Text: H.R.4390 — 101st Congress (1989-1990)All Information (Except Text)

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Union Calendar No. 326
101st CONGRESS
2d Session
H. R. 4390
[Report No. 101-534]
A BILL
To amend title 38, United States Code, to authorize the Secretary of Veterans
Affairs to make grants (in conjunction with the Secretary of Defense) for the
establishment of research centers at qualifying medical schools to carry out
medical research in areas of interest to the Department of Veterans Affairs.
June 7, 1990
Committed to the Committee of the Whole House on the State of the Union and
ordered to be printed
HR 4390 RH
Union Calendar No. 326
101st CONGRESS
2d Session
 H. R. 4390
[Report No. 101-534]
To amend title 38, United States Code, to authorize the Secretary of Veterans
Affairs to make grants (in conjunction with the Secretary of Defense) for the
establishment of research centers at qualifying medical schools to carry out
medical research in areas of interest to the Department of Veterans Affairs.
IN THE HOUSE OF REPRESENTATIVES
March 27, 1990
Mr. LEATH of Texas (for himself, Mr. MONTGOMERY, Mr. LEHMAN of Florida,
and Mrs. PATTERSON) introduced the following bill; which was referred to
the Committee on Veterans' Affairs
June 7, 1990
Additional sponsors: Mr. ROWLAND of Georgia, Mr. HAMMERSCHMIDT, Mr. STENHOLM,
Mr. STUMP, Mr. HARRIS, Mr. MCEWEN, Mr. KENNEDY, Mr. SMITH of New Jersey,
Mr. JONTZ, Mr. BURTON of Indiana, Mr. PAYNE of Virginia, Mr. BILIRAKIS,
Mr. MORRISON of Connecticut, Mr. RIDGE, Mr. SANGMEISTER, Mr. ROWLAND of
Connecticut, Mr. PARKER, Mr. RAVENEL, Mr. BARTON of Texas, Mr. LAUGHLIN,
Mr. EDWARDS of California, Mr. SMITH of New Hampshire, Mr. APPLEGATE,
Mr. STEARNS, Mr. EVANS, Mr. PAXON, Mr. PENNY, Mr. STAGGERS, Mr. JONES
of Georgia, Ms. LONG, Mr. GEREN, Mr. HOCHRUECKNER, Mr. WYLIE, Mr. JAMES,
Mr. HEFNER, Mr. JENKINS, Mr. RICHARDSON, Mr. BROWDER, Mr. MACHTLEY, and
Mr. Derrick
June 7, 1990
Committed to the Committee of the Whole House on the State of the Union and
ordered to be printed
A BILL
To amend title 38, United States Code, to authorize the Secretary of Veterans
Affairs to make grants (in conjunction with the Secretary of Defense) for the
establishment of research centers at qualifying medical schools to carry out
medical research in areas of interest to the Department of Veterans Affairs.
  Be it enacted by the Senate and House of Representatives of the United
  States of America in Congress assembled,
SECTION 1. GRANTS TO ESTABLISH RESEARCH CENTERS AT MEDICAL SCHOOLS.
  (a) IN GENERAL- Chapter 73 of title 38, United States Code, is amended by
  inserting after subchapter III the following:
`SUBCHAPTER IV--RESEARCH GRANTS
`Sec. 4141. Purpose of subchapter
  `The purpose of this subchapter is to authorize the Secretary of Veterans
  Affairs, in conjunction with the Secretary of Defense, to carry out a program
  to assist State medical schools in the establishment of new research centers
  to carry out medical research in particular fields or specialties in order
  to improve the provision of medical care and treatment of veterans and
  to recruit and retain qualified medical professionals for the Department,
  as authorized by section 4101(c) of this title.
`Sec. 4142. Grant program
  `(a) The Secretary of Veterans Affairs (acting in conjunction with the
  Secretary of Defense) may make grants under this subchapter to qualifying
  medical schools to assist such medical schools in the establishment of new
  medical research centers. Any such grant may only be made if the Secretary
  of Veterans Affairs and the medical school enter into an agreement under
  section 4143 of this title.
