[Congressional Bills 108th Congress]
[From the U.S. Government Publishing Office]
[H.R. 4555 Reported in House (RH)]






                                                 Union Calendar No. 425
108th CONGRESS
  2d Session
                                H. R. 4555

                          [Report No. 108-694]

To amend the Public Health Service Act to revise and extend provisions 
               relating to mammography quality standards.


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                             June 14, 2004

 Mr. Dingell introduced the following bill; which was referred to the 
                    Committee on Energy and Commerce

                           September 22, 2004

             Additional sponsors: Mr. Filner and Mrs. Capps

                           September 22, 2004

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed
 [Strike out all after the enacting clause and insert the part printed 
                               in italic]

_______________________________________________________________________

                                 A BILL


 
To amend the Public Health Service Act to revise and extend provisions 
               relating to mammography quality standards.

    Be it enacted by the Senate and House of Representatives of the 
United States of America in Congress assembled,

<DELETED>SECTION 1. SHORT TITLE.</DELETED>

<DELETED>    This Act may be cited as the ``Mammography Quality 
Standards Reauthorization Act of 2004''.</DELETED>

<DELETED>SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL 
              CERTIFICATE.</DELETED>

<DELETED>    Section 354 of the Public Health Service Act (42 U.S.C. 
263b) is amended--</DELETED>
        <DELETED>    (1) in subsection (b)(1)--</DELETED>
                <DELETED>    (A) in subparagraph (A)--</DELETED>
                        <DELETED>    (i) in the matter preceding clause 
                        (i), by inserting ``or a temporary renewal 
                        certificate'' after ``certificate''; 
                        and</DELETED>
                        <DELETED>    (ii) in clause (i), by striking 
                        ``subsection (c)(1)'' and inserting 
                        ``paragraphs (1) or (2) of subsection 
                        (c)'';</DELETED>
                <DELETED>    (B) in subparagraph (B)--</DELETED>
                        <DELETED>    (i) in the matter preceding clause 
                        (i), by inserting ``or a limited provisional 
                        certificate'' after ``certificate''; 
                        and</DELETED>
                        <DELETED>    (ii) in clause (i), by striking 
                        ``subsection (c)(2)'' and inserting 
                        ``paragraphs (3) and (4) of subsection (c)''; 
                        and</DELETED>
                <DELETED>    (C) in the flush matter at the end, by 
                striking ``provisional certificate'' and inserting 
                ``temporary renewal certificate, provisional 
                certificate, or a limited provisional certificate''; 
                and</DELETED>
        <DELETED>    (2) in subsection (c)--</DELETED>
                <DELETED>    (A) by redesignating paragraph (2) as 
                paragraph (4); and</DELETED>
                <DELETED>    (B) by inserting after paragraph (1) the 
                following:</DELETED>
        <DELETED>    ``(2) Temporary renewal certificate.--The 
        Secretary may issue a temporary renewal certificate, for a 
        period of not to exceed 45 days, to a facility seeking 
        reaccreditation if the accreditation body has issued an 
        accreditation extension, for a period of not to exceed 45 days, 
        for any of the following:</DELETED>
                <DELETED>    ``(A) The facility has submitted the 
                required materials to the accreditation body within the 
                established time frames for the submission of such 
                materials but the accreditation body is unable to 
                complete the reaccreditation process before the 
                certification expires.</DELETED>
                <DELETED>    ``(B) The facility has acquired additional 
                or replacement equipment, or has had significant 
                personnel changes or other unforeseen situations that 
                have caused the facility to be unable to meet 
                reaccreditation timeframes, but in the opinion of the 
                accreditation body have not compromised the quality of 
                mammography.</DELETED>
        <DELETED>    ``(3) Limited provisional certificate.--The 
        Secretary may, upon the request of an accreditation body, issue 
        a limited provisional certificate to an entity to enable the 
        entity to conduct examinations for educational purposes while 
        an onsite visit from an accreditation body is in progress. Such 
        certificate shall be valid only during the time the site visit 
        team from the accreditation body is physically in the facility, 
        and in no case shall be valid for longer than 72 hours. The 
        issuance of a certificate under this paragraph, shall not 
        preclude the entity from qualifying for a provisional 
        certificate under paragraph (4).''.</DELETED>

<DELETED>SEC. 3. AUTHORIZATION OF APPROPRIATIONS.</DELETED>

<DELETED>    Subparagraphs (A) and (B) of section 354(r)(2) of the 
Public Health Service Act (42 U.S.C. 263b(r)(2)(A) and (B)) are amended 
by striking ``2002'' each place it appears and inserting 
``2007''.</DELETED>

SECTION 1. SHORT TITLE.

