Home > 106th Congressional Bills > H.R. 5336 (ih) To amend the Internal Revenue Code of 1986 to exclude from gross income gain on the sale to a governmental unit of land or an easement therein for open space conservation purposes. [Introduced in House] ...

H.R. 5336 (ih) To amend the Internal Revenue Code of 1986 to exclude from gross income gain on the sale to a governmental unit of land or an easement therein for open space conservation purposes. [Introduced in House] ...


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108th CONGRESS
  2d Session
                                H. R. 5335

   To amend the Public Health Service Act to establish a Coordinated 
         Environmental Health Network, and for other purposes.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 8, 2004

 Ms. Pelosi (for herself, Mrs. Jones of Ohio, Ms. Slaughter, Mr. Brown 
 of Ohio, Mr. George Miller of California, Mr. Markey, Ms. Schakowsky, 
  Ms. Solis, Ms. McCarthy of Missouri, Mr. Clyburn, Ms. DeLauro, Mr. 
Kennedy of Rhode Island, Ms. Roybal-Allard, Mr. Serrano, Mrs. Maloney, 
 Mr. Van Hollen, Mr. Crowley, Mr. Kucinich, Ms. McCollum, Mr. Kildee, 
 Ms. Baldwin, Mr. Owens, Mrs. Christensen, Mr. Moran of Virginia, Mr. 
 Grijalva, Mr. Israel, Mr. Jackson of Illinois, Mr. Gonzalez, and Mr. 
   Tierney) introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
   To amend the Public Health Service Act to establish a Coordinated 
         Environmental Health Network, 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 ``Coordinated Environmental Health 
Network Act of 2004''.

SEC. 2. FINDINGS AND PURPOSE.

    (a) Findings.--Congress finds that--
            (1) approximately 7 out of every 10 deaths in the United 
        States are attributable to chronic diseases;
            (2) with 100,000,000 people suffering from chronic diseases 
        each year, and $750,000,000,000 lost in health care costs as a 
        result, the national cost of chronic disease is extremely high 
        and must be appropriately addressed;
            (3) the rates of many chronic diseases, including asthma, 
        some birth defects, cancers, and autism, appear to be 
        increasing;
            (4) there is a growing amount of evidence that 
        environmental factors are strongly linked with specific chronic 
        disease;
            (5) a major gap in critical knowledge exists regarding the 
        prevalence and incidence of chronic diseases;
            (6) States, local communities, territories, and Indian 
        tribes need assistance with public health efforts that would 
        lead to prevention of chronic disease, including the 
        establishment and maintenance of necessary infrastructure for 
        disease and environmental hazard exposure surveillance; and
            (7) a Coordinated Environmental Health Network will help 
        target resources to areas of chronic disease prevention most in 
        need.
    (b) Purposes.--It is the purpose of this Act to--
            (1) develop, operate, and maintain a Coordinated 
        Environmental Health Network, State Environmental Health 
        Networks, and rapid response capabilities so that the Federal 
        Government, States, local governments, territories, and Indian 
        tribes can more effectively monitor, investigate, respond to, 
        research, and prevent increases in the incidence and prevalence 
        of certain chronic diseases and relevant environmental and 
        other risk factors;
            (2) provide information collected through the Coordinated 
        and State Environmental Health Networks to government agencies, 
        public health practitioners and researchers, policy makers, and 
        the public;
            (3) expand and coordinate among existing surveillance and 
        data collection systems and other infrastructure for chronic 
        diseases and relevant environmental, and other risk factors, 
        including those relevant to bioterrorism;
            (4) improve coordination between the areas of public 
        health, environmental protection, and chemical, radiological 
        and biological terrorism; and
            (5) provide necessary support to ensure the availability of 
        a sufficient number of well-trained environmental health and 
        public health personnel to participate and provide leadership 
        in the development and maintenance of the Coordinated and State 
        Environmental Health Networks.

SEC. 3. AMENDMENT TO THE PUBLIC HEALTH SERVICE ACT.

    The Public Health Service Act (42 U.S.C. 201 et seq.) is amended by 
adding at the end the following:

         ``TITLE XXIX--COORDINATED ENVIRONMENTAL HEALTH NETWORK

``SEC. 2900. DEFINITIONS.

