[Congressional Bills 116th Congress]
[From the U.S. Government Publishing Office]
[S. 1199 Reported in Senate (RS)]
<DOC>
Calendar No. 138
116th CONGRESS
1st Session
S. 1199
To amend the Public Health Service Act to revise and extend the poison
center network program.
_______________________________________________________________________
IN THE SENATE OF THE UNITED STATES
April 11, 2019
Mrs. Murray (for herself and Mr. Burr) introduced the following bill;
which was read twice and referred to the Committee on Health,
Education, Labor, and Pensions
July 9, 2019
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 revise and extend the poison
center network program.
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 ``Poison Center Network
Enhancement Act of 2019''.</DELETED>
<DELETED>SEC. 2. NATIONAL TOLL-FREE NUMBER.</DELETED>
<DELETED> Section 1271 of the Public Health Service Act (42 U.S.C.
300d-71) is amended--</DELETED>
<DELETED> (1) in the section heading, by inserting before
the period the following: ``and other communication
capabilities'';</DELETED>
<DELETED> (2) by striking subsection (a) and inserting the
following:</DELETED>
<DELETED> ``(a) In General.--The Secretary--</DELETED>
<DELETED> ``(1) shall provide coordination and assistance to
poison control centers for the establishment and maintenance of
a nationwide toll-free phone number, to be used to access such
centers; and</DELETED>
<DELETED> ``(2) may provide coordination and assistance to
poison control centers and consult with professional
organizations for the establishment, implementation, and
maintenance of other communication technologies to be used to
access such centers.'';</DELETED>
<DELETED> (3) by redesignating subsection (b) as subsection
(c);</DELETED>
<DELETED> (4) by inserting after subsection (a) the
following:</DELETED>
<DELETED> ``(b) Routing Contacts With Poison Control Centers.--Not
later than 18 months after the date of enactment of the Poison Center
Network Enhancement Act of 2019, the Secretary shall coordinate with
the Chairman of the Federal Communications Commission, to the extent
technically and economically feasible, to ensure that communications
with the national toll-free number are routed to the appropriate poison
control center based on the physical location of the contact rather
than the area code of the contact device.''; and</DELETED>
<DELETED> (5) in subsection (c), as so redesignated--
</DELETED>
<DELETED> (A) by striking ``2015 through 2019'' and
inserting ``2020 through 2024''; and</DELETED>
<DELETED> (B) by striking ``maintenance of the
nationwide toll free phone number under subsection
(a)'' and inserting ``establishment, implementation,
and maintenance activities carried out under
subsections (a) and (b)''.</DELETED>
<DELETED>SEC. 3. NATIONWIDE MEDIA CAMPAIGN.</DELETED>
<DELETED> Section 1272 of the Public Health Service Act (42 U.S.C.
300d-72) is amended--</DELETED>
<DELETED> (1) in the section heading, by striking
``nationwide media campaign to promote'' and inserting
``promoting'';</DELETED>
<DELETED> (2) in subsection (a)--</DELETED>
<DELETED> (A) by inserting ``and support outreach
to'' after ``educate'';</DELETED>
<DELETED> (B) by striking ``poison prevention'' and
inserting ``poisoning and toxic exposure prevention'';
and</DELETED>
<DELETED> (C) by striking ``established under'' and
inserting ``and other available communication
technologies established, implemented, or maintained
under'';</DELETED>
<DELETED> (3) in subsection (b)--</DELETED>
<DELETED> (A) in the matter preceding paragraph (1),
by striking ``nationwide poison prevention'' and
inserting ``nationwide poisoning and toxic exposure
prevention''; and</DELETED>
<DELETED> (B) in paragraph (1), by striking ``poison
prevention and poison control center'' and inserting
``poisoning and toxic exposure prevention awareness
materials, applicable public health emergency
preparedness and response information, and poison
control center'' after ``distribution of'';</DELETED>
<DELETED> (4) by striking subsection (c);</DELETED>
<DELETED> (5) by redesignating subsection (d) as subsection
(c); and</DELETED>
<DELETED> (6) in subsection (c) (as so redesignated), by
striking ``2015 through 2019'' and inserting ``2020 through
2024''.</DELETED>
<DELETED>SEC. 4. MAINTENANCE OF PROGRAM.</DELETED>
<DELETED> Section 1273 of the Public Health Service Act (42 U.S.C.
