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<bill bill-stage="Introduced-in-House" bill-type="olc" dms-id="H120B43E21D4A4D778E6C005936B6A198" public-private="public">
<metadata xmlns:dc="http://purl.org/dc/elements/1.1/">
<dublinCore>
<dc:title>110 HR 7153 IH: To amend title IV of the Public Health Service Act to
</dc:title>
<dc:publisher>U.S. House of Representatives</dc:publisher>
<dc:date>2008-09-26</dc:date>
<dc:format>text/xml</dc:format>
<dc:language>EN</dc:language>
<dc:rights>Pursuant to Title 17 Section 105 of the United States Code, this file is not subject to copyright protection and is in the public domain.</dc:rights>
</dublinCore>
</metadata>
	<form>
		<distribution-code display="yes">I</distribution-code>
		<congress>110th CONGRESS</congress>
		<session>2d Session</session>
		<legis-num>H. R. 7153</legis-num>
		<current-chamber>IN THE HOUSE OF REPRESENTATIVES</current-chamber>
		<action>
			<action-date date="20080926">September 26, 2008</action-date>
			<action-desc><sponsor name-id="L000551">Ms. Lee</sponsor> introduced
			 the following bill; which was referred to the
			 <committee-name committee-id="HIF00">Committee on Energy and
			 Commerce</committee-name></action-desc>
		</action>
		<legis-type>A BILL</legis-type>
		<official-title>To amend title IV of the Public Health Service Act to
		  create a National Childhood Brain Tumor Prevention Network to provide grants
		  and coordinate research with respect to the causes of and risk factors
		  associated with childhood brain tumors, and for other
		  purposes.</official-title>
	</form>
	<legis-body id="H180CF5D0CBEA430A818D3274AB17B643" style="OLC">
		<section id="H572E9DF6BAEA4754BB8C4D897500E5CD" section-type="section-one"><enum>1.</enum><header>Short title</header><text display-inline="no-display-inline">This Act may be cited as the <quote>National
			 Childhood Brain Tumor Prevention Network Act of 2008</quote>.</text>
		</section><section id="HA6CF899435DE41649434036DA3938458"><enum>2.</enum><header>Findings</header><text display-inline="no-display-inline">Congress finds the following:</text>
			<paragraph id="H72F5E7B018754D18A116EDF22C38A244"><enum>(1)</enum><text>Tumors kill more
			 children than any other disease and brain tumors are the second most common
			 type of cancer in children.</text>
			</paragraph><paragraph id="H5A41592F138D4446ABA323DB1B582135"><enum>(2)</enum><text>Childhood brain
			 tumors are the leading cause of death from solid tumors in children.</text>
			</paragraph><paragraph id="H0D862DC14E8C4A3386C98FFD6949874C"><enum>(3)</enum><text>There are newly
			 recognized types of brain tumors, as defined by the World Health Organization,
			 and many of these newly recognized types occur in children.</text>
			</paragraph><paragraph id="H15697DF10B694264BA7FA0E6D002D37"><enum>(4)</enum><text>The causes of the
			 overwhelming majority of childhood brain tumors are unknown.</text>
			</paragraph><paragraph id="HA59FADD8E37C44EB9D22331DB0E500DF"><enum>(5)</enum><text>Brain tumors have
			 substantial costs for affected children, the families of such children, and
			 society.</text>
			</paragraph><paragraph id="HF78E263461FE46318937A6DC016741AF"><enum>(6)</enum><text>Childhood brain
			 tumors cause significant morbidity and the loss of many years of potential
			 life.</text>
			</paragraph><paragraph id="HE0B1455363AA4A3181EA003B27B5C41E"><enum>(7)</enum><text>The prognosis for
			 most childhood brain tumors is dismal and survivors face lasting adverse health
			 effects.</text>
			</paragraph><paragraph id="HB1CC7E68411F40408E11DB496B29000"><enum>(8)</enum><text display-inline="yes-display-inline">Because of the relatively low overall
			 incidence of childhood brain tumors, such tumors frequently do not receive
			 sufficient attention and research funding.</text>
			</paragraph><paragraph id="HA7B50A3568C2424FB7829D465211EAB"><enum>(9)</enum><text>No
