[Senate Report 107-93]
[From the U.S. Government Publishing Office]



                                                       Calendar No. 215
107th Congress                                                   Report
                                 SENATE
 1st Session                                                     107-93

======================================================================



 
        COMMUNITY ACCESS TO EMERGENCY DEFIBRILLATION ACT OF 2001

                                _______
                                

 November 2 (legislative day, November 1), 2001.--Ordered to be printed

                                _______
                                

   Mr. Kennedy, from the Committee on Health, Education, Labor, and 
                   Pensions, submitted the following

                              R E P O R T

                         [To accompany S. 1275]

    The Committee on Health, Education, Labor, and Pensions, to 
which was referred the bill (S. 1275) to amend the Public 
Health Service Act to provide grants for public access 
defibrillation programs and public access defibrillation 
demonstration projects, and for other purposes, having 
considered the same, reports favorably thereon with an 
amendment and recommends that the bill do pass.

                                CONTENTS

                                                                   Page
  I. Purpose and summary of the bill..................................1
 II. Background and need for legislation..............................2
III. Legislative history and committee action.........................4
 IV. Committee views..................................................4
  V. Cost estimate....................................................5
 VI. Application of law to the legislative branch.....................7
VII. Regulatory impact statement......................................7
VIII.Section-by-section analysis......................................7

 IX. Changes in existing law..........................................8

                     I. Purpose and Summary of Bill

    As reported by the Committee on Health, Education, Labor 
and Pensions, S. 1275 authorizes grants for public access 
defibrillation programs and public access defibrillation 
projects and for the establishment of a national clearinghouse 
to provide information to increase public access to 
defibrillation in schools under Sections 312, 313, and 313A of 
Title III of the Public Health Service Act. In doing so, the 
committee is acting to increase public access to emergency 
defibrillation in order to decrease the death toll each year 
incurred by sudden cardiac arrest. The programs included in 
this act are:
    Community grants programs to establish comprehensive 
initiatives to increase public access to automated external 
defibrillators (AEDs), authorized under section 312. This 
program authorizes $50 million for each of the fiscal years 
2002 through 2007 for communities to establish public access 
defibrillation programs in order to train local emergency 
medical services personnel to administer immediate care, 
including CPR and automated external defibrillation, to cardiac 
arrest victims, purchase and place automated external 
defibrillators in public places where cardiac arrests are 
likely to occur, train personnel in places with defibrillators 
to use them properly and administer CPR to cardiac arrest 
victims, inform local emergency medical services personnel, 
including dispatchers, about the location of defibrillators in 
their community, train members of the public in CPR and 
automated external defibrillation, ensure proper maintenance 
and testing of defibrillators in the community, encourage 
private companies in the community to purchase automated 
external defibrillators and train employees in CPR and 
emergency defibrillation, and collect data to evaluate the 
effectiveness of funded programs in increasing the out-of-
hospital cardiac arrest survival rate in the community.
    Community demonstration projects to develop innovative AED 
access programs, authorized under section 313. This program 
authorizes $5 million for each of the fiscal years 2002 through 
2007 for community-based demonstration projects in order to 
develop innovative approaches to maximize community access to 
automated external defibrillation and provide emergency 
defibrillation to cardiac arrest victims in unique settings.
    A program to promote public access to defibrillation in 
schools, authorized under section 313A. This program authorizes 
eight hundred thousand dollars for each of the fiscal years 
2002 through 2006 to provide information regarding public 
access defibrillation program implementation and development; 
to develop program materials for the establishment of public 
access defibrillation programs in schools; to provide support 
for CPR and AED training programs, to foster community 
partnerships to promote public access to defibrillation in 
schools, to establish a database for information on sudden 
cardiac arrest in youth; and to provide assistance to 
communities wishing to develop screening programs for at risk 
youth.