300d-73) is amended--</DELETED>
<DELETED> (1) in subsection (a), by inserting ``and toxic
exposures'' after ``poisonings'';</DELETED>
<DELETED> (2) in subsection (b)--</DELETED>
<DELETED> (A) in paragraph (1)--</DELETED>
<DELETED> (i) by striking ``for poison'' and
inserting ``for poisoning and toxic exposure'';
and</DELETED>
<DELETED> (ii) by striking ``and
preparedness'' and inserting ``preparedness and
response'';</DELETED>
<DELETED> (B) in paragraph (3)--</DELETED>
<DELETED> (i) by striking ``United States
and'' and inserting ``United States,'';
and</DELETED>
<DELETED> (ii) by inserting before the
semicolon the following: ``, and other
government agencies as determined to be
appropriate and nonduplicative by the
Secretary''; and</DELETED>
<DELETED> (C) in paragraph (8), by striking
``calls'' and inserting ``contacts'';</DELETED>
<DELETED> (3) in subsection (d), by striking paragraph (3)
and inserting the following:</DELETED>
<DELETED> ``(3) Limitation.--In no case may the sum of the
number of years for a waiver under this subsection exceed 5
years. Notwithstanding any previous waivers, in the case of a
poison control center whose accreditation is affected by a
public health emergency declared pursuant to section 319, the
Secretary may, as the circumstances of the emergency reasonably
require, provide a waiver under paragraph (1) or a renewal
under paragraph (2) for up to 2 years.'';</DELETED>
<DELETED> (4) by striking subsection (f) and inserting the
following:</DELETED>
<DELETED> ``(f) Maintenance of Effort.--With respect to activities
for which a grant is awarded under this section, the Secretary may
require that poison control centers agree to maintain the expenditures
of the center for such activities at a level that is not less than the
level of expenditures maintained by the center for the fiscal year
preceding the fiscal year for which the grant is received.'';</DELETED>
<DELETED> (5) In subsection (g), by striking ``2015 through
2019'' and inserting ``2020 through 2024''; and</DELETED>
<DELETED> (6) by adding at the end the following:</DELETED>
<DELETED> ``(h) Biennial Report to Congress.--Not later than 2 years
after the date of enactment of the Poison Center Network Enhancement
Act of 2019, and every 2 years thereafter, the Secretary shall submit
to the Committee on Health, Education, Labor, and Pensions of the
Senate and Committee on Energy and Commerce of the House of
Representatives a report concerning the operations of, and trends
identified by, the Poison Control Network. Such report shall include--
</DELETED>
<DELETED> ``(1) descriptions of the activities carried out
pursuant to sections 1271, 1272, and 1273, and the alignment of
such activities with the purposes provided under subsection
(a);</DELETED>
<DELETED> ``(2) a description of trends in volume of
contacts to poison control centers;</DELETED>
<DELETED> ``(3) a description of trends in poisonings and
toxic exposures reported to poison control centers, as
applicable and appropriate;</DELETED>
<DELETED> ``(4) an assessment of the impact of the public
awareness campaign, including any geographic
variations;</DELETED>
<DELETED> ``(5) a description of barriers, if any,
preventing poison control centers from achieving the purposes
and programs under this section and sections 1271 and
1272;</DELETED>
<DELETED> ``(6) a description of the standards for
accreditation described in subsection (c), including any
variations in those standards, and any efforts to create and
maintain consistent standards across organizations that
accredit poison control centers; and</DELETED>
<DELETED> ``(7) the number of and reason for any waivers
provided under subsection (d).''.</DELETED>
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Poison Center Network Enhancement
Act of 2019''.
SEC. 2. NATIONAL TOLL-FREE NUMBER.
Section 1271 of the Public Health Service Act (42 U.S.C. 300d-71)
is amended--
(1) in the section heading, by inserting before the period
the following: ``and other communication capabilities''; and
(2) by striking subsection (a) and inserting the following:
``(a) In General.--The Secretary--
``(1) shall provide coordination and assistance to poison
control centers for the establishment and maintenance of a
nationwide toll-free phone number, to be used to access such
centers; and
``(2) may provide coordination and assistance to poison
control centers and consult with professional organizations for
the establishment, implementation, and maintenance of other
communication technologies to be used to access such
centers.'';
(3) by redesignating subsection (b) as subsection (c);
(4) by inserting after subsection (a) the following:
``(b) Routing Contacts With Poison Control Centers.--Not later than
18 months after the date of enactment of the Poison Center Network
Enhancement Act of 2019, the Secretary shall coordinate with the
Chairman of the Federal Communications Commission, to the extent
technically and economically feasible, to ensure that communications
with the national toll-free number are routed to the appropriate poison
control center based on the physical location of the contact rather
than the area code of the contact device.''; and
(5) in subsection (c), as so redesignated--
(A) by striking ``2015 through 2019'' and inserting
``2020 through 2024''; and
(B) by striking ``maintenance of the nationwide
toll free phone number under subsection (a)'' and
inserting ``establishment, implementation, and
maintenance activities carried out under subsections
(a) and (b)''.
