[Congressional Record Volume 152, Number 98 (Monday, July 24, 2006)]
[Senate]
[Pages S8130-S8131]
From the Congressional Record Online through the Government Publishing Office [www.gpo.gov]

      By Mr. HARKIN:
  S. 3717. A bill to amend the Rehabilitation Act of 1973 and the 
Public Health Service Act to set standards for medical diagnostic 
equipment and to establish a program for promoting good health, disease 
prevention, and wellness and for the prevention of secondary conditions 
for individuals with disabilities, and for other purposes; to the 
Committee on Health, Education, Labor, and Pensions.
  Mr. HARKIN. Mr. President, I ask unanimous consent that the text of 
the bill be printed in the Record.
  There being no objection, the text of the bill was ordered to be 
printed in the Record, as follows:

                                S. 3717

       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 ``Promoting Wellness for 
     Individuals with Disabilities Act of 2006''.

     SEC. 2. ESTABLISHMENT OF STANDARDS FOR ACCESSIBLE MEDICAL 
                   DIAGNOSTIC EQUIPMENT.

       Title V of the Rehabilitation Act of 1973 (29 U.S.C. 791 et 
     seq.) is amended by adding at the end of the following:

     ``SEC. 510. ESTABLISHMENT OF STANDARDS FOR ACCESSIBLE MEDICAL 
                   DIAGNOSTIC EQUIPMENT.

       ``(a) Standards.--Not later than 9 months after the date of 
     enactment of the Promoting Wellness for Individuals with 
     Disabilities Act of 2006, the Architectural and 
     Transportation Barriers Compliance Board shall issue 
     (including publishing) standards setting forth the minimum 
     technical criteria for medical diagnostic equipment used in 
     (or in conjunction with) physician's offices, clinics, 
     emergency rooms, hospitals, and other medical settings. The 
     standards shall ensure that such equipment is accessible to, 
     and usable by, individuals with disabilities, and shall allow 
     independent entry to, use of, and exit from the equipment by 
     such individuals to the maximum extent possible.
       ``(b) Medical Diagnostic Equipment Covered.--The standards 
     issued under subsection (a) for medical diagnostic equipment 
     shall apply to equipment that includes examination tables, 
     examination chairs (including chairs used for eye 
     examinations or procedures, and dental examinations or 
     procedures), weight scales, mammography equipment, x-ray 
     machines, and other radiological equipment commonly used for 
     diagnostic purposes by health professionals.
       ``(c) Review and Amendment.--The Architectural and 
     Transportation Barriers Compliance Board shall periodically 
     review and, as appropriate, amend the standards.''.

     SEC. 3. WELLNESS GRANT PROGRAM FOR INDIVIDUALS WITH 
                   DISABILITIES.

       Part P of title III of the Public Health Service Act (42 
     U.S.C. 280g et seq.) is amended by adding at the end the 
     following new section:

     ``SEC. 399P. ESTABLISHMENT OF WELLNESS GRANT PROGRAM FOR 
                   INDIVIDUALS WITH DISABILITIES.

       ``(a) In General.--
       ``(1) Individual with a disability defined.--For purposes 
     of this section, the term `individual with a disability' has 
     the meaning given the term in section 7(20) of the 
     Rehabilitation Act of 1973 (29 U.S.C. 705(20)), for purposes 
     of title V of such Act (29 U.S.C. 791 et seq.).
       ``(2) Wellness grant program for individuals with 
     disabilities.--The Secretary, in collaboration with the 
     National Advisory Committee on Wellness for Individuals With 
     Disabilities, may make grants on a competitive basis to 
     public and nonprofit private entities for the purpose of 
     carrying out programs for promoting good health, disease 
     prevention, and wellness for individuals with disabilities, 
     and preventing secondary conditions in such individuals.
       ``(b) Requirement of Application.--To be eligible to 
     receive a grant under subsection (a), a public or nonprofit 
     private entity shall submit to the Secretary an application 
     at such time, in such manner, and containing such agreements, 
     assurances, and information as the Secretary determines to be 
     necessary to carry out this section.
       ``(c) Authorized Activities.--With respect to promoting 
     good health and wellness for individuals with disabilities 
     described in subsection (a), activities for which the 
     Secretary may make a grant under such subsection include--
       ``(1) programs or activities for smoking cessation, weight 
     control, nutrition, or fitness that focus on the unique 
     challenges faced by individuals with disabilities regarding 
     these issues;
       ``(2) preventive health screening programs for individuals 
     with disabilities to reduce the incidence of secondary 
     conditions; and
       ``(3) athletic, exercise, or sports programs that provide 
     individuals with disabilities (including children with 
     disabilities) an opportunity to increase their physical 
     activity in a dedicated or adaptive recreational environment.
       ``(d) Priorities.--
       ``(1) Advisory committee.--The Secretary shall establish a 
     National Advisory Committee on Wellness for Individuals With 
     Disabilities that shall set priorities to carry out this 
     section, review grant proposals, and make recommendations for 
     funding, and annually evaluate the progress of the program 
     under this section in implementing the priorities.