                II. Background and Need for Legislation

    Cardiac arrest takes a tremendous toll on the American 
public, killing over 220,000 people annually. Defibrillation is 
the only effective treatment for sudden cardiac arrest. 
However, as many as 50,000 lives a year could be saved with 
increased access to automated emergency defibrillation.
    Ninety percent of cardiac arrest victims who are treated 
with a defibrillator within one minute of arrest can be saved, 
but every minute after the initial event that a patient goes 
without treatment decreases a patient's chance of survival by 
10 percent. However, few communities have programs to make 
emergency defibrillation widely accessible to cardiac arrest 
victims.
    Automated external defibrillators (AEDs) have a 97 percent 
success rate in terminating ventricular fibrillation, yet fewer 
than half of the nation's ambulance services, 10-15 percent of 
emergency service fire units, and less than 1 percent of police 
vehicles are equipped with AEDs.
    In order to save 50,000 lives nationally each year through 
widespread use ofdefibrillators, public access defibrillator 
programs need only achieve a survival rate for out-of-hospital cardiac 
arrests of 25 percent. In fact, communities that have implemented 
public access programs have achieved average survival rates for out-of-
hospital cardiac arrest that are even higher than 25 percent. A study 
of Seattle's defibrillator program revealed that the survival rate from 
ventricular fibrillation would have been only 17 percent if AEDs had 
not been available. Instead, the authors of the study observed a 30 
percent survival rate. Another study, conducted in casinos in Las 
Vegas, Nevada, has shown that the implementation of a successful public 
access defibrillation program has achieved survival rates as high as 74 
percent if patients received defibrillation within 3 minutes and 49 
percent for those receiving defibrillation after more than three 
minutes. When American Airlines installed AEDs aboard its aircrafts, 
the survival rate for patients receiving defibrillation rose to 40 
percent. Other successful programs include the ``First Responder 
Defibrillator Program,'' in Boston, Massachusetts. Under this program, 
Boston Emergency Medical Services provides free CPR and AED training to 
any company that purchases a defibrillator. Since the program was 
launched, 5,000 people have been trained, AEDs have been placed in over 
90 locations throughout the city, and the cardiac arrest survival rate 
has increased by 50 percent. In another successful program, the 
Rochester, Minnesota police became the first police department in the 
country equipped with AEDs. Since then, cardiac arrest survival rates 
in Rochester have increased by over 40 percent.
    The Community Access to Emergency Defibrillation (Community 
AED) Act provides for public health initiatives like these in 
order to increase use of emergency defibrillation and to expand 
public access to lifesaving AEDs in communities across America.
    Organizations supporting the Community AED Act include the 
American Heart Association; American Red Cross; AdvaMed; 
American College of Cardiology; American College of Emergency 
Physicians; Building Owners and Managers Association (BOMA) 
International; Cardiac Science; Citizen CPR Foundation; 
Complient Corporation; Congressional Fire Services Institute; 
Emergency Nurses Association; Medical Device Manufacturers 
Association; Medical Research Laboratories, Inc.; Medtronic/
Physio-Control; MeetingMed; National Center for Early 
Defibrillation; National Emergency Medical Services Academy; 
National Fire Protection Association; National Volunteer Fire 
Council; North American Society of Pacing and Electrophysiology 
(NASPE); Philips Medical Systems; Survivalink; The Institute 
for Critical Care Medicine; The National SAFE KIDS Campaign; 
TRI-PAC; and WomenHeart: The National Coalition for Women with 
Heart Disease.

             III. Legislative History and Committee Action

    S. 1275 was introduced on July 31, 2001 by Senator Frist 
for himself and Senator Kennedy and was cosponsored by Senators 
Jeffords, Tim Hutchinson, Dodd, Collins, Bingaman, Feingold, 
Murray, Edwards, and Corzine. S. 1275 was referred to the 
Committee on Health, Education, Labor, and Pensions. On August 
1, 2001, the Senate Committee on Health, Education, Labor, and 
Pensions held an executive session to consider S. 1275. S. 1275 
was ordered reported favorably by a unanimous voice vote.
    Section 3 of S. 1275 includes a provision to amend the 
Public Health Service Act by adding section 313A. This section 
was originally introduced by Senator Feingold for himself and 
Senator Collins on June 14, 2001 as S. 1041 and entitled the 
``Automatic Defibrillation in Adam's Memory Act''.

