Text: H.R.3401 — 102nd Congress (1991-1992)All Information (Except Text)

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Union Calendar No. 162
102d CONGRESS
1st Session
H. R. 3401
[Report No. 102-271]
A BILL
To amend the Public Health Service Act to establish a program for the
prevention of disabilities, and for other purposes.
October 24, 1991
Reported with an amendment, committed to the Committee of the Whole House
on the State of the Union, and ordered to be printed
HR 3401 RH
Union Calendar No. 162
102d CONGRESS
1st Session
 H. R. 3401
[Report No. 102-271]
To amend the Public Health Service Act to establish a program for the
prevention of disabilities, and for other purposes.
IN THE HOUSE OF REPRESENTATIVES
September 24, 1991
Mr. WAXMAN introduced the following bill; which was referred to the Committee
on Energy and Commerce
October 24, 1991
Additional sponsor: Mr. Sikorski
October 24, 1991
Reported with an amendment, committed to the Committee of the Whole House
on the State of the Union, and ordered to be printed
[Strike out all after the enacting clause and insert the part printed
in italic]
[For text of introduced bill, see copy of bill as introduced on September
24, 1991]
A BILL
To amend the Public Health Service Act to establish a program for the
prevention of disabilities, and for other purposes.
  Be it enacted by the Senate and House of Representatives of the United
  States of America in Congress assembled,
SECTION 1. SHORT TITLE.
  This Act may be cited as the `Silvio O. Conte Disabilities Prevention Act'.
SEC. 2. ESTABLISHMENT OF SILVIO O. CONTE DISABILITIES PREVENTION PROGRAM.
  Part B of title III of the Public Health Service Act (42 U.S.C. 243 et
  seq.) is amended by inserting after section 314 the following new section:
`SILVIO O. CONTE DISABILITIES PREVENTION PROGRAM
  `SEC. 315. (a) IN GENERAL- The Secretary, acting through the Director
  of the Centers for Disease Control, may make grants to and enter into
  contracts with public and nonprofit private entities for the purpose of
  carrying out programs for the prevention of disabilities and the prevention
  of secondary conditions resulting from disabilities.
  `(b) CERTAIN AUTHORIZED ACTIVITIES- With respect to the prevention of
  disabilities and conditions described in subsection (a), activities for
  which the Secretary may provide financial assistance under such subsection
  include--
  `(1) coordinating prevention activities;
  `(2) conducting demonstrations and interventions;
  `(3) conducting surveillances and studies;
  `(4) educating the public; and
  `(5) educating and training health professionals (including allied health
  professionals) and conducting activities to improve the clinical skills
  of such professionals.
  `(c) REPORTS TO SECRETARY- The Secretary may not provide financial
  assistance under subsection (a) unless the applicant involved agrees to
  submit to the Secretary such reports as the Secretary may require with
  respect to such assistance.
  `(d) PRIORITIES- The Secretary shall consult with the National Council on
  Disabilities in setting priorities to carry out this section.
  `(e) REQUIREMENT OF APPLICATION- The Secretary may not provide financial
  assistance under subsection (a) unless an application for such assistance
  is submitted to the Secretary and the application is in such form, is made
  in such manner, and contains such agreements, assurances, and information
  as the Secretary determines to be necessary to carry out this section.
  `(f) LIMITATION REGARDING EDUCATION OF HEALTH PROFESSIONALS- In providing
  financial assistance under subsection (a), the Secretary may not, for
  activities described in subsection (b)(5), obligate more than 10 percent
  of the amounts appropriated under subsection (k) for any fiscal year.
  `(g) TECHNICAL ASSISTANCE- The Secretary may provide training, technical
  assistance, and consultations with respect to the planning, development,
  and operation of any program for the prevention of disabilities or the
  prevention of secondary conditions resulting from disabilities.
  `(h) PROVISION OF SUPPLIES AND SERVICES IN LIEU OF FUNDS-
  `(1) IN GENERAL- Upon the request of a recipient of financial assistance
  under subsection (a), the Secretary may, subject to paragraph (2), provide
  supplies, equipment, and services for the purpose of aiding the recipient
  in carrying out such subsection and, for such purpose, may detail to the
  recipient any officer or employee of the Department of Health and Human
  Services.
  `(2) CORRESPONDING REDUCTION IN PAYMENTS- With respect to a request by a
  recipient for purposes of paragraph (1), the Secretary shall reduce the
  amount of payments under subsection (a) to the recipient by an amount equal
  to the costs of detailing personnel (including pay, allowances, and travel
  expenses) and the fair market value of any supplies, equipment, or services
  provided by the Secretary. The Secretary shall, for the payment of expenses
  incurred in complying with such request, expend the amounts withheld.
  `(i) EVALUATIONS AND REPORTS-
  `(1) EVALUATIONS- The Secretary shall, directly or through contracts with
  public or private entities, provide for evaluations of programs carried
  out pursuant to subsection (a).
  `(2) REPORTS- Not later than January 31, 1993, and annually thereafter,
  the Secretary shall submit to the Committee on Energy and Commerce of the
  House of Representatives, and to the Committee on Labor and Human Resources
  of the Senate, a report summarizing evaluations carried out pursuant to
  paragraph (1) during the preceding fiscal year. The Secretary shall provide
  a copy of each such report to the National Council on Disability.
  `(j) DEFINITIONS- For purposes of this section:
  `(1) The term `financial assistance' means a grant or contract.
  `(2) The term `prevention' means activities that address the causes
  of disabilities and secondary conditions resulting from disabilities,
  and activities that address the exacerbation of functional limitations,
  including activities that--
  `(A) eliminate or reduce the factors that cause or predispose persons to
  disabilities or that increase the prevalence of disabilities;
  `(B) increase the early identification of existing problems to eliminate
  circumstances that create or increase functional limitations; and
  `(C) mitigate against the effects of disabilities throughout the person's
  lifespan.
  `(k) AUTHORIZATION OF APPROPRIATIONS- For the purpose of providing financial
  assistance under this section, there are authorized to be appropriated
  $15,000,000 for fiscal year 1992, $20,000,000 for fiscal year 1993, and
  $25,000,000 for fiscal year 1994, and such sums as may be necessary for
  each of the fiscal years 1995 and 1996.'.