[Congressional Bills 115th Congress]
[From the U.S. Government Publishing Office]
[S. 652 Reported in Senate (RS)]
<DOC>
Calendar No. 44
115th CONGRESS
1st Session
S. 652
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.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
March 15, 2017
Mr. Portman (for himself, Mr. Kaine, Mr. Whitehouse, Mr. Cornyn, Mr.
Brown, Mr. Blumenthal, Mr. Leahy, Mr. Cochran, Mr. Alexander, and Mrs.
Murray) introduced the following bill; which was read twice and
referred to the Committee on Health, Education, Labor, and Pensions
May 1, 2017
Reported by Mr. Alexander, with an amendment
[Strike out all after the enacting clause and insert the part printed
in italic]
_______________________________________________________________________
A BILL
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,
<DELETED>SECTION 1. SHORT TITLE.</DELETED>
<DELETED> This Act may be cited as the ``Early Hearing Detection and
Intervention Act of 2017''.</DELETED>
<DELETED>SEC. 2. FINDINGS.</DELETED>
<DELETED> Congress finds as follows:</DELETED>
<DELETED> (1) Deaf and hard-of-hearing newborns, infants,
and young children require access to specialized early
intervention providers and programs in order to help them meet
their linguistic and cognitive potential.</DELETED>
<DELETED> (2) Families of deaf and hard-of-hearing newborns,
infants, and young children benefit from comprehensive early
intervention programs that assist them in supporting their
child's development in all domains.</DELETED>
<DELETED> (3) Best practices principles for early
intervention for deaf and hard-of-hearing newborns, infants,
and young children have been identified in a range of areas
including listening and spoken language and visual and signed
language acquisition, family-to-family support, support from
individuals who are deaf or hard-of-hearing, progress
monitoring, and others.</DELETED>
<DELETED> (4) Effective hearing screening and early
intervention programs must be in place to identify hearing
levels in deaf and hard-of-hearing newborns, infants, and young
children so that they may access appropriate early intervention
programs in a timely manner.</DELETED>
<DELETED>SEC. 3. REAUTHORIZATION OF PROGRAM FOR EARLY DETECTION,
DIAGNOSIS, AND TREATMENT REGARDING DEAF AND HARD-OF-
HEARING NEWBORNS, INFANTS, AND YOUNG CHILDREN.</DELETED>
<DELETED> Section 399M of the Public Health Service Act (42 U.S.C.
280g-1) is amended to read as follows:</DELETED>
<DELETED>``SEC. 399M. EARLY DETECTION, DIAGNOSIS, AND TREATMENT
REGARDING DEAF AND HARD-OF-HEARING NEWBORNS, INFANTS, AND
YOUNG CHILDREN.</DELETED>
<DELETED> ``(a) Health Resources and Services Administration.--The
Secretary, acting through the Administrator of the Health Resources and
Services Administration, shall make awards of grants or cooperative
agreements to develop statewide newborn, infant, and young childhood
hearing screening, diagnosis, evaluation, and intervention programs and
systems, and to assist in the recruitment, retention, education, and
training of qualified personnel and health care providers (including
education and training of family members) for the following
purposes:</DELETED>
<DELETED> ``(1) To develop and monitor the efficacy of
statewide programs and systems for hearing screening of
newborns, infants, and young children, prompt evaluation and
diagnosis of newborns, infants, and young children referred
from screening programs, and appropriate educational,
audiological, medical, and communications (or language
acquisition) interventions (including family support) for
newborns, infants, and young children identified as deaf or
hard-of-hearing, consistent with the following:</DELETED>
<DELETED> ``(A) Early intervention includes referral
to, and delivery of, information and services by
organizations such as schools and agencies (including
community, consumer, and family-based agencies),
medical homes for children, and other programs under
part C of the Individuals with Disabilities Education
Act, which offer programs specifically designed to meet
the unique language and communication needs of deaf and
hard-of-hearing newborns, infants, and young
children.</DELETED>
<DELETED> ``(B) Information provided to parents
shall be accurate, comprehensive, and, where
appropriate, evidence-based, allowing families to make
important decisions for their children in a timely way,
including decisions relating to all possible assistive
hearing technologies (such as hearing aids, cochlear
implants, and osseointegrated devices) and
communication modalities (such as oral and visual
communications and language acquisition services and
programs).</DELETED>
<DELETED> ``(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.</DELETED>
<DELETED> ``(2) 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.</DELETED>
<DELETED> ``(3) To identify or develop efficient models
(educational and medical) to ensure that newborns, infants, and
young children who are identified through screening as deaf or
hard of hearing receive, as appropriate, follow-up by qualified
early intervention providers, qualified health care providers,
or medical homes for children and referrals 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.</DELETED>
<DELETED> ``(b) Technical Assistance, Data Management, and Applied