                          IV. Committee Views

    The committee recognizes that increased public access to 
emergency defibrillation is vital in order to decrease American 
deaths from sudden cardiac arrest.
    The committee recognizes the need for a comprehensive 
federal program to improve programs authorized in this 
legislation. The committee intends for this legislation to 
build on other, less comprehensive, Congressional efforts to 
expand public access to emergency defibrillation and public 
training in usage of automated external defibrillators. Past 
congressional efforts have included increasing rural access to 
emergency devices and recommendations for federal buildings 
that were included in Title IV of Public Law 106-505, passed in 
2000 as part of the ``Public Health Improvement Act''.
    The committee wishes to stress that it views cardiac arrest 
as a national problem and intends for the initiatives in the 
Act to be national in scope. Although the committee specifies a 
preference for States, political subdivisions of a State, 
Indian tribe, or tribal organization that has a particularly 
low local survival rate for cardiac arrests, or a particularly 
low local response rate for cardiac arrest victims or 
demonstrates in its application the greatest commitment to 
establishing and maintaining a public access defibrillation 
program, the committee intends for the Act to provide for 
improved public access to emergency defibrillation throughout 
the nation.
    Furthermore, it is the intent of the committee that the 
``Good Samaritan'' protections regarding emergency use of 
automated external defibrillators outlined in Section 404 of 
Public Law No. 106-505 will apply to all sections of S. 1275.
    In addition, the committee wishes to clarify its views 
regarding the following sections of the Act.

                          Sections 312 and 313

    Section 312 instructs the Secretary of Health and Human 
Services to award grants to States, political subdivisions of 
States, Indian tribes, and tribal organizations to develop and 
implement public access defibrillation programs. The committee 
intends for the programs authorized in sections 312 and 313 to 
be coordinated with any existing programs intended to increase 
public access to emergency defibrillation already conducted by 
grantees. The committee intends for the programs authorized in 
section 312 to be comprehensive, to include all requirements 
outlined in section 312 and to focus on access to emergency 
defibrillation in all parts of the country in rural, urban and 
suburban settings. The committee also intends that nationally 
recognized curricula developed by the American Heart 
Association, the American Red Cross and other organizations be 
used to the extent practicable.
    The committee also recognizes the need for public access 
defibrillation programs that have been tailored to meet 
specific community needs and has included demonstration 
projects in section 313 in order to meet needs for such 
programs in unique community settings and to maximize community 
access. The committee intends for these projects to meet all 
requirements outlined in section 313. These specific needs are 
not intended to be limited to locational settings, but may also 
include other community needs necessitating a unique approach 
to public access to emergency defibrillation.
    The committee wishes to emphasize that communities 
receiving grants authorized under section 313 must meet the 
same requirements for equipment maintenance, public 
information, and data collection required in section 312.
    The committee also wishes to emphasize the importance of 
evaluation of the success of the programs authorized in these 
sections. Thus, the committee expects that the Department of 
Health and Human Services will design and implement a rigorous 
program (as described in sections 312(d)(2)(F) and 
313(c)(2)(C)) to evaluate the effectiveness of the program 
authorized under this section.

                              Section 313A

    The committee wishes to recognize the successes of Project 
ADAM (Automatic Defibrillators in Adam's Memory) in saving the 
lives of pediatric cardiac arrest victims. To recognize these 
efforts, which honor the memory of the late Adam Lemel who was 
a victim of cardiac arrest, the grants authorized under section 
IV of this legislation shall be called ``ADAM Grants.''
    The committee expects that the Department of Health and 
Human Services will design and implement a rigorous program to 
evaluate the effectiveness of the program authorized under this 
section and will describe its findings in the report authorized 
in section 313A(d).