    ``In this title:
            ``(1) Administrators.--The term `Administrators' means the 
        Director of the Centers for Disease Control and Prevention 
        Coordinating Center for Environmental Health, Injury 
        Prevention, and Occupational Health, and the Administrator of 
        the Environmental Protection Agency.
            ``(2) Committee.--The term `Committee' means the Advisory 
        Committee established under section 2901(d).
            ``(3) Director.--The term `Director' means the Director of 
        the Centers for Disease Control and Prevention.
            ``(4) Medical privacy regulations.--The term `medical 
        privacy regulations' means the regulations promulgated under 
        section 264(c) of the Health Insurance Portability and 
        Accountability Act of 1996.
            ``(5) Coordinated network.--The term `Coordinated Network' 
        means the Coordinated Environmental Health Network established 
        under section 2901(a).
            ``(6) Priority chronic condition.--The term `priority 
        chronic condition' means a condition to be tracked in the 
        Coordinated Network and the State Networks, including birth 
        defects, developmental disabilities (such as cerebral palsy, 
        autism, and mental retardation), asthma and chronic respiratory 
        diseases, neurological diseases (such as Parkinson's disease, 
        multiple sclerosis, Alzheimer's disease, and amyotrophic 
        lateral sclerosis), autoimmune diseases (such as lupus), 
        cancer, juvenile diabetes, and such other priority chronic 
        conditions as the Secretary may specify.
            ``(7) State network.--The term `State Network' means a 
        State Environmental Health Network established under section 
        2901(b).
            ``(8) State.--The term `State' means a State, territory, or 
        Indian tribe that is eligible to receive a health tracking 
        grant under section 2901(b).

``SEC. 2901. ESTABLISHMENT OF COORDINATED AND STATE ENVIRONMENTAL 
              HEALTH NETWORKS.