			 single institution has a sufficient number of patients to independently conduct
			 research that will adequately address the causes of childhood brain
			 tumors.</text>
			</paragraph><paragraph id="H05990E021BF14D3AA1CB4C001EE12092"><enum>(10)</enum><text>There has been no
			 comprehensive study analyzing all relevant clinical, biological, and
			 epidemiological aspects of childhood brain tumors to identify potential risk
			 factors and determine the cause of such tumors.</text>
			</paragraph><paragraph id="H220C7F59283D4A22B58616A6A8156178"><enum>(11)</enum><text display-inline="yes-display-inline">Existing national cooperative clinical
			 oncology groups primarily investigate treatment options and prognosis and do
			 not typically examine the origins of childhood brain tumors or the risk factors
			 associated with such tumors. A significant majority of children with brain
			 tumors are first treated by neurosurgeons and not by oncologists typically
			 involved in such groups.</text>
			</paragraph></section><section id="H8E7F0BA4851C44CF8C59C7FAD955BDFA"><enum>3.</enum><header>Sense of
			 Congress</header><text display-inline="no-display-inline">It is the sense of
			 Congress that—</text>
			<paragraph id="HC99C5A2A33234B0A8121A525DE7B635"><enum>(1)</enum><text>there is a need to
			 establish a multi-center research effort based on collaboration between
			 regional consortia in order to comprehensively study the causes of childhood
			 brain tumors and identify potential risk factors;</text>
			</paragraph><paragraph id="H1F17FB79C26B4D3897218B002307082D"><enum>(2)</enum><text>there is a need to
			 encourage a collaborative effort among surgical and medical centers with
			 epidemiological study groups to gather comprehensive and detailed information
			 for each child enrolled in those groups, in order to investigate environmental,
			 nutritional, genetic, and developmental factors with respect to, and the
			 pathological and epidemiological characteristics of, childhood brain tumors;
			 and</text>
			</paragraph><paragraph id="H7BD91CB73567432FB14B195DB45D33D"><enum>(3)</enum><text>there is a need to
			 authorize the Director of the National Institutes of Health to coordinate
			 national research efforts of governmental and nongovernmental entities with
			 respect to childhood brain tumors.</text>
			</paragraph></section><section id="H92D4FBDB49D74E0189CF25228911B62"><enum>4.</enum><header>Establishment of
			 the National Childhood Brain Tumor Prevention
			 Network<editorial></editorial><editorial></editorial></header>
			<subsection id="H8C8280CEE2CF4EF2B81D33E97CD42796"><enum>(a)</enum><header>In
			 general</header><text display-inline="yes-display-inline">Subpart 1 of part C
			 of title IV of the Public Health Service Act (<external-xref legal-doc="usc" parsable-cite="usc/42/285">42 U.S.C. 285 et seq.</external-xref>) is amended
			 by adding at the end the following:</text>
				<quoted-block display-inline="no-display-inline" id="H38FBD51632E4420DA446CDCAF2656E76" style="OLC">
					<section id="HDF19B8A13EFD43AA86CC896E6C366E62"><enum>417F.</enum><header>National
				Childhood Brain Tumor Prevention Network</header>
						<subsection id="H1CBCFEAD593A4F0ABFA38F219C5D9FF9"><enum>(a)</enum><header>Establishment of
				the National Childhood Brain Tumor Prevention Network</header>
							<paragraph id="HFD35C69993E04CA4BFDDE4F1792BE300"><enum>(1)</enum><header>In
				general</header><text display-inline="yes-display-inline">Not later than one
				year after the date of the enactment of this section, the Director of NIH,
				acting through the Director of the National Cancer Institute, shall establish,
				administer, and coordinate a National Childhood Brain Tumor Prevention Network
				(hereinafter referred to in this section as the <quote>Network</quote>) for the
				purposes described in paragraph (2).</text>
							</paragraph><paragraph id="H8755F551F59E4B61AEF5FFD5F7E4946"><enum>(2)</enum><header>Purposes</header><text>The