  `(b) A qualifying medical school for purposes of this subchapter is a
  medical school of a university that is located in a State and that--
  `(1) is primarily supported by the State in which it is located;
  `(2) does not have an established research center in the particular field
  or specialty with respect to which an application under section 4145
  is submitted;
  `(3) is located in proximity to, and is affiliated with, a medical facility
  of the Department of Veterans Affairs which itself has an affiliation with
  a medical facility of the Department of Defense; and
  `(4) has demonstrable potential for successful development of such a new
  research center with the assistance of a grant under this subchapter.
  `(c) Funds provided to a medical school by a grant under this subchapter
  may be used for--
  `(1) the acquisition, construction, alteration, and renovation of facilities
  for the research center;
  `(2) the acquisition of equipment of the research center; and
  `(3) the operation of the research center during its first three years
  of operation.
  `(d) In awarding grants under this subchapter, the Secretary shall ensure
  that the centers for which the grants are made are located in geographically
  dispersed areas of the United States.
`Sec. 4143. Activities of research centers for which grants made
  `(a) Whenever a grant is made under this subchapter, the Secretary shall
  establish an advisory committee to advise the medical school concerned
  with respect to the activities of the research center for which the grant
  is made. The advisory committee shall include representatives of the
  Department of Veterans Affairs, the Department of Defense, and the medical
  school and shall remain in existence until terminated by the Secretary.
  `(b) A medical school to which a grant is made under this subchapter shall
  administer the research center for which the grant is made as a separate
  administrative entity with its own director (or other appropriate chief
  official).
  `(c)(1) The Secretary may not enter into an agreement to make a grant under
  this subchapter unless the Secretary finds, and the agreement includes
  satisfactory assurances, that the school to which the grant is made
  will maintain such arrangements with the Department of Veterans Affairs
  medical facility with which it is affiliated (including such arrangements
  as may be made under subchapter IV of chapter 81 of this title) as will be
  mutually beneficial in carrying out the mission of the respective medical
  facilities and the school. Such arrangements shall include provisions
  ensuring that research personnel of the Department of Veterans Affairs
  medical facility, and of the Department of Defense medical facility with
  which it is associated, may carry out research activities at the research
  center on an ongoing basis.
  `(2) The agreement shall require that, to the extent not inconsistent with
  paragraph (1) of this subsection, facilities of the research center shall
  be made available for research activities on a competitive basis.
  `(d) The Secretary shall ensure that an agreement under this section includes
  appropriate provisions to ensure that the Federal funding for the research
  center, and any Federal research activities carried out at the research
  center, are acknowledged in the activities and publications of the center.
  `(e) An agreement under this section shall contain such additional terms
  and conditions (in addition to those imposed pursuant to section 5070(e)
  of this title and this section) as the Secretary considers appropriate to
  protect the interests of the United States.
`Sec. 4144. Funding
  `(a) Funds for a grant under this subchapter to be provided by the Secretary
  of Veterans Affairs may only be provided from funds specifically appropriated
  for grants under this subchapter.
  `(b) Whenever in any fiscal year an appropriation is made to the Department
  of Veterans Affairs for a grant under this subchapter, a like amount of
  funds shall be made available for such a grant from funds appropriated for
  that fiscal year to the Department of Defense for research, development,
  test, and evaluation. The Secretary of Defense shall specify the source
  of such funds. Upon determination of a school to which the grant shall
  be made, the Secretary of Defense shall transfer the amount of funds made
  available pursuant to this subsection to the Secretary of Veterans Affairs
  for inclusion in the grant award.
  `(c) The Secretary of Veterans Affairs may not enter into an agreement
  for a grant under this subchapter unless the Secretary finds, and the
  agreement includes satisfactory assurances, that--
  `(1) the amount of support for the proposed medical research center from
  non-Federal sources will be at least as great as the amount of such support
  from Federal sources;
  `(2) the amount of such support from non-Federal sources, when combined
  with the amount of the proposed grant, is sufficient for the project to
  proceed upon award of the grant; and
  `(3) upon approval of the grant, no further action by non-Federal entities
  is required to make the necessary funds available for the project.
  `(d)(1) Subject to paragraph (2) of this subsection, the Secretary may
  increase the amount of any grant awarded to any applicant for a project
  under this section by an amount by which the Secretary determines that
  the estimated cost of the construction, acquisition, or renovations
  has increased from the estimated cost on which the Secretary based the
  determination to award the grant, if the Secretary determines that the
  grant was awarded before the applicant entered into a contract for the
  construction or renovations provided for in such project.