    ``(a) Coordinated Environmental Health Network.--
            ``(1) Establishment.--Not later than 36 months after the 
        date of the enactment of this title, the Secretary, acting 
        through the Director and in consultation with the 
        Administrators, State and local health departments, and the 
        Committee, shall establish and operate a Coordinated 
        Environmental Health Network. In establishing and operating the 
        Coordinated Network, the Secretary shall--
                    ``(A) identify, build upon, expand, and coordinate 
                among existing data and surveillance systems, surveys, 
                registries, and other Federal public health and 
                environmental infrastructure wherever possible, 
                including--
                            ``(i) the National Electronic Disease 
                        Surveillance System;
                            ``(ii) State birth defects surveillance 
                        systems as supported under section 317C;
                            ``(iii) State cancer registries as 
                        supported under part M of title III;
                            ``(iv) State asthma surveillance systems as 
                        supported under section 317I;
                            ``(v) the National Health and Nutrition 
                        Examination Survey;
                            ``(vi) the Behavioral Risk Factor 
                        Surveillance System;
                            ``(vii) the Hazardous Substance Release/
                        Health Effects Database;
                            ``(viii) the Hazardous Substances Emergency 
                        Events Surveillance System;
                            ``(ix) the National Exposure Registry;
                            ``(x) the Health Alert Network; and
                            ``(xi) the State vital statistics systems 
                        as supported under section 306;
                    ``(B) provide for public access to an electronic 
                national database that accepts data from the State 
                Networks on the incidence and prevalence of priority 
                chronic conditions and relevant environmental and other 
                factors, in a manner which protects personal privacy 
                consistent with the medical privacy regulations;
                    ``(C) not later than 36 months after the date of 
                the enactment of this title, and annually thereafter, 
                prepare and publish, in accordance with paragraph (2), 
                a Coordinated Environmental Health Network Report to 
                provide the public with the findings of the Coordinated 
                Network;
                    ``(D) operate and maintain a National Environmental 
                Health Rapid Response Service within the Epidemic 
                Intelligence Service to carry out the activities 
                described in paragraph (3);
                    ``(E) provide for the establishment of State 
                Networks, and coordinate the State Networks as provided 
                for under subsection (b);
                    ``(F) provide technical assistance to support the 
                State Networks, including providing--
                            ``(i) training for environmental health 
                        investigators appointed or hired under 
                        subsection (b)(3)(D);
                            ``(ii) technical assistance as needed to 
                        States to build necessary capacity and 
                        infrastructure for the establishment of a State 
                        Network, including a computerized data 
                        collection, reporting, and processing system, 
                        and additional assistance identified by the 
                        States under subsection (b)(5)(C) as necessary 
                        for infrastructure development; and
                            ``(iii) such other technical assistance as 
                        the Secretary, in consultation with the 
                        Administrators, determines to be necessary;
                    ``(G) not later than 12 months after the date of 
                the enactment of this title, acting through the 
                Director and consulting with the Administrators, the 
                Surgeon General, the Director of the National 
                Institutes of Health, and States, develop minimum 
                standards and procedures in accordance with paragraph 
                (4) for data collection and reporting for the State 
                Networks, to be updated not less than annually 
                thereafter; and
                    ``(H) in developing the minimum standards and 
                procedures under subparagraph (G), include mechanisms 
                for allowing the States to set priorities, and allocate 
                resources accordingly, among the factors described in 
                subparagraphs (A), (B), and (C) of paragraph (4).
            ``(2) Coordinated environmental health network report.--
        Each Coordinated Environmental Health Network Report prepared 
        under paragraph (1)(C) shall include--
                    ``(A) a statement of the activities carried out 
                under this title;
                    ``(B) an analysis of the incidence, prevalence, and 
                trends of priority chronic conditions and potentially 
                relevant environmental and other factors by State and 
                census tract (or other political or administrative 
                subdivision determined appropriate by the Secretary in 
                consultation with the Administrator of the 
                Environmental Protection Agency) for the calendar year 
                preceding the year for which the report is prepared;
                    ``(C) the identification of gaps in the data of the 
                Coordinated Network, including diseases of concern and 
                environmental exposures not tracked; and
                    ``(D) recommendations regarding high risk 
                populations, public health concerns, response and 
                prevention strategies, and additional tracking needs;
            ``(3) National environmental health rapid response 
        service.--The National Environmental Health Rapid Response 
        Service operated under paragraph (1)(D) shall--
                    ``(A) work with environmental health investigators 
                appointed or hired under subsection (b)(3)(D) to 
                develop and implement strategies, protocols, and 
                guidelines for the coordinated, rapid responses to 
                actual and perceived higher than expected incidence and 
                prevalence rates of priority chronic conditions and to 
                acute and potential environmental hazards and 
                exposures;
                    ``(B) conduct investigations into higher than 
                expected incidence and prevalence rates of priority 
                chronic conditions or environmental exposures after an 
                individual requests, through a process established by 
                the Secretary, the intervention of the Service;
                    ``(C) coordinate activities carried out under this 
                title with activities carried out under sections 319 
                through 319G; and
                    ``(D) coordinate activities carried out under this 
                title with the Administrators, the Surgeon General, and 
                the Director of the National Institutes of Health.
            ``(4) Data collection and reporting by state networks.--The 
        minimum standards and procedures referred to in paragraph 
        (1)(G) shall include--
                    ``(A) a list and definitions of the priority 
                chronic conditions to be tracked through the State 
                Networks;
                    ``(B) a list and definitions of relevant 
                environmental exposures of concern to be tracked, to 
                the extent practicable, through the State Networks, 
                including--
                            ``(i) hazardous air pollutants (as defined 
                        in section 302(g) of the Clean Air Act);
                            ``(ii) air pollutants for which national 
                        primary ambient air quality standards have been 
                        promulgated under section 109 of the Clean Air 
                        Act;
                            ``(iii) pollutants or contaminants (as 
                        defined in section 101 of the Comprehensive 
                        Environmental Response, Compensation, and 
                        Liability Act of 1980);
                            ``(iv) toxic chemicals (as described in 
                        section 313 of the Emergency Planning and 
                        Community Right-to-Know Act of 1986);
                            ``(v) substances reported under the Toxic 
                        Substances Control Act Inventory Update Rule as 
                        provided for in part 710 of title 40, Code of 
                        Federal Regulations, or successor regulations;
                            ``(vi) pesticides (as defined in section 
                        2(u) of the Federal Insecticide, Fungicide, and 
                        Rodenticide Act); and
                            ``(vii) such other potentially relevant 
                        environmental factors as the Secretary may 

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