    This Act may be cited as the ``Mammography Quality Standards 
Reauthorization Act of 2004''.

SEC. 2. TEMPORARY RENEWAL AND LIMITED PROVISIONAL CERTIFICATE.

    Section 354 of the Public Health Service Act (42 U.S.C. 263b) is 
amended--
            (1) in subsection (b)(1)--
                    (A) in subparagraph (A)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``or a temporary renewal 
                        certificate'' after ``certificate''; and
                            (ii) in clause (i), by striking 
                        ``subsection (c)(1)'' and inserting 
                        ``paragraphs (1) or (2) of subsection (c)'';
                    (B) in subparagraph (B)--
                            (i) in the matter preceding clause (i), by 
                        inserting ``or a limited provisional 
                        certificate'' after ``certificate''; and
                            (ii) in clause (i), by striking 
                        ``subsection (c)(2)'' and inserting 
                        ``paragraphs (3) and (4) of subsection (c)''; 
                        and
                    (C) in the flush matter at the end, by striking 
                ``provisional certificate'' and inserting ``temporary 
                renewal certificate, provisional certificate, or a 
                limited provisional certificate''; and
            (2) in subsection (c)--
                    (A) by redesignating paragraph (2) as paragraph 
                (4); and
                    (B) by inserting after paragraph (1) the following:
            ``(2) Temporary renewal certificate.--The Secretary may 
        issue a temporary renewal certificate, for a period of not to 
        exceed 45 days, to a facility seeking reaccreditation if the 
        accreditation body has issued an accreditation extension, for a 
        period of not to exceed 45 days, for any of the following:
                    ``(A) The facility has submitted the required 
                materials to the accreditation body within the 
                established time frames for the submission of such 
                materials but the accreditation body is unable to 
                complete the reaccreditation process before the 
                certification expires.
                    ``(B) The facility has acquired additional or 
                replacement equipment, or has had significant personnel 
                changes or other unforeseen situations that have caused 
                the facility to be unable to meet reaccreditation 
                timeframes, but in the opinion of the accreditation 
                body have not compromised the quality of mammography.
            ``(3) Limited provisional certificate.--The Secretary may, 
        upon the request of an accreditation body, issue a limited 
        provisional certificate to an entity to enable the entity to 
        conduct examinations for educational purposes while an onsite 
        visit from an accreditation body is in progress. Such 
        certificate shall be valid only during the time the site visit 
        team from the accreditation body is physically in the facility, 
        and in no case shall be valid for longer than 72 hours. The 
        issuance of a certificate under this paragraph, shall not 
        preclude the entity from qualifying for a provisional 
        certificate under paragraph (4).''.

SEC. 3. NATIONAL ADVISORY COMMITTEE.

    Section 354(n) of the Public Health Service Act (42 U.S.C. 263b(n)) 
is amended--
            (1) in paragraph (2), by striking subparagraph (C) and all 
        that follows and inserting the following:
                    ``(C) other health professionals,
        whose clinical practice, research specialization, or 
        professional expertise include a significant focus on 
        mammography. The Secretary shall appoint at least 4 individuals 
        from among national breast cancer or consumer health 
        organizations with expertise in mammography, at least 2 
        industry representatives with expertise in mammography 
        equipment, and at least 2 practicing physicians who provide 
        mammography services.''; and
            (2) in paragraph (4), by striking ``biannually'' and 
        inserting ``annually''.

SEC. 4. AUTHORIZATION OF APPROPRIATIONS.

    Subparagraphs (A) and (B) of section 354(r)(2) of the Public Health 
Service Act (42 U.S.C. 263b(r)(2)(A) and (B)) are amended by striking 
``2002'' each place it appears and inserting ``2007''.




                                                 Union Calendar No. 425

108th CONGRESS

  2d Session

                               H. R. 4555

                          [Report No. 108-694]

_______________________________________________________________________

                                 A BILL

To amend the Public Health Service Act to revise and extend provisions 
               relating to mammography quality standards.

_______________________________________________________________________

                           September 22, 2004

  Reported with an amendment, committed to the Committee of the Whole 
       House on the State of the Union, and ordered to be printed