
described in clause (ii) are developed not
later than 180 days after the date of the
enactment of the Children's Health Act of 2000.
``(C) Relation to authority for grants.--The
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