[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 652 Enrolled Bill (ENR)]
S.652
One Hundred Fifteenth Congress
of the
United States of America
AT THE FIRST SESSION
Begun and held at the City of Washington on Tuesday,
the third day of January, two thousand and seventeen
An Act
To amend the Public Health Service Act to reauthorize a program for
early detection, diagnosis, and treatment regarding deaf and hard-of-
hearing newborns, infants, and young children.
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 ``Early Hearing Detection and
Intervention Act of 2017''.
SEC. 2. REAUTHORIZATION OF PROGRAM FOR EARLY DETECTION, DIAGNOSIS, AND
TREATMENT REGARDING DEAF AND HARD-OF-HEARING NEWBORNS, INFANTS, AND
YOUNG CHILDREN.
(a) Section Heading.--The section heading of section 399M of the
Public Health Service Act (42 U.S.C. 280g-1) is amended to read as
follows:
``SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREATMENT REGARDING DEAF
AND HARD-OF-HEARING NEWBORNS, INFANTS, AND YOUNG CHILDREN.''.
(b) Statewide Systems.--Section 399M(a) of the Public Health
Service Act (42 U.S.C. 280g-1(a)) is amended--
(1) in the subsection heading, by striking ``Newborn and
Infant'' and inserting ``Newborn, Infant, and Young Child'';
(2) in the matter preceding paragraph (1)--
(A) by striking ``newborn and infant'' and inserting
``newborn, infant, and young child''; and
(B) by striking ``providers,'' and inserting ``providers
(including, as appropriate, education and training of family
members),'';
(3) in paragraph (1)--
(A) in the first sentence--
(i) by striking ``newborns and infants'' and inserting
``newborns, infants, and young children (referred to in
this section as `children')''; and
(ii) by striking ``and medical'' and all that follows
through the period and inserting ``medical, and
communication (or language acquisition) interventions
(including family support), for children identified as deaf
or hard-of-hearing, consistent with the following:'';
(B) in the second sentence--
(i) by striking ``Early'' and inserting the following:
``(A) Early'';
(ii) by striking ``and delivery of'' and inserting ``,
and delivery of,'';
(iii) by striking ``by schools'' and all that follows
through ``programs mandated'' and inserting ``by
organizations such as schools and agencies (including
community, consumer, and family-based agencies), in health
care settings (including medical homes for children), and
in programs mandated''; and
(iv) by striking ``hard of hearing'' and all that
follows through the period and inserting ``hard-of-hearing
children.''; and
(C) by striking the last sentence and inserting the
following:
``(B) Information provided to families should be accurate,
comprehensive, up-to-date, and evidence-based, as appropriate,
to allow families to make important decisions for their
children in a timely manner, including decisions with respect
to the full range of assistive hearing technologies and
communications modalities, as appropriate.
``(C) Programs and systems under this paragraph shall offer
mechanisms that foster family-to-family and deaf and hard-of-
hearing consumer-to-family supports.'';
(4) in paragraph (2), by striking ``To collect'' and all that
follows through the period and inserting ``To continue to provide
technical support to States, through one or more technical resource
centers, to assist in further developing and enhancing State early
hearing detection and intervention programs.''; and
(5) by striking paragraph (3) and inserting the following:
``(3) To identify or develop efficient models (educational and
medical) to ensure that children who are identified as deaf or
hard-of-hearing through screening receive follow-up by qualified
early intervention providers or qualified health care providers
(including those at medical homes for children), and referrals, as
appropriate, including to early intervention services under part C
of the Individuals with Disabilities Education Act. State agencies
shall be encouraged to effectively increase the rate of such
follow-up and referral.''.
