[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4683 Introduced in House (IH)]







105th CONGRESS
  2d Session
                                H. R. 4683

  To amend the Public Health Service Act to revise and extend certain 
    programs with respect to women's health research and prevention 
  activities at the National Institutes of Health and the Centers for 
                    Disease Control and Prevention.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                            October 2, 1998

Mr. Bilirakis (for himself, Mr. Bliley, Mr. Dingell, Mr. Brown of Ohio, 
Mr. Gingrich, Mr. Porter, Mr. Barton of Texas, Mr. Hastert, Mr. Waxman, 
Mr. Stearns, Mr. Greenwood, Mr. Bilbray, Mr. Rogan, Mr. Strickland, Mr. 
     Burr of North Carolina, Mr. Lazio of New York, and Mr. Green) 
 introduced the following bill; which was referred to the Committee on 
                                Commerce

_______________________________________________________________________

                                 A BILL


 
  To amend the Public Health Service Act to revise and extend certain 
    programs with respect to women's health research and prevention 
  activities at the National Institutes of Health and the Centers for 
                    Disease Control and Prevention.

    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 ``Women's Health Research and 
Prevention Amendments of 1998''.

  TITLE I--PROVISIONS RELATING TO WOMEN'S HEALTH RESEARCH AT NATIONAL 
                          INSTITUTES OF HEALTH

SEC. 101. RESEARCH ON DRUG DES; NATIONAL PROGRAM OF EDUCATION.

    (a) Research.--Section 403A(e) of the Public Health Service Act (42 
U.S.C. 283a(e)) is amended by striking ``1996'' and inserting ``2003''.
    (b) National Program for Education of Health Professionals and 
Public.--Title XVII of the Public Health Service Act (42 U.S.C. 300u et 
seq.) is amended by adding at the end the following:

                       ``education regarding des

    ``Sec. 1710. (a) In General.--The Secretary, acting through the 
heads of the appropriate agencies of the Public Health Service, shall 
carry out a national program for the education of health professionals 
and the public with respect to the drug diethylstilbestrol (commonly 
known as DES). To the extent appropriate, such national program shall 
use methodologies developed through the education demonstration program 
carried out under section 403A. In developing and carrying out the 
national program, the Secretary shall consult closely with 
representatives of nonprofit private entities that represent 
individuals who have been exposed to DES and that have expertise in 
community-based information campaigns for the public and for health 
care providers. The implementation of the national program shall begin 
during fiscal year 1999.
    ``(b) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 1999 through 2003. The 
authorization of appropriations established in the preceding sentence 
is in addition to any other authorization of appropriation that is 
available for such purpose.''.

SEC. 102. RESEARCH ON OSTEOPOROSIS, PAGET'S DISEASE, AND RELATED BONE 
              DISORDERS.

    Section 409A(d) of the Public Health Service Act (42 U.S.C. 
284e(d)) is amended by striking ``and 1996'' and inserting ``through 
2003''.

SEC. 103. RESEARCH ON CANCER.

    (a) Research on Breast Cancer.--Section 417B(b)(1) of the Public 
Health Service Act (42 U.S.C. 286a-8(b)(1)) is amended--
            (1) in subparagraph (A), by striking ``and 1996'' and 
        inserting ``through 2003''; and
            (2) in subparagraph (B), by striking ``and 1996'' and 
        inserting ``through 2003''.
    (b) Research on Ovarian and Related Cancer Research.--Section 
417B(b)(2) of the Public Health Service Act (42 U.S.C. 286a-8(b)(2)) is 
amended by striking ``and 1996'' and inserting ``through 2003''.

SEC. 104. RESEARCH ON HEART ATTACK, STROKE, AND OTHER CARDIOVASCULAR 
              DISEASES IN WOMEN.

    Subpart 2 of part C of title IV of the Public Health Service Act 
(42 U.S.C. 285b et seq.) is amended by inserting after section 424 the 
following:

