[Congressional Bills 103th Congress]
[From the U.S. Government Publishing Office]
[S. 1320 Introduced in Senate (IS)]

103d CONGRESS
  1st Session
                                S. 1320

   To amend title III of the Public Health Service Act to revise and 
    extend certain injury control programs, and for other purposes.


_______________________________________________________________________


                   IN THE SENATE OF THE UNITED STATES

                July 29 (legislative day, June 30), 1993

Mr. Kennedy (for himself, Mrs. Kassebaum, Mr. Dodd, and Mr. Wellstone) 
        introduced the following bill; which was read twice and 
        referred to the Committee on Labor and Human Resources

_______________________________________________________________________

                                 A BILL


 
   To amend title III of the Public Health Service Act to revise and 
    extend certain injury control programs, 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 ``Injury Control and Violence 
Prevention Act of 1993''.

SEC. 2. FINDINGS.

    Congress finds that--
            (1) violence or the threat of violence has adverse effects 
        on the health and safety of Americans of all ages, races, 
        ethnicities and economic conditions;
            (2) the majority of homicides and violent assaults are 
        committed by people who have relationships with their victims 
        and are not committed by strangers;
            (3) violence is being committed in private as well as 
        public, in homes, schools, and neighborhoods;
            (4) interventions by law enforcement and criminal justice 
        systems have limited ability to prevent violence;
            (5) family and interpersonal violence represent serious 
        threats to the health and well-being of millions of women in 
        the United States;
            (6) violence against women has serious health consequences 
        for its victims, including fatality, severe trauma, repeated 
        physical injuries, and chronic stress-related disorder;
            (7) violence against women has serious mental health 
        consequences for its victims, including substance abuse, severe 
        psychological trauma, and suicide;
            (8) fewer than 5 percent of injured women are correctly 
        diagnosed by medical personnel as being victims of domestic 
        violence;
            (9) hospitals and clinics do not have a uniform set of 
        protocols for the identification and referral of victims of 
        family and interpersonal violence, or for the training of 
        health care professionals to perform such functions;
            (10) a national surveillance system for monitoring the 
        health effects of injury should be established to determine the 
        nature and extent of family and interpersonal violence in the 
        United States; and
            (11) the Surgeon General has identified domestic violence 
        as a public health problem to which all health care providers 
        must actively and vigorously respond.

SEC. 3. FAMILY AND INTERPERSONAL VIOLENCE PREVENTION.

    Section 393 of the Public Health Service Act (42 U.S.C. 280b-2) is 
amended to read as follows:

``SEC. 393. PREVENTION OF FAMILY AND INTERPERSONAL VIOLENCE.

    ``(a) Research and Technical Assistance.--The Secretary, acting 
through the Director of the Centers for Disease Control and Prevention, 
may conduct research and provide technical assistance to appropriate 
public and nonprofit private entities and to academic institutions to 
assist such entities in performing research in, and conducting training 
and public health programs for, the prevention of injuries and deaths 
associated with family and interpersonal violence.
    ``(b) Grants.--The Secretary, acting through the Director of the 
Centers for Disease Control and Prevention, may award grants to States, 
political subdivisions of States, and any other public and nonprofit 
private entity for--
            ``(1) the conduct of research into identifying effective 
        strategies to prevent interpersonal violence within the family 
        and among acquaintances;
            ``(2) the development, implementation, and evaluation of 
        demonstration projects for the prevention of interpersonal 
        violence within families and among acquaintances;
            ``(3) the implementation of public information and 
        education programs for prevention of family and interpersonal 
        violence and to broaden public awareness of the public health 
        consequences of family and interpersonal violence; and
            ``(4) the provision of education, training and clinical 
        skills improvement programs for health care professionals to--
                    ``(A) appropriately interview and identify 
                individuals whose medical condition or statements 
                indicate that the individuals are victims of domestic 
                violence or sexual assault; and
                    ``(B) refer the individuals to entities that 
                provide services regarding such violence and assault, 
                including referrals for counseling, housing, legal 
                services, and services of community organizations.
    ``(c) Injury Surveillance Program.--The Secretary, acting through 
the Director of the Centers for Disease Control and Prevention, shall 
support the establishment of national systematic surveillance of 
injuries, including those caused by family and interpersonal violence.
    ``(d) Definition.--As used in this section, the term `interpersonal 
violence within families and acquaintances' means any intentional 
violence, controlling, or coercive behavior or pattern of behavior by 
an individual who is currently or who was previously, in an intimate or 
acquaintance relationship with the victim. Such behavior may occur at 
any stage of the lifecycle and may encompass single acts or a syndrome 
of actual or threatened physical injury, sexual assault, rape, 
psychological abuse, or neglect. Such term includes behavior which 
currently may be described as ``child neglect'', ``child abuse'', 
``spousal abuse'', ``domestic violence'', ``woman battering'', 
``partner abuse'', ``elder abuse'', and ``date rape''.
    ``(e) Application.--To be eligible to receive assistance under 
subsection (a) or (b), an entity shall prepare and submit to the 
Secretary an application at such time, in such manner, and containing 
such information as the Secretary may require.''.

