[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.
* * * * * * *