[105th Congress Public Law 340]
[From the U.S. Government Printing Office]
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[DOCID: f:publ340.105]
[[Page 112 STAT. 3191]]
Public Law 105-340
105th Congress
An Act
To amend the Public Health Service Act to revise and extend certain
programs with respect to women's health research and prevention
activities at the National Institutes of Health and the Centers for
Disease Control and Prevention. <<NOTE: Oct. 31, 1998 - [S. 1722]>>
Be it enacted by the Senate and House of Representatives of the
United <<NOTE: Women's Health Research and Prevention Amendments of
1998. 42 USC 201 note.>> States of America in Congress assembled,
SECTION 1. SHORT TITLE.
This Act may be cited as the ``Women's Health Research and
Prevention Amendments of 1998''.
TITLE I--PROVISIONS RELATING TO WOMEN'S HEALTH RESEARCH AT NATIONAL
INSTITUTES OF HEALTH
SEC. 101. RESEARCH ON DRUG DES; NATIONAL PROGRAM OF EDUCATION.
(a) Research.--Section 403A(e) of the Public Health Service Act (42
U.S.C. 283a(e)) is amended by striking ``1996'' and inserting ``2003''.
(b) National Program for Education of Health Professionals and
Public.--Title XVII of the Public Health Service Act (42 U.S.C. 300u et
seq.) is amended by adding at the end the following:
``education regarding des
``Sec. 1710. (a) <<NOTE: 42 USC 300u-9.>> In General.--The
Secretary, acting through the heads of the appropriate agencies of the
Public Health Service, shall carry out a national program for the
education of health professionals and the public with respect to the
drug diethylstilbestrol (commonly known as DES). To the extent
appropriate, such national program shall use methodologies developed
through the education demonstration program carried out under section
403A. In developing and carrying out the national program, the Secretary
shall consult closely with representatives of nonprofit private entities
that represent individuals who have been exposed to DES and that have
expertise in community-based information campaigns for the public and
for health care providers. The implementation of the national program
shall begin during fiscal year 1999.
``(b) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated
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such sums as may be necessary for each of the fiscal years 1999 through
2003. The authorization of appropriations established in the preceding
sentence is in addition to any other authorization of appropriation that
is available for such purpose.''.
SEC. 102. RESEARCH ON OSTEOPOROSIS, PAGET'S DISEASE, AND RELATED
BONE DISORDERS.
Section 409A(d) of the Public Health Service Act (42 U.S.C. 284e(d))
is amended by striking ``and 1996'' and inserting ``through 2003''.
SEC. 103. RESEARCH ON CANCER.
(a) Research on Breast Cancer.--Section 417B(b)(1) of the Public
Health Service <<NOTE: 42 USC 285a-8.>> Act (42 U.S.C. 286a-8(b)(1)) is
amended--
(1) in subparagraph (A), by striking ``and 1996'' and
inserting ``through 2003''; and
(2) in subparagraph (B), by striking ``and 1996'' and
inserting ``through 2003''.
(b) Research on Ovarian and Related Cancer Research.--Section
417B(b)(2) of <<NOTE: 42 USC 285a-8.>> the Public Health Service Act
(42 U.S.C. 286a-8(b)(2)) is amended by striking ``and 1996'' and
inserting ``through 2003''.
SEC. 104. RESEARCH ON HEART ATTACK, STROKE, AND OTHER
CARDIOVASCULAR DISEASES IN WOMEN.
Subpart 2 of part C of title IV of the Public Health Service Act (42
U.S.C. 285b et seq.) is amended by inserting after section 424 the
following:
``heart attack, stroke, and other cardiovascular diseases in women
``Sec. 424A. (a) <<NOTE: 42 USC 285b-7a.>> In General.--The
Director of the Institute shall expand, intensify, and coordinate
research and related activities of the Institute with respect to heart
attack, stroke, and other cardiovascular diseases in women.
``(b) Coordination With Other Institutes.--The Director of the
Institute shall coordinate activities under subsection (a) with similar
activities conducted by the other national research institutes and
agencies of the National Institutes of Health to the extent that such
Institutes and agencies have responsibilities that are related to heart
attack, stroke, and other cardiovascular diseases in women.
``(c) Certain Programs.--In carrying out subsection (a), the
Director of the Institute shall conduct or support research to expand
the understanding of the causes of, and to develop methods for
preventing, cardiovascular diseases in women. Activities under such
subsection shall include conducting and supporting the following:
``(1) Research to determine the reasons underlying the
prevalence of heart attack, stroke, and other cardiovascular
diseases in women, including African-American women and other
women who are members of racial or ethnic minority groups.
``(2) Basic research concerning the etiology and causes of
cardiovascular diseases in women.
``(3) Epidemiological studies to address the frequency and
natural history of such diseases and the differences among
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men and women, and among racial and ethnic groups, with respect
to such diseases.