				purposes of the Network shall be the following:</text>
								<subparagraph id="H80CF1F6DF34E48F3B3C71B88191D98F7"><enum>(A)</enum><text>Providing grants
				of not fewer than five years duration to eligible consortia for the purpose of
				conducting research with respect to the causes of and risk factors associated
				with childhood brain tumors.</text>
								</subparagraph><subparagraph id="H78D2A1277A29420E94A73F00A4226750"><enum>(B)</enum><text display-inline="yes-display-inline">Assembling a panel of experts, including
				members of the Brain Tumor Epidemiology Consortium and survivors of brain
				tumors, to provide ongoing guidance and recommendations for, with respect to
				research funded by the Network, the development of the following:</text>
									<clause id="HBEA2020D7AE14401B1D5F6597D3F61A7"><enum>(i)</enum><text>A
				common study design.</text>
									</clause><clause id="HC9263A64145D4F2FACB499E224FFFBE4"><enum>(ii)</enum><text display-inline="yes-display-inline">Standard protocols, methods, procedures,
				and assays for collecting from individuals enrolled as study participants, and
				the parents of such individuals, a minimum data set that includes the
				following:</text>
										<subclause id="HED75B72333D04A7B9D736DDCCCFD2DA6"><enum>(I)</enum><text>Environmental
				exposure data.</text>
										</subclause><subclause id="H5EEB6059867F44C8AC3C008520C7A1F4"><enum>(II)</enum><text>Nutritional
				data.</text>
										</subclause><subclause id="HF43D5A3537E24ACC9892C3442B298186"><enum>(III)</enum><text>Biospecimens,
				including genomic data.</text>
										</subclause><subclause id="HA527E39ABD4544CF8CE88300AEDB06F4"><enum>(IV)</enum><text display-inline="yes-display-inline">Histopathological and molecular
				pathological data and specimens.</text>
										</subclause><subclause id="H9E9F1D86EAF94E3E0050D5EF27E73C3E"><enum>(V)</enum><text>Clinical and
				radiological data.</text>
										</subclause></clause><clause id="H6FC5B5E288A1477D9367F84CC03180"><enum>(iii)</enum><text>Specific
				analytical methods for examining data.</text>
									</clause><clause id="HF85183782F33400700C07DE2B5A2AAA9"><enum>(iv)</enum><text>Provisions for
				consensus review of enrolled cases.</text>
									</clause><clause id="H816B97C29AEA44CA839D3D94E7F70308"><enum>(v)</enum><text>An
				integrated data collection network.</text>
									</clause></subparagraph><subparagraph id="HB06A1CE754CC4B2CBCBD7172DA199E00"><enum>(C)</enum><text>Designating a
				central laboratory to collect, analyze, and aggregate data with respect to
				research funded by the Network and to make such data and analysis available to
				researchers.</text>
								</subparagraph></paragraph><paragraph id="HD12452A701AA43D0A01051D6B7FECF74"><enum>(3)</enum><header>Eligible
				consortia</header><text>To be eligible for a grant under this section, a
				consortium shall demonstrate the following:</text>
								<subparagraph id="HB14F9574DAFC485EBB588CF0C68EF8BB"><enum>(A)</enum><text>The capability to
				annually enroll as research participants a minimum of 100 individuals with a
				newly diagnosed childhood brain tumor from the designated catchment area of
				such consortium.</text>
								</subparagraph><subparagraph id="H32A05FC2086C4A949CE5B47E7BCE63F9"><enum>(B)</enum><text>The capability to
				form a control group by enrolling as research participants, for each enrolled
				individual with a childhood brain tumor, at least two individuals without a
				childhood brain tumor, who are matched demographically to such enrolled
				individual with a childhood brain tumor.</text>
								</subparagraph><subparagraph id="HBDB8F48EBA314BDC91991F59D612DB76"><enum>(C)</enum><text>That the
				designated catchment area of such consortium does not overlap with the
				designated catchment area of a consortium already receiving a grant under this