                            V. Cost Estimate


               congressional budget office--cost estimate

S. 1275--Community Access to Emergency Defibrillation Act of 2001

    Summary: S. 1275 would amend the Public Health Service Act 
to authorize the Secretary of Health and Human Services (HHS) 
to provide grants and conduct demonstration projects to promote 
more public access to defibrillators, so victims of cardiac 
arrest could be treated more quickly.
    S. 1275 would authorize $55 million in each of fiscal years 
2002 through 2007 for grants and demonstration projects. 
Assuming the appropriation of the authorized amounts, CBO 
estimates that implementing S. 1275 would cost $23 million in 
2002 and $281 million over the 2002-2007 period. Enacting S. 
1275 would not affect direct spending or receipts; therefore 
pay-as-you-go procedures would not apply.
    S. 1275 contains no intergovernmental or private-sector 
mandates as defined in the Unfunded Mandates Reform Act (UMRA). 
However, the bill would provide funding to public entities for 
programs related to public access to defibrillators.
    Estimated cost to the Federal Government: The estimated 
budgetary impact of S. 1275 is shown in the following table. 
For this estimate, CBO assumes that the bill will be enacted 
this fall and that the authorized amounts will be appropriated 
each year. The costs of this legislation would fall within 
budget function 550 (health).

----------------------------------------------------------------------------------------------------------------
                                                                  By fiscal year, in millions of dollars--
                                                           -----------------------------------------------------
                                                              2002     2003     2004     2005     2006     2007
----------------------------------------------------------------------------------------------------------------
                                  CHANGES IN SPENDING SUBJECT TO APPROPRIATION

Estimated Authorization Level.............................       55       55       55       55       55       55
Estimated Outlays.........................................       23       46       50       54       54       54
----------------------------------------------------------------------------------------------------------------

    Basis of estimate: S. 1275 would authorize the 
appropriation of $50 million in each of fiscal years 2002 
through 2007 for grants to state, local, and tribal governments 
to establish and operate programs to provide public access to 
defibrillators.
    The bill also would authorize the appropriation of $5 
million in each of fiscal years 2002 through 2007 for grants to 
develop and implement innovative, comprehensive, community-
based demonstration projects to promote public access to 
defibrillators.
    Finally, S. 1275 would authorize the use of $800,000 in 
funds already authorized to be appropriated to the Department 
of Health and Human Services in each of fiscal years 2002 
through 2006 to establish a national information clearinghouse 
that provides information to increase public access to 
defibrillators in schools.
    Based on spending patterns for similar grant programs, CBO 
estimates that HHS would spend $23 million in 2002 and $281 
million over the 2002-2007 period for these grants, assuming 
that the authorized amounts are appropriated.
    Pay-as-you-go considerations: None.
    Estimated impact on state, local, and tribal governments: 
Through federal grant assistance, S. 1275 would help state, 
local, and tribal governments to purchase automated external 
defibrillators and to provide information and training on their 
use. To be eligible for the grants, governments must apply to 
the Secretary of Health and Human Services and provide a 
comprehensive plan for encouraging the use of the 
defibrillators. The bill contains no intergovernmental mandates 
as defined in UMRA, and the grants authorized by the bill have 
no matching requirements.
    Estimated impact on the private sector: This bill contains 
no private-sector mandates as defined in UMRA.
    Estimate prepared by: Federal Costs: Niall Brennan. Impact 
on State, Local, and Tribal Governments: Leo Lex. Impact on the 
Private Sector: Jennifer Bowman.
    Estimate approved by: Peter H. Fontaine, Deputy Assistant 
Director for Budget Analysis.

            VI. Application of Law to the Legislative Branch

    Section 102(b)(3) of Public Law 103-1, the Congressional 
Accountability Act, requires a description of the application 
of this bill to the legislative branch. S. 1275 would amend the 
Public Health Service Act to provide grants to States, 
political subdivisions of States, Indian tribes, and tribal 
organizations to increase access to AEDs, and grants to health 
care organizations to establish a clearinghouse to provide 
information to increase access to AEDs in schools. This 
requirement would not apply to the legislative branch.

                    VII. Regulatory Impact Statement

    The committee has determined that there will be minimal 
increases in the regulatory burden imposed by this bill. The 
committee intends for the programs authorized in this bill to 
decrease the impact and burden of sudden cardiac arrest across 
the Nation.

                   VIII. Section-by-Section Analysis


Section 1. Short Title

    Section 1 provides that this Act may be cited as the 
``Community Access to Emergency Defibrillation Act of 2001''.