SEC. 4. ADVISORY COMMITTEE; REPORTS.

    Part J of title III of the Public Health Service Act (as amended by 
Public Law 103-43) is amended by inserting after section 393 (42 U.S.C. 
280b-2) the following new section:

``SEC. 393A. GENERAL PROVISIONS.

    ``(a) Advisory Committee.--The Secretary, acting through the 
Director of the Centers for Disease Control and Prevention, shall 
establish an advisory committee to advise the Secretary and such 
Director with respect to the prevention and control of injuries.
    ``(b) Report.--Not later than February 1 of 1994 and of every 
second year thereafter, the Secretary, acting through the Director of 
the Centers for Disease Control and Prevention, shall submit to the 
Committee on Energy and Commerce of the House of Representatives, and 
to the Committee on Labor and Human Resources of the Senate, a report 
describing the activities carried out under this part during the 
preceding 2 fiscal years. Such report shall include a description of 
such activities that were carried out with respect to domestic violence 
and sexual assault and with respect to rural areas.''.

SEC. 5. TECHNICAL CORRECTIONS.

    (a) Terminology.--Part J of title III of the Public Health Service 
Act (42 U.S.C. 280b et seq.) (as amended by Public Law 103-43) is 
amended--
            (1) in the heading for such part, by striking ``Injury 
        Control'' and inserting ``Prevention and Control of Injuries''; 
        and
            (2) in section 392--
                    (A) in the heading for such section, by inserting 
                ``prevention and'' before ``control activities'';
                    (B) in subsection (a)(1), by inserting ``and 
                control'' after ``prevention''; and
                    (C) in subsection (b)(1), by striking ``injuries 
                and injury control'' and inserting ``the prevention and 
                control of injuries''.
    (b) Provisions Relating to Public Law 102-531.--Part K of title III 
of the Public Health Service Act (42 U.S.C. 280b et seq.), as amended 
by section 301 of Public Law 102-531 (106 Stat. 3482), is amended--
            (1) in section 392(b)(2), by striking ``to promote injury 
        control'' and all that follows and inserting ``to promote 
        activities regarding the prevention and control of injuries; 
        and''; and
            (2) in section 391(b), by adding at the end the following 
        sentence: ``In carrying out the preceding sentence, the 
        Secretary shall disseminate such information to the public, 
        including through elementary and secondary schools.''.

SEC. 6. AUTHORIZATION OF APPROPRIATIONS.

    Section 394 of the Public Health Service Act (42 U.S.C. 280b-3) is 
amended--
            (1) by striking ``391 and 392'' and inserting ``391, 392, 
        and 393''; and
            (2) by striking ``$10,000,000'' and all that follows 
        through the period and inserting ``$60,000,000'' for fiscal 
        year 1994, and such sums as may be necessary for each of the 
        fiscal years 1995 through 1998.''.

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