Research.--</DELETED>
<DELETED> ``(1) Centers for disease control and
prevention.--</DELETED>
<DELETED> ``(A) In general.--The Secretary, acting
through the Director of the Centers for Disease Control
and Prevention, shall make awards of grants or
cooperative agreements to provide technical assistance
to State agencies or designated entities of States--
</DELETED>
<DELETED> ``(i) for the development,
maintenance, and improvement of data tracking
and surveillance systems on newborn, infant,
and young childhood hearing screening,
audiologic evaluations, medical evaluations,
language-acquisition evaluations, and
intervention services;</DELETED>
<DELETED> ``(ii) to conduct applied research
related to services and outcomes;</DELETED>
<DELETED> ``(iii) to provide technical
assistance related to newborn, infant, and
young childhood hearing screening, evaluation,
and intervention programs, and information
systems;</DELETED>
<DELETED> ``(iv) to ensure high-quality
monitoring of hearing screening, evaluation,
and intervention programs and systems for
newborns, infants, and young children;
and</DELETED>
<DELETED> ``(v) to coordinate developing
standardized procedures for data management and
assessing program and cost
effectiveness.</DELETED>
<DELETED> ``(B) Use of awards.--The awards under
subparagraph (A) may be used--</DELETED>
<DELETED> ``(i) to provide technical
assistance on data collection and
management;</DELETED>
<DELETED> ``(ii) to study and report on the
costs and effectiveness of newborn, infant, and
young childhood hearing screening, evaluation,
diagnosis, intervention programs, and systems
in order to address issues of importance to
State and national policy makers;</DELETED>
<DELETED> ``(iii) to collect data and report
on newborn, infant, and young childhood hearing
screening, evaluation, diagnosis, and
intervention programs and systems that can be
used for applied research, program evaluation,
and policy development;</DELETED>
<DELETED> ``(iv) to identify the causes and
risk factors for congenital hearing
loss;</DELETED>
<DELETED> ``(v) to study the effectiveness
of newborn, infant, and young childhood hearing
screening, audiologic evaluations, medical
evaluations, and intervention programs and
systems by assessing the health, intellectual
and social developmental, cognitive, and
hearing status of children at school age;
and</DELETED>
<DELETED> ``(vi) to promote the integration,
linkage, and interoperability of data regarding
early hearing loss and multiple sources to
increase information exchanges between clinical
care and public health, including the ability
of States and territories to exchange and share
data.</DELETED>
<DELETED> ``(2) National institutes of health.--The Director
of the National Institutes of Health, acting through the
Director of the National Institute on Deafness and Other
Communication Disorders, shall, for purposes of this section,
continue a program of research and development on the efficacy
of new screening techniques and technology, including clinical
studies of screening methods, studies on efficacy of
intervention, and related research.</DELETED>
<DELETED> ``(c) Coordination and Collaboration.--</DELETED>
<DELETED> ``(1) In general.--In carrying out programs under
this section, the Administrator of the Health Resources and
Services Administration, the Director of the Centers for
Disease Control and Prevention, and the Director of the
National Institutes of Health shall collaborate and consult
with--</DELETED>
<DELETED> ``(A) other Federal agencies;</DELETED>
<DELETED> ``(B) State and local agencies, including
agencies responsible for early intervention services
pursuant to title XIX of the Social Security Act
(Medicaid Early and Periodic Screening, Diagnosis and
Treatment Program), title XXI of the Social Security
Act (State Children's Health Insurance Program), title
V of the Social Security Act (Maternal and Child Health
Block Grant Program), and part C of the Individuals
with Disabilities Education Act;</DELETED>
<DELETED> ``(C) consumer groups of, and that serve,
individuals who are deaf and hard-of-hearing and their
families;</DELETED>
<DELETED> ``(D) appropriate national medical and
other health and education specialty
organizations;</DELETED>
<DELETED> ``(E) individuals who are deaf or hard-of-
hearing and their families;</DELETED>
<DELETED> ``(F) other qualified professional
personnel who are proficient in deaf or hard-of-hearing
children's language and who possess the specialized
knowledge, skills, and attributes needed to serve deaf
and hard-of-hearing newborns, infants, young children,
and their families;</DELETED>
<DELETED> ``(G) third-party payers and managed-care
organizations; and</DELETED>
<DELETED> ``(H) related commercial
industries.</DELETED>
<DELETED> ``(2) Policy development.--The Administrator of
the Health Resources and Services Administration, the Director
of the Centers for Disease Control and Prevention, and the
Director of the National Institutes of Health shall coordinate
and collaborate on recommendations for policy development at
the Federal and State levels and with the private sector,
including consumer, medical, and other health and education
professional-based organizations, with respect to newborn and