Section 2. Findings

    Section 2 provides information that attests to the 
importance and need for the programs authorized in this 
legislation. The findings are facts about the frequency of 
sudden cardiac arrest and the importance and utility of public 
access defibrillation programs in decreasing the number of 
deaths due to cardiac arrest each year.

Section III. Public Access Defibrillation Programs and Projects

    Section 3 amends Part B of Title III of the Public Health 
Service Act by adding Sections 312, 313 and 313A after Section 
311.
    Section 312 authorizes $50 million for each of fiscal years 
2002 through 2007 for the Secretary to award grants to States, 
political subdivisions of States, Indian tribes, and tribal 
organizations to develop and implement public access 
defibrillation programs. These programs shall include training 
of local emergency medical services personnel, personnel in 
places with defibrillators and members of the public in CPR and 
automated external defibrillation, purchasing and placement of 
automated external defibrillators in public places where 
cardiac arrests are likely to occur, informing local emergency 
medical services personnel about the location of defibrillators 
in their community, and ensuring proper maintenance and testing 
of defibrillators in the community. These programs are also 
meant to include provisions to encourage private companies in 
the community to purchase automated external defibrillators and 
train employees in CPR and emergency defibrillation and to 
collect data to evaluate the effectiveness of the program in 
increasing the out-of-hospital cardiac arrest survival rate in 
the community.
    Section 313 authorizes $5 million for each of fiscal years 
2002 through 2007 for the Secretary to award grants to 
political subdivisions of States, Indian tribes, and tribal 
organizations to develop and implement innovative, 
comprehensive, community-based public access defibrillation 
demonstration projects. These projects shall provide 
cardiopulmonary resuscitation and automated emergency 
defibrillation to cardiac arrest victims in unique settings, 
provide training to community members in cardiopulmonary 
resuscitation and automated external defibrillation, and 
develop innovative approaches to maximize community access to 
automated external defibrillation.
    Section 313A authorizes $800,000 for each of fiscal years 
2002 through 2006 for the Secretary to award a grant to a 
health care organization to establish a national information 
clearinghouse that provides information to increase public 
access to defibrillation in school programs. This clearinghouse 
shall provide information regarding public access 
defibrillation program implementation and development, develop 
program materials for the establishment of public access 
defibrillation programs in schools, provide support for CPR and 
AED training programs, foster community partnerships to promote 
public access to defibrillation in schools, establish a 
database for information on sudden cardiac arrest in youth, and 
provide assistance to communities wishing to develop screening 
programs for at risk youth.

                      IX. Changes in Existing Law

    In compliance with rule XXVI paragraph 12 of the Standing 
Rules of the Senate, the following provides a print of the 
statute or the part or section thereof to be amended or 
replaced (existing law proposed to be omitted is enclosed in 
black brackets, new matter is printed in italic, existing law 
in which no change is proposed is shown in roman):

                       PUBLIC HEALTH SERVICE ACT

           *       *       *       *       *       *       *



                   PART B--FEDERAL-STATE COOPERATION


                               in general

    Sec. 311. [243] (a) * * *

           *       *       *       *       *       *       *


SEC. 312. PUBLIC ACCESS DEFIBRILLATION PROGRAMS.