(c) Technical Assistance, Data Management, and Applied Research.--
Section 399M(b)(1) of the Public Health Service Act (42 U.S.C. 280g-
1(b)(1)) is amended--
(1) in the first sentence--
(A) by striking ``The Secretary'' and inserting the
following:
``(A) In general.--The Secretary'';
(B) by striking ``to complement an intramural program and''
and inserting the following: ``or designated entities of
States--
``(i) to develop, maintain, and improve data collection
systems related to newborn, infant, and young child hearing
screening, evaluation (including audiologic, medical, and
language acquisition evaluations), diagnosis, and
intervention services;'';
(C) by striking ``to conduct'' and inserting the following:
``(ii) to conduct''; and
(D) by striking ``newborn'' and all that follows through
the period and inserting the following: ``newborn, infant, and
young child hearing screening, evaluation, and intervention
programs and outcomes;
``(iii) to ensure quality monitoring of hearing
screening, evaluation, and intervention programs and
systems for newborns, infants, and young children; and
``(iv) to support newborn, infant, and young child
hearing screening, evaluation, and intervention programs,
and information systems.'';
(2) in the second sentence--
(A) by striking the matter that precedes subparagraph (A)
and all that follows through subparagraph (C) and inserting the
following:
``(B) Use of awards.--The awards made under subparagraph
(A) may be used--
``(i) to provide technical assistance on data
collection and management, including to coordinate and
develop standardized procedures for data management;
``(ii) to assess and report on the cost and program
effectiveness of newborn, infant, and young child hearing
screening, evaluation, and intervention programs and
systems;
``(iii) to collect data and report on newborn, infant,
and young child hearing screening, evaluation, diagnosis,
and intervention programs and systems for applied research,
program evaluation, and policy improvement;'';
(B) by redesignating subparagraphs (D), (E), and (F) as
clauses (iv), (v), and (vi), respectively, and aligning the
margins of those clauses with the margins of clause (i) of
subparagraph (B) (as inserted by subparagraph (A) of this
paragraph);
(C) in clause (v) (as redesignated by subparagraph (B) of
this paragraph)--
(i) by striking ``newborn and infant'' and inserting
``newborn, infant, and young child''; and
(ii) by striking ``language status'' and inserting
``hearing status''; and
(D) in clause (vi) (as redesignated by subparagraph (B) of
this paragraph)--
(i) by striking ``sharing'' and inserting ``integration
and interoperability''; and
(ii) by striking ``with State-based'' and all that
follows through the period and inserting ``across multiple
sources to increase the flow of information between
clinical care and public health settings, including the
ability of States and territories to exchange and share
data.''.
(d) Coordination and Collaboration.--Section 399M(c) of the Public
Health Service Act (42 U.S.C. 280g-1(c)) is amended--
(1) in paragraph (1)--
(A) by striking ``consult with'' and inserting ``consult
with--'';
(B) by striking ``other Federal'' and inserting the
following:
``(A) other Federal'';
(C) by striking ``State and local agencies, including
those'' and inserting the following:
``(B) State and local agencies, including agencies'';
(D) by striking ``consumer groups of and that serve'' and
inserting the following:
``(C) consumer groups of, and that serve,'';
(E) by striking ``appropriate national'' and inserting the
following:
``(D) appropriate national'';
(F) by striking ``persons who are deaf and'' and inserting
the following:
``(E) individuals who are deaf or'';
(G) by striking ``other qualified'' and inserting the
following:
``(F) other qualified'';
(H) by striking ``newborns, infants, toddlers, children,''
and inserting ``children,'';
(I) by striking ``third-party'' and inserting the
following:
``(G) third-party''; and
(J) by striking ``related commercial'' and inserting the
following:
``(H) related commercial''; and
(2) in paragraph (3)--
(A) by striking ``States to establish newborn and infant''
and inserting the following: ``States--
``(A) to establish newborn, infant, and young child'';
(B) by inserting a semicolon after ``subsection (a)''; and
(C) by striking ``to develop'' and inserting the following:
``(B) to develop''.
(e) Rule of Construction; Religious Accommodation.--Section 399M(d)
of the Public Health Service Act (42 U.S.C. 280g-1(d)) is amended--
(1) by striking ``which'' and inserting ``that'';
(2) by striking ``newborn infants or young''; and
(3) by striking ``parents''' and inserting ``parent's''.