   ``heart attack, stroke, and other cardiovascular diseases in women

    ``Sec. 424A. (a) In General.--The Director of the Institute shall 
expand, intensify, and coordinate research and related activities of 
the Institute with respect to heart attack, stroke, and other 
cardiovascular diseases in women.
    ``(b) Coordination With Other Institutes.--The Director of the 
Institute shall coordinate activities under subsection (a) with similar 
activities conducted by the other national research institutes and 
agencies of the National Institutes of Health to the extent that such 
Institutes and agencies have responsibilities that are related to heart 
attack, stroke, and other cardiovascular diseases in women.
    ``(c) Certain Programs.--In carrying out subsection (a), the 
Director of the Institute shall conduct or support research to expand 
the understanding of the causes of, and to develop methods for 
preventing, cardiovascular diseases in women. Activities under such 
subsection shall include conducting and supporting the following:
            ``(1) Research to determine the reasons underlying the 
        prevalence of heart attack, stroke, and other cardiovascular 
        diseases in women, including African-American women and other 
        women who are members of racial or ethnic minority groups.
            ``(2) Basic research concerning the etiology and causes of 
        cardiovascular diseases in women.
            ``(3) Epidemiological studies to address the frequency and 
        natural history of such diseases and the differences among men 
        and women, and among racial and ethnic groups, with respect to 
        such diseases.
            ``(4) The development of safe, efficient, and cost-
        effective diagnostic approaches to evaluating women with 
        suspected ischemic heart disease.
            ``(5) Clinical research for the development and evaluation 
        of new treatments for women, including rehabilitation.
            ``(6) Studies to gain a better understanding of methods of 
        preventing cardiovascular diseases in women, including 
        applications of effective methods for the control of blood 
        pressure, lipids, and obesity.
            ``(7) Information and education programs for patients and 
        health care providers on risk factors associated with heart 
        attack, stroke, and other cardiovascular diseases in women, and 
        on the importance of the prevention or control of such risk 
        factors and timely referral with appropriate diagnosis and 
        treatment. Such programs shall include information and 
        education on health-related behaviors that can improve such 
        important risk factors as smoking, obesity, high blood 
        cholesterol, and lack of exercise.
    ``(d) Authorization of Appropriations.--For the purpose of carrying 
out this section, there are authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 1999 through 2003. The 
authorization of appropriations established in the preceding sentence 
is in addition to any other authorization of appropriation that is 
available for such purpose.''.

SEC. 105. AGING PROCESSES REGARDING WOMEN.

    Section 445H of the Public Health Service Act (42 U.S.C. 285e-10) 
is amended--
            (1) by striking ``The Director'' and inserting ``(a) The 
        Director''; and
            (2) by adding at the end the following subsection:
    ``(b) For the purpose of carrying out this section, there are 
authorized to be appropriated such sums as may be necessary for each of 
the fiscal years 1999 through 2003. The authorization of appropriations 
established in the preceding sentence is in addition to any other 
authorization of appropriation that is available for such purpose.''.

SEC. 106. OFFICE OF RESEARCH ON WOMEN'S HEALTH.

    Section 486(d)(2) of the Public Health Service Act (42 U.S.C. 
287d(d)(2)) is amended by striking ``Director of the Office'' and 
inserting ``Director of NIH''.

TITLE II--PROVISIONS RELATING TO WOMEN'S HEALTH AT CENTERS FOR DISEASE 
                         CONTROL AND PREVENTION

SEC. 201. NATIONAL CENTER FOR HEALTH STATISTICS.

    Section 306(n) of the Public Health Service Act (42 U.S.C. 242k(n)) 
is amended--
            (1) in paragraph (1), by striking ``through 1998'' and 
        inserting ``through 2003''; and
            (2) in paragraph (2), by striking ``through 1998'' and 
        inserting ``through 2003''.

SEC. 202. NATIONAL PROGRAM OF CANCER REGISTRIES.

    Section 399L(a) of the Public Health Service Act (42 U.S.C. 280e-
4(a)) is amended by striking ``through 1998'' and inserting ``through 
2003''.

SEC. 203. NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION PROGRAM.

    (a) Services.--Section 1501(a)(2) of the Public Health Service Act 
(42 U.S.C. 300k(a)(2)) is amended by inserting before the semicolon the 
following: ``and support services such as case management''.
    (b) Providers of Services.--Section 1501(b) of the Public Health 
Service Act (42 U.S.C. 300k(b)) is amended--
            (1) in paragraph (1), by striking ``through grants'' and 
        all that follows and inserting the following: ``through grants 
        to public and nonprofit private entities and through contracts 
        with public and private entities.''; and
            (2) by striking paragraph (2) and inserting the following:
            ``(2) Certain applications.--If a nonprofit private entity 
        and a private entity that is not a nonprofit entity both submit 
        applications to a State to receive an award of a grant or 
        contract pursuant to paragraph (1), the State may give priority 
        to the application submitted by the nonprofit private entity in 
        any case in which the State determines that the quality of such 
        application is equivalent to the quality of the application 
        submitted by the other private entity.''.
    (c) Authorizations of Appropriations.--
            (1) Supplemental grants for additional preventive health 
        services.--Section 1509(d)(1) of the Public Health Service Act 
        (42 U.S.C. 300n-4a(d)(1)) is amended by striking ``through 
        1998'' and inserting ``through 2003''.
            (2) General program.--Section 1510(a) of the Public Health 
        Service Act (42 U.S.C. 300n-5(a)) is amended by striking 
        ``through 1998'' and inserting ``through 2003''.

SEC. 204. CENTERS FOR RESEARCH AND DEMONSTRATION OF HEALTH PROMOTION.

    Section 1706(e) of the Public Health Service Act (42 U.S.C. 300u-
5(e)) is amended by striking ``through 1998'' and inserting ``through 
2003''.
                                 <all>