				section.</text>
								</subparagraph></paragraph><paragraph id="H21BBB1C2C90B412381C155CE7474D24D"><enum>(4)</enum><header>Report</header><text display-inline="yes-display-inline">Not later than one year after the date of
				the enactment of this section and annually thereafter, the Director of NIH
				shall submit to Congress a report with respect to the Network, to be made
				publicly available, including a summary of research funded by the Network and a
				list of consortia receiving grants under the Network. At the discretion of the
				Director of NIH, such report may be combined with other similar or existing
				reports.</text>
							</paragraph><paragraph id="HF2CA51E76BE6496BA2A784EE9FB14F23"><enum>(5)</enum><header>Authorization of
				appropriations</header>
								<subparagraph id="HEDE2FA86DD03445ABBD239B1707952C0"><enum>(A)</enum><header>In
				general</header><text display-inline="yes-display-inline">There is authorized
				to be appropriated $25,000,000 for each of fiscal years 2010 through 2014, to
				remain available until expended, to carry out this section.</text>
								</subparagraph><subparagraph id="H9E9D9E2E53844471B37E4B608D2E38AA"><enum>(B)</enum><header>Sense of
				Congress</header><text>It is the sense of Congress that funds appropriated to
				carry out this section should be in addition to the funds already appropriated
				to carry out the functions of the National Institutes of Health.</text>
								</subparagraph></paragraph></subsection><subsection id="H266763A05F6249CFAF58ECB231377C7"><enum>(b)</enum><header>Definitions</header><text>For
				purposes of this section, the following definitions apply:</text>
							<paragraph id="H60AD079B1185480CBA1E730060C291D5"><enum>(1)</enum><header>Brain Tumor
				Epidemiology Consortium</header><text>The term <term>Brain Tumor Epidemiology
				Consortium</term> means the organization with such name formed in 2003 after an
				initial meeting sponsored by the National Cancer Institute’s Division of Cancer
				Epidemiology and Genetics.</text>
							</paragraph><paragraph id="H67ADC1B4C839429D8D882E3C53E7AD35"><enum>(2)</enum><header>Catchment
				area</header><text>The term <term>catchment area</term> means a defined area
				for which population data are available.</text>
							</paragraph><paragraph display-inline="no-display-inline" id="HC1702618D3F84B37BB6F7D5995E0164"><enum>(3)</enum><header>Childhood brain
				tumor</header><text>The term <term>childhood brain tumor</term> means an
				intracranial or spinal cord tumor occurring in an individual under 20 years of
				age.</text>
							</paragraph><paragraph id="HA6426CF1C2224950BF2BE4D37B149908"><enum>(4)</enum><header>Consortium</header><text>The
				term <term>consortium</term> means a partnership of two or more universities,
				health care organizations, or government agencies, or any combination of such
				entities, serving a designated catchment
				area.</text>
							</paragraph></subsection></section><after-quoted-block>.</after-quoted-block></quoted-block>
			</subsection><subsection id="H370B855BCE964DA4B576B3E354FA3F73"><enum>(b)</enum><header>Technical
			 correction</header>
				<paragraph id="HFD65B8FC2165413A9EBB85F26E5628CC"><enum>(1)</enum><header>In
			 general</header><text>Section 3 of the Hematological Cancer Research Investment
			 and Education Act of 2002 (<external-xref legal-doc="public-law" parsable-cite="pl/107/172">Public Law 107–172</external-xref>; 116 Stat. 541) is amended by
			 striking <quote>419C</quote> and inserting <quote>417C</quote>.</text>
				</paragraph><paragraph id="HD4EAD5A73C654AE4AAA80096AC64C954"><enum>(2)</enum><header>Effective
			 date</header><text display-inline="yes-display-inline">The amendment made by
			 paragraph (1) shall take effect as if included in the enactment of the Act
			 referred to in such paragraph.</text>
				</paragraph></subsection></section></legis-body>
</bill>