(f) Definitions.--Section 399M(e) of the Public Health Service Act
(42 U.S.C. 280g-1(e)) is amended--
(1) in paragraph (1)--
(A) by striking ``(1)'' and all that follows through ``to
procedures'' and inserting the following:
``(1) The term `audiologic', when used in connection with
evaluation, means procedures--'';
(B) by striking ``to assess'' and inserting the following:
``(A) to assess'';
(C) by striking ``to establish'' and inserting the
following:
``(B) to establish'';
(D) by striking ``auditory disorder;'' and inserting
``auditory disorder,'';
(E) by striking ``to identify'' and inserting the
following:
``(C) to identify'';
(F) by striking ``options.'' and all that follows through
``linkage'' and inserting the following: ``options, including--
``(i) linkage'';
(G) by striking ``appropriate agencies,'' and all that
follows through ``national'' and inserting the following:
``appropriate agencies;
``(ii) medical evaluation;
``(iii) assessment for the full range of assistive
hearing technologies appropriate for newborns, infants, and
young children;
``(iv) audiologic rehabilitation treatment; and
``(v) referral to national''; and
(H) by striking ``parent, and education'' and inserting
``parent, family, and education'';
(2) by striking paragraph (2);
(3) by redesignating paragraphs (3) through (6) as paragraphs
(2) through (5);
(4) in paragraph (2) (as redesignated by paragraph (3) of this
subsection)--
(A) by striking ``refers to providing'' and inserting the
following: ``means--
``(A) providing'';
(B) by striking ``with hearing loss, including nonmedical
services,'' and inserting ``who is deaf or hard-of-hearing,
including nonmedical services;'';
(C) by striking ``ensuring that families of the child are
provided'' and inserting the following:
``(B) ensuring that the family of the child is--
``(i) provided'';
(D) by striking ``language and communication options and
are given'' and inserting the following: ``language acquisition
in oral and visual modalities; and
``(ii) given''; and
(E) by striking ``their child'' and inserting ``the
child'';
(5) in paragraph (3) (as redesignated by paragraph (3) of this
subsection), by striking ``(3)'' and all that follows through
``decision making'' and inserting ``The term `medical evaluation'
means key components performed by a physician including history,
examination, and medical decisionmaking'';
(6) in paragraph (4) (as redesignated by paragraph (3) of this
subsection)--
(A) by striking ``refers to'' and inserting ``means'';
(B) by striking ``and/or surgical'' and inserting ``or
surgical''; and
(C) by striking ``of hearing'' and all that follows through
``disorder'' and inserting ``for hearing loss or other medical
disorders''; and
(7) in paragraph (5) (as redesignated by paragraph (3) of this
subsection)--
(A) by striking ``(5)'' and all that follows through
``refers to'' and inserting ``(5) The term `newborn, infant,
and young child hearing screening' means''; and
(B) by striking ``and infants'' and inserting ``, infants,
and young children under 3 years of age''.
(g) Authorization of Appropriations.--Section 399M(f) of the Public
Health Service Act (42 U.S.C. 280g-1(f)) is amended--
(1) in paragraph (1), by striking ``such sums'' and all that
follows through the period and inserting ``$17,818,000 for fiscal
year 2018, $18,173,800 for fiscal year 2019, $18,628,145 for fiscal
year 2020, $19,056,592 for fiscal year 2021, and $19,522,758 for
fiscal year 2022.''; and
(2) in paragraph (2), by striking ``such sums'' and all that
follows through the period and inserting ``$10,800,000 for fiscal
year 2018, $11,026,800 for fiscal year 2019, $11,302,470 for fiscal
year 2020, $11,562,427 for fiscal year 2021, and $11,851,488 for
fiscal year 2022.''.
Speaker of the House of Representatives.
Vice President of the United States and
President of the Senate.