    (a) In General.--The Secretary shall award grants to 
States, political subdivisions of States, Indian tribes, and 
tribal organizations to develop and implement public access 
defibrillation programs--
          (1) by training and equipping local emergency medical 
        services personnel, including firefighters, police 
        officers, paramedics, emergency medical technicians, 
        and other first responders, to administer immediate 
        care, including cardiopulmonary resuscitation and 
        automated external defibrillation, to cardiac arrest 
        victims;
          (2) by purchasing automated external defibrillators, 
        placing the defibrillators in public places where 
        cardiac arrests are likely to occur, and training 
        personnel in such places to administer cardiopulmonary 
        resuscitation and automated external defibrillation to 
        cardiac arrest victims;
          (3) by setting procedures for proper maintenance and 
        testing of such devices, according to the guidelines of 
        the manufacturers of the devices;
          (4) by providing training to members of the public in 
        cardiopulmonary resuscitation and automated external 
        defibrillation;
          (5) by integrating the emergency medical services 
        system with the public access defibrillation programs 
        so that emergency medical services personnel, including 
        dispatchers, are informed about the location of 
        automated external defibrillators in their community; 
        and
          (6) by encouraging private companies, including small 
        businesses, to purchase automated external 
        defibrillators and provide training for their employees 
        to administer cardiopulmonary resuscitation and 
        external automated defibrillation to cardiac arrest 
        victims in their community.
    (b) Preference.--In awarding grants under subsection (a), 
the Secretary shall give a preference to a State, political 
subdivision of a State, Indian tribe, or tribal organization 
that--
          (1) has a particularly low local survival rate for 
        cardiac arrests, or a particularly low local response 
        rate for cardiac arrest victims; or
          (2) demonstrates in its application the greatest 
        commitment to establishing and maintaining a public 
        access defibrillation program.
    (c) Use of Funds.--A State, political subdivision of a 
State, Indian tribe, or tribal organization that receives a 
grant under subsection (a) may use funds received through such 
grant to--
          (1) purchase automated external defibrillators that 
        have been approved, or cleared for marketing, by the 
        Food and Drug Administration;
          (2) provide automated external defibrillation and 
        basic life support training in automated external 
        defibrillator usage through nationally recognized 
        courses;
          (3) provide information to community members about 
        the public access defibrillation program to be funded 
        with the grant;
          (4) provide information to the local emergency 
        medical services system regarding the placement of 
        automated external defibrillators in public places;
          (5) produce such materials as may be necessary to 
        encourage private companies, including small 
        businesses, to purchase automated external 
        defibrillators; and
          (6) carry out other activities that the Secretary 
        determines are necessary or useful to pursue the 
        purposes of this section.
    (d) Application.--
          (1) In general.--To be eligible to receive a grant 
        under subsection (a), a State, political subdivision of 
        a State, Indian tribe, or tribal organization shall 
        prepare and submit an application to the Secretary at 
        such time, in such manner, and containing such 
        information as the Secretary may reasonably require.
          (2) Contents.--An application submitted under 
        paragraph (1) shall--
                  (A) describe the comprehensive public access 
                defibrillation program to be funded with the 
                grant and demonstrate how such program would 
                make automated external defibrillation 
                accessible and available to cardiac arrest 
                victims in the community;
                  (B) contain procedures for implementing 
                appropriate nationally recognized training 
                courses in performing cardiopulmonary 
                resuscitation and the use of automated external 
                defibrillators;
                  (C) contain procedures for ensuring direct 
                involvement of a licensed medical professional 
                and coordination with the local emergency 
                medical services system in the oversight of 
                training and notification of incidents of the 
                use of the automated external defibrillators;
                  (D) contain procedures for proper maintenance 
                and testing of the automated external 
                defibrillators, according to the labeling of 
                the manufacturer;
                  (E) contain procedures for ensuring 
                notification of local emergency medical 
                services system personnel, including 
                dispatchers, of the location and type of 
                devices used in the public access 
                defibrillation program; and
                  (F) provide for the collection of data 
                regarding the effectiveness of the public 
                access defibrillation program to be funded with 
                the grant in affecting the out-of-hospital 
                cardiac arrest survival rate.
    (e) Authorization of Appropriations.--There is authorized 
to be appropriated to carry out this section $50,000,000 for 
each of fiscal years 2002 through 2007. Not more than 10 
percent of amounts received under a grant awarded under this 
section may be used for administrative expenses.

SEC. 313. PUBLIC ACCESS DEFIBRILLATION DEMONSTRATION PROJECTS.