[[Page S8131]]

       ``(2) Representation.--The Advisory Committee established 
     under paragraph (1) shall include representation by the 
     Department of Health and Human Services Office on Disability, 
     the United States Surgeon General or his designee, the 
     Centers for Disease Control and Prevention, private nonprofit 
     organizations that represent the civil rights and interests 
     of individuals with disabilities, and individuals with 
     disabilities or their family members.
       ``(e) Dissemination of Information.--The Secretary shall, 
     in addition to the usual methods of the Secretary, 
     disseminate information about the availability of grants 
     under the Wellness Grant Program for Individuals with 
     Disabilities in a manner designed to reach public entities 
     and nonprofit private organizations that are dedicated to 
     providing outreach, advocacy, or independent living services 
     to individuals with disabilities.
       ``(f) Reports to Congress.--The Secretary shall, not later 
     than 180 days after the date of the enactment of the 
     Promoting Wellness for Individuals with Disabilities Act of 
     2006, and annually thereafter, submit to Congress a report 
     summarizing activities, findings, outcomes, and 
     recommendations resulting from the grant projects funded 
     under this section during the preceding fiscal year.
       ``(g) Authorization of Appropriations.--For the purpose of 
     making grants under this section, there are authorized to be 
     appropriated such sums as may be necessary.''.

     SEC. 4. IMPROVING EDUCATION AND TRAINING TO PROVIDE MEDICAL 
                   SERVICES TO INDIVIDUALS WITH DISABILITIES.

       (a) Coordinated Program To Improve Pediatric Oral Health.--
     Section 320A(b) of the Public Health Service Act (42 U.S.C. 
     247d-8(b)) is amended by--
       (1) striking ``, or to increase'' and inserting ``, to 
     increase''; and
       (2) striking the period and inserting the following ``, or 
     to provide training to improve competency and clinical skills 
     in providing oral health services to, and communicating with, 
     patients with disabilities, including those with intellectual 
     disabilities.''.
       (b) Children's Hospitals That Operate Graduate Medical 
     Education Programs.--Section 340E of the Public Health 
     Service Act (42 U.S.C. 256e) is amended by adding at the end 
     the following:
       ``(h) Requirement To Provide Training.--To be eligible to 
     receive a payment under this section, a children's hospital 
     shall provide training to improve competency and clinical 
     skills in providing health care to, and communicating with, 
     patients with disabilities, including those with intellectual 
     disabilities, as part of any approved graduate medical 
     residency training program provided by the hospital.''.
       (c) Centers of Excellence.--Section 736(b) of the Public 
     Health Service Act (42 U.S.C. 293(b)) is amended--
       (1) in paragraph (6)(B), by striking ``; and'' and 
     inserting a semicolon;
       (2) by redesignating paragraph (7) as paragraph (8); and
       (3) by inserting after paragraph (6) the following:
       ``(7) to carry out a program to improve competency and 
     clinical skills of students in providing health services to, 
     and communicating with, patients with disabilities, including 
     those with intellectual disabilities; and''.
       (d) Family Medicine, General Internal Medicine, General 
     Pediatrics, General Dentistry, Pediatric Dentistry, and 
     Physician Assistants.--Section 747(a)(6) of the Public Health 
     Service Act (42 U.S.C. 293k(a)(6)) is amended by striking 
     ``pediatric dentistry.'' and inserting the following: 
     ``pediatric dentistry; and
       ``(7) to plan, develop, and operate a program for the 
     training of physicians or dentists, or medical or dental 
     residents, to improve competency and clinical skills of 
     physicians and dentists in providing services to, and 
     communicating with, patients with disabilities, including 
     those with intellectual disabilities.''.
       (e) Advisory Council on Graduate Medical Education.--
     Section 762(a)(1) of the Public Health Service Act (42 U.S.C. 
     294o(a)(1)) is amended--
       (1) in subparagraph (E), by striking ``; and'' and 
     inserting a semicolon;
       (2) by adding at the end the following:
       ``(G) appropriate efforts to be carried out by hospitals, 
     schools of medicine, schools of osteopathic medicine, schools 
     of dentistry, and accrediting bodies with respect to changes 
     in undergraduate and graduate medical training to improve 
     competency and clinical skills of physicians in providing 
     health care services to, and communicating with, patients 
     with disabilities, including those with intellectual 
     disabilities; and''.
       (f) Medicare Graduate Medical Education Programs.--Section 
     1886(h) of the Social Security Act (42 U.S.C. 1395ww(h)) is 
     amended by adding at the end the following:
       ``(8) Requirement to provide training.--To be eligible to 
     receive a payment under this subsection, a hospital shall 
     provide training to improve competency and clinical skills in 
     providing health care to, and communicating with, patients 
     with disabilities, including those with intellectual 
     disabilities, as part of any approved medical residency 
     training program provided by the hospital.''.
       (g) Effective Date.--The amendments made by subsections 
     (b), (c), and (f) shall take effect 180 days after the date 
     of enactment of this Act.
                                 ______