SEC. 3. NATIONWIDE MEDIA CAMPAIGN.
Section 1272 of the Public Health Service Act (42 U.S.C. 300d-72)
is amended--
(1) in the section heading, by striking ``nationwide media
campaign to promote'' and inserting ``promoting'';
(2) in subsection (a)--
(A) by inserting ``and support outreach to'' after
``educate'';
(B) by striking ``poison prevention'' and inserting
``poisoning and toxic exposure prevention''; and
(C) by striking ``established under'' and inserting
``and other available communication technologies
established, implemented, or maintained under'';
(3) in subsection (b)--
(A) in the matter preceding paragraph (1), by
striking ``nationwide poison prevention'' and inserting
``nationwide poisoning and toxic exposure prevention'';
and
(B) in paragraph (1), by striking ``poison
prevention and poison control center'' and inserting
``poisoning and toxic exposure prevention awareness
materials, applicable public health emergency
preparedness and response information, and poison
control center'' after ``distribution of''; and
(4) by striking subsection (c);
(5) by redesignating subsection (d) as subsection (c); and
(6) in subsection (c) (as so redesignated), by striking
``2015 through 2019'' and inserting ``2020 through 2024''.
SEC. 4. MAINTENANCE OF PROGRAM.
Section 1273 of the Public Health Service Act (42 U.S.C. 300d-73)
is amended--
(1) in subsection (a), by inserting ``and toxic exposures''
after ``poisonings''; and
(2) in subsection (b)--
(A) in paragraph (1)--
(i) by striking ``for poison'' and
inserting ``for poisoning and toxic exposure'';
and
(ii) by striking ``and preparedness'' and
inserting ``preparedness and response'';
(B) in paragraph (3)--
(i) by striking ``United States and'' and
inserting ``United States,''; and
(ii) by inserting before the semicolon the
following: ``, and other government agencies as
determined to be appropriate and nonduplicative
by the Secretary''; and
(C) in paragraph (8), by striking ``calls'' and
inserting ``contacts'';
(3) in subsection (d) , by striking paragraph (3) and
inserting the following:
``(3) Limitation.--
``(A) In general.--The sum of the number of years
for a waiver under paragraph (1) and a renewal under
paragraph (2) may not exceed 5 years.
``(B) Public health emergency.--Notwithstanding any
previous waivers, in the case of a poison control
center whose accreditation is affected by a public
health emergency declared pursuant to section 319, the
Secretary may, as the circumstances of the emergency
reasonably require, provide a waiver under paragraph
(1) or a renewal under paragraph (2), not to exceed 2
years. The Secretary may require quarterly reports and
other information related to such a waiver or renewal
under this paragraph.'';
(4) by striking subsection (f) and inserting the following:
``(f) Maintenance of Effort.--With respect to activities for which
a grant is awarded under this section, the Secretary may require that
poison control centers agree to maintain the expenditures of the center
for such activities at a level that is not less than the level of
expenditures maintained by the center for the fiscal year preceding the
fiscal year for which the grant is received.'';
(5) In subsection (g), by striking ``2015 through 2019''
and inserting ``2020 through 2024''; and
(6) by adding at the end the following:
``(h) Biennial Report to Congress.--Not later than 2 years after
the date of enactment of the Poison Center Network Enhancement Act of
2019, and every 2 years thereafter, the Secretary shall submit to the
Committee on Health, Education, Labor, and Pensions of the Senate and
Committee on Energy and Commerce of the House of Representatives a
report concerning the operations of, and trends identified by, the
Poison Control Network. Such report shall include--
``(1) descriptions of the activities carried out pursuant
to sections 1271, 1272, and 1273, and the alignment of such
activities with the purposes provided under subsection (a);
``(2) a description of trends in volume of contacts to
poison control centers;
``(3) a description of trends in poisonings and toxic
exposures reported to poison control centers, as applicable and
appropriate;
``(4) an assessment of the impact of the public awareness
campaign, including any geographic variations;
``(5) a description of barriers, if any, preventing poison
control centers from achieving the purposes and programs under
this section and sections 1271 and 1272;
``(6) a description of the standards for accreditation
described in subsection (c), including any variations in those
standards, and any efforts to create and maintain consistent
standards across organizations that accredit poison control
centers; and
``(7) the number of and reason for any waivers provided
under subsection (d).''.
Calendar No. 138
116th CONGRESS
1st Session
S. 1199
_______________________________________________________________________
A BILL
To amend the Public Health Service Act to revise and extend the poison
center network program.
_______________________________________________________________________
July 9, 2019
Reported with an amendment