[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 652 Referred in House (RFH)]

<DOC>






115th CONGRESS
  1st Session
                                 S. 652


_______________________________________________________________________


                    IN THE HOUSE OF REPRESENTATIVES

                           September 7, 2017

            Referred to the Committee on Energy and Commerce

_______________________________________________________________________

                                 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.''.

            Passed the Senate September 6, 2017.

            Attest:

                                                JULIE E. ADAMS,

                                                             Secretary.