| 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] ...
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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