[108th Congress Public Law 154]
[From the U.S. Government Printing Office]


[DOCID: f:publ154.108]

[[Page 117 STAT. 1933]]

Public Law 108-154
108th Congress

                                 An Act


 
   To revise and extend the  Birth Defects Prevention Act of 1998. 
 <<NOTE: Dec. 3, 2003 -  [S. 286]>>  

    Be it enacted by the Senate and House of <<NOTE: Birth Defects and 
Developmental Disabilities Prevention Act of 2003.>> Representatives of 
the United States of America in Congress assembled,

SECTION 1. <<NOTE: 42 USC 201 note.>> SHORT TITLE.

    This Act may be cited as the ``Birth Defects and Developmental 
Disabilities Prevention Act of 2003''.
SEC. 2. NATIONAL CENTER ON BIRTH DEFECTS AND DEVELOPMENTAL 
                    DISABILITIES.

    Section 317C of the Public Health Service Act (42 U.S.C. 247b-4) is 
amended--
            (1) in subsection (a)(2)--
                    (A) in subparagraph (A)--
                          (i) by striking ``and developmental 
                      disabilities'' and inserting ``, developmental 
                      disabilities, and disabilities and health''; and
                          (ii) by striking ``subsection (d)(2)'' and 
                      inserting ``subsection (c)(2)'';
                    (B) in subparagraph (B), by striking ``and'' at the 
                end;
                    (C) in subparagraph (C), by striking the period and 
                inserting a semicolon; and
                    (D) by adding at the end the following:
                    ``(D) to conduct research on and to promote the 
                prevention of such defects and disabilities, and 
                secondary health conditions among individuals with 
                disabilities; and
                    ``(E) to support a National Spina Bifida Program to 
                prevent and reduce suffering from the Nation's most 
                common permanently disabling birth defect.'';
            (2) by striking subsection (b);
            (3) in subsection (d)--
                    (A) by striking paragraph (1) and inserting the 
                following:
            ``(1) contains information regarding the incidence and 
        prevalence of birth defects, developmental disabilities, and the 
        health status of individuals with disabilities and the extent to 
        which these conditions have contributed to the incidence and 
        prevalence of infant mortality and affected quality of life;'';
                    (B) in paragraph (3), by inserting ``, developmental 
                disabilities, and secondary health conditions among 
                individuals with disabilities'' after ``defects'';
                    (C) in paragraph (4), by striking ``and'' at the 
                end;
                    (D) by redesignating paragraph (5) as paragraph (7); 
                and

[[Page 117 STAT. 1934]]

                    (E) by inserting after paragraph (4) the following:
            ``(5) contains information on the incidence and prevalence 
        of individuals living with birth defects and disabilities or 
        developmental disabilities, information on the health status of 
        individuals with disabilities, information on any health 
        disparities experienced by such individuals, and recommendations 
        for improving the health and wellness and quality of life of 
        such individuals;
            ``(6) contains a summary of recommendations from all birth 
        defects research conferences sponsored by the Centers for 
        Disease Control and Prevention, including conferences related to 
        spina bifida; and'';
            (4) by redesignating subsections (c), (d), and (e) as 
        subsections (b), (c), and (d), respectively;
            (5) by inserting after subsection (d) (as so redesignated), 
        the following:

    ``(e) Advisory Committee.--Notwithstanding any other provision of 
law, the members of the advisory committee appointed by the Director of 
the National Center for Environmental Health that have expertise in 
birth defects, developmental disabilities, and disabilities and health 
shall be transferred to and shall advise the National Center on Birth 
Defects and Developmental Disabilities effective on the date of 
enactment of the Birth Defects and Developmental Disabilities Prevention 
Act of 2003.''; and
            (6) in subsection (f), by striking ``$30,000,000'' and all 
        that follows and inserting ``such sums as may be necessary for 
        each of fiscal years 2003 through 2007.''.
SEC. 3. TECHNICAL CORRECTIONS FOR STATE COUNCILS ON DEVELOPMENTAL 
                    DISABILITIES.