``(4) The development of safe, efficient, and cost-effective
diagnostic approaches to evaluating women with suspected
ischemic heart disease.
``(5) Clinical research for the development and evaluation
of new treatments for women, including rehabilitation.
``(6) Studies to gain a better understanding of methods of
preventing cardiovascular diseases in women, including
applications of effective methods for the control of blood
pressure, lipids, and obesity.
``(7) Information and education programs for patients and
health care providers on risk factors associated with heart
attack, stroke, and other cardiovascular diseases in women, and
on the importance of the prevention or control of such risk
factors and timely referral with appropriate diagnosis and
treatment. Such programs shall include information and education
on health-related behaviors that can improve such important risk
factors as smoking, obesity, high blood cholesterol, and lack of
exercise.
``(d) Authorization of Appropriations.--For the purpose of carrying
out this section, there are authorized to be appropriated such sums as
may be necessary for each of the fiscal years 1999 through 2003. The
authorization of appropriations established in the preceding sentence is
in addition to any other authorization of appropriation that is
available for such purpose.''.
SEC. 105. AGING PROCESSES REGARDING WOMEN.
Section 445H of the Public Health Service Act (42 U.S.C. 285e-10) is
amended--
(1) by striking ``The Director'' and inserting ``(a) The
Director''; and
(2) by adding at the end the following subsection:
``(b) <<NOTE: Appropriation authorization.>> For the purpose of
carrying out this section, there are authorized to be appropriated such
sums as may be necessary for each of the fiscal years 1999 through 2003.
The authorization of appropriations established in the preceding
sentence is in addition to any other authorization of appropriation that
is available for such purpose.''.
SEC. 106. OFFICE OF RESEARCH ON WOMEN'S HEALTH.
Section 486(d)(2) of the Public Health Service Act (42 U.S.C.
287d(d)(2)) is amended by striking ``Director of the Office'' and
inserting ``Director of NIH''.
TITLE II--PROVISIONS RELATING TO WOMEN'S HEALTH AT CENTERS FOR DISEASE
CONTROL AND PREVENTION
SEC. 201. NATIONAL CENTER FOR HEALTH STATISTICS.
Section 306(n) of the Public Health Service Act (42 U.S.C. 242k(n))
is amended--
(1) in paragraph (1), by striking ``through 1998'' and
inserting ``through 2003''; and
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(2) in paragraph (2), by striking ``through 1998'' and
inserting ``through 2003''.
SEC. 202. NATIONAL PROGRAM OF CANCER REGISTRIES.
Section 399L(a) of the Public Health Service Act (42 U.S.C. 280e-
4(a)) is amended by striking ``through 1998'' and inserting ``through
2003''.
SEC. 203. NATIONAL BREAST AND CERVICAL CANCER EARLY DETECTION
PROGRAM.
(a) Services.--Section 1501(a)(2) of the Public Health Service Act
(42 U.S.C. 300k(a)(2)) is amended by inserting before the semicolon the
following: ``and support services such as case management''.
(b) Providers of Services.--Section 1501(b) of the Public Health
Service Act (42 U.S.C. 300k(b)) is amended--
(1) in paragraph (1), by striking ``through grants'' and all
that follows and inserting the following: ``through grants to
public and nonprofit private entities and through contracts with
public and private entities.''; and
(2) by striking paragraph (2) and inserting the following:
``(2) Certain applications.--If a nonprofit private entity
and a private entity that is not a nonprofit entity both submit
applications to a State to receive an award of a grant or
contract pursuant to paragraph (1), the State may give priority
to the application submitted by the nonprofit private entity in
any case in which the State determines that the quality of such
application is equivalent to the quality of the application
submitted by the other private entity.''.
(c) Authorizations of Appropriations.--
(1) Supplemental grants for additional preventive health
services.--Section 1509(d)(1) of the Public Health Service Act
(42 U.S.C. 300n-4a(d)(1)) is amended by striking ``through
1998'' and inserting ``through 2003''.
(2) General program.--Section 1510(a) of the Public Health
Service Act (42 U.S.C. 300n-5(a)) is amended by striking
``through 1998'' and inserting ``through 2003''.
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SEC. 204. CENTERS FOR RESEARCH AND DEMONSTRATION OF HEALTH
PROMOTION.
Section 1706(e) of the Public Health Service Act (42 U.S.C. 300u-
5(e)) is amended by striking ``through 1998'' and inserting ``through
2003''.
Approved October 31, 1998.
LEGISLATIVE HISTORY--S. 1722:
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CONGRESSIONAL RECORD, Vol. 144 (1998):
Oct. 12, considered and passed Senate.
Oct. 13, considered and passed House.
WEEKLY COMPILATION OF PRESIDENTIAL DOCUMENTS, Vol. 34 (1998):
Oct. 31, Presidential statement.
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