infant hearing screening, evaluation, diagnosis, and
intervention programs and systems.</DELETED>
<DELETED> ``(3) State early detection, diagnosis, and
intervention programs and systems; data collection.--The
Administrator of the Health Resources and Services
Administration and the Director of the Centers for Disease
Control and Prevention shall coordinate and collaborate in
assisting States--</DELETED>
<DELETED> ``(A) to establish newborn, infant, and
young childhood hearing screening, evaluation,
diagnosis, and intervention programs and systems under
subsection (a); and</DELETED>
<DELETED> ``(B) to develop a data collection system
under subsection (b).</DELETED>
<DELETED> ``(d) Rule of Construction; Religious Accommodation.--
Nothing in this section shall be construed to preempt or prohibit any
State law, including State laws that do not require the screening for
hearing loss of newborns, infants, or young children of any parent that
objects to the screening on the grounds that such screening conflicts
with the parent's religious beliefs.</DELETED>
<DELETED> ``(e) Definitions.--For purposes of this
section:</DELETED>
<DELETED> ``(1) The term `audiologic', when used in
connection with evaluation, means procedures--</DELETED>
<DELETED> ``(A) to assess the status of the auditory
system;</DELETED>
<DELETED> ``(B) to establish the site of the
auditory disorder, the type and degree of hearing loss,
and the potential effects of hearing loss on
communication; and</DELETED>
<DELETED> ``(C) to identify appropriate treatment
and referral options, including--</DELETED>
<DELETED> ``(i) linkage to State agencies
coordinating the programs under part C of the
Individuals with Disabilities Education Act or
other appropriate agencies;</DELETED>
<DELETED> ``(ii) medical
evaluation;</DELETED>
<DELETED> ``(iii) hearing aid or sensory aid
assessment;</DELETED>
<DELETED> ``(iv) audiologic rehabilitation
treatment; and</DELETED>
<DELETED> ``(v) referral to national and
local consumer, self-help, family, and
education organizations, and other family-
centered services.</DELETED>
<DELETED> ``(2) The term `early intervention' means--
</DELETED>
<DELETED> ``(A) providing appropriate services for
the child who is deaf or hard of hearing, including
nonmedical services; and</DELETED>
<DELETED> ``(B) ensuring the family of the child
is--</DELETED>
<DELETED> ``(i) provided comprehensive,
consumer-oriented information about the full
range of family support, training, information
services, and language acquisition in oral and
visual modalities; and</DELETED>
<DELETED> ``(ii) given the opportunity to
consider and obtain the full range of such
appropriate services, educational and program
placements, and other options for the child
from highly qualified providers.</DELETED>
<DELETED> ``(3) The term `medical evaluation' means key
components performed by a physician, including history,
examination, and medical decisionmaking focused on symptomatic
and related body systems for the purpose of diagnosing the
etiology of hearing loss and related physical conditions, and
for identifying appropriate treatment and referral
options.</DELETED>
<DELETED> ``(4) The term `medical intervention' means the
process by which a physician provides medical diagnosis and
direction for medical or surgical treatment options for hearing
loss or other medical disorders associated with hearing
loss.</DELETED>
<DELETED> ``(5) The term `newborn, infant, and young
childhood hearing screening' means objective physiologic
procedures to detect possible hearing loss and to identify
newborns, infants, and young children up to 3 years of age who
require further audiologic evaluations and medical
evaluations.</DELETED>
<DELETED> ``(f) Authorization of Appropriations.--</DELETED>
<DELETED> ``(1) Statewide newborn, infant, and young
childhood hearing screening, evaluation and intervention
programs and systems.--For the purpose of carrying out
subsection (a), there are authorized to be appropriated to the
Health Resources and Services Administration $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.</DELETED>
<DELETED> ``(2) Technical assistance, data management, and
applied research; centers for disease control and prevention.--
For the purpose of carrying out subsection (b)(1), there are
authorized to be appropriated to the Centers for Disease
Control and Prevention $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.</DELETED>
<DELETED> ``(3) Technical assistance, data management, and
applied research; national institute on deafness and other
communication disorders.--For the purpose of carrying out
subsection (b)(2), there are authorized to be appropriated to
the National Institute on Deafness and Other Communication
Disorders, $22,400,000 for fiscal year 2018, $22,870,400 for
fiscal year 2019, $23,442,160 for fiscal year 2020, $23,981,329
for fiscal year 2021, and $24,580,862 for fiscal year
2022.''.</DELETED>
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.''.
Calendar No. 44
115th CONGRESS
1st Session
S. 652
_______________________________________________________________________
A BILL
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.
_______________________________________________________________________
May 1, 2017
Reported with an amendment