[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 1492 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 1492

   To amend the Public Health Service Act to establish a program for 
                     postreproductive health care.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             March 25, 1993

  Mrs. Lloyd 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 program for 
                     postreproductive health care.

    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 ``Postreproductive Health Care Act''.

SEC. 2. ESTABLISHMENT OF PROGRAM FOR POSTREPRODUCTIVE HEALTH CARE.

    Part D of title III of the Public Health Service Act (42 U.S.C. 
254b et seq.) is amended by adding at the end the following new 
subpart:

               ``Subpart IX--Postreproductive Health Care

                     ``postreproductive health care

    ``Sec. 340D. (a) In General.--The Secretary shall make grants for 
the purpose of providing the services described in subsection (b) to 
women who are of menopausal age or older. Such grants may be made only 
to public or nonprofit private entities that provide health services to 
a significant number of low-income women.
    ``(b) Authorized Services.--The services referred to in subsection 
(a) are as follows:
            ``(1) The prevention and outpatient treatment of health 
        conditions--
                    ``(A) unique to, more serious, or more prevalent 
                for eligible women; or
                    ``(B) for which, in the case of such women, the 
                factors of medical risk or types of medical 
                intervention are different.
            ``(2) Counseling on the conditions described in paragraph 
        (1).
            ``(3) The education and training of health professionals 
        (including allied health professionals) on the prevention and 
        treatment of such conditions and on the provision of such 
        counseling.
    ``(c) Priority in Provision of Services.--The Secretary may make a 
grant under subsection (a) only if the applicant involved agrees that, 
in expending the grant to provide authorized services to eligible 
women, the applicant will give priority to providing the services for 
menopausal health conditions.
    ``(d) Outreach.--The Secretary may make a grant under subsection 
(a) only if the applicant involved agrees--
            ``(1) to conduct outreach services to inform women in the 
        community involved of the fact that authorized services are 
        available from the applicant; and
            ``(2) to give priority to providing the outreach services 
        to low-income women.
    ``(e) Limitation on Imposition of Fees for Services.--The Secretary 
may make a grant under subsection (a) only if the applicant involved 
agrees that, if a charge is imposed for the provision of services or 
activities under the grant, such charge--
            ``(1) will be made according to a schedule of charges that 
        is made available to the public;
            ``(2) will be adjusted to reflect the income of the woman 
        involved; and
            ``(3) will not be imposed on any woman with an income equal 
        to or less than 100 percent of the official poverty line, as 
        established by the Director of the Office of Management and 
        Budget and revised by the Secretary in accordance with section 
        673(2) of the Omnibus Budget Reconciliation Act of 1981.
    ``(f) Reports to Secretary.--The Secretary may make a grant under 
subsection (a) only if the applicant involved agrees to submit to the 
Secretary, for each fiscal year for which such a grant is made to the 
applicant, a report describing the purposes for which the grant has 
been expended.
    ``(g) Requirement of Application.--The Secretary may make a grant 
under subsection (a) only if the applicant involved makes an agreement 
that the grant will not be expended for any purpose other than the 
purpose described in such subsection and for compliance with any other 
agreements required in this section. Such a grant may be made only if 
an application for the grant is submitted to the Secretary containing 
such agreements, and the application is in such form, is made in such 
manner, and contains such other agreements, and such assurances and 
information, as the Secretary determines to be necessary to carry out 
this section.
    ``(h) Definitions.--For purposes of this section:
            ``(1) The term `authorized services' means the services 
        described in subsection (b).
            ``(2) The term `eligible women' means women described in 
        subsection (a).
            ``(3) The term `health conditions' includes diseases and 
        disorders.
            ``(4) The term `health' includes mental health.
            ``(5) The term `menopausal age', with respect to a woman, 
        includes the age at which the woman is nearing menopause and 
        includes any age at which the woman experiences menopausal 
        health conditions.
            ``(6) The term `menopausal health conditions' means 
        conditions arising from the diminished or complete cessation of 
        the functioning of the ovaries, whether occurring naturally or 
        otherwise.
    ``(i) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated $25,000,000 
for fiscal year 1994, and such sums as may be necessary for each of the 
fiscal years 1995 and 1996.''.

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