[Congressional Bills 105th Congress]
[From the U.S. Government Publishing Office]
[S. 1722 Introduced in Senate (IS)]







105th CONGRESS
  2d Session
                                S. 1722

  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 SENATE OF THE UNITED STATES

                             March 6, 1998

Mr. Frist (for himself, Mr. Lott, Mr. Jeffords, Mr. Kennedy, Mr. Gregg, 
   Mr. Dodd, Mr. Enzi, Mr. Harkin, Mr. Hutchinson, Ms. Mikulski, Ms. 
 Collins, Mr. Bingaman, Mr. McConnell, Mr. Wellstone, Mrs. Murray, Mr. 
 Reed, Ms. Snowe, Mr. Nickles, Mr. Mack, Mrs. Boxer, Mr. Daschle, Mr. 
    Chafee, Mrs. Feinstein, Mr. Roth, Mr. Specter, Mr. D'Amato, Mr. 
 Domenici, and Mr. Santorum) introduced the following bill; which was 
 read twice and referred to the Committee on Labor and Human Resources

_______________________________________________________________________

                                 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 THE NATIONAL 
                          INSTITUTES OF HEALTH

SEC. 101. EXTENSION OF PROGRAM FOR RESEARCH AND AUTHORIZATION OF 
              NATIONAL PROGRAM OF EDUCATION REGARDING THE DRUG DES.

    (a) In General.--Section 403A(e) of the Public Health Service Act 
(42 U.S.C. 283a(e)) is amended by striking ``1996'' and inserting 
``2001''.
    (b) National Program for Education of Health Professionals and 
Public.--From amounts appropriated for carrying out section 403A of the 
Public Health Service Act (42 U.S.C. 283a), the Secretary of Health and 
Human Services, 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 such 
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.

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 
2001''.

SEC. 103. RESEARCH ON CANCER.

    (a) In General.--Section 417B(a) of the Public Health Service Act 
(42 U.S.C. 286a-8(a)) is amended by striking ``and 1996'' and inserting 
``through 2001''.
    (b) 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 2001''; and
            (2) in subparagraph (B), by striking ``and 1996'' and 
        inserting ``through 2001''.
    (c) 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 2001''.

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 is authorized to be appropriated such sums as 
may be necessary for each of the fiscal years 1999 through 2001. 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 445I of the Public Health Service Act (42 U.S.C. 285e-11) 
is amended by striking ``and 1996'' and inserting ``through 2001''.

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 the National Institutes of Health''.

  TITLE II--PROVISIONS RELATING TO WOMEN'S HEALTH AT THE 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 2002''; and
            (2) in paragraph (2), by striking ``through 1998'' and 
        inserting ``through 2002''.

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 
2002''.

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

    (a) Grants.--Section 1501(b) of the Public Health Service Act (42 
U.S.C. 300k(b)) is amended--
            (1) in paragraph (1), by striking ``nonprofit''; and
            (2) in paragraph (2), by striking ``that are not nonprofit 
        entities''.
    (b) Preventive Health.--Section 1509(d) of the Public Health 
Service Act (42 U.S.C. 300n-4a(d)(1)) is amended by striking ``through 
1998'' and inserting ``through 2002''.
    (c) 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 2002''.

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 
2002''.

SEC. 205. COMMUNITY PROGRAMS ON DOMESTIC VIOLENCE.

    Section 318(h)(2) of the Family Violence Prevention and Services 
Act (42 U.S.C. 10418(h)(2)) is amended by striking ``fiscal year 1997'' 
and inserting ``for each of the fiscal years 1997 through 2002''.
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