  `(2) A grant may not be increased under paragraph (1) of this subsection
  by more than 10 percent of the amount of the grant initially awarded for
  such project, and the amount of such grant (as increased) may not exceed
  50 percent of the revised cost of the project.
`Sec. 4145. Grants: applications and priority
  `(a) A medical school desiring to receive a grant under this subchapter
  shall submit to the Secretary an application that sets forth the following:
  `(1) The amount of the grant requested with respect to the project.
  `(2) A description of the proposed research center, including a description
  of the proposed site for the center, a description of the proposed field
  of research in which the center will specialize, and a statement showing
  the capability of the medical school to successfully develop such research
  center.
  `(3) Reasonable assurance that, upon completion of the project, the new
  center will be used to conduct research referred to in section 4101(c)(1)
  of this title.
  `(4) Reasonable assurance that the title to such site will be vested solely
  in the applicant.
  `(5) Reasonable assurance that adequate financial support will be available
  (A) for the construction of the project (or for facility acquisition or
  renovation) upon award of the grant, and (B) for maintenance and operation
  of the facility when complete.
  `(6) In the case of a project for the renovation of an existing facility,
  reasonable assurance that the estimated total cost of any expansion,
  remodeling, and alteration of the facility will not be greater than the
  estimated cost of construction of an equivalent new facility.
  `(7) A statement of the relationship of activities to be carried out at the
  research center to programs and activities of the Department of Veterans
  Affairs, including programs for the care and treatment of veterans and
  programs for the recruitment and retention of health-care professionals
  for employment by the Department.
  `(b) In considering applications for a grant under subsection (a) of this
  section, the Secretary shall give priority to applications for grants for
  proposed research centers which will emphasize research in one or more
  of the following areas (over applications for grants for proposed centers
  which will not emphasize research in such areas):
  `Diabetes and metabolic diseases.
  `Prosthetics and rehabilitation medicine.
  `Mental health, behavioral medicine, and neurological disease.
  `Acquired Immune Deficiency Syndrome (AIDS) and immunodeficiency diseases.
  `Alzheimer and dementia.
  `Degenerative cardiopulmonary disease.
  `Cancer.
  `Technology assessment.
  `Toxicology.
  `(c) The Secretary shall use a merit review process in considering
  applications and in awarding grants under this subchapter.
  `(d) The amount of a grant under this subchapter shall be paid to the
  applicant. Such amount shall be paid, in advance or by way of reimbursement,
  and in such installments consistent with the progress of the project,
  as the Secretary may determine and certify for payment to the Secretary
  of the Treasury. Funds paid under this section for an approved project
  shall be used solely for carrying out such project as approved.
  `(e) An amendment of an application (whether or not approved) shall be
  subject to approval in the same manner as the original application.
`Sec. 4146. Authorization of appropriations
  `(a) There is authorized to be appropriated to the Secretary of Veterans
  Affairs the sum of $50,000,000 for each of fiscal years 1991 through 1994
  for purposes of grants under this subchapter. Amounts appropriated pursuant
  to such authorization may not be used for any other purpose.
  `(b) Amounts appropriated pursuant to subsection (a) of this section shall
  remain available for obligation until the end of the sixth fiscal year
  following the fiscal year for which they are appropriated, if so provided
  in appropriation Acts.
`Sec. 4147. Recovery of amounts if grant conditions not met
  `(a) If the Secretary determines that a medical school to which a grant
  is made under this subchapter--
  `(1) fails substantially to carry out the terms of the agreement entered
  into under this subchapter as a condition of the grant; or
  `(2) no longer operates the medical research center for which the grant
  was made in accordance with the purposes of the grant,
the Secretary shall be entitled to recover from the recipient of the grant
the amount of the grant.
  `(b) The Secretary shall prescribe regulations for purposes of subsection
  (a) of this section.'.
  (b) CLERICAL AMENDMENT- The table of sections at the beginning of such
  chapter is amended by inserting after the item relating to section 4134
  the following:
`SUBCHAPTER IV--RESEARCH GRANTS
`4141. Purpose of subchapter.
`4142. Grant program.
`4143. Activities of research centers for which grants made.
`4144. Funding.
`4145. Grants: applications and priority.
`4146. Authorization of appropriations.
`4147. Recovery of amounts if grant conditions not met.'.

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