    (a) In General.--The Secretary shall award grants to 
political subdivisions of States, Indian tribes, and tribal 
organizations to develop and implement innovative, 
comprehensive, community-based public access defibrillation 
demonstration projects that--
          (1) provide cardiopulmonary resuscitation and 
        automated external defibrillation to cardiac arrest 
        victims in unique settings;
          (2) provide training to community members in 
        cardiopulmonary resuscitation and automated external 
        defibrillation; and
          (3) maximize community access to automated external 
        defibrillators.
    (b) Use of Funds.--A recipient of a grant under subsection 
(a) shall use the funds provided through the grant to--
          (1) purchase automated external defibrillators that 
        have been approved, or cleared for marketing, by the 
        Food and Drug Administration;
          (2) provide basic life training in automated external 
        defibrillator usage through nationally recognized 
        courses;
          (3) provide information to community members about 
        the public access defibrillation demonstration project 
        to be funded with the grant;
          (4) provide information to the local emergency 
        medical services system regarding the placement of 
        automated external defibrillators in the unique 
        settings; and
          (5) carry out other activities that the Secretary 
        determines are necessary or useful to pursue the 
        purposes of this section.
    (c) Application.--
          (1) In general.--To be eligible to receive a grant 
        under subsection (a), a political subdivision of a 
        State, Indian tribe, or tribal organization shall 
        prepare and submit an application to the Secretary at 
        such time, in such manner, and containing such 
        information as the Secretary may reasonably require.
          (2) Contents.--An application submitted under 
        paragraph (1) may--
                  (A) describe the innovative, comprehensive, 
                community-based public access defibrillation 
                demonstration project to be funded with the 
                grant;
                  (B) explain how such public access 
                defibrillation demonstration project represents 
                innovation in providing public access to 
                automated external defibrillation; and
                  (C) provide for the collection of data 
                regarding the effectiveness of the 
                demonstration project to be funded with the 
                grant in--
                          (i) providing emergency 
                        cardiopulmonary resuscitation and 
                        automated external defibrillation to 
                        cardiac arrest victims in the setting 
                        served by the demonstration project; 
                        and
                          (ii) affecting the cardiac arrest 
                        survival rate in the setting served by 
                        the demonstration project.
    (d) Authorization of Appropriations.--There is authorized 
to be appropriated to carry out this section $5,000,000 for 
each of fiscal years 2002 through 2007. Not more than 10 
percent of amounts received under a grant awarded under this 
section may be used for administrative expenses.

SEC. 313A. GRANTS FOR ACCESS TO DEFIBRILLATION.

    (a) Program Authorized.--The Secretary of Health and Human 
Services shall award a grant to a health care organization to 
establish a national information clearinghouse that provides 
information to increase public access to defibrillation in 
schools.
    (b) Duties.--The health care organization that receives a 
grant under this section shall promote public access to 
defibrillation in schools by--
          (1) providing timely information to entities 
        regarding public access defibrillation program 
        implementation and development;
          (2) developing and providing comprehensive program 
        materials to establish a public access defibrillation 
        program in schools;
          (3) providing support to CPR and AED training 
        programs;
          (4) fostering new and existing community partnerships 
        with and among public and private organizations (such 
        as local educational agencies, non-profit 
        organizations, public health organizations, emergency 
        medical service providers, fire and police departments, 
        and parent-teacher associations) to promote public 
        access to defibrillation in schools;
          (5) establishing a data base to gather information in 
        a central location regarding sudden cardiac arrest in 
        the pediatric population and identifying or conducting 
        further research into the problem; and
          (6) providing assistance to communities that wish to 
        develop screening programs for at risk youth.
    (c) Application.--A health care organization desiring a 
grant under this section shall submit an application to the 
Secretary at such time, in such manner, and accompanied by such 
information as the Secretary may reasonable require.
    (d) Report.--Not later than 5 years after the date on which 
the health care organization receives a grant under this 
section, such organization shall submit to the Secretary of 
Health and Human Services a report that describes activities 
carried out with funds received under this section. Not later 
than 3 months after the date on which such report is received 
by the Secretary of Health and Human Services, the Secretary 
shall prepare and submit to the appropriate committees of 
Congress an evaluation that reviews such report and evaluates 
the success of such clearinghouse.
    (e) Authorization of Appropriations.--From funds authorized 
to be appropriated for fiscal years 2002 through 2006 for 
activities and programs under the Department of Health and 
Human Services, $800,000 of such funds may be appropriated to 
carry out the programs described in this section for each of 
the fiscal years 2002 through 2006.

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