    (a) In General.--Section 122(a) of the Developmental Disabilities 
Assistance and Bill of Rights Act of 2000 (42 U.S.C. 15022(a)) is 
amended--
            (1) in paragraph (3)(A)(ii), by inserting before the period 
        the following: ``, the amount received by the State for the 
        previous year, or the amount of Federal appropriations received 
        in fiscal year 2000, 2001, or 2002, whichever is greater''; and
            (2) in paragraph (4)(A)(ii), by inserting before the period 
        the following: ``, the amount received by the State for the 
        previous year, or the amount of Federal appropriations received 
        in fiscal year 2000, 2001, or 2002, whichever is greater''.

    (b) Effective <<NOTE: Applicability. 42 USC 15022 note.>> Date.--The 
amendments made by subsection (a) shall take effect on October 1, 2003 
and apply to allotments beginning in fiscal year 2004.

SEC. 4. <<NOTE: Deadline. 42 USC 247b-4b note.>> REPORT ON SURVEILLANCE 
            ACTIVITIES.

    Not later than 18 months after the date of enactment of this Act, 
the Secretary of Health and Human Services jointly with the Secretary of 
Education shall submit to the Committee on Health, Education, Labor, and 
Pensions of the Senate and the Committee on Energy and Commerce and 
Committee on Education and the Workforce of the House of Representatives 
a report concerning surveillance activities under section 102 of the 
Children's Health Act of 2000 (Public Law 106-310), specifically 
including--
            (1) a description of the current grantees under the National 
        Autism and Pervasive Developmental Disabilities Surveillance 
        Program and the Centers of Excellence in Autism and Pervasive 
        Developmental Disabilities, the data collected, analyzed, and

[[Page 117 STAT. 1935]]

        reported under such grants, the sources of such data, and 
        whether such data was obtained with parental consent as required 
        under the Family Educational Rights and Privacy Act of 1974 (20 
        U.S.C. 1232g);
            (2) a description of current sources of data for the 
        surveillance of autism and developmental disabilities and the 
        methods for obtaining such data, including whether such data was 
        obtained with parental or patient consent for disclosure;
            (3) an analysis of research on autism and developmental 
        disabilities with respect to the methods of collection and 
        reporting, including whether such research was obtained with 
        parental or patient consent for disclosure;
            (4) an analysis of the need to add education records in the 
        surveillance of autism and other developmental disabilities, 
        including the methodological and medical necessity for such 
        records and the rights of parents and patients in the use of 
        education records (in accordance with the Family Educational 
        Rights and Privacy Act of 1974);
            (5) a description of the efforts taken by the Centers for 
        Disease Control and Prevention to utilize education records in 
        conducting the surveillance program while obtaining parental or 
        patient consent for such education records, including the 
        outcomes of such efforts;
            (6) a description of the challenges provided to obtaining 
        education records (in the absence of parental or patient 
        consent) for the purpose of obtaining additional surveillance 
        data for autism and other developmental disabilities; and
            (7) a description of the manner in which such challenges can 
        be overcome, including efforts to educate parents, increase 
        confidence in the privacy of the surveillance program, and 
        increase the rate of parental or patient consent, and including 
        specific quantitative and qualitative justifications for any 
        recommendations for changes to existing statutory authority, 
        including the Family Educational Rights and Privacy Act of 1974.

    Approved December 3, 2003.

LEGISLATIVE HISTORY--S. 286 (H.R. 398):
---------------------------------------------------------------------------

HOUSE REPORTS: No. 108-14 accompanying H.R. 398 (Comm. on Energy and 
Commerce).
SENATE REPORTS: No. 108-188 (Comm. on Health, Education, Labor, and 
Pensions).
CONGRESSIONAL RECORD, Vol. 149 (2003):
            Nov. 11, considered and passed Senate.
            Nov. 19, 20, considered and passed House.

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