[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[H.R. 2202 Introduced in House (IH)]

103d CONGRESS
  1st Session
                                H. R. 2202

To amend the Public Health Service Act to revise and extend the program 
of grants relating to preventive health measures with respect to breast 
                          and cervical cancer.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                              May 20, 1993

  Mr. Waxman (for himself, Mr. Bliley, Mr. Dingell, Mr. Moorhead, Mr. 
 Hall of Texas, Mr. Rowland, Mr. Towns, Mr. Studds, Mr. Kreidler, Mr. 
 Bilirakis, Mr. McMillan, and Mr. Greenwood) introduced the following 
    bill; which was referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to revise and extend the program 
of grants relating to preventive health measures with respect to breast 
                          and cervical cancer.

    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 ``Breast and Cervical Cancer 
Amendments of 1993''.

SEC. 2. REVISIONS IN PROGRAM OF STATE GRANTS REGARDING BREAST AND 
              CERVICAL CANCER.

    (a) Limited Authority Regarding For-Profit Entities.--
            (1) In general.--Section 1501(b) of the Public Health 
        Service Act (42 U.S.C. 300k(b)) is amended--
                    (A) by striking ``States.--A State'' and all that 
                follows through ``may expend'' and inserting the 
                following: ``States.--
            ``(1) In general.--A State receiving a grant under 
        subsection (a) may, subject to paragraph (2), expend''; and
                    (B) by adding at the end the following paragraph:
            ``(2) Limited authority regarding other entities.--In 
        addition to the authority established in paragraph (1) for a 
        State with respect to grants and contracts, the State may 
        provide for screenings under subsection (a)(1) through entering 
        into contracts with private entities. The amount paid by a 
        State to a private entity under the preceding sentence for a 
        screening procedure may not exceed the amount that would be 
        paid under part B of title XVIII of the Social Security Act if 
        payment were made under such part for furnishing the procedure 
        to a woman enrolled under such part.''.
            (2) Conforming amendment.--Section 1505(3) of the Public 
        Health Service Act (42 U.S.C. 300n-1(3)) is amended by 
        inserting before the semicolon the following: ``(and 
        additionally, in the case of services and activities under 
        section 1501(a)(1), with any similar services or activities of 
        private entities)''.
    (b) Quality Assurance Regarding Screening Procedures.--
            (1) In general.--Section 1503 of the Public Health Service 
        Act (42 U.S.C. 300m) is amended by striking subsections (c) 
        through (e) and inserting the following:
    ``(c) Quality Assurance Regarding Screening Procedures.--The 
Secretary may not make a grant under section 1501 unless the State 
involved agrees that the State will, in accordance with applicable law, 
assure the quality of screening procedures conducted pursuant to such 
section.''.
            (2) Transition rule regarding mammographies.--With respect 
        to the screening procedure for breast cancer known as a 
        mammography, the requirements in effect on the day before the 
        date of the enactment of this Act under section 1503(c) of the 
        Public Health Service Act remain in effect (for an individual 
        or facility conducting such procedures pursuant to a grant to a 
        State under section 1501 of such Act) until there is in effect 
        for the facility a certificate (or provisional certificate) 
        issued under section 354 of such Act.
    (c) Statewide Provision of Services.--Section 1504(c) of the Public 
Health Service Act (42 U.S.C. 300n(c)) is amended by adding at the end 
the following paragraph:
            ``(3) Grants to tribes and tribal organizations.--
                    ``(A) The Secretary, acting through the Director of 
                the Centers for Disease Control and Prevention, may 
                make grants to tribes and tribal organizations (as such 
                terms are used in paragraph (1)) for the purpose of 
                carrying out programs described in section 1501(a). 
                This title (other than section 1501(c)) applies to such 
                a grant (in relation to the jurisdiction of the tribe 
                or organization) to the same extent and in the same 
                manner as such title applies to grants to States under 
                section 1501 (in relation to the jurisdiction of the 
                States).
                    ``(B) If a tribe or tribal organization is 
                receiving a grant under subparagraph (A) and the State 
                in which the tribe or organization is located is 
                receiving a grant under section 1501, the requirement 
                established in paragraph (1) for the State regarding 
                the tribe or organization is deemed to have been waived 
                under paragraph (2).''.
    (d) Evaluations and Reports.--Section 1508 of the Public Health 
Service Act (42 U.S.C. 300n-4) is amended--
            (1) in subsection (a), by adding at the end the following 
        sentence: ``Such evaluations shall include evaluations of the 
        extent to which States carrying out such programs are in 
        compliance with section 1501(a)(2) and with section 1504(c).''; 
        and
            (2) in subsection (b), by inserting before the period that 
        following: ``, including recommendations regarding compliance 
        by the States with section 1501(a)(2) and with section 
        1504(c)''.
    (e) Establishment of Coordinating Committee.--Section 1501 of the 
Public Health Service Act (42 U.S.C. 300k) is amended by adding at the 
end the following subsection:
    ``(c) Coordinating Committee Regarding Year 2000 Health 
Objectives.--The Secretary, acting through the Director of the Centers 
for Disease Control and Prevention, shall establish a committee to 
coordinate the activities of the agencies of the Public Health Service 
(and other appropriate Federal agencies) that are carried out toward 
achieving the objectives established by the Secretary for reductions in 
the incidence of breast and cervical cancer in the United States by the 
year 2000. Such committee shall be comprised of Federal officers or 
employees designated by the heads of the agencies involved to serve on 
the committee as representatives of the agencies, and such 
representatives from other public or private entities as the Secretary 
determines to be appropriate.''.
    (f) Technical Corrections.--Title XV of the Public Health Service 
Act (42 U.S.C. 300k et seq.) is amended--
            (1) in section 1501(a), in the matter preceding paragraph 
        (1), by striking ``Control,'' and inserting ``Control and 
        Prevention,''; and
            (2) in section 1505(4), by inserting ``will'' before ``be 
        used''.

SEC. 3. FUNDING.

    Section 1509(a) of the Public Health Service Act (42 U.S.C. 300n-
5(a)) is amended--
            (1) by striking ``and'' after ``1991,''; and
            (2) by inserting before the period the following: ``, 
        $100,000,000 for fiscal year 1994, and such sums as may be 
        necessary for each of the fiscal years 1995 through 1998''.

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